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HomeMy WebLinkAbout039-300-020~ _ . -A COOPERGASCOMPACTION TEST REQ 0 PERMIT NO. 728-87P,E(MH) PERMIT EXPIRES / OWNER GARRY COOPER CONTR. owner ASSESSOR PARCEL 39-30-18port LOCATION 4739 Ord Ferry Rd, OFFICE COPY 1 Address I I -- GAS Meter ByDate ' ELECTRIC Meter By Date it a Temp. Power Pole Called PG&E ki Temp. Elec. Service Called PG&E { Temp. Gas Service Called PG&E JOB FINALED (Date) �( Signature ___._ J - OK 0 = Not OK – = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date . MOBILE OME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p's 0_,,-J1'op,jn Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements & ys; Special MH Support—Sketch _ 2, Footings; Size—Depth—Spacing—Connectors Sewer; Location—Test—Fall-C/0—Concrete 3, Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 14"—Water; Location—Test—Easement 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 GasLocation -Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft:/ /"LPG 6. Carports; Windows—Doors Utility Clearance 14 _ 7, Elec. Card-BIate3 I Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date HOME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except N's Hing Requirements—Setbacks—Easements 1. Setbacks—Easements Fpeings; Size—Spacing—Marriage Line_ ; 2. Soils; Compaction—Structure Stability GaS' MH Test—De —V a—C ector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI Water; MH Test—Regulator—Connector 6, Elec.; Enclosures; Conduit Entries—Terminals—Listed er and Sewer Connected—C/0 to Grade—HD Approval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater s and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit W"Llits: Insp.—Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I DateV , and -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date OK =*Not'OK = Not Applicable = Not Ready RESIDENTiAl (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits - 3. Ftg., Garage; Soils -Steel- / /" Fig. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection - 4. Fig., Porches & Decks; Soils -Steel- / ' /" Ftg. Depth 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access - 7. 8. Piers -Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. _ Glazing Area -Glass Protection -Skylights -Plastic 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 Card -BI Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date _ DateCard-BI Date Date Card -BI Date PLUMBING (Permit) OK except N's Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Card -BI 14. 15. 16. 17. 18. 19. Water Ht.: Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors Date _ Card -BI _ Date Date Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except H's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Gard B -I Card B -I 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes �No Service -Riser Conductors & Ground -Main Disconnect_ - - _ Equip. Clearances: Panels-Motors_Mech. Equip. _ Clothes Closet Light -Shower Light _ ----- - --.-- -- Date Card BI Date - _- Date Card -BI Date 69. Wir. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. - Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.:.Drive ❑Yes ❑ No; Walks E3 Yes ❑ No; Planters ❑Yes EJ -No 76. Stucco; Brown -Finish 77, - - A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. _ Gas Test -Meters Tagged; Gas -Electric Card -BI Caid-BI 31. 32. 33- 34. 35. A.C. Ducts. Insulation & Support_ - _ Vent Fan: Exhaust above Insulation- Condensate Drain & Overflow: Size _& Grade _ Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Card -81 Date - Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates - - --- - -- - - Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's Com rents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. .46. .47. Sills: Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops. Furred Ceiltincs-Stairs_-Ch_a_se_s-Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -Draft Stop -Ins. Battles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing - - (NOTE Anentrymust be made each time youvisit jobsite) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome Owner's name Owner's address � / Insignia or hud number Manufacturer's name Serial number of V.I.N. ", 11 6,"— fficial Approving Installation Year of m I anufacture /I -� A (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE -"F-7 129 A routine pection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please �ontact t.his ffice immediately. inspector— Da -;.2;7 7 - ,..._ COUNTY OF BUTTE - DEPARTMENf OF PUBLIC WORKS 7 County Center Drive - Oroville, Califorrtra 9596. - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT 0. ASSESSOR PARCE MB7 `10 -fig tJJ ZONI G %�--o BUILDING PERMIT OWNER '- C TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIOLING ADC}R ESS 0C �r J/N�AME CONTRACT1r/)/OR'S — e_ ..._�" TELEPHONE CONTRACTO 'S MAILING ADDRESS Fireplace CONSTRUCTION LE�� UNKNOWN Total Valuation $ Filing Fee $--+e-.e(3,— LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ d� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /''1'n V Permit fee $ PLUMBING PERMIT Filing Fee 10.00 - - Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 1 � V ? Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome[`Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile HomeQr:S���-JG WO 110-00ea TYPE OF WORK New M Addition ❑st, Remodel ❑ LATties (�y Installation[] Other E] Describe work: � 0 � f i d Orld1/TTTTIJ'"' U 7i," _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 B00V OR LESS Main service 100 AMP OR LESS 10.00 O�OO Main service EA. ADD'L 100 AMP 2.50 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 ❑ 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 CONST. � DWELLING OCCUP. RI /22sgft DDN.A C.BLDGS. 21 NEW CONSTR.ULTI OUTLET NON•R ESI. BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 8 3OAL@ AL090 Ex. OCCUp. OUTLETS P(RESID )FIXED APLINIS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. O9 I shall not employ any person in any manner so as to become subject !rte to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabilitie ts, costs, and expenses which may in any way accrue against sai Count in c uence of the granting of this permit. X Date-3 Signature of A licanr Contractor EJAgent 11 An OSHA 'permit f r excavations over 5'0" deep and demolition or construct- ion of structuresover3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.rrPe I I F PARC PD HD 590 This permit is hereby issued under sions of the Butte County Code and/or workdicated ove for which I &T,,OR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 10/V`�V pr ./7 3 /JS Receipt No. 113 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OFA PUPLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,+CALARY%flA5965 - TELEPHONE: 916/5-4541 / PERMIT APPLICATION DATA SHEET Permit No. t` OWNER A. P. No. Proposed Building Use 14-1-` Building Inspector 4/ � Date -=$,;P1 At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . .. . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorizatio . . . . . . . . 10. Sanitation approval from Health Dept. .. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) !MZ. Owner -Builder Verification (Given to owner❑, Mail to owner ❑.), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre-Inspec. request to ate) Pre -Inspection for Required. Building Inspector 3'kCg�8. Recorded copy of Agricultural Acknowledgment Statement. . Driveway Permit. �� Pow fry •j, 20. Pint plan approval m city of '. 22. When you issue theermit, _rocess as follows: Mail to owner, Mail to contractor. �J Telephone Ow// and and hold for pickup a&�ii�Deliver w/inspector. Other Applicant ate 3 8� Copy.of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: riofrto permit issuance: (Circle new item not checked above). ,7 .�,-•� Contractor, designer, owner, was advised of above required data by_phone--nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by ^ date Plans checked Copy—DPW r Date Plans approved by Sets of plans on hold in File cabinet AP folder — Hours: 10:00 a.m. - 3:00 p.m. i r` TO: Building Department FROM: Environmental Health, Chico row" SUBJECT: Sanitation Clearance 1141'a 05AM-ar::z 4ep-1-1 39 -3e-IS Owner Locatidn AP# Plan approved for: Hold final for: sewage disposal 1. Final clearance O.K. for: Clearance for bedroom mobil W!EO:M� Other Note*** Sanitarian water supply water supply water supply z -/�?- -9 7. Date TO: Building Department FROM: Encroachment Permit -Section RE: Driveway Clearance 11" own(fr Driveway permit 32 3 7 - 3 /9 location AP # has been issued for the above property. -3 - date 'I' 1 , COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I'personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) iz2fL 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 t\J,�-A lam. Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name, Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date `Z NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 3,%�- 3a- le ,-7rt &/ "/�)o & V� /,o oil' S,� 06 :^AUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. ASSESSORPA L NUMBER G ZONING�\/ _ 21 BUILDING PERMIT OWNER D TELEPHONE 7 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS d L� � y� CONTRACTOR'S NAME cc U TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ , Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehom Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallatioRW Other ❑ Describe work:13 Permit Fee _ $ Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professions Code and my license IS In full force and effect. License No. Classification I, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a+ , OR ADDNS. (ACC. BLDG S*hlCsgft NEW CONST R. ULTI.OUTLET 2.50 ea NON.RESID ITS BRANCH CIRC 1. /POWER APPARATUS 6) \SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050Q eALe3o FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. 9�rI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 sa' County i c sequence of the granting of this permit. Date S S� Q Signora of Appl' ant 0 ner ❑ Contractor ❑ Agent ® An OSHA permit s required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE D oc CUP. CONST.TYPE P OD PARCEL PD ND s9U This permit is hereby issued under sions of the Butte County Code and/or work icated above for which 1 CTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 9 NA1 2 Receipt No. 70 Z3 Ci2 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET V' Permit No. OWNER A. P. No. Proposed Building Use T Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/Or issuance: DATE RECEIVED APPROVED 1. 