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HomeMy WebLinkAbout041-520-009w 41-52-09 (o44 DIX LEROY MAYBERRY ` '• `, 2484 Or Gulch Rd, Orovill_e- Permit#169 - ,E(util, MH r 041-52-0-009 AG 82 ELEC 08 AGRICULTUR_AT. EXEMPT PFRT�nIT GAS L Pf� 3fi1-g 2484 OREGON GULCH RD., OROV[LLL' SUPPORT STR RE STORAGE Oi►PACTION"TEST-RE�__._. % o BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds _ PROJECT INFORMATION Site Address: 2484 OREGON GULCH RD Owner: permit No: B07-1286 APN: 041-520-009 MAYBERRY LEROY D & D, Issued Date: 08/22/2007 By KEJ Permit type: MISCELLANEOUS 2484 OREGON GULCH RD Subtype: Room Addn-First Stry OROVILLE, CA 95966 Expiration Date: 08/21/2008 Description: CABANA: ADD TO MH(391),GAR(9 (530) 534-5352 Occupancy: Zoning: FR5 8 Contractor Applicant: Square Footage: TRI MISSION COMPANY MAYBERRY LEROY D & D, Building Garage Remdl/Addn P O BOX 2194 2484 OREGON GULCH RD 391 902 OROVILLE, CA 95965 OROVILLE, CA 95966 Other Porch/Patio Total (530) 534-0800 (530) 534-5352 1,293 FEE INFORMATION DBEH Building Review Fee $75.70 DBF Room Addition - First Stor $102.70 DBFIRE Fire Inspection (SRA) $205.40 DBFIRE SRA Fire Plan Review (S $102.70 DBMSC Room Add -1st Story 250sf $317.23 DBMSC Room Add -1st Story 250sf $279.95 DBOMSCF Fire Safe Standards Re $115.98 DBSMIP Residential $4.71 Total Charged: $1,204.37 Fees Paid: $1,204.37 Balance Due: $0.00 Receipt No: B4332 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License TRI MISSIO COMPANY C856009 / / 3 - 3 ( @-0% Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREB A FI UNDER PENALTY OF PERJU that I am licensed under provisions of Chapter 9 (commen wi Section 7000) of Division 3 of a Busi ss and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full f r d effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 08/22/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contra ors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this is issued. ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: permit The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compa ation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the 2 M (0 Carrier.��: d Policy Number: I J WI � I Exp. Date: SCJ be if Contractors Contractors License Law.). (This section need not c&npleted the permit is Tor one nun red dollars ($100) or es .) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I hall not employ any person in any manner so as to become subject to the Workers' Compens on laws of California, and agrwtnat if -I s uld become subject to the workers' X 08/22/2007 compen n provisions of Section 37 of the Labor de, I shall forthwith comply with those Owners Signature Date provis s X 08/22/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Sig Date WARNIN :FAILURE TO SEC RS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal -AND SH LL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR D THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and propA sed by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issu ce of this permit. I herthat issuance of this permit does not authorize the use or pancy of any sidewas ewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Count nter the above mentir i spection purposes. I hereby certify that I am the prope er or am authorizedope owners behalf. kd 08/22/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Na Permittee [SIGN] Prl Date rn �QV1nLZ the performance of the work for which this permit is issued. (3097 civ. code) Lk l//Ij'j- Owner ❑ Contractor OR. Agent for Owner Agent for Contractor FILE COPY ��' Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE*#: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT T11WE OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** CONTRACTOR OWNER INFORMATION Last Name Mailin ddres First 9MI, e- (20 CityO�O J 1 1 Zip Stat Zip q ��?^ i Phone, ; Fax E-mail Fax CONTRACTOR Name ZC O VVLa'L Address D - toy, k6 City D��,t, V'4' State Gam` Zip Phone,,,3o X31{ O$t�D Fax S30 6, + O8`a E-mail r, Lic. # S'st.pcc( Class 6 APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address �( -& L)'G R� Address Stat City Phone��d 5 _ „2 State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name % P L - Address �( -& L)'G R� City 0 (d ? . Stat Zi _ Phone��d 5 _ „2 Fax E-mail �/_' _ / -- ---- — PERMIT -- NO. P07 128'G BIN # A" CO PROJECT LOCATION Property Address 814. Of div Cityf O V 1 07 Ph L WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. a LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: S in (;r r'A e H Sq FT Livin 3%,)Garage 41b2 Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning F _ Flood Zone SRA Yes No Occ. Type Const. I I �G �► , .C-, t Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municit)alcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1286 Location: 2484 OREGON GULCH RD Parcel Number: 041-520-009 Owner Name: MAYBERRY LEROYYD & D, Description: CABANA: ADD T0460911, Signature of Property Owner: FILE Date: 06/12/2007 Phone: (530) 534-5352 Date: 06/12/2007 Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds Q!a d 0 0 i "LIC w�ytrt'�`s National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment (LESS THAN 1 ACRE 1 Reference Number: B07-1286 Location: 2484 OREGON GULCH RD Parcel Number: 041-520-009 Owner Name: MAYBERRY LEROY D & D, Description: CABANA: ADD TO MH(391),GAR(920) Date: 06/12/2007 By: KCG Sub Type: Room Addn-First Str Phone: (530)534-5352 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. ru Signed Title: FILE Date: 06/12/2007 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-1286 Job Address: 2484 OREGON GULCH RD Contractor: TRI MISSION COMPANY P O BOX 2194 OROVILLE, CA 95965 Printed: 06/19/2007 3:07 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 06/19/2007 $75.70 DBFIRE Fire Inspection (SRA) R 0100-450001-4617240-1010 $205.40 DBOMSCF Fire Safe Standards Re 0010-4400014210500-1010 $115.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 06/19/2007 $102.70 DBMSC Room Add -1st Story 250sf 0010-440001-4210500-1010 $139.98 0010-440001-4210500-1010 $279.95 06/19/2007 $279.95 DBF Room Addition - First Stor 0010-440001-4210500-1010 $102.70 06/19/2007 $102.70 0010-440001-4210500-1010 $177.25 DBSMIP Residential 1001-0-280-1011298 $0.50 19200.16 $561.05 Printed By: Tammie Powell Balance Due: $639.11 At the time of pe t pplication, I s advise the above fees are required prior to issuance of the permit. These fe ay change du ng the pl checking process. Signature: Date: 06/19/2007 Pursuant to Governfnent code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B07-1286 Location: - 2484 OREGON GULCH RD Parcel Number: 041-520-009 Owner Name: MAYBERRY LEROY D & D, Description: CABANA: ADD TO MH(391),GAR(920) Date: 06/12/2007 By: KCG Sub Type: Room Addn-First Str Phone: (530) 534-5352 To meet the requirements of Government Code section 51182 and Public Resource Code 4291, the Butte County Development Services -Building Department requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County. All development within the SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site Structure location must be staked out on the building site Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6837, ext. 169, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection 06/12/2007 Date All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/_Firel)revention/l)rotplan/protplan.html Rev'd 5/7/07 FILE Butte County Department of Development Services TIM SNELLiNGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1286 Date: 06/12/2007 Location: 2484 OREGON GULCH RD By: KCG Parcel Number: 041-520-009 Sub Type: Room Addn-First Str Owner Name: MAYBERRY LEROY D & D, Phone: (530) 534-5352 Description: CABANA: ADD TO MH(391),GAR(920) The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 L ■ SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: FILE Date: 06/12/2007 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 L ■ SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: FILE Date: 06/12/2007 }..r-�---..•�.---�� . --.--i: s.:�++t'*.K'• . .� ..,� �; °..: t�-..a.. , e.�i�... •'i , ,_.:.;t«�•ri"s.�:.c:..:1x.?'f•, "'S--'�—..a—�.:►�.-�.. �:"s�....�±. j•.....f =✓r..� 1 r,.,•.. .� . . _ � �. ...-r , � r _ - r School.District t BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM _r (One form per Bdilding) iJrcU ate 0(7 (-Or A.P. Number • Property Owner C fa %1J.. Ll Property Location/Address Subdivision Jurisdiction: = City Residential Development F—n Q No of Living Mobile Home Units Installation Commercial/Industrial New Addition Building Department Representative Building Department No Tax Rate Area No. ®County Lot No. ........ ................................... .................................................... . Addition/ 'Supplemental to Conversion Permit # '(No foundation inspection) .................................................................................................. . e Sq. Footage ,3 (Group R) Cr. Demo - ( ) existing sq. ft. see attached Net total sq. ft. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) 1/ -/ I i O L Date Jeffs -w; Pj M AUS pU1., n r UU3District Identification No. OA� School District certifies that \ \A ��: N'• IL (Payor) RVICE Zy%'A ERs) (Street Address) (City) (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. 1 c�S°� V by payment of $ ��-- representing 3� \ square feet. School District Representative Paid by, Check # Remarks: B 2926 $ FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feefonn.xls (12/06)dmm State of California Business, Transportation and Housing Agency r-�""•`a DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DiJsion of Codes and Standards Folio CTlf�d Cnu:{ !�a u l_ — HCD 415 APPUCAnON FOR _ • . ?)C) � `� '�S��S 1 ❑ Technical Services + RNOME* r, e ton �( Alternate Approval fAlteration►ttonar�...w� SECTIONI • UNRINFORMATION! NotreguireditorrS�dpurpUILDER os purpose TIOM ��uu������'' ❑ Inspection To Obtain Insignia J LENSED CONTRACTOFS DECLARATION I hereby affirmunder penalty of perjury that Iia .ten 3 of the g pr e. end >f Chapter (comrnencng ISection 7000) 1rofes tom Code and my license s n full force and effect. Lic. No. �— �' Date License Gass �— Date ------- contractor 2.OWNER-BUILDER DECLARATION t from! the I hereby offirm under penaHV of perjury that I am exemp Business and Contractors License Law for the allowing renson.(Sec. 7031 A,1 Aty c or county which requires a permit to 'once, also construct, Professions Code, or repair any structure, prior to its'ssu�ce• also alter, irrpr pp to file 0 s requires the ad lill ursvant r such preovsiions of the raci statement Law t he and « she s licensed p ncrngwith Section 7000) Of D^rsr°n 3 of the Bvsnesf«the (Chopler9 (commie t there from and the basis Professiors COI or that he orshe s exerrp Icont fora alleged exemption. Anyvidatan OfSecton 7Cmfn b anYe Ih�flan hundred permit subjects the applicant to a civil penalty dollas(b500)a' es iheirsde [ I I, as owner of the property, or try employees with wag offered cOmPensafion, will do the work and the structure is rConhactosLicense f«sale (Sec. 7044, B to q� oarf raper essions CSO j�uads «urrpra^fes thereon, Low does not app fN� h his or her own and who doessuc work hi self« a of not intended or off emplayees, provided that such «rrt Went s sold wnihin ane y of sale. If, however, the budding improvement roving that he or she cornpletion, the owner -builder will have ose the buil j on of p did not build or improve f« the Pu rP l as owner of the p OPertY, am exclusively col wteSih licensed co aciors to construct the project (Sec. 7044, Business and profess Cade: The Contractors License Law, does not op pN to in owner of p(OPertY who roves thereon, and who contracts for such projecs wrath a builds Or licensed pusuant to Controctors License Law.). contractor ) �inderSe B. & P.C. for this reason l lIcmex owner 3. WORKERS- COMPE Ae ON penalty lO one of the following declarations: I hereby affirm I )1 have and will mantan a c$e' �t3700 of the Laborif-insure for Cade, for the kers compensation, as provided for by permit is slued. performance of the work forwhtch this p 111 have and will maintain workers c«rrpensation assurance, as required by Sec tan 3700 of the Labor Code, for the performance of the work for which this permit s issued. My workers' compensation insurance carrier and policy number are: Cartier poli Number oiled he permst s or one u red dallars Thissection nee not a comet $1001 or less). which this permit is slued, I I I certify that n the Ishan not employ ° w«ken. C=Icy. sub'�ect to work ' c Code, I shall f roll UNLAWFUL Ar 67G^ — CIVIL FINES UP TO ONE II AITION TO THE COST OF C ECCTTIION3706 OF Tli LABOR f 1 work. for �e n so as eethat rfel should become nal agr of Section 3700 Ot the Labor provisions. .I D e- - PErSATION COVERAGE IS lOY D TOO RS (($i INoLor)N 6 AND _REST AND A NE PROVIDED FOR IN 4. CONSTRUCTION LENDING AGENCY that there s a construction lending I hereby affirm under penalty of perlury agency for the performance ooft The work f« which this permit s issued Lender's Name Lender's Address 5. Cg2TIRCATION oil this al I cerlQy that I rtW I agree to it f l cern ion a to bul¢r6 for •0 d state that the above «alnances all city and county and hereby outhor¢e nhnve-mentioned property Date Are regvestingsewices i unit(s): ;ck Appropriate Box)��tt� Manufactured HO,A15e QA Mullfurrl Manufactured Hom�eIr �wT�P Commercial Modut�j B Special Purpose C ;cd or License No. erial Numbers) Nod DTNL C� G� Fee Date CG'� AA No. RT TO __-- RT BY Manufacturer Name/ t 1 Model Name 12 ;igria/HUD Label Numbe r(s) O i� Sar of Manufacture`� ECTION2 • OWNERI APPLICANT INIoRMATION >wner ( OJ gI address rev N�Tv _Zp C41 _ county �7 F Location Address Applicant ^\ U I—C.Nr 7 Address 530 53'k ZipTelephone City L SECTION3 • CONMACWR, ARCHMCr OR ENGINEER INF RM ON�\ contractors Name r -�i V Address Archttect/Engineer Name Registration No. Address SECTION4 • DESCRIPTION OF OoRKIACTNITY AND VAUTATION Describe the proposed work/activity in detail. Attach additional Pages if necessary. Mere structural ofteratiors or additions are proposed, complete ptans,specficatio s, details, and calculations are required to be attached totc is form - Provide the make and model of any apple to be installed and provide complete electrics cdculafions for any electrical alterinatiol additions. ol In, SI Date --I cs D APPROV D O CONDRtOHb (see reverse side) D D API VED (see rove Date Signature of District Representative WHITE -AREA OFFICE PINK-OWNERyAPPLIC nmTRISUTIO" YELLOW -DEPARTMENT OREGON GULCH ROAD xr �r irw xrarsrw xrer ire , 11 1 SA 98 �l1 nT(� N 1/ ,1 Il 'I I/ 11 1/ /1 11 1 r _ -------- / OREGON GULCH �p 0 d N CD <D m Z v� G) v N a -o m 1 z 47 CNt Z O D r OREGON GULCH ROAD -- ---------- _ — i / �/l i leo cD� N �l �j Il 11 i l� rl / I / / I l it / `w- --i�-- - OREGON GULCH �p 0 d N CD <D m Z v� G) v N a -o m 1 z 47 CNt Z O D r OREGON GULCH RO N2°12'11"W R=1430.00' L=54.98' N3°01'50"W N2°53'12"E 69.09' 111.68' N CT / O 6-0" SETBACK MOVE (e) CONDENSOR TO ROOF OF (n) ADDITION EXISTING SEPTIC (1000 GAL.) LEACH LINES (300 FT.) c - ` W A D'N ELEC. LINE MOVE EXISTING (n) GAS LINE PROPAIN TANK o � (e) ELEC (e) AG. WATER .