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HomeMy WebLinkAbout041-500-011__' ~~� /� --- -- — - - --' ~— ----'— ' (l .o . ' . / / . , � . . . � � x �� -- -_ .~~� __ — .L��._^ -~-- ___ _-__- _ __-__-_ '-'. '_ ---~~� u��' �� . . / . . . ' . . �� . � L��*��N •n -con RESIDENTIAL41-50-11 1 HOLOWELL, Ernie Contr: mobile Home Center (3954 Cherokee Rd, Oroviflle (MHU)---� ELEC GAS I COMPACTION TEST REQ SUPPORT STRUCT REQ I t t t. 4 I k OFFICE COPY Address u'1 I GAS i Meter By Date F IELECT Meter ByRI Date i JOB FINALE Signature 1 l COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE L 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. Date�^ Inspector 7 // .41 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address or location of mobilehome Owner's name' Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. PERMIT N0. (Official Approving Installation) Year of manufacture (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. J=OK O=Not OK Not =NoiReadyable MOBILE HOMES Date MOBILE HOME UTILITIES Plans OK except #'s Zoning Requirements -Setbacks -Easements /Soils; Special MH Support Sketch xSewer; Location -Test -Fall -C/O Concrete Water; Location -Test -Easement Needed (Sketch) Electricity; Location-Clearences-G d-/ /Amp -Concrete IX /Gas; Location -Test -Wrap: / /"L"ft. / P'Nat. or47/"L"ft./y(("LPG X Utility Clearance Date 4/-41-90 Card B-1 c ,, Date Card B-1 Date Card B-1 Date Card B-1 Date MOBIL& HOME INSTALLATION (Plans) OK except #'s 4✓Z ng,Requirements-Setbacks Easements F ngs; Size -Spacing -Marriage Line Ga H Test-Demand-Valve—Connector le city; MH Test -Crossovers -Breakers -Clearances r ' . MH Test -Fall -Flex Connector /y. yllater and Sewer Connected -C/O to Grade -HD Approval .$ qds and Electricity Tagged ts• Insp.-Sketch 1 rt. of Occupa y Date Card B- Date Card B-1 Date _/ - i Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg: Rig. -Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip :Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O=Not OK - = Not Applicable ' = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks 17 Yes ❑ No; Planters 13 Yes 11 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS t' 7 County Center Drive - Orovi3;;&,,CalrParnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERI N ASSESSOR PARCEL NUMBER t I _ SG _ ZONING BUILDING PERMIT ,Z OWNER Lo .TELEPHONE �� 3 SQ. FT. OCC, BUILDING VALUA ION OWNER'S MAILING ADDR 55 %Q F oAl ST L O CONRACTOR'S AME Po - T ti 'T" c. TELEPHONE 5 0 CONTRACTOR'S MAILING ADDRESS ;7 1-7 q0 Fc, A T ig en t V nr 17LVR LC-(-- C A 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 J / VVR � r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 G V I 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[] Mobilehome[il/ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK ,/ New [_1 Addition [IRemodel [:1Utilities ❑ Installation 5J Other ❑ Describe work: 3 is Q _ >19A ( j�. tj(��3— 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 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. 0401 qOS Classification (n 4 -7 ❑ 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) E] 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.&) OR ADDNS. ACC, BLDGS. / , �Z¢SQft NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRCUITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20®500 1.20050c ALO FIXED ALNS Ex. OCCup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. LK 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. Contractor MECHANICAL PERMIT FiIingFee 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 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 sa" County in consequence of the granting of this permit. X IVI e_1 Date r Z-7 d- &&j Signature of Applicant — Owner ❑ Contractor ❑ Agent D An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3sttories in height. Mobile Home installation Fee $ $, Energy Inspection Fee $ occ CONST TYPE TOTAL $ 7o• c FEE to AL E;LD HAz CUA PARK PAR PD Issu This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY 1qZZDate PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS 'eZ Receipt No. 5-�7 ;?7r WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ;=?.�' .�--..z7-;a,�''sru'"`yr.f"-•.. «obi.:�..-r---....r.�...,..�.:.;^.r•i;-�►:..nr.-�'•<w-7j.. ...-� *`7',' � _ --.. . �• COUNTY OF BUTTE DE PARTMENjTRl�PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. — lele R-af OWNER— t. ..-P. No. % "SSD Proposed Bull Ing -use,— W I Building Inspector Date 1.2---2d ^f� 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, 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14'' Sanitation approval from Health Department 1§. City of Chico4plumbing permit ..................................... 16. PPlot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... X18. Improvements may be required. Contact Land Development Section DPW 9. Driveway permit (construction approval required prior to occupancy) t20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... a 9AI Recorded copy of Agricultural Acknowledgment Statement ......... -2 Letter of signature authorization .o............ ............... 