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039-290-034
A.P. 39-29-34 HAL, CARPENTER NIS of -Dayton,'. West, -.Rd,.,. 1 mi. W. of Dayton, just before turn Permit 1-4-6-9--7-4B-,E (new detached garage & storage bldg. 91*V)94 - AP9=29-34 In 1 Permit# 24-2-3--6fKlst renewal) V1 *' Mal I "aJ'71 . JV -Z9-34 Permit #4�4-5,6—M-3Qnd renew I for permit #1469 39-29-34 Permit #"'0-2_--dT-&V(3rd . & 4th. rene' ,val/1469-74 & duplicate plan app.) I 39-29-34 ELL �ZDay�ton West Rd, 1 1/10 mi W of Dayton' PjytortS.. Petmit#2_35: 3P,E(uti,4, MH) LEC S f SUPPORT STURCTURE REQ /IW COMPACTION TEST REQ lf4o 39-29-34 - Cont arl , E. Crain, Corning N cr, i s 0-00' . ' -?ERMITNO. 1469-74Bi,E f P 3 E ie- M c ,,MH UTIL. R PERMIT NO. 4 p PERMIT EXPIRES WNER Hal Carpenter 1,.'ONTR. Owner I`OCATION (A.P. 39-29-34 NIS of Dayton West Rd., 1 mi• w. of Dayton A 'ay ,t AL Temp. Power Pole Called PG&E Temp. Elec. Serv. , Called PG&E Temp. Gas Serv. Called PG&E JOB Gl INALED / (Date) Q L �. j' (Sign ure) 1' ,• _ _` _ .. �,; _.. , i� .. f_ `�: +. — � - -�, — — .. _t _ ' _ __._ .. r ti Y I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS a i BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. A Restroom Finish 2nd Floor Footings • Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping-- % Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents :r019 Water Htr. Stemwall Slab Prov. for physic t —L handicap ed Heaters Appliances Carport Footings Conformance of ex. sJuTNre Gas Piping & Test Temp. Gas Slab anal Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS, Motors Framing )--2-2 —7 Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground --- Interior Lath Ventilation JRermanent Door Closer Final F na S S--2--79 DATE REMARKS OR CORRECTIONS g !- )ti / vt / w COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS a-%- 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 4 4001� ZOV CLit oraG represeiiiaUVCS U! lne uuunly ul Butte to enter upon the above-mentioned property for inspection purposes. X JDate S/ o'z/7 Signature of ZZ ee or Agent Receipt No. / 2 l3 a�7 C � /`�� White-D.P.W. — Yellow-AssesS�?r _17n&6ector — Golde I a� 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 P LIC WORKS By Date -/ �- T uilding permit expires Date ...................�5 ��.7%�S BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephon o. .2-4 Fireplace Contractor Total Valuation Mailing Address Permit Fee ` Plan Checking Fee&/orPerffilty Telephone No. Permit Fee Building Address /�� �� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 G✓ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. �- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 *r,— Sanicfauln- Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Id .PlansRecd P.r.J l PI pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others Sub -panel (12 oo.4ess) (more than 12) — Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures - 20 _ba,0105711 R ps., swi hes & f i x ou is 2 7 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring • I am exempt from the Contractors License Laws of the State of California. Permit Fee $ O G WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL 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 $ CLit oraG represeiiiaUVCS U! lne uuunly ul Butte to enter upon the above-mentioned property for inspection purposes. X JDate S/ o'z/7 Signature of ZZ ee or Agent Receipt No. / 2 l3 a�7 C � /`�� White-D.P.W. — Yellow-AssesS�?r _17n&6ector — Golde I a� 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 P LIC WORKS By Date -/ �- T uilding permit expires Date ...................�5 ��.7%�S J .COUNTY OF BUTTE — I DEPARTMENT OF PUBLIC WORKS 9 County Center Drive - Oroville, California 95965 Telephone: 534-4541 39 —7� APPLICATION AND PERMIT � aU II Iul ILC ICIJICAC11lal1VC5 UI ule L'UUllly UI 6ulle to enter upon lne above-mentioned property for inspection purposes. XNJa% LDate Signature of Permiteer�or Ag nt Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFJ%BLIC WORKS Bing permit expires Date ' % 17-- BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address �� r a el a hon o. �i Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit FeeDID Building Address Plan Checking ee&/orP I Permit Fee D( ' PL MBING No.1 @ I FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. -2 / Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F fdl!C. Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans ParcelEach I Declaration Parcel Map 1 60' R/W Improvements additional outlet .30 Building sewer 5.00 ans ec'd F Parcel Approyal Plans�A of Lawn sprinkler system 2.00 NEV❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ is ELECTRICAL No. @ FEE ' PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L loo AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 OR AODNSNEW // CONST. ACCDWE•BLDGS.LING CCUP. 91 2¢Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y TLET NEW CONSTR BRANCH CIRCU NON.RESID � BRANCH CIRCUITS 2.50ea - NEW CONSTR POWER APPARATUS d NON.RESID. SINGLE OUTLET CIR. 250 Ex. QCCUP(OUTLETS OR FIXTURES g L 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 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of J 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 Land Development Fee $ TOTAL PERMIT FEE $5 aU II Iul ILC ICIJICAC11lal1VC5 UI ule L'UUllly UI 6ulle to enter upon lne above-mentioned property for inspection purposes. XNJa% LDate Signature of Permiteer�or Ag nt Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFJ%BLIC WORKS Bing permit expires Date ' % 17-- '` Permit No. ' OWNER 40 A. P. No. - Zoning U -se Prop s d Approved Not approved Permit.fee based upon: Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time ofpermit application, the applicant was -advised the following data or information must be submi=1. "o permit processing and/or issuance: . Date received ll item's have been submitted. -------------------------- Date Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs. -------------------- 5. Fees of $ -------------------- 6. Letter of signature authorization. ---------------------- 7. Sanitation approval. --------------------------- 7-------- 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ------------------------------------- 13. Aunt Minnie information. -------------------------------- 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ----------------------------- 17. Pre -inspection request for -- 18. Improvements - plans required & DPW approval. ----------- 19. ----- - BDate y Bldg. nspecto During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition the following: 2. Applicant advised by Telephone Mail ther 3. Plans checked by �lC"-�b�'-�i Date 715 4. Plans approved by Date perm is issuea, process as roilows: 1. Mail to owner., 2. Mail to contractor. 3. Deliver with inspection., 4. Telephone and hold for pickup @ office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7_County Center Drive — Orovill% California 95965 Telephone: 534-4541 APPLICATION AND PERMIT I •F; ao,,.+a,vvo V L116wuniy CJI Duue LU enter upon me above-mentioned property for inspection purposes. 1 x X �U ,li%��.L cii; Dat Signature of Peermitee 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 0 UBLIC WORKS B DatesS— `2 uilding permit expires Date—.3�1,Z7 BUILDING Owner i Fi SQ. FT. OCC. BUILDING ALUATION Mailing Address �� 1 V— f � Telephone No. F i replace Contractor zz Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 6 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 _,� — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees' W.C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parkn s P.1 aBldg. Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 OR L Main service 100 AMP ORSLESS 5.00 Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service 1100EAMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 Q J P A.A NEW CONS. DWELING OR ADONST ( ACCLBLDGS. OCCUP, &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID. (BRANCH CIRCUITS) '2.50ea NON-RESI D.5 T R ( PO ER SINGLE OUTLETTCIR.& CONTRACTORS LICENSE L W I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@2�R BAL@1 Ex. Occup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws -of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. lzI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 *I, r' TOTAL PERMIT FEE $/ •F; ao,,.+a,vvo V L116wuniy CJI Duue LU enter upon me above-mentioned property for inspection purposes. 1 x X �U ,li%��.L cii; Dat Signature of Peermitee 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 0 UBLIC WORKS B DatesS— `2 uilding permit expires Date—.3�1,Z7 I CO:. -Y OF Bj7,E DEPT. OF PUBLIC WORKS 111 ti `MAY 12 0A AM PM 7181911011111213.1213141516 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W R S 7 County Center Drive - OroviIIe, California -95965' Tel epFjon•e: 533-4541 APPLICATION AND PERMIT auurunce representauves ur [Flu L uunty ui nutte to enter upon me above-mentioned propertyforinspection purposes. X✓A/' ®'^4,)'Date Signature of Permitee or Agent Receipt No.43-3/0 - 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. DIRECTO_iXR OF UBLIC WORKS BY Date - 1 37 41�/i/ldinq permit expires Date _�__/ 7 BUIL15ING Owner S0. FT. OCC. BUILDING VALUATION Mailing Address Teleph ne No. rFFeplace Contractor al Valuation Mailing Address Permit Fee