� LINE XI T 12 p Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds . www.butegeneralplan.net ADMINISTRATION * BUILDING * PLANNING July 10, 2007 Leroy Mayberry 2484 Oregon Gulch Road Oroville, CA 95965 Assessor Parcel Number: 041-520-009 Building Permit Number: 07-1286 Thank you for submitting plans for your building project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by letter or by completing and returning a Plan Review Response Form. Your complete and clear response will expedite the re -check and approval of this project. ,Plan Review comments: Provide revised plot plan. Show and locate all structures and identify their use on plot plan. Locate and indicate distance from two adjoining property lines. 2. Verify and comply with CDF requirements. Contact CDF to comply with requirements for parcels over 3 acres of area. These may include fire sprinklers for the structure. Contact ,Nancy Carver at (530) 538-7888 extension 164.- YPermits and plan approval will be required from HCD for modifications to the manufactured Home. Verify compliance with HCD of all light and ventilation requirements within the manufactured home. Contact HCD at (916) 255-2501 for their requirements. 4: rovide to this office two copies of your revised plot plans with the requested information so the plan checking process can be completed. If you wish to discuss these requirements, please call (530) 538-7541 between the hours of 8:00 p.m. and 5:00 p.m., Monday through Friday. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Carl Nelson Plans Examiner RECORDING REaLIESTED BY: 96-015549 196-015549 196-015549 1 i AND WHEN RECORDED MAIL TO: 96-015549'1iRec Fee . 00 1 Total .00 Recorded I NAME BUILDING DIVISION Official Records 1 7 COUNTY CENTER DRIVE County of I STREET Butte I ADDRESS OROVILLE CA 95965 Candace J. Grubbs I CITY, Recorder I STATE �11:14am 25 -Apr -96 I COMS XX 2 and ZIP -e1 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. LEROY D. AND DIXIE LEE MAYBERRY BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 2484 OREGON GULCH ROAD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE, BUTTE, CA 95965 OROVILLE, BUTTE, CA 95965 CITY I COUNTY STATE ZIP CITY COUNTY STATE ZIP SAME 96-0596 (916) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUIL DPERMIT NO--7---TELEPHONE NUMBER -��j 4/24/96 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY IAL DATE SAME NONE UNIT OWNER (If also property owner, write "SAME'l DEALER NAME (If not a dealer sale, write "NONE'l MAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION SKYLINE 1996 FAIRVIEW 5512 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 7C-70-0700-IA/7C-70-0700-IB 66'X26' ULI 425607/425608 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #041-52-0-009 SEE ATTACHED LEGAL DESCRIPTION. ENT OFy, HCD FORM 433(A) Rev. 8/91 I='s�• ��NNIN pEV`�� WHITE—County Recorder CANARY—MCD PINK—Applicant GOLDENROD—Building Dept. LEGAL DESCRIPTION A.P. #/041-52-0-009 LOTS 6 AND 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GOLD HILLS SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 29, 1980 IN BOOK 80 OF MAPS, AT PAGE(S) 7, 8 AND 9. A CERTIFICATE OF CORRECTION WAS RECORDED APRIL 27, 1981 IN BOOK 2616 OF BUTTE COUNTY OFFICIAL RECORDS, AT PAGE 499 AND RECORDED AUGUST 28, 1981 IN BOOK 2653 OF BUTTE COUNTY OFFICIAL RECORDS, AT PAGE 325. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES AS SHOWN ON THAT MAP REFERRED TO HEREIN. SAID EASEMENT TO BE FOR THE BENEFICIARY OF AND APPURTENANT TO THE REMAINING LAND OF THE GRANTOR HEREIN AND SHALL INSURE TO THE BENEFIT OF AND MAY BE USED BY ALL PERSONS WHO MAY HEREAFTER BECOME THE OWNERS OF ANY PARTS OR PORTIONS OF SAID APPURTENANT LAND. 4BUILDING PERMIT NUMBER: 96-0596 Address or location of unit: 2484 OREGON GULCH ROAD, OROVILLE Legal Description of Real Property: A.P. #041-52-0-009 SEE ATTACHED LEGAL DESCRIPTION. [X]Mobilehome/Manufactured Home [ ]Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: LEROY D. AND DIXIE LEE MAYBERRY Owner's address: 2484. OREGON GULCH RD., OROVILLE CA 95965 INSIGNIA OF HUD NUMBER: ULI 425607/425608 SERIAL NUMBER OR V.I.N. 7C-70-0700-IA/7C-70-0700-IB MANUFACTURER'S NAME: SKYLINE YEAR: 1996 OFFICIAL APPROVING INSTALLATION: DATE: 4/24/96 PHONE: (916) 538-7541 H.C.D. 513C APR -24-96 07:24 AM SKYCRES BUILDING SYSTEMS 916 342 9174 P.02 + MaY13c2Ry STATE OF CALIFORNIA ` DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT CM DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF'FACTS This unit is'a: Q Mobilehome 11 Commercial Coach Floating Home Truck Camper Decal (License) No.(s) Trade Name Serial No,(s) 7C -7D - 0700 Y—R ul�l 4;z5&-'07 tf�S'�o8. s�(�L /A/ 7C - 70 - 0 700 T 6 Ut — I/We, the undersigned, hereby state that the unit described above: Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on app -IL R'{ 149 C at CH I co I C_ A (Date) (City) (State) Signature of each affiant Printed name of each affiant ��� EAvcNRMP Address 13 Ll City , 14 1 C-0 State cA NCO 476.6 (Rev 11/86) ReCo d at the Requ st of mu�5,� 1 Escrow No. Loan No, t ' WHEN RECORDED MAIL TO: MVT. - CHiCO/CARLA D �11-5oZ - 0()(, - OQO MAIL TAX STATEMENTS TO: SAME AS ABOVE ` 96--009891 96-1�9A92. 1 ' 7600989 , I � Rac Fay j 9. 00 DOC wy� - RecordedI Check '6.20 Ofilciel Recorder t SS. 20 County of l Butte Ctartdacc�.. J J Grubbs I • Recorder. 1:44pm 18 -Mer -96 I. xx DOCUMENTARY TRANSFER TAX $ '$~ Computed On the oonsWeration of value or properlyeyed, onComputed on the consideration or vWue low gm of enCuftlbrMCaB remaining at Urns of ogle. Sipnatute of Declarant a Agent detenninby tax - nn Name GRANT DEED FOR A VALUABLE CONSIDERATION, reoolpt of which Is hereby acknowledged, STANLEY A. MAYBERRY AND"NANCY A. MAYBERRY. HUSBAND AND WIFE hereby GRANT(S) to LEROY D, MAYBERRY AND DIXIE LEE MAYBERRY. HUSBAND AND WIFE AS JOINT TE the real property In the City of County of Unincorporated Area as State of la, described 00 ,,nremown to me (or proved to me on the b -IS of Satisfactory to be the persons) whom name(s) Ware Subscribed to the withi nce) thin Instrument and acknowledged to me that ha/ahfn/thoy oxoouted the scignRt re(sIn horft Inslrurned stypes), and that by hWherAWr or which the persons) ed, executed th n(S)lru�m�giontiN upon Wmss my inn OHklal Seat _ \ / .WWF DODIE HULTZ Cm►r•,1sJen 11054700 MW CPS I NA&ry pe,orit Elf.W Courxy.Cerrof o, "i Corn493,66 Er,p. ApR, S. 1900 zoo/food 90800 01 H11I1 H11VA-QIPi hNA vHU:q-0 96-07J40 v LOTS 6 AND 9, AS SHOWN ON THAT CER'T'AIN MAP ENTITLED, "GOLD HILL SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFX E OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER•29,':1980 IN BOOK 80 OF MAPS, AT PAGE(S) 7, 8 AND 9 2616 OF A CERTIFICATE OF CORRECTION WAS RECORDED APRIL 27; 1981�IN Boox AUGUST. 28, BUTTE 981 COUNTY pOKF2653 OFCIAL BUTTESCO AT PAGE 499 AND PAGE 325. LINTY OFFICIAL RECRDS AT RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES AS SHOWN ON THAT MAP REFERRED TO HEREIN. SAID EASEMENT TO BE FOR THE BENEFICIARY OF AND APPURTENANT' TO THE REMAINING LAND OF THE GRANTOR HEREIN AND SHALL INSURE'TO THE BENEFIT OF AND MAY BE USED BY ALL PERSONS WHO MAY HEREAFTER BECOME THE OWNERS OF ANY PARTS OR PORTIONS OF SAID APF' VgTENANT LAID. Ii . j Z00/ZOOd 9MM 01 H1111 AlIVA-QlYl 110dd VH8l :90 96-07,40 13468 HWY 99 5775871 'Chico, CA 95926 (916) 343-8494 HCD #.91265 0 Contractor's License *295412 NOTICE:THI$ FORM IS COPYWRITED AND REPRODUCTION OF ALL OR PART IS STRICTLY FORBIDDEN. MANUFACTURED HOME PURCHASE ORDER AND FEDERAL DISCLOSURE STATEMENT PURCHASER: DATE: ADDRESS: y d1beftnn C1,5"_L11 HONE: MY CITY: STATE: ZIP- �75761(7S_ SALESPERSON?Z,"14 PHONE, EVENING AAZ _AK2 OM63 -,;Uhjs�44o'thie�terrns and conditions stated on both sides of , , w.'.gMi /MlIdA" Is' 'i"ont Seller agrees to sell and Purchaser agrees to purchase the'lloll n MAKEk APPROX. (NOT INCL, A . .:,., - I TQW BAR/EAV ADDREMis -5:;-04 Aq Lll� J.W.2�1 0 USED SER APPROX. ,'Z�'HUD ORHCD NO. DEL ATE, DT. OF MFG atyi I? - 10 T:! 'C*UntY-' -7� THE COST OF THE MFO./MBL. HOME I DFS THE LISTED PRICES FOR THESE GEMS.SQ. FT. LIVING AREA AP / ,'EA:r* $,,0.�iDWeAR,$3WHEELS,jLAWHFEL HUSs120 ElRES­$�IV jRLES MED. HOME PRICE 4F15MFD ORD", JESCROW,OPEI JSTKf[?7ER USED HOME SALES TAX,' IF ANY, OST SOLD PRIOR T07oo ITEMIZED ACCESSORIES AND COSTS: (SEE ADDENDUM n 571,16 7AS_r&l�'T"'A n .%-JW T94APFROWN rn 24 P r J, AIf -14 4 T oot.� 1 .,C7 1 1" r 17 I 14-14 A I:Jl I Eel 0 Kel R CIA 11143 1 i TAL-ACCESSORIE$ (OUTSIDE'HOME tMAO MODEL TOTAL MFG. HOME & ACCESSORIES $ SALES TAX (ITEMS NOT INTEGRAL TO HOME). $ SERIAL NO. H H FOUNDATION SYSTEM TIE DOWNS4::%f;&4,W,4_W1t4 �:j AMOUNT OWING A NT NO.Q DELIVERY #)4 e - TO WHOM: O 4e SET UP HCD FEES 11 ADDRESS/PHONE INSURANCE PREMIUM (ONLY IF SOLD BY. DEALER) VE LATION IMPROVIEWRTIPP46W.ONLY ESCROW FEES $ I HAVE %P-el1ED VENTILATION IMPROVEMENT IN TION FOR SCHOOL FEES7 204 il�� THIS JMBL. HOME. ;YER"7SS'IGNATURE OTHER / PRE PAID TAXES, DOC FEE (NOT A GOVERNMENTAL CHARGE) -$ THE MANUFACTURER STATES THAT INSULATION HAS BEEN 1. TOTAL CASH PRICE - . INSTALLED IN THIS HOME AS FOLLOWS: (NEW ONLY) ALLOWANCE ON TRADE-IN TYPE THICKNESS 'R' FACTOR .49, LESS BAL$ DUE ABOVE ROOF NET. ALLOWANCE $ -7-.6 v EXTERIOR WALLS 3 1 PAID HEREWITH $ . FLOOR CASH BEFORE DEL. i $ -ARP' WARNING—Unless a charge is int;Q(;d_klthisr!'Agiesement for Public DESIGNATED DEPOSIT $ Liability or Property Damage Insurahcd, Payinen! 4or such Coverage `t: IN ON. PMT) is not provided by this agreement. •(INC. 2.1ESS BU -my YERS DOWN PAYMENT $ g­QUAq I deal�6,is., als6,.'ficensed, as reah,estate, bmker,'� the 3. UNPAID BAL. ON CASH SALES PRICE $ 4. FINANCE CHARGE $ ia Sal&f6fialpan"utur�6t;6'fa -,or,.mob flehome beingt.installed . c me. .__bnk0, f6urldat6n'system -&:suant -toIS6 be ction �"51 *m' 5. ANNUAL PERCENTAGE RATE .40clud6d1filthe'purchase- ocument ;for the underlying� real I 6. TOTAL PAYMENT AMOUNT (3+4) $ . o . _- f.- HSC SEC. '�*��V ,,-�_J�Wded that -'-the requirements' o 1. UNPAID BALANCE DUE PRIOR TO DEL. $ ­ S. TOTAL DEFERRED PAYMENT PRICE (2+6) $ il,1803513,f, I oo' are met... PAYABLE AS FOLLOWS: -THE DEALER CERTIFIES THAT THE` INSTALLATION CONTRACTOR IS: NAME. Skycrest. Building Systems uc.# '295412 BUSINESS ADDRESS 113468MY-99 In . the event the manufactured home cannot be delivered "and/or" inspection completed within the agreed delivery time due to nonperformance by the buyer, buyer agrees to one of the following at the option of seller, either (1) to pay $ -Z.- 5' W. J; CITY CA ZIP Y5926 : :A, Contractor Is required by. law to be licensed 'and regulated by the charges per day until a manufactured home installation acceptance or certificate of occupancy is obtained in addition to all other consideration owing or (2) pay the sum Contractors State License Board, P.O. Box 26000 Sacramento, CA 95827. . 1245.0 9,0— 0 of $ in lieu of total consideration. (A) DO NOTSIGNTHE PURCHASEAGREEMENT BEFORE YOU READ IT. OR IF IT CONTAINS ANY BLANK SPACES TO BE FILLED-IN. (B) YOU -ARE. ENTITLED TO A COMPLETELY FILLEDAN'COPY OF -THAT ITj AGREEMENT AND- IF PURCHASING A MANUFACTURFniMORILF HOMF r-nVFRFnRv A WARRANTY A rn1 V (', 0 r> - I- RESIDENTIAL 041-520-009 PERMIT#96-0596 �y MAYBERRY, Leroy & Dixie 2484 Oregon Gulch Rd., Oroville Cont; Skycrest Bldg i MH on Perm Fnd(Ex Site) { r i .r HE HCD FORM 433A FOR THIS MH CANNOT t E RECORDED UNTIL ONE OF THE FOLLOWING AVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) (2) LICENSE DECAL (3) STATEMENT OF FACTS V,= OK 0 = Not OK Not `=NotRealdy MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements - Setbacks - Easements Card B-1 Date Card B-1 2. Soils; Special MH Support Sketch MOBILjrrHOME INSTALLATION Plans OK except #'s 3. Sewer; Location -Test -Fall -C/O -Concrete o 'Rg'Requirements-Setbacks Easements 4. Water, Location -Test -Easement Needed (Sketch) ootin s; SizeSpacing-Marriage Line 5. Electricity; Location-Clearances-Gmd-/. /Amp -Concrete as; M - Test -Demand -valve -Connector 6. Gas; Location -Test -Wrap; / iL'ft. / /Nat. or/ /"L"ft./ /LPG ectricity; MH Test -Crossovers -Breakers -Clearances 7. Well Clearance & Disconnect in; -MH Test -Fall -Flex Connector 8. Utility Clearance `atgr; MH Test -Regulator -Connector S^ MISCELLANEOUS Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILjrrHOME INSTALLATION Plans OK except #'s o 'Rg'Requirements-Setbacks Easements ootin s; SizeSpacing-Marriage Line as; M - Test -Demand -valve -Connector ectricity; MH Test -Crossovers -Breakers -Clearances in; -MH Test -Fall -Flex Connector `atgr; MH Test -Regulator -Connector ater and Sewer Connected -C/0 to Grade -HD Approval -&-emTMZ'Electricity Tagged s=Type Installation Cert. zits; Insp.-Sketch _t —Ce"f-Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date%1 Date � Card Date Card B-1 Card - Date Card B-1 1. Setbacks -Easements S^ Is MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Conriectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric S. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-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 Is 'J OK O=Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UN FLO R (Plans) OK except ff's Z 69 -Setbacks-Easements-Flood-Slope Ftg., Main; Soils-Elec- Grnd.-/ ' tg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth I 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped �2 ;,. Hold Downs and Special Anchors n j ` 7. Slab; Steel -Wrapped 00 -ft 8. Piers -Fireplace Fta.-Steel 9. 'W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 0. UF. Gas Pipe; Size-Archors - yard gas piping: size st 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. E tric; Underground Plenums &Ducts; Cleara ce-Material-Support- s. 74. Girders-Sills-Anch olts-Joists-Vents-C,' les ( 15. Access & Ventilation 1 ulation 114 Date and B- Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except N's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection ---- - ------------------------------- 18. ------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ---- -------------------------------------- -- - - -- --- 19. Shower Pan: Test. First Floor -Tub Access - ----------------------- - - - -- - -- -- - - --------- 20. Test -- - -&-Shower.- & -Shower,-Second-Floor-Tub Access --------------------------------------------------- - - - - - 21. Gas Pipe: Size & Anchors -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ----------------- --- ---- ------------- -- ------------ ---- ----- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------------------------------------------------------------------------- 24, Size Boxes & No. of Conductors -Stapled -------------------------------------------------------------- - - - 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water --------- --- ----------------------- 27. -------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------------------------- --- --- .. 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Sze r ga Cu or At ------------------------------------------ `-------------------------------------- .. 29. Range Circ / , ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------------------------------------------------------- --------------- .. 30. Service -Riser Conductors & Ground -Main Disconnect ---------- ------................. _...... . . ... .. 31. Equip. Clearances Parels-Motors-Mech. Equip. -------- ....... ....... ....... .. 32. Clothes Closet Light -Shower Light -Spa Light ---------------------- ---11.