2. 3. 4. 5. 6. 7 8. 9. 10. 11. 12. /13. _ 15. 16. 17. All items have been submitted. . . . . . . . . . . . . Plot plans in duplicate./triplicate, signed by preparer of plans. . Complete plans in duplicate. /triplicate, signed by preparer of plans. Complete engineered plans and talcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . . CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . Statement of Intent for Non -Heated and AC Buildings, Fees of $ , , , , , , , Letter of signature authorization. . . . . . . . . . . 'Sanitation approval from Health Dept. . . Planning -approval for (A) Use: (B) Parking: . Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), Improvements may be required. . . . . . . , , , , Mobilehome Installation Data Pre-Inspec. request to Pre -Inspection for Required, Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. Plot plan approval from city of RW ---21 ?2 22. When you issue the permit, rocess s follows: Mail t wner, Mail to contractor. � v Telephone 29/—k3�gand hold for pickup Deliver w/inspector. Other Applicant (Date) F 3 -s" ' Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to ermit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by. date Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date — Flours: 10:00 a.m. - 3:00 p.m. If4-,y 1031 C— 6-1-u 7 e:�2&Z-o.o-91AII 4�,< 77/ AJ 7-170e CA, Al 5 -7711e--.4�77- 7-WC--- - i Al i COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: , Property Owner C32P Con • C-4 Social Security Number : Date 07- , 1 oVU l , JaC 1 NOTE: This Owner-Builder;;Verification is sent to you as required by Sections 19831 and 19832 of the Californa'Heal.'th and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 1 IB+ . f r� Wit. L*k t t �d� "eturn to DPW AGRICULTURAL STATEMENT. OF ACKNOWI.,EDGEMENT j;'COIRDED BUTTE COUNTY FOR RESIDENTIAL DEVELOPMENT OFFICIAL RECORDS BY Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. PAR7Y SFI01v',/r1 .877 . 653 1337 MAR -S PH 2: 38 The property described herein is adjacent to land or include within an area zoned for agricultural purposes, and residents of this CANDACE J. GRUB Property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicide%ER6EQIjAMS gE ._ :=:.nd fertilizers; and from the pursuit of agricultural operations including, but not limited 12-ito cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust , :smoke, noise, and odor.. Butte County has established agricultural zones which have as a b'acpra priority use for productive agricultural purposes, and residents within said zones and on :adjacent property should be prepared to accept such inconvenience or disconform from normal, ;:ecessary farm operations. All that real property situate in the County of Butte, State of California, described ':s follows: =ate : PROPERTY OWNERS: State of Ca I i forn i a ) On this the 3rd day of March , 19 87 'before County of Mendocino SS. me, the undersigned Notary Public, personally appeared y "Garry R. Cooper********************************** OFFICIAL SEA SHARON D. PIERCE NOTARY PUBLIC -CALIFORNIA S PRINCIPAL OFFICE IN MENDOCINO COUNTY OY Commission Expires July 16. 1888 'resent A.P. No. -?C� -P-18 �77 Personally known to me. / / Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. • e Notary Public Sharon D. Pierce B6-05920 DESCRIPTION: 'All that certain real property situate in, the County of Butte, Statc of California, described as follows: COMMENCING at the Northeast corner of. Section 31, 'township 21 North, Range 1 Gast M. D. B. & M. and running thence along the North line of said Section West 1154.7 feet to a point where the said Section line intersects the Southerly line of the Rancho de Farewell; thence along the Southerly line of the Rancho de ' Farewell, South 710 55' West 1864.7 feet to a point where the said line inter- sects the East line of the Llano Seco Rancho; thence along the said East line of the Llano Seco Rancho, South 16n7.4 feet to an iron pin; thence South 890 41' East 2952.0 feet to an iron pin on the East line of the above mentioned Section 31; thence along the East line of said Section 31, North 10 25' West 2204.6 feet to the place of beginning. EXCEPTING THEREFROM HOWEVER, that certain strip of land conveyed by A. E.Head i and Evalena B. Head, his wife to Parrott Investment Company, a corporation by Deed dated December 30, 1918 and recorded February 21, 1919 in Book 172 of Deeds, at page 218, records of Butte County, California, described as follows: Being a part of Section 31, in Township 21 North, Range 1 East, more particularly described as follows: A strip of land 50 feet wide lying along and adjoining the South line of the Dayton and Parrott Grant Road, beginning at the east line of the Butte City Lane, said line being also the East line of the Llano Seco Rancho, where the said lane leaves the