P I,an Checking Fee &/or Penalty Telephone No. Permit Fee � 497—= F % ,nj / Building Addressy O�CI PLUMBING No. @ FEE PERMIT FILING FEE $3.00 K/ I Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 / Each gas water heater or vent 1.50 A. P. No. q = a-�/ — Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeAe4 Vte 9arritft*&n I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Parcel Approval Plans Approv3I Permit Fee $ $ NEW ADDITION [J UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _ G 1-,2 m f Main service incl. 1 meter 7 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home ❑ Others B Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20102 bW9 ,C Receps., switches & fix outlets 2U lat 2.5hm rain CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, 'Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 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 Secti6n3700 of the California Labor Code which requires every employer to be insured against liability , 'for Workmen's Compensation. El I have placed on file with the Courity of Butte a certificate of Workmen's Compensation Insurance. FSI 1 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 $ Z auurunce representauves ur [Flu L uunty ui nutte to enter upon me above-mentioned propertyforinspection purposes. X✓A/' ®'^4,)'Date Signature of Permitee or Agent Receipt No.43-3/0 - 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. DIRECTO_iXR OF UBLIC WORKS BY Date - 1 37 41�/i/ldinq permit expires Date _�__/ 7 PERMIT NO. 235-83P,E(NHi - PERMIT EXPIRES OWNER RICHARD SHELL CONTR. owner ASSESSOR PARCEL e39-29-34 LOCATION NIS Dayton West Rd, 1 1/0 mi W of Dayton, Dayton G •i( �I Vf 6 J. 5 Temp. Power Pole { Called PG&E Temp. Elec. Service } Called-PG&-E Te3 Gas Service All) 3 n alledPG&E r { JOB FINALED (Date) Signature 1 r i J = .OK 0 = Not OK – = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBI HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 140"Zoning Requirements–Setbacks–Easements 1. Zoning Requirements–Setbacks–Easements 12—Soils; Special MH Support–Sketch _ 2. Footings; Size–Depth–Spacing–Connectors 4i6ewer; Location–Test–Fall-C/O oncre a 3. Decks; Girders and/or Joists–Decking–Bracing–Stairs–Rails ter; Lo n–Te asement Needed (Sketch) 4. Wood Awn.; Posts–Beams–Rftrs.–Connec.–Shthg.–Rfg.–Bracing_ ectricity; Location–Clearances–Grnd.–/ / Amp–Concrete _ 5. Alum. Awn.; Columns–Connections–Splice–Decal–Enclosures as; Location– –Wrap "L"ft./ /"Nat. or/` /"L" ft. /"LPG 6. Carports; Windows–Doors tility Clearance 7. Elec. – Card -BI Date /$- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements–Setbacks–Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except #'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 5. Elec.; Pool Lighting; 15 volts–GFI 6. Water; MH Test–Regulator–Connector 7. Water and Sewer Connected–C/0 to Grade–HD Approval 6. Elec.; Enclosures; Conduit Entries–Terminals–Listed 7, Elec.; Bonding; Metal w/5'–Circulating Equipment–Heater 8. Gas and Electricity Tagged 9. Exits; Insp.–Sketch 8. Elec.: Grounding: Equip. w/5'–Circulating Equip.–Pool Lghtg. Boxes–Enclosures–Panel boards–Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval Card -BI 10. Plumb; Cir. Test–Water Supply Test Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J d = .�Or-K N 0 = Ot OK =`= Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Fig. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Root Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic 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 N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. Smoke Detector 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Bedroom Exiting 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection _ Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size &Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth - - - - 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Perrrit OK except H's 67. 68. Garage Fire Door; Swing -Landing -Closer 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. Flet. Receptacles Spacing -Lights &Switches at Doors 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. _ 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. - - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps _ 25. 26. 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 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 A1, r� Insulated Neutral ;Yes El No 75, 76. 77. Following instld.: Drive Yes No; Walks g ' ❑ ❑ ED Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 28. _Service -Riser Conductors & Ground -Main Disconnect _- 29. Equip. Clearances; Panels-Motors-Mech. Equip. -_ 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 Card -BI Date 81. 