____- ------------ 33. Smoke Detector ------------------------------- -­--------------------- _._----------..._ _-- ----*..... ....... .. Date Card B-1 Date Card B-1 - --------------- ------------------ ----- ............ ... ... ... ... ... . Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ---------------- ..... 35. Vent Fan: Exhaust above insulation ----- - ------------- --------------- .. ... ... .. 36. Condensate Drain & Overflow: Size &. Grade - - . .. 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - --- --- ... . . ....... ... .-- --- -- - 38 Attic Access & Platform if Furnance in Attic ------ ----- - ... ....... _.. . Date Card B-1 Date Card B-1 -- --------- ....... ....... . ..... ..... .. ... . Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except P's 39. S Is. Proper Material & Anchors ...... ... _.. ... ... ... ... ... ... ... ... 40 Walls Studs -Nailing. Spacing & Brac ng -Plates -Sound .... . . . ------------ --- 41 Bearing Walls over Girders & Floor Nailing ...... ... ............. 42. Draft Stop in Walls (ral proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----....---- 44. Headers & Beam -Size S Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance_ -- 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49.----- Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ------------------ - 50. Garage Fire Protection Framing ---------- 51 Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53 Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55.Siding-Nailing Veneer _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings ------------------ -------- 60. Infiltration -Walls -Windows -----------------..----------------------------- - Date Card B-1 Date Card B-1 - -- ------------------------------ Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except n's 61. Ext. Steps -Door & Sidelight Protection -Landings ------------------- - 62. Smoke Detector ------------- ------------------------------ - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ----------------------- 64. Bedroom Exiting ... - -- -- - ------------------------- -- 65. G.F.I. & Bath -Fixtures -& Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------------------------------- 67. ----------------67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth ... --------------------------------- 69 Elec. Outlets at Wood Panel: Int. & Ext. .. --- ..--------------------------- - ------ -- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance .. - - - _ - - - -------------------------------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter ----------------------- 72. - ------------------72. Garage Fire Door: Swing -Landing -Closer ...... --- ............................. --------- 73. A.C.Duct in Garage -Damper ---- --------- ---------------------------- ----- 74. Wtr, Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ..... ----------------------------------------- --- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection .. --- ----------------------------------------------------- 7, Insulation -Foam -Looked in Attic ❑ Yes ..... ------------------------------------------------- 78. Guard Rails & Deck Construction -Post Caps ---...---------...----------------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld�, Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No --------------------------------------- 81. Stucco: Brown -Finish - - - -- - - - - -------------------------- - --- - - ------ 82 -----------------------------------d2 A C.Unit: Disconnect. Electrical. Plumbing .. ... ... ... ... .. ...------------------------------------ 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ........ - - - ------------------------------- 84 ----------------------------84 Water Well: Disconnect. Electrical, Plumbing . . ------------------------ ---------- ----- 65 Exterior Elec. Trim: G.F.I. Receptacle -Underground 86 Ventilation Throughout House 87 Glass Protection - ------------------------------- 88 Corrections from Previous Inspections --- - -- ------------------- 89 Gas Test -Meters Tagged: Gas -Electric -------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval -- ------- -------------------------------- 91 Energy Compliance Certificate -Other Certificates ..----....-- ----- ---- - ------------------- Date Card B-1 Date Card B-1 _... ................................ -------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments. at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541MIT NO. APPLICA-TIOt4AND PERMIT 96 ---cm ASSESSOR PARCEL NUMBER 041-520-009 FR5 ZONING BUILDING PERMIT OWNER LEROY & DIXIE MAYBERRY TELEPHONE SO. FT. OCC. BUILDING VALUATION 1716 R 92664.00 OWNERS MAILING ADDRESS 2484 OREGON CONTRACTOR'S NAME SKYCREST BLDG TELEP!iONE CONTRACTOR'S MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee 608/2 $ 304.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS OREGON GULCH RT) PERMITFEE $ 0 347.0,2484 T T PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome EX Other SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15,00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other R] Describe Work: MH ON PERM. FOUNDATION — (EXISTING SITE) Mobile Home I S I G W @20.00 PERMITFEE y As no Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main ServiceEODV OR LESS ( 200A OR LESS ) 23.00 nn Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class T _ Lic. No. °�� 54 J`� OW ER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) So. 3.50 FT. NEW CONST./ MULTI.OUTLET NON-RESID. \ BRANCH CIRCUITS ) @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) zo p ,.50 5 B`` 0 Ex. Occup. (oUTLETs (RES D.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE g 43 0 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compens tion insurance carrier and policy number are: Carrier L UIi H 2 IN S (R -C-001"6 t MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor II Policy Number IiA.ZC �JIl JcJ (,. :Z J (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth ith comply with those provisio , Dated��SL— bignatur'tJ of Applicant - O Owner ❑ Cordr4ctor ❑ AgenN An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 455.00 HAZ. D. FEES I IMP I FLOOD OF PARCEL PO HD SSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. / 9� D e 9 Dat Receipt No. 194918 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .^r.,.,f•..�reL::.T•-d.:Wkrci6k1,:4,' e;rsi�afYi`i"!' "`1tA'V' t' ;i�Fh✓"K4'.'fT�j�:t ►�"�Ai; i Sr'�`1�'4u--:4.n�:�,..:.,..�'f.s:�.,:v,::,:'.r'1:. .;.. �» ti A ,'k • `I" COUNTYOF BUTTE - DEPARTMENTOF DBVEPMENTSERVICES - BUILDING DIVISI N 7COUNTY CENTER DRIVE-OROVILLEf -IFORNIA95965-TELEPHONE (916)538-7541 i y A SHEET PERMIT APPLICATION DATA w _ OWNERNo. 9 Proposed Building Use 01 y 0111 Building ins Date Q� /02 0 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans,*3/4 sets, signed by preparer of plans . ...................... 4• Engineered plan's and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Mate4ial Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... -� 8. Engineered truss details and layout in duplicate (required prior to plan check). .... -1 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... p` 1. Fees of $ 5 �•o Impact fees as shown on attached schedule. .......... ( 12. California'Department of Forestry plan approval/fees. . . 13. 14. Flood elevation letter (100 year floo�j b Cgli ornia Engineer. . �j Sanitation and plot plan approval (Jlr(3V� I l Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business,license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . - 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for P`�"�Peg''°" L required. .. to Building l"epeaoro. (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 Acknowledgement Statement . ................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use .......................................... 28. Mobilehome utility clearance. .......... . "29. Documentation of legal access. .....................:......... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 37 Plan chock lict A _ , n I- A When you issue the permit, prgFe s as follows: I ✓✓ Telephone IJ16``lI and hold for pickup at ` Other Parcel Creation }f Acreage ' 1s Mail to contractor. _ office. Deliver with in vUNy U1 I Iac-rviai iUini acIn I ICdllll Ljupt. f-IIC LJUPL. F11r 1-'UIIULIUrI vale Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: permit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ail un r by _ Date Plans checked by Date Plans approved by Date� Sets of plans on hold in File cabinet AP folder Copy - Department of'Public Works , qua t E.H. USE ONLY Plot Plan Attachad Floor Plan Ammchad Scotto B.D. C 3 1 Q 6 / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance r--770kh O er 0, V Location AP# Plan Approved for: Sewage Dis o /� Water Supply: Public Private Well Clearance for,3 bedroo mobile home. Other dean ax m PAeo�d 3 Hold final for: Final clearance O.K. for: NOTE: P Environmental Health Specialist Date 8/92 h'Rt�!'Q-� - t.nlyw•3li ylY��(1�'+�"�•'�.T%LL?z:r�,—'ft.v�*+wh,.•n+Y-.-... r..1,._ r UTTE Y SCHOOLS IMPACT rEE CERTIFICATION FORM COUNT `} (One Form PeriBuilding) 0. \ Sch olDistnct - _` ,z Building Department No. A.P. Number�,6J Q -:"Ott, Jurisdiction: City County � y,M ti Property Owner' ), j e r Property Location/Address Subdivison Lot No. Residential Development L� No. of Living MHI Addition Units Commercial/Industrial e• VV nor Plans reviewer 0 Sq. Footage r' Group. R) 0 Sq. Footage New Addition (Including Exterior Roo!ep Areas) Date District Identificat.io h No. 960109 kL'41 School District certifies that .ppI' (Street-26q4l Aqeq -ss) (Phone Number) i (City) " , (Statel ' (Zip Lode) has complied with the requirements of Resolution No. by payment of $ representing square feet. As 2926 $ FULL MITIGATION $ School presentative Da e \ Paid by Check # Bank Number Paid by Cash Remarks: If, subsequent to the School District Representative signing this Butte County Schools Impact Fee,. Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) teetormmkl (11/94)dmm kN- .NOiF:---711!�,.y, ACCOrdcnce W(tn Recognize. . (,vo lr. of o quality �r! ' EY(�Et+ USQ Uniform Suildintai ra;irn!,)i; e I f7j Cod �� lr(�dCi:Clif;,, the �da:'ricrwl EL -c trir_a! C��vcfa.. 0 Mis set of, ptcfm,- and spr c is nicio(35 M?jST e kept on the job at ari t#rrjh e(r.?%1d-:;prlawf l n' ala any Aang-as or r4 r:' i ons.011 &SK4 li �Af written permission ,s4C Wn.fhe mai: arsme-fit of p _6 Works, Coupiv o.f Bau?+rr, +'0171 o° ana Ed o Uri 4 x 7r �JIvg0 0 4 �s od o d ioad 1s(X3 l� 1Srx3 m m �do7s '''dols '7Nbdab ms's 8 /40 \�/ 1' I N w 0— I 0 U c (°-' CL E I D (rn Qac \; (N t � W I ' h X � W C[ W Z O Q tj . COUNTY Bulb k-O'N � o0 tee-' ROVED C��A"%-� -� Q FAIRVIEW ARCHM ABOVE 5512CTM/6626 3BEDROOM - 2BATHS - CATHEDRAL THRU-OUT (1,694 SQ.FT.) APPPu Butte County Environmental Health =--4 100 (� Date Signature I..u■u�i �� :.— iu�rii uuu■u■n �m 1=1110MMOMME M, OPTION CORNER TUB BATH +1l cyto' o colibo --------- ! I L—J \y/ O O O j I 7-47 cyto' o colibo --------- ! I L—J \y/ j I 7-47 I I �2GlQa�i= U • i I I I I I I I I I I I I I '✓'IV FILE MH 8321 IEWED RY ENGINEERING DEPT. VOL 1 • ISJ!IEU HY 011Lpw 111' SFIiVIGES DEPT. sec. 4 ILL. 51 PG. 6-?Ae CENTERLINE SUPPORT REQUIREMENTS `� ` THIS SHEET, TO BE INSERTED WITH SUPPLEMENT L_Zb ii R TO FIELD INSTALLATION MANUAL FORS c4 ROOF SNOW LOAD Q SNIYIOasE SERIES DESCRIPTION NO. �+IS+�Arnaxalrxr�e' 3p=tI-ROOF LIVE LOAD �u^.�-K•� •FM•ZFS• CJ51Z �� '' ,• oz -- 0WO. 0V t'Zl'c'!I CHECKED I I SHT. OF M.H.I.- 2 Mobilehome Manufacturer: Manufacture Year: If other than single wide, furnish Setup Model Number: Width: (ft.) Length: (ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block[ ] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 Line 2 .....................................................::......................................... Main Beams Line2 ... ............................................................................................. -.Line 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams ................................................................................................ Line 2 Line 1 .................................. Tag or Triple .................................. U Line 1 Piers: Size minimum: r i x Spacing maximum: I` From ends -maximum: ` Line 2 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): S 4 —kine 1 Line 1 Openings� t �_e r � Gam/ Size minimum: [� [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` 6 (P, dZx.5D OVER A.Pppo In: I 1. Owner's Name: 2. Assessor's Parcel Number: 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] No[ ] Permit No. 5. Is the site an existing site? Yes[ ] No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please -identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 i �s# y \C 4 ;O� N 0 U o N O Q O a 0 : EC U CI 0 N mO O N C SHEET NAME Title Sheet SHEET NUMBER E G-001 Mayberry Addition 2484 Oregon Gulch Road - Oroville, CA 95965 sn 0y XO.OF SPORES _ coxsipucinxivvE v„ %oonEss z191GREmacuaRano REQ'DTESTING &INSPECTIONS ocuvnxc iraE Ra caxn u�r+ntawsr_ r }jj ,e<.». »r. o.ew "a ,,,,;�„F+w �' rnE rRortcnox IEwE svRansl %G iuRsocnoY. wwcc. = r _ � .. •- �i � �. � f.�v� m -inn ✓�� a�vF—wbm�vnaav � HIS10.00111f8L iRBlF SBI MND 1d1L9 - -_,_ .yT i - O,R �� rtY: weaMuu EnSwXGEONNG �_ � R {f", p..b _ �m FF Lai R. �mnnae ASOVE Po5f R00R MRGwE BUIDINf 005 ', � - �^b ,�,,g•••d-• rmuiuow.afe auunwcc�Y mmcu.auueuEnwGmoEccecl•-- fvfm .fir "� m01 GlfORNY MEpuHGE000E IIT101 eF.nn ev MV>Eom a-"o�^.M SEPARATON ON SwES iwE SPNPIIOFAS E001 G1E011RIFRUN®wGGWE(tFt) Emm•. �:� ZOM ORlEdU1NElFmfUf11 COOE `'. TOM EAST9IG 2001 WfpV11n E1ERGY LONSFAVAIUN imu FRmosm 19� Tmu DEFERRED SUBMITTALS ocay.Ycv �� mi� m : � i»c� mana.mr �ti um # E101S PRWIDm . EIDIS REOIWED PLANS REOD UNDER SEPERATE PERMff ocav�wrlao _AAA... AREA ANALYSIS - m�aanc�-+an w: �bmm olti ��i•. ria � r��^ e uni:afy, 1 aoo� ww wm � 1�.m�• m+o � I ?' u __ iro�FOFrufrrlpp»na �' �Mo anP4 ia:i»m� • • • . � mmmmmmleBI . »m • � 4m �miu>M» __ O.neNartb0n Fmbm9q Cvmlfat(y Em4Y W.�.uaea>si py.yromm Nmvw.mv'�i.nvbms.P..vvbm. w'-�mvm mMm+�n»ovbm-.m usab IwYML%baY :1sl aRmoR aaa ROW rn�OmMvny __ m. 0vF.� emu on�m+e--iue .e m�ur�.vm�memvnr.cm.mumamwwws.mm vn.anuu ORP�LEGS� 0»u'0v»e .b.n..�vnm.r n.mu v4.vmvuv o.�..rovr b.uvrva. nma Crw1Y. aim wvvw Wh�� �_�� nmmw.v.ovb..m�Mm►v vmivvw 4,rom4,�.w mmmm dvmavrvm.bm.aba W. vm.m».v v..vn _ m�M+»�� ra »rrmmm morn. bnv.r.p.h nas.a..m.wmvvn m�..nu mm CMitiv Od � ».fw m���.v nmantm.mnm ynm m.m v.abm.mgrywm.m.p nb uvwv QmW®o�inn � �vmm wM.,� �m W�i� d wm ^b � .a^Pnpwmrnbew.Nmrv+Y. mvW c.Wm 1RIY650Y L01p'/iM % nmmr.Nryb v.orb.rmirp.mti.vmrywwm.cma. FO BO%1&E �.�nummvm'�» ��xm Fq.»ma 1m�bP.49 v v�mamv��w�•�••e...�m�.vmm..wev.evm.m ORWIUE.G 9596 R. Mmm'm mwdm �»�,weoyn•yvtlr amvbw'n•imvmave-�-mewma�.m��am1 stat P. SAdN�J00 ao. wav-�'v�.m)vp� vbo.»b.v..ldvm�mngmnm.v. m.meve.meramtn F. 50053106!9 M.ISY �� n �� Ov1m,.YatOm 11b»� fmb�mum.�vpv.mbarwypam�a.Lq vrm. mampww.Nmrum mm.vmm+mm. � cov.� Ompmet � • �:� _ �:� �vd•mr nmpma.wwv m». M-��.ma% Mx�C.wo Nleban mmmv.ev b..6lmwmnm.v�+ne.m a.ov. Q 00m,n +Qi RumaRORStro O mamma �:aY� �� Y3md.m�n Q u.rixowva,w O i �s# y \C 4 ;O� N 0 U o N O Q O a 0 : EC U CI 0 N mO O N C SHEET NAME Title Sheet SHEET NUMBER E G-001 Mayberry Addition 2484 Oregon Gulch Road - Oroville, CA 95965 sn 0y XO.OF SPORES _ coxsipucinxivvE v„ %oonEss z191GREmacuaRano REQ'DTESTING &INSPECTIONS ocuvnxc iraE Ra caxn u�r+ntawsr_ r }jj ,e<.». »r. o.ew "a ,,,,;�„F+w �' rnE rRortcnox IEwE svRansl %G iuRsocnoY. wwcc. = r _ � .. •- �i � �. � f.