aforesaid Dayton and Parrott Grant Road and running Easterly along the aforesaid South line of the Dayton and Parrott Grant Road, a distance of 560 feet to a point, 100 feet East of the North and South center- line of Section 31, Township 21 North, Range 1 East, M. D. B. & M. ALSO EXCEPTING THEREFROM all oil, gas, asphaltum and other,hydrocarbons and substances associated therein, in, on and under the above described land, as contained in Deed from Evalena B.,Head, a widow to Standard Oil Company of California, a Delaware corporation, dated January 20, 1938 and recorded March 19, 1938 in Book 197 of Official Records, at page 305. .;� ALSO EXCEPTING THEREFROM a parcel of land situated in Section 31, Township 21 North, Range 1 East, M. D. B. & M., Butte County, California, and more particu- larly described as follows: BEGINNING at the Northeast corner of said Section 31, said point being the Northerly extension of the east line of the parcel of land described in the Deed to Charles A. and Helen M. Cabral recorded in Book 1450 of Officiai Records, at page 480, and the centerline of the Ord Ferry Road, said point also being the TrLn point of beginning of this description; thence South 00 00' 19" East 40.00 feet along the East line of said parcel; thence South 89059' 41" hest 48.14 feet thence South 890 42' 11" West 499.92.feet; thence South 89050' 11" West, -305.96 feet to the beginning of a tangent curve; thence Southwesterly along the arc of CL curve concave to the South having a radius of 1960 feet through a central angle of 170 56' 45" an arc distance of 613.90 feet; thence South 710 53' 26" West 990.02 feet to the East line of that strip of land deeded to Parrott Investment Company; recorded in Book 172, page 218, Offi. ial Records of Butte County, California; thence North 00 00' 34" !lest 42.08 feet to the centerline of said Ord Ferry Road;'thence along said centerline North 710 53' 26" East 1292.75 =eet; thence continuing along said centerline North 890 50' 11" East 621.92 feet; thence continuing along said centerline North 890 42' 11" East 500 feet h North 890 59''41" East, 48 feet to the point of beginnings. END OFObCtJ►�EI�Te This set of plans and specifications MUST be 60 on the job at all times and it is unlawful t0 make any changes or alters+ions on some wlthouf vniffen permission from the Department of PAN Works. County of Butte. NOTE -,—Alf Materials & Workmanship Shall % M Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Coda and Ais kc tional Electrical Code. —:; F C = L1 L -_J ' 1n rJ�) C -J 76') R�/ 905 jai lE / I\o 5326 2ERRY r A \91 \56-5,29 ro fs- �9i� / / 53 ?0 53 26 O l5A�'----� pETAII. / / / N. 710 53 26 E: / 505.881 I'--100' L.F.S.A. Utility conn® LI100� 4 ft. of the 1� directly behi, I 1 - -' half N I m mobilehoCr me. C"' I Q v 0 Q 0o w N. 710 53'26" E. 475.52' A setback of 8t. from the property ines and a setback of 50ft. f,om the road centerlinE shall be clear of i Sfttfures or equipment except for a 2 ft. ave overhang. ions shall be i bilehome, eit I or within thl of A PARCEL I Wfauati 40.00 AC.UU, i W � LO LO -O I 0I 0 Z I IEAST LINE +rj IRANCHO LLANO SECO 01«— 50 B.S.L. i I I k g� 1016.16' I" AXLE ,ithin ar v gear �® PARCM 51.24. W ill be required for, of the mobileh0 JL o ,. O M � . -E: • NQ t: D' 100' R.B.S.L. _ 1108 IIT 45� 1e41 E. APPROVED PPROVE 89041'31"E. 7 M WU 72� -�'f tit I� � !.: •�.. Q BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET owner!a name: 6-141,ep_, CQ' 2. Installer's name: &19k/2 y 0 e 4 AL 3: Is the site currently under permit? Yes No (If yes, furnish permit number �%� �S_) 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 / y/ No ( If no, clarify ) S. What is the mobilehome electrical rating? ----------------------- ''l 0Amps 6. What is the mobilehome site service rating? -=------------------- Amps 7., What is the mobilehome site circuit breaker rating? ------------- © Amps 8. Is there any other electric load to be,'served by the mobilehome siteservice? --------------------------------------------------- Yes 8,1" No (If yes, identify the load and size: W OFZ.0 (Load) 3 D (Amps). 9. What is the mobilehome site gas pipe size? ---------------------- , 10. What is the type of gas service? ----=------------------------ Natural 7-7 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? -------------------------------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas.. or less than 50 ft. on LPG.) Lill MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. L-?'KaA,F% furnish Setup Model No. -3 X - Ac -71 -Year Width .24 (ft.) Box Length SG (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. Center support locations* (ft .)(in.) iI (ft.)(in.) 15c. O N (ft.) (in.) Single '\ , .,,� : . . A *If center piers are other than drawn above,)"" draw in -locations, spacing, and dimensions. Footings (check one) Wood either pressure treated or foundation grade. 2. Others ( specify) Supporta.(check one) 1: Concrete block. .2: Other (specify) Tagalong or Expando,' show support details. -- Typical Support .) Footing Size -- Max. Pier Spacing -- Max. Overhang COUNTIV BUILDING DEPARTM! r APP R 0 V E E �y