82. Ventilation throughout House Glass Protection _Date_ ___._ _--- - Card B-1 Date Card -BI Date Date MECHANICAL (Perrr,it) OK except q's _ 31. A.C_.-Ducts: Insulation & Support 83. 84. _ Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval ___33. 32. Vent Fan; Exhaust above Insulation86. Condensate Drain _& Overilow; Size & Grade Energy Compliance Certificate -Other Certificates ---34.-.Furnace-Vent; Access -Co mb._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 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors r 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) 40. _ Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Puritn-Roof frac.-Truss-Shlhnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Allic Access Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions___ Garage Fire Protection Framing' _ (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the re irements of the California Administrative Code, Title 25, Chapter 5, unwer permit number —for the following location:' Owner. Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial No. r It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works A _T) te By— T14IS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P,W. - ` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965: Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEke-L tom, _R s Z°"'"G BUILDING PERMIT l OWNER x, �S� �L TELEPHONE 3y -es-vi- SQ. FT. OCC.- BUILDING VALUATION R'S MAILING ADDRESS OWN- 31 0 Fig. 57 , It COTRACTOR'S NAME ` a� TELEPHONE 1*2Y-32fg , CONTRACTOR'S MAILING ADDRESS r 616 go oi-tA .¢zl_ �, 0�i�) 1✓� Fireplace CONSTRUCTION LENDER J UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER f\Ar^-k - LICENSE NO. Plan Checking Fee m I.4 $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ J BUILDING ADDRESS . PLUMBING PERMIT Filing Fee 10.00 le dis phi /y W / Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent. 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex obi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G W 10-00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation Other ❑ Des ibe work: �► �Jter Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC.'BLDGS. t 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): L- am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. 40222!] Classification /c(2) / ❑ 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR (MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS & NON•RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES .20@5OQ ALO FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one):. ❑ The permit is for $100.00 (valuation) or less. I Vhave 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 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I 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 again sai County i onsequence of the granting of this permit. ? X Date 6J SignaturIC of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories inheight. Mobile Home Installation Fee $' TOTAL PERMIT FEE $ OCCOP. GROLIP I TYPE of CONST. PARCEL PD I ND I 1550 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 Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. G -7 �� WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT ft COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION [d 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA"95969" TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER S1� A. P. No. 9-a %- W. Proposed Building Use ?n t:4 Permit Fee Based Upon: Complete Contract Price \/ DPW Valuation I At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:, - . DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . 9. Letter of signature authorization. 10. Sanitation approval from--" Health Dept. 1 Planning approval for (A) Use: (B) Parking: 2 Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be -required. . . . . . . . . . .. 16. Mobilehome Installation Data. . . . . . . . •Pre-Inspec. request to . 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Te4ephene- and hold for pickup at Chiu office. Deliver w/inspector. Other Applicant-�`�2�— Date ✓� ' ��� Copy of plans sent Health Dept,, Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above a of application, circle item.) 1. Index permit for above Items No. 2. Additio6al items required: j (C racto , Desi/er, Plans checked Plans approved Other Copy—DPW advised of above required data by Telephone Mail • Other By Date 40 Date Date AP OWNER r PERMIT'# MH UTIL.CL NC E A /T -7 INSPECTOR ELECTRIC GAS, Support Strtfc. Compaction Test.Req. Service.