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HomeMy WebLinkAbout040-240-07540-34-56 391 Florida Ln, Durham 99-.83P,FC(util, MH) l GAS /Z -r =' 32s.0 �o'- i-' k COMPACTION TEST ^SUPPORT STRUCTURE RE , ' 40-24-56 Contr: Cal 0 hobile Home Service Per.it 4 -831AHI Is 12_i§— V-? .✓ OFFICE COPY Address_FLUR-fi,i f/ J� -4)4 R 1f GAS Meter By Date L t ELECTRI Meter By Date i -.kRMIT NO. _ Q'3599-83P,E(MH) PERMIT EXPIRES OWNER BETTY 'GRAY CONTR. owner ASSESSOR PARCEL Next to 2391 Florida Ln. Durham LOCATION ___ 40-24-56 _ i Temp. Power Pole Called PG&E / Temp. Elec. Service Called PG&E ._ Temp. Gas Service Cal led PG&E JOB FINALED (Date)�� % V 0IS r) (JY Signature J = OK O = Not OK — = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBI HOME UTILITIES (Plans) OK except a's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s Zoning Requirements—Setbacks—Easements 1, Zoning Requirements—Setbacks—Easements te-Iro-ils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors ewer Location—Test—Fall-C/O—Concrete _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails — 4 a -ter; Location—Test—Easement Needed (Sketch), 4• Wood Awn.; Posts—Beams—Rfirs.—Connec.—Shthg.—Rfg.—Bracing__ S. lectricity; Location—Clearances/ mp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Locatio rap:/ f4"L" ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors UI*TJtility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date M0,BI1,EH0ME INSTALLATION (Plans) OK except N's Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's ZgRing Requirements—Setbacks—Easements 1. Setbacks—Easements otings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability s; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining ctricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI D in; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ter; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—listed Water and Sewer Connected—C/O 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 zits; Insp.—Sketch fi�Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date 17JI Lej '5 Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date S J .= OR 0 -•Nof OK ~ ' Not Applicable Not Ready RESIDENTIAL (Single and Duplex) :k c Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing --Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel - Bloc kouts-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 Ft .-Steel 54. Glazing Area =Glass Protection -Skylights -Plastic - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -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 Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date Card -&l- 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 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors _ 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 Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 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.- Garage; Above Floor-Mech. Protection _ -In 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex,Protec. 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 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps -- _26. S_ubfeed 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. _Insulated 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Neutral Yes El No Service -Riser Conductors & Ground -Main Disconnect 75. Followinginstld.: Drive Yes No; Walks Yes ❑ ❑ ❑ ❑ No; Planters Dyes ❑No 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. --------------------------- Card -I B Card B -I ------- --.---.- --- -_Date- -- -_ Card -BI -- Date Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Perrnit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31_ A.C. Ducts: Insulation &Support - 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation _ Condensate Drain _& Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 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 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_ _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-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Rom_ex_Protection-Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions_ _ Garage Fire Protection Framing (NOTE: An entry must 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 requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: r Owner i Owner's Address Mobilehome Mfg. Model Year Insignia No. 2'f Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By I _ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED 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 T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date - *a_ 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 T A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector— — Date — COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 3 S 9 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this tter, or need additional explanation, please contact this office immediately. Inspector Date ,�./ ...,i 1 - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS '7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER eel p-- d c+/ S (o ZON NG BUILDING PERMIT 07R TELEPHONE SQ. FT. OCC.1 BUILDING VALUATI N OWNER'S MA 1,'",7 %NAME CONTRACTOR'S 42.44 O Y�,-4'e s LlLldd . /e- / SEiP�� crc TELEPHONE CONTRACTOR'S MAILING ADDRESS p`3 Gw,rCH v.