�v� m -inn ✓�� a�vF—wbm�vnaav � HIS10.00111f8L iRBlF SBI MND 1d1L9 - -_,_ .yT i - O,R �� rtY: weaMuu EnSwXGEONNG �_ � R {f", p..b _ �m FF Lai R. �mnnae ASOVE Po5f R00R MRGwE BUIDINf 005 ', � - �^b ,�,,g•••d-• rmuiuow.afe auunwcc�Y mmcu.auueuEnwGmoEccecl•-- fvfm .fir "� m01 GlfORNY MEpuHGE000E IIT101 eF.nn ev MV>Eom a-"o�^.M SEPARATON ON SwES iwE SPNPIIOFAS E001 G1E011RIFRUN®wGGWE(tFt) Emm•. �:� ZOM ORlEdU1NElFmfUf11 COOE `'. TOM EAST9IG 2001 WfpV11n E1ERGY LONSFAVAIUN imu FRmosm 19� Tmu DEFERRED SUBMITTALS ocay.Ycv �� mi� m : � i»c� mana.mr �ti um # E101S PRWIDm . EIDIS REOIWED PLANS REOD UNDER SEPERATE PERMff ocav�wrlao _AAA... AREA ANALYSIS - m�aanc�-+an w: �bmm olti ��i•. ria � r��^ e uni:afy, 1 aoo� ww wm � 1�.m�• m+o � I ?' u __ iro�FOFrufrrlpp»na �' �Mo anP4 ia:i»m� • • • . � mmmmmmleBI . »m • � 4m �miu>M» __ O.neNartb0n Fmbm9q Cvmlfat(y Em4Y W.�.uaea>si py.yromm Nmvw.mv'�i.nvbms.P..vvbm. w'-�mvm mMm+�n»ovbm-.m usab IwYML%baY :1sl aRmoR aaa ROW rn�OmMvny __ m. 0vF.� emu on�m+e--iue .e m�ur�.vm�memvnr.cm.mumamwwws.mm vn.anuu ORP�LEGS� 0»u'0v»e .b.n..�vnm.r n.mu v4.vmvuv o.�..rovr b.uvrva. nma Crw1Y. aim wvvw Wh�� �_�� nmmw.v.ovb..m�Mm►v vmivvw 4,rom4,�.w mmmm dvmavrvm.bm.aba W. vm.m».v v..vn _ m�M+»�� ra »rrmmm morn. bnv.r.p.h nas.a..m.wmvvn m�..nu mm CMitiv Od � ».fw m���.v nmantm.mnm ynm m.m v.abm.mgrywm.m.p nb uvwv QmW®o�inn � �vmm wM.,� �m W�i� d wm ^b � .a^Pnpwmrnbew.Nmrv+Y. mvW c.Wm 1RIY650Y L01p'/iM % nmmr.Nryb v.orb.rmirp.mti.vmrywwm.cma. FO BO%1&E �.�nummvm'�» ��xm Fq.»ma 1m�bP.49 v v�mamv��w�•�••e...�m�.vmm..wev.evm.m ORWIUE.G 9596 R. Mmm'm mwdm �»�,weoyn•yvtlr amvbw'n•imvmave-�-mewma�.m��am1 stat P. SAdN�J00 ao. wav-�'v�.m)vp� vbo.»b.v..ldvm�mngmnm.v. m.meve.meramtn F. • •gg O y D b ge p Design -Build /General Contractor's CD 1m m 2484 Oregon Gulch Road - Oroville, CA 95955 08 am 7� O 3� �O4 v) O � 144 c� m Q o D 0] cc � L d V. O a N lo— SHEET NAME Area Analysis SHEET NUMBER A-101 KEYNOTES . lS1tl4VS9 170t SF 29t SF C� 902 SF t Fhg Fbw Mm Plan Ib' • t'4 08 am 7� O 3� �O4 v) O � 144 c� m Q o D 0] cc � L d V. O a N lo— SHEET NAME Area Analysis SHEET NUMBER A-101 m � 9 � PM y W�W�IS�O� 1111 IIVUWyWIGJfI IPID A —General � m >D $ TP Design -Build Con[rac[ofs 9. m 248 �r,� o_.a`u wb0°°°me p � s •r 9� �3 y y 8 k g6g .I Baa aaa n a T 4e y! ;: I 11? _ I� iea � i Iq _ , �� ll L II— I— a g P:a Ti e 3 » PPP _ � a eaa a @ 1 3l a S jI 1 f f 1F v i i I 96 a �e ' T I =i TTq L o o PPP i TM. 7 P� t e s- g ``ggaa r6B gI n � asia x Z ep�$y i ��A Z Iii IiI'lli il � m � 9 � PM y W�W�IS�O� 1111 IIVUWyWIGJfI IPID A —General � m >D T Design -Build Con[rac[ofs 9. m 248 �r,� o_.a`u wb0°°°me p Oregon Gulch Road - Oroville, CA 95965 4 4 jTr IL�lLil i' �' i I 1 1' -- -- i _ 0 ED 11 E El ED EEII El I�— -- — —i ❑ ❑❑ ❑o❑❑ Y< --- , mzrn .9;a•O a�Q�i�t;' s a �a d� s�FFu m �`MeWhany MEW o N Zm 0 D If :�B'g{ Design -Build /General Contractor's g m y m 2484 Oregon Gulch Road - Ormille, CA 95965 ..a•o..w o ..ate. o>9m ,�..s•a,.cu*w..�new..ao.ca.l ------------ IElul W-MM. i� a b m' a c rn $ gg# �-N S 0 3 ff? ocao.n '�• - 41 U qf_ N Q O N O Q � L p�j U O CD 0 N SHEET NAME Sections SHEET NUMBER A-301 ( I KEYNOTES I Roo, W WDOW MEAD h_ APPRCIx-4-0—lr L�J�EL'U� POae'o� � wrove — \Fiq Fbv I1 0 Rmr Stam wd I — I — 5'%r: I i W"'5' I-1i.- -1131E i � I I I I Ip W10, ,�-1,� �i,SmMw, ya • ,•o• w�sx. 4YPau w41804iD V.• xs- uc uPDv 2 ix � RCxiBCE w.iEP COxx. (�xpCt�p�� cC Pl/+, BOM 90ES.i w.oEaR xyrta r ccrP. eD. moax wnERo.RD w�0�0p 2xal1AAlCpcER _ •••. wliw wiSnER SCREW SfR.PP�xN M St BE �x inE —1.0— ­ER .RinOUuiE SiR/.PPINL OF P�RVEFiiCuIRPUExSq SCR OxE-THIRD E95t nOPoZOxi4 p5P4CEUExt xOiL w.iCA nE.iEF(S) .xCxOR.C[/ SIP.PAxO swu coxroxx to x000 cvc. OWn,m Mmta Raetrahve _ �ROOI��1 T PLAN LEGEND ba — I « I I � yr I��it��-fir- •-`1111 �.I-1I-�' u ��I�i�li(�I ��Pz � va• • ra I � we ye' • ro i ------------ IElul W-MM. i� a b m' a c rn $ gg# �-N S 0 3 ff? ocao.n '�• - 41 U qf_ N Q O N O Q � L p�j U O CD 0 N SHEET NAME Sections SHEET NUMBER A-301 ( I KEYNOTES I Roo, W WDOW MEAD h_ APPRCIx-4-0—lr L�J�EL'U� POae'o� � wrove — \Fiq Fbv I1 0 Rmr Stam wd I — I — 5'%r: I i W"'5' I-1i.- -1131E i � I I I I Ip W10, ,�-1,� �i,SmMw, ya • ,•o• w�sx. 4YPau w41804iD V.• xs- uc uPDv 2 ix � RCxiBCE w.iEP COxx. 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I/2 SECTION .9 T. 20 N. R. 4E. 4/-52 _ f! 24 E 114 COR. .3 /0 2627.00 SEC. 9 N.00°2i W. 2647.63 /0 15 4 00 - 621.03 1655.10 2701. 19 9 ", /6 � !9 \ ` \ 17 AC. pi \\ \ \ c0\ /� 5 O \y0,\ 2oi �\ 70.97 AC. b ' of 1 h \ / O / J A N `�J �� Q O29 w \ \ A a 493. _ 2718X 2l 5.2 AC. 02 342.39 II.87AC 6.14 AC. 3 ?25 \� RS 96-99 M /60 a 6 303.54 571.2/ 289. 35 2B/B6 R969-04 sy q q 272.42 4 10 © A 3.67AC.4® a 5.OffAAC. - O9 I . of 7 6 5.01 O A O 2 5.03 ACC. . 6 O 5.0/ A 2 5.01 AC. I O \�(" 1 \ S.00AC I t 6.00 AC. CgSTL 5.01 AC. 5.01 AC. O �`��• �2 12 \ �l E iso ss gA/YCV �G�(. 5.93 AC. © 1 1 3/?4�- ROgp b 6.90 \ : .l3-•'0 AC. 1 3.554C. - X236;1)- \ /3 m 166.5 24/. S3 1q I 1491.6 263 94 9p 6 101 AC. I 5M0 44 2 \2. AC. i. 2 / / i • - �. /S 1 39 6ULN \ 0 _ \ ro&32 12.31 AC. \ ` - \ ` I 503AC O 19.61 AC. ' a 31 v 6.70AC I4 \�; v 5.0140 v 2A 6.60 AC ' 350.53 \ 1419AS 531.51 - 153407 CENTER SEC. 9 GOLD HILLS SUBDIVISION All Assessors' maps are prepared for local property assessment purposes ONLY and the parcels shorn 80MOR7 /o -29 -BO Assessor's Mop"No. 4/-52 thereon may not comply with State and local subdivisionordmances No IiabBity is assumed for the LOTS I T?lRU /3 County o/ Butte, Colif use of the Information shown an any Assessors' map. - REVISED: 10-88 - i i • � r ` N Oal Wp� Q� 2NZt�i QV fitit14 IS 44 Q 1� C � � W � "� 2 N F � ►� D �' � W � �f:Q,pD" �OOQQ�O WOaO � C1QeiV � O W 14��Q kN OZ�4N '4 4j N ��3W ZW 'litO? W r�0 to �►.e vo kFW QQc g �►� as W v �, r w IA v44 N V "W OPV As �� WRV WW � VW+�2CWOQ NV N 4gZ v ,O aW��Y+Nk W Q �%j W C 'v"p 41 WQ►.. Ell OW ^ O 0�"Op►.Ct+ WWF. Q`� " W C� " •2 Za2NHQ�� �'C4 t R iQniW Q O� Q pQVW p vOpOWW Qo G � e 0 v v �DDRI�� Q v vv�.a v o g H O 4 ° zt �aQQC%W. N 014 � ON Ib `^ro w i� WNa a3 � DQW"2C Q�riFQ� � QmZJCN �QWaj �JW� v� V �eQv� all %k f4 v IZ G ��2�Q�QVci V �VNVI ` Q O N CW �e Ne�V Wp2 W :W O ;h IQ °OW�Oa��Q �Q•�b �Nv��OeyQQ t C4 t�4 WZ3� V �a�QhW�W� Q� N ZN� Qoop�o►.p� � Q � z �' ��D .p� V VN Q � W O ►�V _ Q� N 3 ���b►C�C�WQ W �0 p % e 0"V, ��� Q v� �a� Q � • 4 WDa�J4 CQ��Q34 O�Wp�� N o� "Qt;V0��0M r _ IC W " CL n0 0� im WN '�W RO pppm ' QQ N CR Q � LL LL o a LU a j � � • � Q h W :W O ;h IQ °OW�Oa��Q �Q•�b �Nv��OeyQQ t C4 t�4 WZ3� V �a�QhW�W� Q� N ZN� Qoop�o►.p� � Q � z �' ��D .p� V VN Q � W O ►�V _ Q� N 3 ���b►C�C�WQ W �0 p % e 0"V, ��� Q v� �a� Q � • 4 WDa�J4 CQ��Q34 O�Wp�� N o� "Qt;V0��0M r _ IC W " CL n0 0� im IMI Flo N �oL - 00 { t i �N I p � f O N C�� 14 �1 .ta�WQq��WJg� :� QOv�hN11 VQpQp QpQo�arr�;�W �2 o$oa�vod�oac � Nvv:NNhh@rQ� _, I I I I I I I i l l l l •tR3110BC Q�OQ � o r� h N vWU SSZ-GL 4 � O � W � � •� c v � u.o N OZ.�Q V C p X11 Z � zz � rad Fo V+ •�� _Z p" ti 2�QQo Qt ka ri P ctr . V�� WH� u9 11 Vti�i e ` 1 OQ L/„SS,Ed,WN� �L W, I N � D 1 �� L''�iy01 •.� �00� I z �OJj S9F0�ti W4 �� � ^O Wti n � � � 1IIlII1/eIzIIIAI°III � ���,o—Dbs,^oNZ�� pN ,Gov-61 i g5—��'+Vo2",'-�`sp_0�ma•cWpv�„�_'� ,—/.� _,E.y,�TEEE�(•hSvNO.?�70.N—=a0;•p :te.�ti2ob�/e,t�•' B.y� Ga.,sNNLiQ��,,s� 12 D°gDQh 6_ � Z � �oW rl'byJ i •`;3g�� �N�x` o • a3�W�`y� v-�q�'t1,0o:m C�; � �N • Q ,$4:�6�O••Qti��•�V00p$,:•�' E ,� b .Q�.�Q� s)� �?VD.\���'Q���.s4 ` •�mo��TvTv\ %E3''�;ooS%6a�Z0S\'zz0 ti��aQreV' , `� ��-OYN-_i ,bF h ,• "_ C0Aavti0oaQhml 4•lv , i_ o8 ,• 6 M s,ocb�\Q,V 9O1'•/oS �Z.o�L/W29Nre_QWItwl�QO i �I �/•e�$iIDI���ba7,�A$ .`Fa3 m_,;bSu_M " � vWo b�.m',i ��_\m,�.���h��`,. �,•�pNr'Or�,ON%B_b'W��O�"9L/�a�IE2-'WQ.,�0.pELb5��S�Z99°b'�,��,6l�Job', G -�E��j�1I �`,-�'E+.08om"RMWnN-�60!9iB�/�M-b•�6N(/1E�/Y�N—p O„-''9,3�1L/z�—/9,JG•e�/Po3-\OE..-5,a6Q��/�Zo�ZE'8�E/�Eb�o•-2iO.•.Ioolalo O—��9oQjOWN`�BBE O.N_ N.e_����—I +�@ Nr ,-. ♦\-IIII��� _�W-. /�O'Iz�,�—� _sS 7i�ZE�L�d7a'D2r_6��—/-6-d•�B_._�Q�NZ/rI 3://''/'.�•o'y �, z•g''.z•O�/"rp�02 �o./,z,. eo�:.i:_�s���N��!li�/t_..Y�.O9� Q� �-'RY�6-..y :N^v� Ve��\i • .�'-�o.�v�D,�+� � Oob cQ� �CD;mti,vhtu;O. p (Ave" " 6gN/\ �NW W W% a.IEt.,20E60 13 14 ,� TO Va0 � h�wvi�Wu ff �aT� .IlIIp!I�lIIIIII�I0I°�I - Q� m�vaWWti� �e gT.y��Q� :^tiOovOQ°W 1' 0 voZN alV.w�h Qp� c ,Ass o� 6a/Nq`6h0 0OyQvQV�,V �Q � (�ato�J 69'LP25 M.L5,90.00N i W- . -'V BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.���� ^604 ZONING OWNER PHONE NO. OWNER'S ADDRESS Or kni L LOCATION OF BUILDIN 2 i & Ll ®(9 ko Cyv1 L\-\, � o rove k\ -c C R USE OF BUILDING ,t..0u s SIZE OF STRUCTURE ' X SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COV FLOOR TYPE ESTIMATED CO T OF CONSTRUCTION 000 $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances follows: r �5/lti444AA* �'LS2 D FRONT FRIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is de, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply vy tl a equirer its i effect at that time and before occupancy. Date 6 -J3 -6d Permit Fee - $60.00 Receipt No. 0TA-37 Signature of Owner The above described AG Building is exe*fpt from a bujlding pgrmit. FLOODPAR L R ING ISS Manager Building Division By Date Q White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIB - OiWbLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: r '` ASSESSOR PARCEL NUMBER: — OO Proposed Building se: Building Inspector:" Date: At time of permit applicatio I was ad -46d the following data in be submitte prior to permit p cess g and/or issuance: Date Received By Ell. All items have been iubmitted---------------- 1-t=! - ` ' ❑2. -Plot plans, 3/4 sets, signed by the preparer of plans. --..-„------- --------- E13. Complete plans, 3/4 sets, signed by the preparer of plans. ------------------ =----------------- =-----=--------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- w ❑ 5. Engineered truss details and layout iii duplicate (required prior to plan review) No faxes! =----------------- 116. Energy Design Compliance and supporting,doeumentation---------------------------------- ---=----------- Statement --------Statement of Intent for Non -Heated arid VC Buildings------------------------------------------------------------ C ----------------------------------- -------=----------- (J 8.,<Hazardous Material Form: ----=------.--- p--,-'-`-------------------------------------------------==-----=--------=--- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications.----'-------- ----,.' ❑ 10. Fees of $ '.------------ 0 ------_ _ ----------------------------------------------------------------=-----=- ----- ❑ 11: Impact fees as shown on the attached schedule. -------------------------------------------t----------- --------- A ❑ 12. California Department of Forestry plan approval/fees.------------------------------------------------------- 1113. Flood elevation certificate.---------------------------------------------------------------------------- --------- ❑ 14. Sanitation and plot plan approval Health Department. --------------------------------- ---------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --------------------------------- ------------ El 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑20. Pre -inspection for required Request to Building Inspector on t El21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- .s. ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------- 023. Owner-Builder ----------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------- 1 ❑24. Letter of signature authorization. ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 1 ❑26. Letter of intent on building use. ----------------------- ❑27. Manufactured Home utility clearance.-----------------------------------------� --------------------------- 1 �x ❑28. Existing violations and/or expired permits. --------------------------------- 7 ----------------------------------- ' •F o29. 0433 A, ❑Grant Deed, 11 M” H. Title, O Check to H.C.D $ --------------- f 113 0. Other: When you issue the permit, process +as follows Mail to owner, ❑Mail to contractor. ❑ Telephone and hold for pickup at office. ❑ Deliver with inspector. (Date) Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised -of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter; by JAI . ' Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Contractor, designer, owner, was advised Of the above required data by 13 phone, 11 mail, 11 Building Division counter, by Contractor, designer, owner, was advisedof the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Plans reviewed by: Date: Plans approved by: Date: 0 to Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. i '64 Date: Date: Date: Date: RESIDENTIAL 041-520-009 93-1760 B h' MAYBERRY, LEROY & DIXIE �CONTR: NO. BUTTE CONSTR. 2484 OREGON GULCH RD., OROVILLE (MH ON EXISTING SITE) Sil7 n V JOBTINALED (Da Signature ' r`_-a�"""r-.'-...--•-.-r,tv+-r-..'y�.�.v�['..�.-.r+v i:. - f�a:y {11• COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES . 1469 Humboldt Road, Chico, CA " (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 Y 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE, #4/ Xe -r— V, -y � 3476(s OVMER _ PERMIT NO. ; A routero inspection indicates that the following violations of Butte County Ordinances exist at the abam address and should be corrected. Please notify this office when correction of work iscompleted- llfyou have any questions pertaining to this matter, or need additional explanation, C please contact this office immediately. rt Date ' Z� Inspector REV law MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY bENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. Address or location of mobilehome Owner's name P, v Owner's address 620!t& --L—/ Insignia or hud number— Manufacturer's name k--6( I tn� 6 e7 4:5 Serial numb'el of V.I.N.1-5- 4(1-1'4�1 17 Year of manufacture73 L/ v� (Official Wpfr1wri­ng Inst9gation) (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. V=OK O = Not OK - = Not Applicable ' Not Ready RESIDENTIAL = Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Teat -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-PurllW-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors-SIII Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Lending -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -W al Is -Cel II nas 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. • Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: V=OK 0 = Not OK - = Not Applicable ' =Not Ready MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILS HOME INSTALLATION Plana OK except #'s Zoning Requirements -Setbacks Easements ootings; Size -Spacing -Marriage Line Gas; MH Test-Demand-Valve—Connector ,ArE�ectricity; MH Test -Crossovers -Breakers -Clearances min: MH Test -Fall -Flex Connector L!Water, MH Test -Regulator -Connector jr4a-W and Sewer Connected -C/0 to Grade -HD Approval Sketch co - 2-r -4 3 1A._ MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 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.-Connectors Shthg.-Rfg.