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Othpr Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit. issuance: JE;ircle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_lnall—counter by .date Contractor, designer, owner, was -advised of above required data by—phone —me ll—counter by date Plans checked by - Date Plans approved by ��Date-4 5��� Sets of plans on hold in . File cabinet' AP folder _r Copy—DPW COUNTY OF BUTTE - DEPARTMENT{ OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PEJR1 NO. ASSESSOR PARCEL NUMBER � _ a_ ZONIN � BUILDING PERMI OWNER TELEPHONE 3-5-01 SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS (700 F CONTRACTOR'S AME Mo C. tit 6,vT�/L. TELEPHONE 3c, CONTRACTOR'S MAILING ADORES 0 aT fi&& ,� fZo111 .C� — (o . Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ --to7f1- LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ &-o Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS — -T Ch ►- ��l ���s Permit fee $ 15,00 .G9p 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❑ Mobilehome[" Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home .G W 0.00e TYPE OF WORK, ,/ New ❑ Addition [:1Remodel ❑ Utilities +LI' Installation[] Other ❑ Describe work: __ 3 Qf2— _ Permit Fee $ C -O Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LESS 10.00 �Q , 00 Main service EA. ADD'L 100 AMP 2.50 2, SO 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. n License No. in 190 ::7Classification _1 �J ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( ACC. SLOGS. DWELLING OCCUP.& OR ADDNS. , �20sgft NEW CONSTR MULTI -OUTLET NO N.RESID BRANCH CRC., TS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES zo®soa 5AL030 FIXED APLNS. Ex. OCCUp. OUTLETS PR IRESID.)EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring 9 15.00 Permit Fee $ 3-7,60 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �/ihave 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. Contractor MECHANICAL PERMIT Filing Fee 1 10.00 Heating Coolin 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 'd County in consequence of the granting of this permit. %� r Date Z�z�— Signature of Applicant — Owner❑ Contracto Agent An OSHA permit is required for excavations over ' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ cUA PARK SCHL FLD PAR P HD Issu This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees I C OGVC./LIC By f PERMIT EXPIRES Date — the applicable provi- resolutions to do have been paid. WORKS Date �, f Receipt No. .��f{7-75 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance I el� owner location AP # Driveway permit A64e 17,eeJJ has been siy6ature issued for the above.property. /-l/-y6 date TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ` s y Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Final clearance O.R. for: Clearance for —3 bedroom mobile home. Other NOTE * * * Water Supply Water Supply Date Sanitarian TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP 4k Driveway permit /lone 17eell has been issued for the above property. / z --_7 -7 si ature date + .COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA' SHEET r Permit No. ". OWNER C_ P_ t = C:; IL A. P. No. Proposed Building Use �� ( Building Inspector Date /y'26 - �9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: • + I 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ _ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ............... 4. Sanitation approval from !'1 Health Department 1 . City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW tg• Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. 24: Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 2 Wrl 2A e -A", 41262 A/mw 6 t) hen you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date i, 7 �_0901 Copy of plans sent Health Dept., Fire Dept., —Other—Date c The following data must be submitted prior to p rmit issu nce: (Circle new 'tem not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mall—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date ' Sets of plans on hold in . File cabinet AP folder Copy—DPW ' f'r a ^c M A E' �J d C: m d E N ii I m rtD M STATE OF CALIFORN COUNTY OF said State, personally )ss. before me, the undersigned, a Notary Public in and for , personally known to me ( to bethe person whose name is subscribed tothewithin instrument,as a witness thereto, who being by me duly sworn, deposed and said: That he/sb&resides in (020 ! 4,&- . 6UT71FJL— that he/she was present and saw E2NE5T Jf�� ESL. ®amunu®some summons wo®■®ea® AAgi ► NDA-- OL-OWO -L. personally ®CYNTHIA A. C®LUER known to him/her to be the same person(s) described in and who ® m� NOTARY PUBLIC -CALIFORNIA S9 executed the within instrument, as a party(ies) thereto, sign, seal ® Butte County 19 and deliver the same and that said party(ies) duly acknowledged ® My Commission Expires Oct. 30.1992 0 in the presence of said affiant, that aeAWie/they executed the same, and that said affiant, thereupon at the party's(ies') request, subscribed his/her a ajaess thereto.WITNESS my ha nd offl. Signature (This area for official notarial seal) Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of. the Butte County. Code requires this acknowledgement be recorded prior to issuance of a building permit. The property -described herein is adjacent to land or included within an area zoned .for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort- arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fert:i:li.zers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which 199-50982 occasionally generate dust, smoke, noise, and odor. Butte County has estabLished ogr-iulll Lural. zones which have as a priority use for productive agricultural purposes, acid i -v sidenir; within said zones and on adjacent property should be prepared to accept such i nc-onvcu i cnc e or disconform from normal, necessary .farm operations. All. that real property situate in the County of Butte, State of: Califor.n:ia, described ;1.