� G�;G /� Fireplace CONSTRUCTION LECER IJ '" le 0. 4 a�� N Total Valuation is Filing Fee $ 10.00 r/rrdc-ER'S MA)A3ING ADDRESS Q /,4ri,4,,,— � �f, `� 0 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $/Sap Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ^ �� BUILDING ADDRESS 3 �/ ea %, ,fi�i U (Z P,Q t� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeX Other SPECIFY Building sewer 5.00 Mobile Home I S I G JW I 10.00E TYPE OF WORK New ❑ Addition ❑ Nmodel Utilities E3 Installation_q Other ❑ Describe work: a,7W� 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. 2t/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 m license is in full force and effect. %r 4f 6 / License No. �1 760 � 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 CONSTRU TI.OUTLET 2,50 ea NON•R ESID BRANCH CIRC ITS. NEW CONSTR.( POWER APPARATUS &') NON RES D. SINGLE OUTLET CIR. 200s0e Ex. Occup(o OR FIXTURES 9AL®30 FIXED p FIXED TS (RES. OR APPLISIS EX. OCCU OUTLETS (REST D.) EA.) 1 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. `;.? _ k �3 X Date > Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0' deep and demolition or construct- ion of structures in height. Mobile Home Installation Fee $^p TOTAL PERMIT FEE $ 0 r occOP. GROUP I TYPE OF CONST. I VJPARcrLJ F PD I HD ISS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �z ^t t. Date 3 l p 2- �P �over /3'stories Receipt No... ((� WHITE-D.P.W., YELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .ry BUTTE COUNTY, DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville',''CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: XW%� & je4 / �6S 2. Installer's name: ��� ©i ��,a' Ile ���� ����z CA� 3. Is the site currently under permit? YeS�/'t4-- No / / p 61 (If yes, furnish permit number �: (� OR/ y� T Is the site an existing site? Yes I / -No / (4— (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 setbacksand easements? Yes / No (If no, clarify 5. -What is the mobilehome electrical rating? ----------------------- y Amps 6. What is the mobilehome site service rating? ---------- t� 0 y Amps 7.. What is the mobilehome site circuit breaker rating? ------------- S d Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yea No (If.yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ------------------ ------ 4P (in.) 10. What is the type of gas service? ----------------------------- Natural /% LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 70 (ft.)' 12. What is the mobilehome gas demand? ------------------------------ �9?i0�0 I�l14X (BTU) (This informations equired if; pipe length.less_ than 6 ft. on natural gas . or less than ft. on LPG.) I�So To 1lE�?.1F1�' .. '. it I. .d ,._ - �'i i'..�� � S •.. MOBILEHOME SUPPORT DATA If other than single wideXy Mobilehome Mfr. /�i� we)0Q furnish Setup Model No.-5.���� Year Width(ft.) Box Length S,,9— (ft.) Tagalong or Expando Size 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. Footines (check one) Q—]�,.. Wood either pressure treated or foundation grade. (ft.) in; x (in.) (in.) 2. Other: (specify) Center sup ort locations Center su port footing izes ' Supvorta (check one) (in.) D—*7block. - (—j .Ii Other. ( specify) (fft—.)(—in..) (in. (in.) *----Tagalong or Expando,' show support details. D (ft.)(in.) (in.) (in.) !.2 x-9 -- Typical Support (in. (in.) Footing Size G0,04, �o.D TO. SRV E TE 'FULL LEi)E�. SEAR.t0 � (in.) (in.) -- Max. Pier Spacing r Max. Overhang (ft) (in.) (ft..)(in.) �0 93 BUTTE COUNTY BUILDING DEPARTMENT APPROVED � / *If center piers are other than drawn above, • p 4 .:. draw in locations, spacing,, and dimensions. _.._.._._ _.. _.__�... . _.. lk Service Size Cst? AP # OWNER" K U PERMIT'#- MH UTIL.CLEARANCE D E f INSPECTOR RIC GAS Other Pipe Load Tvne Size I Length N® Nor . j01 .7 Q' Support Compaction Struc. lTest.Reg. YES NO YESI NO -i � m -,z a A QOUNTY OF. BUTTE - DEPART�NT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, daitfornia 95965 - Telephone 916/534-4541 APPLICATION AND ,PERMIT i ASSESSOR PARCEL NUMBER Z/pr Z IMG BUILDING PERMIT Ow. TELEPHONE 3VJ SO. FT. OCC.1 BUILDING VALUATAON OWNER'S MAILINA ADDRESS izf N V4 R14,9m CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ —i600— LENDER'S AILING ADDRESS Permit Fee $ ARC HI_ TECT OR ENGINEER '/�vw"�'-`�•L ' LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ / BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 FL Each Each Trap 2.00 Solar Water Heater 20.00 /l) 9'L0,2,04 ,(/\ . Water piping 5.00 LOT NO. SUBDIVISION NAME h 6 ZLI � 1 PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STR CTURE SF ❑ Duplex[] Mobilehome*V Other SPECIFY Building sewer 5.00 Mobile Home 10.00e TYPE OF WORK New El Addition❑ Remodel❑ Utilities Installation[] Other ❑ Describe work: Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 2' NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 2h2sq ft CONTRACTORS LICENSE LAW I declare under penaltyof perjury ) p � y (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) ❑ 1, 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 ID BRANCH PARC STs NEW 2,50 ea NEW CONST R. POWER APPARATUS &. CO NON.RESID. (SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURES BAL@30 AL�3o IXEDTs Ex. OCCUp. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject yy 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. Ialso agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments costs, and expenses which may in any way accrue agains id County i nse a of the granting of this permit. K Date, 9 -,F� Signature of Ap lican — 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 924n -- $ 24I OCCUP. GROUP I TYPE OF CONST.ARCE PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI TOR O PUBLIC By r PERMIT EXPIRES Date •� the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. n'7� 7 V. WHITE-D.P.W.. YELLOW-ASS@SSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 02 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION 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) U`Py 2. I (have/have not) signed an application —for a building permit for the propose 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 &Z&4 Zoo�7� Social Security number Date — 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. • COUNTY OF BUTTE - DEPARTMEAT•OF,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No.. / OWNER / + A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Ot er-(Explain) Building Inspector. o"k Date �v At time of permit application, 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 caics. . . . . . . . . . 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 authoriz• n., . . . . . . ati Sanitation approval from Health Dept. .I —? 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 1.4. Owner -Builder Verification (Given to owner, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . �Y 16. Mobilehome Installation Data. . . . . . . .. •Pre-Inspec. request to 17 Date Pre -Inspection for Required. a ;Id. g Inspector r o 18 Other 114 JN ,,F 716 d_UPu4tj6eAJ / 7 When you issue the permit, process as follows: y p , p �_ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Date //I -/GI _ k_ 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 ti e f application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designert ner. was advised of above required data by Telephone Mail Other By Date Plans checked bv—L Date Plans approved by Date /O Other: Copy—DPW I TO: Building Department FROM:. Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Location AP# Plan approved for: sewage.disposal .ice water supply `- Hold final for: Final clearance O.K. for: Clearance for Z_ bedroo mobile hom Other Note*** k Sanitarian water supply water supply Date ° setback of 5 ft. fro the P ngperty-lines.-an,d-a-s #back----_ i of Oft. from the-ad centerline shall b e of structures or equipment except o \ fQr a 2 ft. eave overhang, ,. BUTTE COUNTY BUILDING DEPARTMENT � Utility connectionA shall b it io APPROVED. P P ` V � CC ® 4 ft.I of the mobilehome, eit e �1 '` directly behind orwithin th r halfiof the roadsideN- of 4. mobilehome. NOTE:-All Mat rials & Workmanship Shc I Be in Accordance with Recognized Good Practi es and of a quality prescribed for the Specifiod u in the ' pe mit Uniform Building, Plumbing & Mec `des and lr alFe7 fob 1�d Instal t4on o he m the National He c iced' e bile om®, E A; This set of plans and specifications MUST bt kept on the job a all times and it is unlawful t - -- � •make any cl�:.�n�3e� or al,erations on same withou•. • ° • wrifiten permission .Pub- lic Works, Cgunty of Butte. p,Q/LE Y,�J/ST 'CCr Fe,a&oeAL YID IZZ. _ `L)N _, Y- CALIF. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT I::., ;<'..!'4_1 FSTED BY FOR RESIDENTIAL DEVELOPMENT ARTY SHJ°. ,r OCT 7d 1l 0� FI'1 Section 26-8.1 of the Butte County Code requires this acknowledgementELE'ANOR M.H1CKER be recorded prior to issuance of a building permit. CLEM -RECORDER . .F The property described herein is adjacent to land or included 83--35CO G within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising 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 occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: D. Fai--Ce� N' Q7y- D — US(o�o Stdte of California ) ) SS. County of . Butte PROPERTY OWNERS: On this the 24th day of October , 19 83 , before me, the undersigned Notary Public, personally appeared Betty Jo Gray Personally known to me. / / Proved to me on the basis of satisfactory evidence. to be the ,person(s) whose bame(s) i subscribed to the within instrument and acknowledged that chr executed the same for the purposes therein contained. WHEREOF, I hereunto set my hand and official seal. CA:.i>-OPNIA I L• Nib XuG 29. GENERAL ACKNOWLEDGMENT State of CAL!F(;;U,?I A County of 3UTT Z SS. OFFICZLS]IM NOTA�l:UBA m�fcomm. e. Notary Public %' �l./.11lffll�l-l�11111./.lr,�llll,/llll•/!l./llllll llll.�lll,/lNO. 201 ll'` On .'OI;N F. GAGE the undersigned Notary Public, personally appeared JLTLI .T3 G; -Uy personally known to me proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) IS within instrument, and acknowledged that FE subscribed tthe WITNESS my hand official seal. —executed it. Notary -s Sig re - - - - - - - - - ----.-.�-�...rrr./'Y,/./.Y./l!./l111./-/✓.Y!1✓llll�JI./,/.i