-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 -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 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 lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICiATION'AIVD PERMIT PERMIT NO. ASSES6A'fb!1512CFs1. pd�tp�ER -JL U—llll7 +�—",� BUILDING PERMIT OWNERV'-F�. LEROY & DIXIE MAYBERRY TELEPHONE 534-5352 SO. FT. OCC. BUILDING VA L ATION OWNER'S MAILING ADDRESS 2484 Oregon Gulch Road, Oroville 95965 CONTRACTOR'S NAME North Butte Construction TELEPHONE CONTRACTOR'S MAILING ADDRESS 1784 Palermo Road, palermo, CA 95968 Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILADDRESS 2484Oregon Gulch Road Oroville Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeE3X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition Lj Remodel Li Utilities ❑ installation[] Other ❑ Describe work: Existing Site _ ar 1 —F I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F3 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and ef fect. License .Jo. Classification ElI, 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 CONST./ DWELLING OCCUP.&\ OR ADDNS. ( ACC. BLDGS. II 3.60 sq.ft. NON -RE SID R BRANCH CT ITS LET @ 5.00 POWER APPARATUS &` SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURESFIXED 20 76d EX. Occup. OUTLETS PRESID )REA.) I 3.00 Temporary service 15.00 me Facilities Home Mobile H 15.00 Misc. g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): V '17 7 The permit is for $100.00 (valuation) or less. ,I. 1 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 Filing Fee 15.00 Heating Cooling g Hood 6.50 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, indemnif and keep harmless the County of Butte against all liabi it' s, judgments, c ts, and expenses which may in any way accrue agains C un 'n cons quenc he granting of this permit. q X W/'10 (� Date Signatu a Applica Owner Contractor 1:1IDAgent An OSHA permit is require ovations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz DFEES IMP FLOOD COF PARCEL PD RD lsS This permit is hereby issued under the sions of the B e County a and/or work indic a ab hich fees R PUBLIC BY PE IT XPIRES Date applicable provi- � resolutions to do have been aid. p WORKS ate G �7 7 143214 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I �� .�.il� ,;. m.. F , 1'� -.n'' �'v •.-ti �'��'"P.,,..�,,,,,v.-"�i^�;�:"` �''e*fti.` f"y"ii�il""��.Y�t1Gf �We:f�. r.,� Y M., ., 1 ' � COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER !i l � © �J 1 I " `� klfolr A C/! � J` � D Proposed Building Use Building I pector Date74, (o D At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material/Form ............................................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. . -- ! /z_ 11.4 0. Fees of $........ :................................ 11. Impact fees as shown on attached schedule. ..............................7,Z 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year floo by C�Iyf rnia Engineer. . . -- 14. Sanitation and plot plan approval r0t/1l/E Health Department . ............ 6 `3 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . uest 20. Pre -inspection for required. .. o 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 Acknowledgement Statement . .................. i 25. Letter of signature authorization . ........................................ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... ^' 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :................... 30- Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. 32. Plan check list . ..................................................... 33. 34. When you issue the per process as follows: Mail to owner. Mail to contractor. Telephone FJ' 41-J21j nd hold for pickup at r office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept.it POIIA e Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle 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 _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Cnter by _ Date Plans checked by Date Plans approved by Date 09 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works m TO: Building Department FROM: Environtiicntal Health SUBJECT: Sanitation Clearance Hot Han Auadied Moor Ppm Atwrhad� -- -- Sant to Own Location Plan Approved for: Sewage Disposal 6, ---'-eater Supply:. I'ublic _ Clearance for ,3 bedroom mobile home. Othcr Hold final for: Final clearance O.K. for: NOTE: a Environmental 8/92 lth Specialist A P#i J Private Well Date j r I - _ ..� �.. - �.� moi• _ •\..• _ �i r.l �.h a. _ � - _ �. s - - - _ .. �.. � .� . a �JU i i APPROVED Butte County Environmental /Health APPROVED Butte County Environmental Health o)0 -- �ate Signa Via ke.P r e n vi r o n m e n tal Health O 71e, California c6s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone. 916 538-7541 APPLICATI M AND PERMIT ASSESSOR PARCEL NUMBER ZONING C11)(— S - © (9 9 BUILDING PERMIT OWNERELEPHONE ^ © "� 'P r SQ. FT. OCC. BUILDING VALUATION ' ' 1 OVr,LVER'S MAILING ADDRESS ��''//)) 1. I `9 I 1 CNTRAC OR'5 NAM © I TEL PHONE I CONTRA TOR'S MAILI D G DRESS Q 1; r 1 �7 Fireplace CON TI UCTION LENDER UNKNOWN Total Valuation $ I Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ ARV,,ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O Energy Plan Checking Fee $ j ARCHI CT OR ENGINEER'S MAILING ADDRESS Penalty $ j BUIL INGgORESS et AW Permit fee $ Ai©Ll rei u' PLUMBING PERMIT Filing Fee 15.00 j Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 f LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 j USE OF STRUCTURE SF ❑ Duplex[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 j Mobile Home S G W @ 15.00 TYPE OF WORK Neev Addition.___j Re odel;_ Utilities ❑`q'stallation Other ❑ Describe work: tV, j Permit Fee $ t Contractor ELECTRICAL PERMIT j Filing Fee 15.000V OR LESS Main service 200AORLESS 18.50 Main service 20GATO 1000A) 37.501 1 CONTRACTORS LICENSE LAW 1 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 ;Jo. Classification LJ 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.&) OR ADONS. ACC. SLOGS. 3.66 sq.ft. { NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRCITS @ 5 00 I POWER APPARATUS & (SINGLE OUTLET cIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 A 460 Ex. OCCup. OUTLETS PIRESID IFIXED APLNS. KEA.) I 3.00 Temporary service 15.00 ' Mobile Home Facilities 15.00 Misc. Wiring 9 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. 1 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 ; VIECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor i I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature A �r---! Contractor C] Agent ❑ Applicant of g pp – Owner LJ 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 $ P0, 00 ; Energy Inspection Fee $ occ CONST TYPE ( TOTAL FEE 10 ,Az OFEES I IMP 1 11.000 COF I PARCEL I PD I Ho I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date % `' ? � j di Receipt No. _, � '7' WHITE-D.P.W.. YELLOW-A3SC330R, PINK -INSPECTOR, GOLDENROD -APPLICANT maks ony.changes or alterations on same without written permission from the Department of'PulAc _ 1Kotks,-- County, of Quite. ; .... �. ( - _ . *e-,(. . .� Vv ' �t1 ` .r . 1 / tTc 1. ,. Vis? v'/ --------------------- N NOTE: AA Matoriais. & Workmanship Shall: 6e in Accordance witli ' Recognized Good Practices and"" i /111,... STRUCTURE _ -AN.' ..EQUIPMENT INCLUDING f OVERHANGS SHA L OF ALL EASEMENTS. of. a quality_ -prescribed. Specified use in the � =. . Uniform Building, Plumbing & Mechanical !� ,A SET; BACK OF ` .1 : ; .- '; �; FROM THE SIDE AND - fb• Natiopal Efectrical Code. " "" ^ -/U FT: FROM AR PROPERTY LINES AND -- this sbt of Obns and specifications MUST` 1'111. ,. FT. FROM, CLOF: STRU U66 DCENTERLINE SHALL BE :AND EQUIPMENT EXCEPT - kept -on 4he-job-at all tines and it is unlawful tc ,POR A 2 PT. EJ1VE _ . maks ony.changes or alterations on same without written permission from the Department of'PulAc _ 1Kotks,-- County, of Quite. ; .... �. ( - _ . *e-,(. . .� Vv ' �t1 ` .r . 1 / tTc 1. ,. Vis? v'/ A� P ,' 03 tr i:y !f JQs� 0 fJ �. � ;r T Lt. is m M fn ryin rr '- •' � f U' Ir r i�1 1 z; a. +C ?uam P ,' � f P ,' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7.County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: _/j/D rO1 J/5()7M C dIV S -r �ds 3. Is the site currently under permit? Yes �. No 51 mobilehome site circuit breaker rating? ----- .w (Iftyes, furnish permit number Amps ) OR 8. Is the site an existing site? Yes No =" M� &V111 mobilehome site service? -------- ---------- Yes No 4` .. e) l (If -yes, furnish two plot plans.) (If yes, Lt 4+ "'�� (Amps) y 4. ; Will the mobilehome be located at least 5 ft. away from septic tank and leach fields*and Yes NJ F-1 What .is the clear of all setbacks and easements? (in.) 10....�What is the..type No (If no, clarify 5. What is the mobilehome electrical rating? --------------- S Amps 6. What is the mobilehome site service rating? -------------- Amps *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION. �ds 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the =" M� &V111 mobilehome site service? -------- ---------- Yes No (If yes, identify ,the load -and size: _ '(Load) "'�� (Amps) 9. What .is the mobilehome site gas pipe size? ------------- - (in.) 10....�What is the..type service?.:-----.-=---=_.-_-_--_ LPG, of�gas .Natural :� : 11. What is the gas pipe length from meter or tank to the / / � mobilehome? ------ --------------------------------------- (ft.) *'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.) NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION. MOBILEHOME SUPPORT DATA • s �e If other- than single wide, Mobilehome Mfr. -6 furnish Setu Model No. ps�S/7Zy year Width (ft.) Box Length 6 0 (ft.) Tagalong or Expando Size —� ft. x�— ft. 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) 1. Wood -pressure treated or foundation grade. ❑2. Other (specify) SUPPORTS (check one)1. Concrete block.® 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Main Beams agor rpe N iin N Line 1 Line 1 Piers: Line 1 Openings: Size -Min- ------------ k Size -Min. ----------------- - ux n Spacing -Max. --------- ,- „ Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- '+ Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min - ------------ Z,k Size -Min ---------------- Spacing-Max ---------- --------------Spacing-Max---------- S ._ G Spacing -Max. --------------- From Ends -Max. ------- '- U " From Ends -Max -------------- Line 3 Roof Loads: ® ,II—L Size -Min ---Z „ x xx3d,k x „ -A„ Location (From Front) Line 4 Piers: - - Line 5 Piers:_ (Under Bearing.Nalls.Only) Size -Min.------------ Size -Min .----------------- k "x Spacing -Max.--------- , „ Spacing -Max---------------- From Ends -Max --------r_ „ From Ends -Max .------------- Line 5 Roof Wads: Size -Min ------------- "x „x "x E_ Wcation (From Front) , y MULTI -WIDE .� Line 1 -d Line 2 OU � Line 3 20 V > < > Line L an-• Line 1 .) Z agor rpe N iin N Line 1 Line 1 Piers: Line 1 Openings: Size -Min- ------------ k Size -Min. ----------------- - ux n Spacing -Max. --------- ,- „ Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- '+ Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min - ------------ Z,k Size -Min ---------------- Spacing-Max ---------- --------------Spacing-Max---------- S ._ G Spacing -Max. --------------- From Ends -Max. ------- '- U " From Ends -Max -------------- Line 3 Roof Loads: ® ,II—L Size -Min ---Z „ x xx3d,k x „ -A„ Location (From Front) Line 4 Piers: - - Line 5 Piers:_ (Under Bearing.Nalls.Only) Size -Min.------------ Size -Min .----------------- k "x Spacing -Max.--------- , „ Spacing -Max---------------- From Ends -Max --------r_ „ From Ends -Max .------------- Line 5 Roof Wads: Size -Min ------------- "x „x "x E_ Wcation (From Front) , y 4`�`ti�?f�1,t'�`'�.�5'�:'F"�'Fi%����°�A�'�'��"4'�'d . •�?"6kti� ,i �..w��.F't`i��''..Su`,N''�'„r'.y,,.V{,�"�!&ieia`�k-t,.�'"1��i�Si�GY'�'-r;.-�.'� BUTTE COUNTY SCHOOLS IMPACT FE&CERTIFICATION FORM i (One Form Per Building) - Schotri� t1w % �� (� �1) Building Department No. V0A_ A.P. Number Q "00✓' Jurisdiction City FV� County Property Owner �e Property Location/Address V/11AC /r Subdivison Lot No. Residential Development 0 0 Sq. Footage RePlgccMem* or No. of Living MH} 'Addition (Group ) IZxlvn /n Un s Ao0- l(1 ox Isf1, A� - �0 Commercial/Industrial q. Footage New Addition (Including Exterior Roofed Areas) 9,:5 Building DepahKeAnf Representative Date ' Y t (Floor Plans reviewed by School District Personnel) District Identification No. nr, ,F' Li District certifies that 4- (Applicant)^, (Street Address) = (Phone Number) (City) (State) has complied with the requirements of Resolution No. - () representing l'/ square feet. SIJ L,? \ ✓ A e School District Representative Paid by Check Number Bank Number Paid by Cash (Zip Code) by payment of $ 70 '/ Date Remarks: If, subsequent to'the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on.the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) :t. RESIDENTIAL j LEKO\4. & N Y'l e_ _ AA 4 ffit2��� 041-52-0-009 93-2475 B 2484 Oregon Gulch Road, Oroville (new awning/MH) North State Const. JOB FINALE Signature i / ♦ 1 l RESIDENTIAL j LEKO\4. & N Y'l e_ _ AA 4 ffit2��� 041-52-0-009 93-2475 B 2484 Oregon Gulch Road, Oroville (new awning/MH) North State Const. JOB FINALE Signature V= OK O = Not OK NotApplicableMOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L"ft. . / /"Nat. or/ PV ft./ /"LPG 7. Well Clearance & Disconnect B. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Teat -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial OECKCWVEF1-% CARPORTS, GARAGES, (Plana)OK except #'a 44 F Zo ng equirements-Setbacks-Easements kz'Footlngs; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftm.-Connectors Shth-Rfg.-Bracing raLA -*,Krum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftm-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings T� Date/Initials POOLS (Plans) OK except #'a 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-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd. / P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd -/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except ff's 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuta in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motora-Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except ft's 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above Insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except fl's 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Wella (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truas-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ina. Baff lea 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Wal Is -Celli nga 60. Infiltration -Walls -Windows Date/Initials FINAL (Plana) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following inatld.; Drive ❑ Yes Cl No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comnwnts at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVEL@°MENT SE . - BUILDING DIVISION 7 County Center Drive - Oroville,`Cafiforn a %965 -Tel phone (916) 538-75�-i�3� PERMIT NO ( APP=Anoly' AND PER ASSESSOR PARCEL NUMBER 041-52-0-009 ZONING FR -5 BUILDING PERMIT OWNER S EROY DIXIE TIAYBEP,RY TELEPHONE 534-5352 SO, FT. OCC. BUILDING VALUATION 300 C 3,900 OWNER D&E 2484 Oregon Gulch Rd Oroville 95965 CONTRAO'rAFniMEButte Construction TELEPHONE CONTRAI-71 MA r.1NtiMDD$E$S_ Rd, Palermo CA 95968 ��F id.LCi ��11J Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3.90 LENDER'S MAILING ADDRESS Filing Fee $ 20,00 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 $ 123.9' PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE ��yyy� SFO Duplex O Mobilehome U `Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @2'00 TYPE OF WORK New ❑ Addition On, emodel EIUtilities ❑ Installation 1:1Other ElContractor Describe Work: awning PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service I BOOV OR LESS ) 2OOA OR LESS 23.00 Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLOS. ) so. 