-. f ol.lows : Date: State of. ) 0 funid�er the day of 19 'before mcg, r ) SS. t ary u personally appeared County of ) i E] Personally known.to Proved to me on the basis of satisfactory ev:i.dence. to be the persons) who a name(s) subscribed to the within ins d acknowledged that. _ executed the same for the purposes there contained. IN WI'I'Nrss WHEREOF, I hereunto set my hand and official. al.. � Present A.P. No 0,5- Nota/v Public DESCRIPTION U U V (. ORDER NO. BU -109947-3 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• ALL THAT PORTION OF THE NORTH HALF OF THE -'NORTH HALF OF THE SOUTH HALF OF THE SOUTHEAST QUARTER OF SECTION 28, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M., LYING EASTERLY OF THE OROVILLE- CHEROKEE ROAD AS THE SAME EXISTED ON OCTOBER 1,'1970. PARCEL Ii A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 28, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M.; THENCE SOUTH 00 DEG. 07' 38" EAST, 1205.22 FEET; THENCE SOUTH 80 DEG. 14' 35" WEST, 115.33 FEET; THENCE SOUTH 50 DEG. 57' 03 WEST, 174.88 FEET; THENCE NORTH 70 DEG. 01' 53' WEST, 178.35 FEET;•THENCE SOUTH 44 DEG. 21' 17" WEST, 108.02 FEET; THENCE SOUTH 13 DEG. 20' 27" WEST, 319.02 FEET; THENCE SOUTH 88 DEG. 39' 43" WEST, 480.34 FEET TO A POINT ON THE EAST LINE OF OROVILLE-CHEROKEE ROAD AND THE END OF SAID CENTERLINE. EXCEPTING THEREFROM ALL THAT •PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PAGE 5 END OF DOCUMENT AP # t-//- S O// OWNER -Mo /o -C. PERMIT -it 4/2 93 M �UTIL.CLEARANCE DATE INSPECTOR 01,?� ELECTRIC GAS Support Struc. Compaction Test Req.. Service Other Pipe NO YES NO Size Load Type Size Len thYES ZOG� 2a /1...p Pso� � t`7/ _ t _ 7 /Ae.4/�� Ajr . OAS 160_ �--- — _ ._..� .,�._�-�-' '---1---�--, a :____��--� _,._,---•-�---•I—: i--a_..-j .._ ! �irr_---�-- �� --•• -fir- E 1 -it-+i _..+-� 1 i i v ,� '� 4 I 1 • T� �1 .._. �y t _r.J-..-_ ...-. �.. - -.._ ryf ._-. �_ I {_ i � :r���-�f•-: _: � �t -T.-L t I i i .-.--_ •._,_ .- -- -`---'---'_ - - - •- '-----t- f--� j . ~ 1. -'_ I j '_'_T__'r -b - -t -Y-•- ^-j -� ' � i S - -120' - _ r __ —,__ -, _ �. s _` i _ _ • ' _ , .._.. .. o .100`_ —=----�r-1e5 mad - _--•— - r f fe�p�- ;— --- -I_ _ ove __-__....-_ 60' -._.--_ I- - .� .... _ .. .-- ---- - _ .._. — - 40' 20 UJ poll - _ 20' 40' _ _ -60'. _ ._..80. _.._ 0. 1,20 �> 40 - r _:..y160' • � cep � ��' � M�.v@IfiJQ ..n BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7.County Center Drive, Oroville, CA PHONE: 538-7541 i MOBILEHOME INSTALLATION SHEET 1. Owner's, Name: go 44 W' - 2. u – 2. Installer's Name: A1b91LE {&QM,E C&A/7-6�2 -Tyc 3. Is the site currently under permit? Yes No (� (If yes, furnish permit number `t"VOR Is Is the site an existing site? Yes F1 No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septictank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- /DO Amps 6. What is the mobilehome site service rating? -- ------ "POO Amps 7. What is the.mobilehome•site`circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the -. mobilehome site service? -------- - ----------------------- Yes t 1 No (If yes, identify the load and 'size: _ Gc/ECG (;Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3(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? -------------------------------------------- * 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.) MOBILEHOME SUPPORT DATA ' If other than single wide, Mobilehome Mfr. furnish Setup Model No. 173 Year �9 v Width o;2(:,,,'� •�(ft. ) Box Length 60" (ft.) Tagalong or Expando Size —�ft. x On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one X 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)91. Concrete block. R2. Other (specify) Pier Footing Sizes and Locations. SINGLE -WIDE MULTI -WIDE Line I Main Beams ine 2 — — — — — — — — — — — — — �a—Liae — � Main Beams Tag or Triple — — -- ------ �. TA -4 Line 1 Line 1 Piers: Size-Min.------------ Spacing-Max. -'------- From Ends -Max. ------- Line 2 Piers: Size -Min. ------------ "X-50. Spacing -Max. --------- . From Ends -Max.------- Line 1 Roof Loads: Size-Mio------------- Location ------------ Location (From Front) Line 4 Pier -8: Size -Min .------------ Spacing -Max.--------- „ From Ends -Max .------- �_ o Line 5 Roof Loads: Size -Min. ------------ Line 1 Opeoin s: Size -Min. ------------- Each Side of Opening$ With Width Over --------- Line 3 Piers: (Under Bearinj( Wall Only) Size -Min ------------------- nx n Spacing -Max.-______________ From Ends -Max -------------- C20. ------------- l2!. .,x 30., ZY'. 30p 36^x 30„ Size -Min .------------------ Spacing -Mar.--------------- ,_ u From Ends -Max.------------- '- " Location (From Front)I