- Size Other Load 'Type Pipe Length YES NO YES NO _Size 3� 97 /l< ede./,- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Qaliforni& 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO../ 92 d ASS E ^0 PA�EL NUMBER ZO fJ BUILDING PERMIT r OWNER Cl I_LELEPHONE S0. FT. OCC. BUILDIN ALUATION OWNER' MAILING ADDRES ey 54) CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ j$$Q LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER �Iyrl LICENSE NO. 1 Plan Checking Fee $ ..O Penalty$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ S e Q 0 BUIL G .�A99DRESS iC/� G rit/ w O tS PLUMBING PERMIT Filing Fee 10.00 �G Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME - PARCEL MAP 5—(p:j Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USEOUCTURE SF•❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home U 10.00e Q O TYPE OF WORKPermit New 1-1Addition [:1Remode1 [:1Utilities Installation[] Other ❑ Describe work: — Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 O, 00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (/ DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. 2/20Sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ 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. License No. Classification 0-l, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTR ULTI-OUTLET NON.RESID. BRANCH CIRC ITS 2,50 ea NEW CONSTR. POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occu 20@s0C p�o OR FIXTURES DAL®30Q FIXED A PLINIS Ex. Occup. OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 _0C) Misc. Wiring 15.00 Permit Fee $ 73 0 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. ❑ 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. 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 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Date Z Signature of Applico — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARC PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated abov r which DIREC OR F PUBLIC �L By P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS n Dated "da^ P3 2F ' Receipt No. 2ll:� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 't'T .yL:i�•'lOM � 1 COUNTY OF BUTTE - DEPARTMEN.T OF�PUBi IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILI,_E,-CAU*'�bRNIA 95965 - TELEPHONE: 916/534-4541 • a,. .r T PERMIT APPLICATION DATA SHEET Permit No. OWNER !�G`l�ii/ fll�AA7__fG� A. P. No. Proposed Building Use— Permit se Permit Fee Based Upon: Complete Contract Price l—D-PW-Valuation --f� Other(Explain) Building Inspector. i Date_"" At time of permit application, I was advise the f-ol owing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . 4. Complete engineered plans and calc's. . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. --Letter of signature authorization. . . . . . . . 10. anitation approval from l�f�/�� Health Dept. a 1. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) Q���. Owner -Builder Verification (Given to owner ail to owner ❑.)Z Z5C4 15. Improvements may be required. . , . . . . . . . . 16. Mobilehome Installation`Data. . . . . . . . . . . ( ate) 17. Pre -Inspection for Required. Pre-Inspec. request toBuildingIn pe/jor / `-Q 8. Other /(�lOrtC�� Ci9lf�Cii/Tire / i�`,-,4/`.y/%�tJ 7' When you issue the permit, process as follows: 1/ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant������Date ��a Copy of plans sent Health Dept., Fire Dept., Other ' Date During the plan checking process, the following data must be submitted prior,to permit issuance: (For required items not checked above at .me o appli ion cir item.) 1. Index permit for above Ite s N . 2. AI requi� (Contractor, Designer, was advised of above required da v T By- -Mail Y _MaiI Other Date O y Plans checked b NILDate :0--7 jr S Plans approved by Date Other Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature.. Please complete and return this information'in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name ,,a, 4,e4= Address / City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coor inate, supervise, and provide the major work: Name , . .-Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security number Date�,F T NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. TO: Building Department PROM -1 Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Lodation AP# Plan approved for: Hold final for: sewage disposal water supply water supply Final clearance O.K. for: water SUPPI Clearance for 2--.. bedroom obile home. Other Note*** Sanitarian 2— — ^�— g �3 Date AGRICULTURAL AFFIDAVIT EMPLOYEE Employee r �,�, (�-�, j� Phone Employee's Address (Present) 2'3 Pa/c- r Name- of Owner p p Owner's Address-/- �3 �-� j a (L A Owner's Assessor's Parcel No. Z7 '3 a 63Y.