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed underp provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044) I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON,REslo. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occup.FIX ED as, ORA. (NS6.) E ) OUTLETS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 94 I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling T Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coun- co equence of the granting of this permit. Q ty X Date _�'— —/ ,J Signa ure of Appli ant - caner Contractor lI Agent An OSHA permit is required f excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ HAZ. D FEESIMP I F o D CDF PARCEL Po HD Iss E This permit is ereby issued under the applicable provisions of the ByXe C unty Code and/or Resolutions to do work indicat ab foS which fees a been paid. R CT F WORKS BY Date ' PERMIT EXPIRES ON IDatel L Receipt 143767 .D. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT >-:,,..r-.-, _.�".- .-r.J"�-•.--r-�...,.�.r✓�-y�'y4.�.?-.'y�-..,...n,.n7,.rr...,,(�,+,�-^�-.ei�"••✓"'1`"�r�`Y!({u'!'/v�'F'y`"'w+�l.�-,�j.-r...�ti✓�.r..-�-.,r..T.: 5.,�„- : ...r�.. .-.. , � • COUNTY OF BUTTE - DEPARTMENT OF Dom/ PMENTSL� VI ES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 low PERMIT APPLICATION DATA SHEET OWNER Lr-_6Lo D/x 1n4 -/1661e 9 A. P. Nonce 2ll - 15;0'5 Proposed Building Use 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 BY 1, All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. .........,.................................. . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13 Flood elevation letter (100 year flood) by C lifornia Engineer. .. ........... . 1 14. Sanitation and plot plan approval Health Department . ............ ? '7 _ >r 15. City of Chico plumbing permit . ...................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . uest 20. Pre -inspection for required. . toBuild g 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 . ........... !Recorded copy of Agricultural Acknowledgement Statement . ................ 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :............. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. :......................................32 -�- PI heck list.,�O :4 2/m31 34.�_ t' / When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. of Deliver with inspector. Other Parcel Creation Acreage Applicant /I ' %,.�,� .ecu. Date /r Copy of Haz-Mat form sent Health Dept. Fire Dept. ._-yAi,r Pollution Date Copy of plans sent Health Dept. Fire Dept. her Date By The following data must be submitted prior to permit issua : (Circle new 't m not checked a & . 1. Index permit for above items No. 2. Additional items required: Contractor, designer ownwas advised of above required data by _phone mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Count_ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works � K��. �� } • .� ... • , n l jb 1 E 11 I ISE ONIii: Phil Ilan Allunced.:,..; Fhnor Ilan Alutched sent Iu I1,1). - - - TO: )wilding D partment FROM: Environmental Hcalth SUBJECT: Sanitation Clearance O ner Location AP# Plan Approved for: Sewaoc Disposal Neater Supply: Public Private Well Clearance for bedroom mobile home. Other d2—C r W Hold final for: Final clearance O.K. for: NOTE: A/ 7 -2 -7 - Environmental Health Specialist Date 8/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Calif6irii6i 85965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT AssEssoR PARCEL NUMBER U 20NWG BUILDING PERMIT OWNER- TELE "E. S . -3 X352, SQ. FT. OCC. BUILDI G VALUATION- O OWNER'S MAILING ADOR X2-66a�VGG �o 0 CONT ACT 3 N E 3 �l 5 TELEPHONE CONTRACTOR'S MAIL O ADDRE' i%LL&U") Fireplace CONSTRUCTION LENDER . UNKNOWN Total Valuation $ - Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ .670 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS � � , l •� / � � 'A� PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping. 15.00 LOT NO. SUBDIVISION'S NAME - - PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20'00 TYPE OF WORK New O Additio Remod/el,Q utilities �0 Installation O Other O Describe Work: �W N�/!/ /r ' PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 200A 200A OR LESS ) 23.00 OR LESS Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCC P. SO OR ADONS. ( & ACC. SLOS. ) 3.54 FT. CONTRACTORS LICENSE LAW declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1am exempt under Sec. Business and Professions Code forthis reason NEW CONST.MULTI-OUTUET .NON -R SLID. ( BRANCH C RCU TS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET - @ I000 Ex. Occup. ( OUTLET OR FIXTURES ) B20 . Ex. Occup.FIXED IRESIO OR (OUTLETS (REBID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any woaccr against aid County in consequence of the granting of this permit.This X Date Signature of Applicant - ❑ Owner ❑Contractor O AgentAn OSHA permit is required for excavations over 5"0" deemolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ + HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON (Date/ Receipt No. N3762 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Th1B8ft-0tPUwaUd8Pw1fi=VG=VMbG ) kept on the job &t-&Uti=as-&-idltlsunlawfWto I Make any changes Or QtQrWons On GAME wlth*ut written Mmaisslon brom the DepartMent of pWgW Works, County of Duttq. N A NOM- All Materials 4? Workmanship Shall Be rn Accordance with Recognized Good Practices and of a QualiV Proscribed for the Specified use in the. Uniform Building, Plumbing & Idechamleal, Codes: and the National.Electrical Code. ni rlealTM' Da J. 7 f ALL STRUAND EQUIPMENT fCLLfljjN(3 :OVERMAN( "SH LL S BE CLEAR OF ALL EA, ERAS '.A;BET BACK FT. FROM THE SIDE A D FT.FS EAR, PROPERry t �ik F 140 ENTERLINE saim ag) ve e - _L :CLEAR OF, --S-1 iUC L UR ,,AND Eouipmw r EXCEPT G\ 7F R IN G DF -PA PL-e� 93-zy7` :. T NEW. e)r- A N A NOM- All Materials 4? Workmanship Shall Be rn Accordance with Recognized Good Practices and of a QualiV Proscribed for the Specified use in the. Uniform Building, Plumbing & Idechamleal, Codes: and the National.Electrical Code. ni rlealTM' Da J. 7 f ALL STRUAND EQUIPMENT fCLLfljjN(3 :OVERMAN( "SH LL S BE CLEAR OF ALL EA, ERAS '.A;BET BACK FT. FROM THE SIDE A D FT.FS EAR, PROPERry t �ik F 140 ENTERLINE saim ag) ve e - _L :CLEAR OF, --S-1 iUC L UR ,,AND Eouipmw r EXCEPT G\ 7F R IN G DF -PA PL-e� 93-zy7` :. T NEW. e)r- lz Ip Iv.. 4. a A R04 w6ZI20 54-YRIG 711- M't r4j-ift - - .7770." Lij LIJ f -N t 7-75-7Z7-4, t 'ee COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 Leroy & Dixie Mayberry •. DATE August 11, 1993 2484 Oregon Gulch Rd. Oroville, CA 95965 RE: Building Permit Application #93-2475 Dear Mr. & Mrs. Mayberry: A.P. # 041-520-009 With reference to the above subject: " Attached- is : Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes.Enforced OTHER XXX( We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete.plans. and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from.Land.Development Section (DPW). sets of plans in accordance with the changes marked.in red. Sanitation approval from Butte County Health Department at: 1469 Humboldt Road, Chico. 7 County Center Dr., Oroville Skyway & Elliott Rd. Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville,.. for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded. copy..of .agricultural acknowledgement _statement... Letter of Signature Authorization. TX _X1 OTHERWe require engineered plans for metal awnings. Please supply us with"State Plan approved" drawings or a SPA number for the awning.- Should wning: Should you have any questions concerning the above, please contact of this office, between 3:00 and 5:00 pm weekdays. JFG/aj Yours very truly, Linda Sexton William Cheff Director of Public Works ,J.F. Glander PCC' R 2—( v c 3068-87 { 4I PERMIT NO. F — 1 , PERMIT EXPIRES OWNER LEROY & DIANE MAYBERRY CONTR. owner sf ASSESSOR PARCEL 41-52-09 as j�LOCATION 2484 Oregon Gulch Rd, ORoville Temp. Power Pole Called PG&E Temp. Elec. Service. Called PG&E t I Temp. Gas Service E Called PG&E JOB FINALED (Date) Signature , =•OK 0 = Not OK ' = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DEC ,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements ng.Requirements-Setbacks-Easements 2. Soils; Special MH Support -Sketch . F ings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete ecks; Girders and/or Joists. -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / PV ft.L5--Alum. / /"Nat. or/ /"L"ft./ /"LPG Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -81 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 1 xt.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -81 Date Card -61 Date Card -B1 Date Card -131 Date Card -B Dat Card -131 Date Card -B1, Dat Card -131 Date 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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test ICard -B1 Date Card -81 Date Card -61 Date Card -B1 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable Not Ready 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-Steel-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" 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 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers . 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material-Su pprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -61 Date Card -131 Date Card -61 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date Card -81 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -131 Date Card -61 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -131 Date Card -131 Date Card -81 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -81 Date Card -131 Date Card -81 Date Card -131 Date Card -81 Date Card -61 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF 1 ' 7 County Center Drive - Oroville, California 95965 - ' APPLICAT DN AAD PERM PUBLIC WORKS PERMIT NO. elephone: 916/538-7541 T AS S OR PAR L NUMBER _S - ZONING BUILDING PERMIT OWAXR f TELE H NE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Jt^ Orn, LNl C N RACTOR' AME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,S Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 911<7c[ 0 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 S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation[] Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service s0ov 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. Classification 1, 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. DWELLINGoCCUI..) , it OR ACDNS. I ACC. SLOGS. / /zQsea NEW CONSTR.1.OUTLET NON-RESID .BRA CH CIRCUITS) 2.50 ea POWER APPARATUS tr SINGLE OUTLET CIR. 1 20050t Ex. Occup(OUTLETS OR FIXTURES BAL0ALe30ao FIXED APPLNS. OR EX. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 9 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 LO 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 FiIingFee 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai sI said County in nsequ nce of the granting of this ermit. X Date Signature of Applicant — Owner ❑ Co actor ❑ Agent/[] An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 st ries in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 0ccup. CON9T.TYPC JSCH00LJFL00aJPA9CFLJ PD No 59UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO O UBLIC By PERMI XPIRES Dat@ the applicable provi- resolutions to do fees have been paid. WORKS Date7-- 7� 19 Receipt No. WNIT[-D.P.W.. YCL LOW-Aee C370 PINK-INeP lCTOR, GOLDlNROD-APPLICANT , COUNTY OF BUTTE - DEPARTMEN•bF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET �, Permit No. / OWNER `-� Lry-Q , A. P. No. O I I Inspector Proposed Building Use Building `�Date r' 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ - - - - - - - 9. Letter of signature authorization. . . . . . . . . _ . Sanitation approval from `C.�X'�' Health Dept. q 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑,) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for RequiredPre-Inspec. request to - Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 4. 21. En i e ed trusses in duplicate (required prior to plan check). When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector- Other. Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted 1. Index permit for above items No. - 2. o._2. Additional items requiresk.g A , r� it issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of abovLy required data by_phone---jnail—counter by date., Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by_ Copy—DPW Date r , Plans approved by Sets of plans on hold in File cabinet AP folder Date 7—%meg F_ TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other Pr NOTE * * * Sanitarian Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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 ma'or labor and materials for construction of the proposed property improvement ye or no) 2. I (have/have not) G 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 ff' 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 ecurity Number] — ► — Date.- 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 per- mitted to issue the permit. PERMIT NO. 306 8" PERMIT EXPIRES OWNER DIXIE & LEROY kAYBERRY CONTR. Owner ASS . ESSOR PARCEL 41-52-09 / LOCATION 2484 Oregon Gulch Rd Orovill s / ' Temp. Power Pole Called PG&E Temp. Elec. Seiv ice Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = OK • •• '0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date D KS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements KXning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch LRK Footings; Soils -Size -Depth -Spacing -Connectors - 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists-Decking-Bracin -Stairs-Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Con nec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOSILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Card -B1 a Date, and -B1 Date Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector, 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -81 Date ' Card -B1 Date Card -131 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready, Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. De 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material -Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -B1 Date Card -B1 Date Card -61 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing _Date FRAMING (Continued) 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protection-Skylights=Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation -Wal Is-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic O Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 79. Following instld.; Drive O Yes O No; Walks O Yes O No; Planters O Yes O No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit Job site) OWNER 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 �C/,) Z-4-' ' 7 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 matter, or need additional explanation, please contact this office Immediately. /0 (a ` �( / � 11-2 - IV,-"/ Inspector Date//— /, v COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 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 matter, or need additional explanation, please contact this office immediately. Inspector Date0 //_ '7_ - 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 30�1; � -- S- -7 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 166 Date /v v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NOV, 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATINAND PERMIT / ASSESSOR PARC L NUMBER _ 5 ZONING BUILDING PERMIT OWNER i Y" V TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE S MAILI ADDRESS L 04aama /X0 CONTRACTOR'S NAME TE PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ . e ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' 00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDS " f�0y Permit fee $ PLUMBING PERMIT Filing Fee 10.00 V( Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF El Duplex❑ MobilehomeV Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home TSTG W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Re odel ❑ Utilities ❑ Installation❑ Other Describe work: j Permit Fee ; Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 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 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCC UP.N 1h2sgft New CONSTR.