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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
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M
A
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d
C:
m
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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