- Building/Environmental Health Permit Description and Number r � Date Issued By Planning De� rtment Approval, ' Date dZ �.3 Zone Dwelling 'on A4` itBy do declare, subject to the penalty of perjury, that I am the employee of��.he4 5Ze address (present) 3 13e--gF-- 5�►� [ , ',, ,, on APS and that I will be employed under Section 24-21 .2t a o for at least g thirty-two (32) hours per week for at least sixteen (16) weeks per year on AP# /d.,,, Sign�� `��� AGRICULTURAL AFFIDAVIT EMPLOYER Employer �, 62 �.. �!� 1� Phone I . 2'5'S Employer's Address (Present) I3 /3c' -_-I, S-0 e__ C Name of, Owner`� Owner's Address Owner's Assessor's Parcel No. d 3 ..Building/Environmental Health _ Permit Description and Number Date Issued By Planning Department Approval: Date Zone -�� Dwelling on AP# By 0 I, A .do declare, subject to the penalty of perjury, that I' am the employer of />e f- -address (present) on AP# and that I will be employer under Section 24-21.2 et,, b, <_-P9 for at least' a to g thirty-two (32) hours per week for at least sixteen (16) weeks per year on. Dated r -BUTTE COUNTY DEPARTMENT OF PUBLIC.WORKS 7 County Center Drive, Oroville.-CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name:i L� 2. Installer's name: C0444� 3. Is the site currently under permit? Yet 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? ----------------------- c9 Amps 6. What is the mobilehome site service rating? ----------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ---- --------- ��0 Amps S. Is there any other electric load to be served by the mobilehome siteservice? -------------------------------------------- ------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas-pipe,size?------------ --------- 10. What is the type of gas service? ----------------------------- Natural / 7 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? '2 (ft.) 12. What is the mobilehome gas demand?„-=---------------------------- (BTU) J � (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) .r r MOBILEHOME SUPPORT DATA a If other, t.han single"wide, /CleD> Mobilehome Mfr. v-cC+P.�i ��S/ furnish Setup Model No. C —1211—Zi— Year Width A,Y (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. 'Footings (check one) Single _ tD/l. Wood either Apressure treated or .— /2 foundation grade. x30 (ft.)(in:) (in.) (in.) ❑ 2. Other: (specify) Center support locations* Center support footing sizes .. Supports (check one) (in.) �-�/ Concrete block. l�! ": X ❑ I i Other. ( specify) (ft.)(in.) (in.) (in.) 6 16 K (ft.)(in.) ;23' g" (ft.)(in.) It jw'O_ (ft.) (in.) 2y a 'Cin.) (in.) x 3,01 (in.) (in.) y �y .4ce R or f 4vvrlo l MAPS, *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. tagalong or Expands,' show support details. / Z x3 -- Typical Support (in.) (in.) Footing Size Max. Pier Spacing p" I -- Max. Overhang (ft.)(in.) • 518 -�3 3 BUTTE COUNTY RUIILDING DEPARTMENT APPROVED �� !7 1691, A setback of 5 ft.' from the st property lines and a setback of 50ft. from the road. centerline shall be cl'ea,r-of o I structures or equipment except for a 2 ft. eave overhang. 9.1 4 CIO BUTTE COUNTY 4, &A�DING DEPARTMENT APPROVED AIX Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 83- 3237 FOR RESIDENTIAL DEVELOPMENT l-, + = Section 26-8.1of the Butte County Code requires this acknowledgement , be recorded prior to issuance of a building permit. JAN ZOO 4 27 PPi4RI The property described herein is adjacent to land or included�� within an area zoned for agricultural purposes, and residents of ELIEAYSEAND this property.may be subject to inconveniences or discomfort arising • FOE from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural 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:`- / Date: 112. YAP 3 PROPERTY OWNERS: State of California ) ) SS. County of Butte ) ©eaalululuep!!!uulualeltluunuuuuulqueup OFFICIAL SEAL �- CONME ). aCONNELLI MTAAr Muc u►uacs� coulay of MSR! Coem► Esp. Aug. 9, 1983 la�nleunelumlmn olann!!4m wm Nu! On this the 28th day of January , 19 83 , before me, the undersigned Notary Public, personally appeared RICHARD A. SHELL and LUCILLE E. SHELL known to me to'be the person(s) whose name(s) are subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand -and official seal. (_` Notary Public . „ 7 9- � �/ lit, I -y ,��y i7 '�ti,�ia'.�,��1'h��l.�$��`•r�y9"&,�"���4ir��$�tai ,,, ' I,r W -sn J ^ lid �{ _ .' . ,:. ,,'r..tt ''� �" ;twwV,n{ .AI:, �+,• '''�'• - �, � -'~ - : , :fi Aj I �,, rC •� �- - �# ,•tF+'; 6S r 1't r+ .: SAN%n�xiw:wrl6k��+�.�., �"•.� Wwr.V' ��'�« . / �, � v+l 4'�' � •`„R 'h�, 6 r� t�;' ,yr^".” .rr."".. a��.s.. �rr+ �, , k, �'3{,' l . 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