� Ac LTII.OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. / EX. Occup(OUTLETS OR FIXTURES 2ALO 30 eLe FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Not, a 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 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 again said County in Mcosequen a of the granting of this permi . / %� lir Date I V` ! Signature of Applicant — OwnJr ElContr c r ❑ Agent 11 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE OCcuP. CONST.TTPEJ SCHOOL Fr !o PARCIL PD ND s ! This permit is hereby issued under sions of the Butte County Code and/or work n I ated a ve for which R TBR OF PUBLIC ey PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS p Date �,C��o (.i Receipt No. 6 y7 WHITE-D.P.W.. TELLOW-A3 SE330R. PINK- INSPECTOR. GOLDENROD -APPLICANT , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO�(ILLE CALIFORNIA 95985 -TELEPHONE: 916/538-7541 1 PERMIT APPLICATION DATA SHEET Permit No. y OWNER Qi' ,Q au A. P. No. Proposed Building Use / / Building Inspector 2// Date 9" 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . Q10. 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.) –14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _.—...._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection for___.___ _. _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. _ 20: Plot plan approval from city of_ _ 21. 22. When you issue the rmi/t/, process , as follows: Mail to owner, ail to contractor_ K�� Telephone.? ���7s� and hold for pickup at. -AIT ---office, Deliver w/'inspector. O!her Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: ___-- (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone ---nail—counter by date Contractor, designer, owner, was advised c? above required data by—phone —ma il—counter by„ , date Plans checked by Sets of plans on hold in Copy–DPW Date Plans approved by File cabinet AP folder e TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Locat n Ap# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: I Water Supply Clearance for bedroom mobile home. Other p� NOTE--*** Sanitarian ate A setback of 4 ft. from the property lines and a setback of 50ft. from the road centerline shall be clearof structures or equipment except for a 2 ft, eave overhang. z, ZI., �, H M Im es an I UnI6 0 6 is wful U n+akOtdIny, :chars Moir'tern" ions:on. game written perissio n ?e6. fhe:Deparfinent of Ptiblic. County Wiors, Li L43 0- . . ..... . . . i,40TE:—All Materials A --- Workmanship Shall fie Accordance with Recognized Good Practices and - ...7 -Of -a -qualify--*prescribed for -the -Specified use-in'the Uniform Building, Plumbing � MaAanical Codes arid -$e-National-Electrical-Code. C, 0' C< C< � f connect 1_ n t4.Q Ljcct !; h a I in 30 A mobilehome. 9U It zx to roar .1 of to CIII �°, CT 1 11_11 -rl n Mi \/%.I^ f\rl\ nn r'%/T' lam' T Y P. ',.r— CrUAIRDRAIL qq.t nc,r VIII(_ 144'r MIN. F -00r i NG GIRDER KS I'' W6. "V • i Ir FRMNo — —' — 2'x 12" STAIR 'STRINGER. 4B'o.c,. MAX. TDP VIEW HAUDQAIL NOT SHOUJN FOR CLARITY. AN r 3/0 i I BOLT 2"x 4 -7" MOBILE HOME OR 9E(- I'll ECI'll L. I-KMU L I ON CLIP (EA. 11DE L= 4"4G "4x4"POST 2"X 11V 8`pn DOLTS �Gt • o b.' A"x 4" POST . w M -O o I(Y) 9"MIDI. X co i 2'X4" PRESSURE TREATED oR o• REDWOOD PLATE - vi - AVFQU4TE- DIAG DNA L �►, % BRACING. TYPICAL. RESIDFIM.. Z S. 'COUNTY OF BUTTE --^DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 6 Telephone: 534-4541 �� t COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,.Oroville, CA 95965 Phone: 916-538-7541 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 CAU 2�, 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 LSFD 'Q_ 10 1 i 12 6r r Social S curity Number Date_ �� 8% 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. ric 't I Jul pel, is C, U, les 4 n , *all( t�Me 0,0lot cli 'if n scime Uit o:114rok1,ep nsT�Mn,Ojp I !to 004 C. 1 0'1'0',,,, , 'he j 1 �Oey�, per -Oj i 11 1 - O;ks. CA I r\?? kc es i 7* \ot 0 0A. a Pio es "%d\Cl \�el ! c. dtel e bqxA I k\ -,e C%\ Cl 0�16 kol Oec, N qIL , 0 Ci c r ?ve , Go � d Q geld eo�c�, , I � ( { ' I ' ( ' i the ! l f i I � 913 77i i/ 0 1 1 z i i I I �-iYC,asw. 0 > CA Ck 0 -to c c'101 lo- 0 OL VARIES 36," MIN. al X 7q U3 48 MAX. M —4 -44- %-- II L2 I 30"- 34" C> //HMDRNL VE16HT 7- -vi �• rn" MIN. S TAfR JWIDT4 7Q 79 C_- 2�1 r(l Tj al X 7q U3 48 MAX. M —4 -44- %-- II L2 I 30"- 34" C> //HMDRNL VE16HT 7- -vi �• rn" MIN. S TAfR JWIDT4 7Q 79 2 Lt: As/t1Pni:.(Enr/aced Lilt j Lt/gNtLt9ar:CFrsIota,/) DO.II �Ar -' '. `-i. Elk r -- Ltwr/h . [.63 nrn ffnt/raw) LMtk t (1; _ ::j _ :.is! �M • - 7:1Kb��u a[f a•, , i Lleyn ./.q P 7. nun, CC;aenj� " I 2tn i 1 1 • . r, M t • '�' ' x �/ : a• ;} h . /.e0 I- Illi • %i/e!'oura ,O[J.•r .`• 11 �',• 0 Dec.* _ • { I 1 ; 1 O� '� s r, Dec1 1P3 Yi 1 + . I �Trpj I' I ' ' j' I e h3►) - �• ,3 . yv+%�• l..czyOriy ; • . , 1 I =�M..1 L . A I . t o t/t /. l . t.? k _ : se ' ' i eMar. L Fascia _� Mer - - D, U Beam I I /t o0 I 2•/ Cal 9- ma, felri. 0009-fKM AAew. 100 4.r0 *LO t o ♦LO PLAN' •/ ca/ /l •O' mer. A-=.@* *r Anus oo i LAIN DECK Z': Frari/t for �-- d'O"'O�l ECK Jr j� r 93 - 1 Sr Soren d.i /s U Btdm Si Mo S 'Ce \\z • fesria arc, e ♦ 1 .�> a t«a.•s aooitr7�atvw .11� 5001 -M16 Alum 6 'RFF 1 - .-- -� -t ThicAatst..0/0 ��►, , U been &,a /;Cc / SQCV 1v_U eve p /. k ' 1 01 fisaio orof Vert VL I I 2 ?•/!/ td. I I kC I.1 1 '-�. �lEy SECT •!3 W 1 bm's y sR - REV SFl T ?S ' 25 I , .25 • 2 /y' r tb DerE I 3 �/ iT3' ?^ 20 [!?S �PSy ?• j� f ?S f 2 �8A/J O /G%. a rk,ee hap -Data z { 3 - 13.00 ok _Enc/orad o / �OrtA A roil /Yp .3 SOL/ARfOL UMNSte Tob Defoi• 1 475' ""'N �� Nef'Fa.0 Jrrse s d. Ap - k I ,s4 so' st 6raaa C ASTM -A446 M/n yP.40- a+�M41S.,JCr.re/-/'Oe.ke41 ,0•B•,: :'./9r :. CIf 3 065-�"ufoci• - -It.!I /.•rtre/e ~ 3004-H36 Alvmso/la wood m/m[-r EiM:r4b. w,rtj 2.50 Petrie iphed of mo5•H ••+•a/ iJ' BEAM. ob,/ehoarn �� • natmbar 6063-T6 A/un►B e 9C. - Deck ! S' e ¢,•/ 0 S/ol[eo holes of'FASCia Gyr7£R '3B N, 8 e e••e- De.k 2 43 l watts, TO B. -Col. Shot I (2f /on9) 2-/, l Cal Col /nam 2 SEC T. A, Lkrk � 8 Sk45 a 51C. -L-. :B sms a c^,-A�k U boom r %4 B P/r col. f SeCT. E, - - - /`- B DecA 1 + _: /__ BSMS C' O�-urea / ' ;1 3'� `o,• . _%A4se c^. -Drat 2 / SECT. B SECT/Q/ ' Deck ryp- ry 1"1(24-� m - w 6063-76 A/um. PLA" I UJ34 106 _9c. zoo BEAM SPUC£ MEMBER 1 - Errr..ded hon er I O r `� o sr is .etT .6063�T6 A/urn I TAe DETAIL (CTC 4 p �. 6063-76 A/vm.' ' -- r was -_ I vot/Ao ger '� - GENERAL NOTES 'jo• �6 �i +-_34 .1 0 ^' /ood • 'OP4 f� f't¢Rod I •. PLAN aI rZs Wind /o oa-i0ps f; Lplifr =/0ptf. -'--1 It �I ' L. Awning -~y be dtreened i . 230 , Open meiA ,nsecr scree n,n9 or .svinS o f to. 06 '.75 �~ �_� reodi/y :re,norobkr tion(/ucenr Oe a/} LenyM=2.30' rronspoienr flexible plosri"c 3crrtn%ng END TR/M. o/ not more (Aon 20 /rv7s. h ;,a knass.. 6063 -•TSA/ m COLUMN /AS£RT 2 3 foc5 owning: structure Jta// I v �_ Aore *"*Chad Mere to i o a vrsi b/ I DECK :�O ENa' TRIM CONI✓ LfV 606/-T6 Alum. e � .bcorionr on .ggororad rdtnrificorian' .f COL. INSERT / r^ir ^'Q• 9 6a.'Coo- - GrodeA 5tre/ASTM A446 % •07S 4. acco,►rinlrm desigyn and Sr1376 aS'. ' rs , i h•T are occor ding ro ,ATu+a Assoc. /976 I f'Diometer �I SPets with o factor of soFer T•or Se c T. F, ; �e $ECT. G, Col. Insert / 4. j ". /f.B k B d qp Col �l r* isB. •M r, D a•� F .,1 Kw,A ba/r .r//4 embed .4 KWih bwh w,Q emoe wiiA *how. p.//Jul wh'k e/low. pol/oul d "Ne - L547onchor. calve • 308%ancAor w/M 40 r /4 yoye was r a wITN r/� COL- _j / L CO,VA4 - 'COL. TO CONC. SLAB Flnl sh : .Softly State sA*17 b t.af Mr'✓M/wu.aol �•a.Jr/.t_' 9• 'el y EL EV. /.1B7- '' CONSTRL/C riory NOTES I AwAlVG AVCHOA L Cory Oil /6.r;ys :10-n to fi•4 t p' COLUMN SHOE l rnd%s rur0ed SO%/ Nor. det/gn P/nte ! NeP,r:ASTM A.569 rS-ZS/ts,,r_tz.45ks: Q C= h 71 Aoo :/040 trYa , rS= 48 ks:* TS = B snr.: , .. 606.3 -T6 A/vn:. pressor•'= S e S40. -., . Ancoor.shalf be eoored-w,)% 2. Concrete S4011 have O str�•syrM - Fin sAdoss /zinc e�eerro Prot%n PL AN 2000 psr. ®28 days I 9• _ 3. Al/ /rom,,,y sno//be o/ue7inu!!s.-- frao, CLS ro /•O m,% 1-1 •Hess .75• 7.5• 757511 w/us orherw%se sne✓n. 4 ea/parts 1 / Co/ 1�---- - 1 4} Shall ba yan,anizeo, Or porlred w.7M - I 1 3.75• I ( N Sfre/ prtiloer 0^4y ena rro/ f,✓arsh. l '�4a 4. SYeel fotrtn vS Shot/ be iro%.Ar� r-14 B 1 -Column Shat 2 SPAN, L FTG. roof Pons/ SAo/ haveELfV. ASTA4 A36.;frel) (� /+�compos/re6Z FSCN C,CE p/umr /.E Gas a .,� r s,, J!.Sandi� iyay s«.b sATY . , +------ ------ F�xia /u - 9raare/iono.t/dyty or •:.' i I + t mewde, • e. GfoD' y TT y J' W fp! 12 r- .-sorsd c a r's!tr f r -sl✓ AS :3i S/cel _ + - 4 + j rmall6•�jv,Lb✓�.lot -- C/1L=DL/LE _.....':.J.i _OvN,- CrL. TO wvr/✓6 NCH3R c-' • iiWr//N6-N0 OVERHANG SCMEeu/F-AWNwv6:" Mny DYERNANG i r r� ref IN� MODEL NO. �o/ua.rnukn _-+ I ?B� ar cocem,om pored. S SMS-.SAear mefo/ irrrws. SA1Sfor SPAN, L FTG. roof Pons/ SAo/ haveELfV. (� /+�compos/re6Z FSCN C,CE 6 Enc%Osures Sha//rqt be dtocAed,a hoe 2 COL UMAt SHOE 2AWN/NG TN, anew*( Go/•nuns. %1NCMOR /VOT65 ASTM A 3 S>.&/ Awon9 AncAor 6063 T6 Ahirrr. /. Awr✓r,wancAOr SAO//be as ' " 14 3a8SMS 12 - Near - monofocrrrred by Aaesco•Distrlb:Joe. 2. Awkvi.rs oncnor be 'used in • ' ROLLED FogMED N.4rv6ER 1 sial i /-For side, "icy :rte fol/owing soil types: 3004 -N1c Alum. I I i • i I/2-Tofa/' _ .b S y 9rorir w y/. _... :• ', t ... _ .,� r s,, J!.Sandi� iyay s«.b sATY . , +------ ------ F�xia /u - 9raare/iono.t/dyty or •:.' i I + t mewde, • e. GfoD' y TT y J' W fp! 12 r- .-sorsd c a r's!tr f r -sl✓ AS :3i S/cel _ + - 4 + j rmall6•�jv,Lb✓�.lot -- C/1L=DL/LE _.....':.J.i _OvN,- CrL. TO wvr/✓6 NCH3R c-' • iiWr//N6-N0 OVERHANG SCMEeu/F-AWNwv6:" Mny DYERNANG i r r� ref IN� MODEL NO. Pqo L• OR - COL /CastF.ae,. l0 SPA S:MnA76" SPAN, L FTG. AB -40 d-0- 5/ab, ttabM.� anew*( MfkD i/'o• .' e=f .- :' 9� Abre: L•be anoereo_ 4200"" .v^ MODEL P"O.A No., P MAX: OVERHANG SPAN, L FTG. AB -40 d-0- 5/ab, ttabM.� All -V • 74' 0D• 4t FASC/A $PLjCF nFT ' ��r.Y , t.w� Iy •. IAr • ' . 4-. r :�Yie/L.it+�c�w/vu►26=.jl69tl. ' a,ed�aNas•1t1ra ADO/ !bw�elA.r� " _ _ ►'.►'�= .sem C '�SvS, s•• IV 445. • PERMIT NO. 16Qn-87P,F(MTj) PERMIT EXPIRES Z? ZETL OWNER I-FROY 9 PITUR MAYURRY CONTR. nwnar ASSESSOR PARCEL41 — c; 9-09 I OFFICE COPY 017 Address 2 GAS Meter By Dat _: ELECTRIC IC Meter By. (!d:) Date Temp. Power Poli, OFFICE COPY Called PG&E- Address Temp. Elec. Servic GAS Called PG&E Meter By Dat Temp. Gas Servic 1 ELECTRIC Meter By Called PG&E JOB FINALED (Date) Signature = OK - 0 Not OK - - = Not Applicable = Not Ready MOBILE HOMES MISCELLANEOUS Date MO LE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Z9PAng Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel <Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ._Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing glectricity; Location-Clearances-Grnd� mp-Concrete Gas; Locatio- st-Wrap: / /"L"ft. / /"Nat. or /"L"ft./ L-etPG Utility Clearande 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date — Card -B1 Date 10. Roof; Shthg-Roofing Card -131 kj Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date EHOME INSTALLATION (Plans) OK except #'s o g Requirements -Setbacks -Easements Card -131 Date Card -131 Date Wings; Size -Spacing -Marriage Line Card -61 Date Card -131 Date G , MH Test -Demand -Valve -Connector , EI tricity; MH Test -Crossovers -Breakers -Clearances t Date POOLS (Plans) OK except #'s r n; MH Test -Fall -Flex Connector 1. Setbacks -Easements dAe'Wate,r; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability r and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining as pnd Electricity Tagged s; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater j 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -131 Dat Card -B1 Date Card -131 Date Card -131 Date � 9. Health Department Approval I 10. Plumb.; Cir. Test -Water Supply Test i Card -81 Date Card -131 Date Card -81 Date Card -131 Date = OK , tARE$IDENTIALr (Sinile and Duplex) - =p Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. De 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rkt proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Date FRAMING (Continued) 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -61 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic 0 Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor o Yes 79. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -61 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) r COUNTY OF BUTTE �. DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 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. LMJ IVA" M_ I Inspector r Date MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA - 534-4541 PERMIT NO. R Address or location of mobilehome -Owner's name ,,'Owner's address Insignia or hud number Manuf acturer's name Serial number of V.I.N. Year of manufacture C� �1111-�, --'11 -1 - / / . C -N * -7 (Offi�lal - Ap-provi'Ag Installation) I . (Dot' 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 P R IT 7 County Center Drive - Oroville-' Callfornia 95.965 - Telephone: 916/538-7541 APPLICATION AND PERMIT C/ 000 ASSESSOR PARCEL NUMBERO ZOrG BUILDING PERM �f 2 1/ O r - TELEPHONE S SQ. FT. OCC. BUILDING TION OWNER' MAILIN , DDRESS CONT AC OR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ e'^ 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 Lt n Each Trap 2.00 Solar or heat pump water heater 20.00 LOT 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 S I G LW 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 4 Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 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. LicenseLicense No. Classification ��r lj`�-[� 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.W , OR ACDNS. ACC. BLDGS. h¢sgft NEW CONSTR. MULTI -OUTLET 2,50 ea NO N.R ESID BRANCH CIRC ITS POWER APPARATUS 6 SINGLE OUTLET CIR. / Ex. OCCUp\OUTLETS OR FIXTURES 20@50t eP030 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 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. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date '1al7-'7 / co' Signature of Applicant — O ner Contractor C]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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ I P^JD PARC P 1 '71s7 This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTORAF PUBLIC BY PER T EXPIRES Date - the applicable provi- resolutions to do fees have been paid. WORKS to �— �= Receipt No. 9�So WNIT!-O.P.W.. YELLOW-ASSES70R, PINK -INSPECTOR, GOLDENROD -APPLICANT 0 _ p..A.�. K COUNTY OF BUTTE - DEPARTMENT`' OF. PUBLIC WORKS BUILDING DIVISION T - - 7 COUNTY CENTER DRIVE - OROVIILLtj!8'`X` IFYO NIA 95965, -.TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET -� Permit No. OWNER ( /L-0—f-exy, _ r A. P. No. •y p7 Proposed Building Use _ Building Inspector Date ` At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED ' R 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 authoriz tion. 10. Sanitation approval from •ealth Dept.. 645/ 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑ ), —15. Improvements may be required. . . . . . . . . . . . 16. Mobi eh me Installation Data. . . . . . . . . . . . Pre-Inspec. request t Pre -Inspection for Required. Building Inspector O1e) Recorded copy of Agricultural Acknowledgment Statement. - 19. Driveway Permit. r 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: ail to owner, Mail to contractor. !a Telephone and hold for pickup at—off ice, Deliver w/inspector. Other �+ Applicant Copy of plans sent Health Dept., Fire Dept., —Other—Date The following data must be submitted prior to p rm t issuance: (Circle new item not checked above). 1. Index permit for above items No. �L 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mail' counter by date Contractor, designer, owner, was advised of above required data by—phone _mall—counter �bby date Plans checked by Date Plans approved by ► ` `— Date ( - L R 7 Copy—DPW Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. JO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner locati6n AP # Driveway permit 1:7-7 has been issued for the above property. signatu date ' ATO FROM: " Buildina Department Environmental Health SUBJECT: Sanitation Clearance �o O� ocation Plan Approved for: Sewage Disposal Hold final for: Final clearance O.R. for: Clearance for bedroom mobile ome. Other NOTE * * * -)anlzarian AP# Water Supply Water Supply Water Supply Da e TO Buildino Department FROM: Environmental Health SUBJECT: Sanitation Clearance s Vey /� / % 'o _ z -----�----- -- — - - �-------�--...--- -- --- --V ... cry. �? -.l U!� _w` Owne Loc ion ��----- AP# Plan Approved for: Sewage Disposal — J� Water Supply' Hold final for: Water Supply Final clearance O.R. for: Clearance for 2-- bedroommobile home. Other NOTE * * * _ v Sanitarian Water Supply 7-2 _ 0 -- Date COUNTY OF BUTTE - Department of Public Works ' 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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. I. I personally plan to provide the major labor and materials for construction of the proposed property improvement�r no) 2. I ha /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:��_ F 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 �1 Social Security Number ( Date COCaS— 2--7T_j!�Bc-2 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. Return to DPW AGRICULTUP.AL STATEMENT OF ACKNOWLEDGEMENT FOR RES'IDENTIA'L DEVELOPMENT @frGOHDIA RECO D'S' BY • r OFFICIAL RECORD'S' BY Section 26-8.1 of the Butte County Code requires this ac wLedgement be recorded prior to issuance of a building permit. PARr( SHOWN ` The property described herein is adjacent to land or included 1981 `� _g P 2 Or' ` within an area zoned for agricultural purposes, and residents of this ; property may be subject to inconveniences or discomfort arising from CAr�DAGE.I. uRilf3D$ the use of agricultural chemicals, including, but not limited. to herb i6kM-P$49MW,es.,_ 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: ; hF' / o/Ic�w,n r � sc�-: h cl n�U � i"r�y"t r 11 ; n UA:lAv�ak11CK'f -T6 4) A1PEr] t/ Cat -in -ry of u E r' c.�rlc�'n MGP fn}�'Eiac� C�Cx;L7 N?LLS �5 5'T1971- C.enl,A0 r1�o, L�f y us yl.�..�n on-lh� g / r 57t-A6DIUTS'lpryJr V' X 71 , eM' L f!E Ci1'FiCt: �y �%lE JP CofYIEr� U{ "� !�`� CO�tY7� y c)T %3C1f t (•n c.� c (E. Cpl �t EJ 1 n 5++41. c•4' Cc.i�4omti'a carr Uci'ubf �- -`t• 19bi) Pn nck' BC> ni r�►u �S '+t P"�S 7, r, nl Ct,4,cer}£ c� CeCr- rn « c:ir'oqs RlEcordtwJ Apr,'J 27,19$1 ;n @3cy�k� L(ol� `, 0]:3,44 ���,.,�y UFF,L;'a/ � E 4 CQt"�Sr { �ud� T I I 4r1d J G3�u•_,ni� 0if),C4,C' �. J ! 7"(,10<80 co iiESt.t���.-f-.H��i•QuGn A•itp(1-:�'XClr.�Srut �caS�rn�nf r=o� c.� cz,�c' " 5ttl-P Fos Lr V_n +0 b�` 11 l� h�/?�' / t"i7 Qr'1C� Clf�r-li/�/?1�Er%� 7cC7 % j �}". �L,%' T � / n °' /`L I714` l I'll• � a I k E. G Panf o r IN CU -d S ha t ! I. n u rF `) o + a y u f )s ��o may i1 rz Ut �cr4"' qn (���fS �'or�r►005 r QP �,r t nn�.F.,rt'�,` ) nylj , Date: 4 _f 4 PROPE TX OWNERS: State of co/,`on this the Ste- _ day of 19 d'%, before S. me, the undersigned Notary Public, personally appeared County of Iik 2 -j -J [ S n ,4ct L/i e/e, LPN Ji����f�i3^/ .; yr�aaseasasarasaarMa►aaagw>fiS / _/ Personally known to me. L44—Pro satisfactory evidenceved to me on the s a LIP�CBC.Nt3FFMAia to be the person(s) whose iiame(s) �',t e, subscribed to NOTARY PU3LlC'�% IFOPNIA * the within instrument and acknowled ed that k r •� sono i �uncy a g • '��' AAyrmtsswnExpi¢es hly5,19'►0 a executed the same for the purposes therein cont ned.� M �sffiam��a�ec�aa.oa�sa2savaaaa . IN WITNESS WHEREOF, I hereunto set my hand and official seal. Not Public Present A.P: No. AP OWNER PERMIT `�� a ry MH'UTIL.CLEARANCE DATE INSPECTOR __e ELECTRIC GAS Support Struc. Compactior iTest.Req._ Service Size Other Load �Type Pipe Size Length YES NO YES NO �V mf COUNTY OF BUTTE - DEFSARTMENT OF PUBLIC 7 County Center Drive - Oroville, California X5965 - Telephone: 1., APPLICATION AND PERMIT WORKSP MIT O. .916/538-7541 ASSE550.P L/ PARC L UMBL✓ Z0NIN BUILDING PERMIT 0 N� r� ) OL �vfl/tic TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW E. '(S NOLN1 LINGAADDRESS Z CONTRACTOR'S NAME � ) S TELEPHONE CONTRACT R'S MAILING AD R SS Fireplace CONSTRUCTION L111fr ;iI%n UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGIN ER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ , ARCHITECT 45R -ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r/v Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 TYPE OF WORK New ❑ Addition [:J Remodel ❑/� lyJ�)ll, , S ❑ Installationir Other E] Describe work: Q, / � _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 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. Classification F] 1, 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.B! OR ADDNS. ACC. BLDGS. , /20Sgft NEW CONSTR. ULTI.OUTLET 2,50 ea NON-RESID BRANCHCIRC ITS (POWER APPARATUS &) (SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 20090t eAL@30 FIXED Ex. QCCUp. P OUTLETS (RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseq ence of the granting of this per it. X Date Z J (Y7 Signature of Applicant — Owner C ntractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -R ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ D OCCUP. CONST.TYPEJ PLOp�D !i ARCEL PD ND SUE This permit is hereby issued under sions the Butte County. Code and/or wor in i ated ab ve for which CTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-O.P.W., •MLLOW-ASBE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT cODU TY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLL, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No.� Proposed Building Use 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. 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 authorization. . . . . . . . . . . 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.) 14. Owner -Builder Verification (Given to owner❑, Mail to ownerE]) 5.j Improvements may be required. I, Mobilehome Installation Data.�..x�. �a�' Asp17. q Builldindingg lInPre-Inspection for Re uired. Pre. request to (Date) spector 18. Recorded copy of Agricultural Acknowledgment Statement. - 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: ail to owner, Mail to contractor. Telephone and hold for pi Ip at office, Deliver w/inspector. Other Applicant AN Date _.-39 i V, I i1..IllnnI i. A I I n, Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: it issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---jnaiI—counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date "fir� Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: L&Wo,-i Qn 2. Installer's Name: r aN burr 'F]3. Is the site currently under permit? Yes ® No (If yes, furnish permit number l to 9Q-`�-7 P, E (0 H) OR Is the site an existing site? Yes M No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic. tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify i * 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.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED 5. What is the mobilehome electrical rating? --------------- S� Amps — 6. What is the mobilehome site service rating? ------------- 2� v Amps 7. What is the mobilehome site circuit breaker rating? ----- L5_0 Amps - 8. Is there any other electric load to be served by the -------------------------------- + Yes F] .mobilehome site service? No If es ( yes, identif the Y load and size.: , (Load) (Amps) 9. What is the mobilehomersite gas pipe size? -------------- 3 / i� (in.) E- J` o! G 10. What is the .n type of as service. -- Natural LPG '[X1 i 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.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED MOBILEHOME SU+PORT DATA Mobilehome Mfr. U ' • @ If dther than single wide, furnish Setup Model No. Year Width(ft.) Box Length�g(0 (ft.) Tagalong or Expando Size ft. x ft. 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 one2011. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)191. Concrete block. 1-1 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line 1 -Piers: Size -Min. ------------ Spacing-Max - -----------Spacing-Max. --------- From Ends -Max. ------- Line 2 Piers: Size -Min .------------ Spacing -Max.--------- From Ends -Max -------- Line------- Line 3 Roof Loads: Size -Min. -----------.- Location (From Front) Main Beams Main Beams Tag or Triple MULTI -WIDE Line 1 Openings: Size -Min. ------------------ nx u Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ x Spacing -Max.-___--_________ From Ends -Max .------------- �_ n Size -Min.------------ Spacing -Max.--------- , From Ends -Max -------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) 1 ' e 5 Piers: (Under Bearing Walls Only) Size -Min .------------------ ux u Spacing -Max ----------------- From ------ ------From Ends -Max -------------- '- " ,} s k �. ^...� 4- h ti; :l.'Yw •-Y'�i s'� � tr .. r t. Y+".K, t ' e w. �l .s. "� v A T` `+. ,r - kk'rrZ_-%.": a- .-- ..._.r�'l�'�:`_�`�`:.#�.'^'i`^1 u1 �^.-.;"Yh.+.`..rnT.;v'�+3'E•�`t'+,h''iQt �'.��a�.��u:�:�;N...rid'.sV'Ys».-.,.,�r•-.w...,._-.tYr..s;?...,.-...v_�?en)r._..._:i.�...�...,_„�e. 3s'�'•�,4. '"`�--_-.,:cF_; �t • P Y ti '. .`' ` -- � ” � t` 4 ��H? -.S`$� �r� �14f!!S'?bl„��`-•S'p'ecificc�f►�nS-: Mt�S.�' �e. - ..�, �� � z-� , - �'{ ' 4 T L i ` �} n IE7e'f!' �1 ;4}11f iaries crnci tt �5 t�a�rswftA to r {� t + , i r'�141����'4��%'Ca%1C9fTl��i�f''177TeCPs'1°1QTLS1'Si( �i{Yt'Yte �If'I'fOl}f+ a r, v tifte��n=perr��/n^s1s���rtshh, him-6hf of. P4 1 !. • ` j 4 �.d�' t, 1It��e W{•4yiiY 'LyY Me r .F' 1 T^ _ 1 f y ! I ;t Ao L43 +17 .'y�, � .moi -•.x • .. a,, r,. --- — ..__ - —:—� -- �?� Apt _NOTE_:—All_Mater aJs -A-Workmanship Shall-- k Accor dancei, wi#h Recognized Good .Practices and ` { af-a-quali#y-pFescribed-#or #ate -S ecified use iri -fhe .' Uniform Building,- Plumbing & Ma apical Codec CRW -113 y t - .•t i Ver t ':a �- _ -'- ----�— —'------ --.—.— — - --- -- 4` x �• t 1' r V connect' i shall be in , A setback of ! ft. from the �- - - ' property lines and a setback Se P¢"iG 4'ft: of tk�eobi ehome; eit - ---__ _- th rear of.50ft.. from the road -- '2? �-TMS elf--~ --_ -- - of a -- - -- ` :. centerline shah be cleatof , —Amobilehome.— --- ---__ .-- - - - ----- structures or equipment ezcepi-- - --- t -for a'2 ft: eave overhan. g.__ --- --- - - - -- - -- - - ----- - - .. . v � ' �. r.•�------- .�_ -- _ ' .—may _ it-- AF N r. - sometimes IV Mel Chesil$ I Basin ir P, ff4 As sholvito Varies - 6? Max. 0 IIIftop 111111111616 a at 7" Oil Mal ? 0" O.C. %1 2-0 2-0.1 =1 Mim. T Typical Sidewoll AnchRr Baits: Flogs most.-ol Jo, ill Construct 18 x 24 (rpin-) Set 1/2'4 110 A.B. of ICIGs. Chatilt I- Bosom Slat Crawlholo Within 20 Of rew A 6 Oil D.C. (max.) C.O. (Location May 19!yl This Comneclion Is Aftfulred for 1, 4114 Too 1-4.6 To EMT z0ff 7_7 F14A Approved Foundations. RIM isoff 014 4 0 a 6 oz. 117- L'sild ftiltai P-1, Rated 4 -Avie, lot, iod,% 4X4 qk,g.-Nall A5 R6.9p 7*0 FoC_(_&1A1 to Rlm%4j'Alsl W/ M,n Of 40000 k, s/4"y C A-6 r lt? 0 04 1 1 1 C-0 ro'L',fe l6dal Is" min, I Drive Pin) I- I I Chassis Blain DEJAIL I (All. IA I I I I Seal Min, 10 GA. Listed and Labeled m� L -.1 SEE DETAIL metal Plot Rated 3/8"4X6"A B. 12" Min. 6. min. of 40004 (Ali. i/4"Drive Pin) L A Wt4 6 noit 5 Distance 4 Distance 3 Distance 2. Distance I y�---Endwall Anchcor Baits: f p - - Distanc- D See Endevall Anchor Solt G4ort ft�ood to Place Cant trig LOL a4soll, 1 J vaties.S41 Cho r For Number Of Baits R aff-04-5 When 6" Deep B-7 I RuogEe I I I I Along Eadvaill Conflnuoul fooling N,eL supolor is mew move To move 1.2 is Used 3 Flats frif 4 114 Clapend-149 CA Load _L_J -J L F C d` am CA Rid" Boom Supports - 2 see Chart ,a I - am R UAIAI 61e CZ > SUPPORTS F _q F r. -D NON Most .1 TION D MULTIPLE RIDGE BEAM A ur-r-un - --- - I t3tAIVI 0 1 . i ALT.-CHASS15 ANU KIUUr 19 1 -7 CZ C I C B Distance 7 Hitch End Distance 10 Distance 9 Distance a I Distance 12 Distance 11 1 - lases, (j) feel W (H) .2 Cawing Est. Siding Irlsolit J0161 Flow M9111. .3 Z Bar of WWII Trk% See Note B61011 Alt Y/16"inioln.) .2 PT ad of 6"O.C. I. Rid" Boom It 2 a 4 all -I. (Whaft Necessary) I w/16d 41 16,60-C- ply W4. 6, in. Field Install Iira"(M.411 well is Itisit via 6 Hardboard, All. Vl"(Ml 2 a 4 Too P6410 platil to Blillo. of Supports T LAW See Chart APA Allied Pif'wd 1111961111119 Rim joist id/f6d *I 16"O.C. I"" - $_(hit kit. 34 filleted She' 1 41 of isor C.2 vi. 2 x 4 Pressure Treated Foundation Grade Nail a/:d it :1 6"O.C. Edges, -C- 0.40 W W (See Press. Treated Lumbe b. 1 1 1 2 OC or Wies) pony lesill 2 it 4's 40 16 "0 Lumber C C IZ'O.0 Field 1.4 i1ji V. e (0, It Perimeter Of 10"A.S.61 ?2"O -C- I 21 i��t is to' A -It,. (Studs at 16"o.c.) Y. Jr_. Dwblo Wide I I L_J ed at 6"OC- -------- KA)f - I 2 (ALf- Y4, pws 1. It cong.614mWell, Ali.MCI L A_1NAf9P B _T\,Typical Chassis Supports - ��Wllr r06, 12 10 6 44 4AJ r. n I I I I Nole; .2 1 1 Faun tion Ready Units Sea Details Cii 1 2 0111 DIM. Of [AIIIIA0 Siding Gold Irtilall Z bar V *"it b. Must No 11 Attesion yo Mars laced Trim. Ronall v/84 at 6'0.C. Within 2 -0" Of UNLESS SIDING IS HELD BACK (Set G4notal NoI126) 0 Vill nt alr. L J Placement BACKFILL OPTION L. -J at Corners - STANDARD OPTION L Typical Provide Ventilation Of Sidowall Anchor Bolts. 2? C_ 1. IOLA Q 1 r) 9' WA I I M OS�URE OPTIONS A Set 1/2" 6 x 10" AJII. at Varies I aq . 1. roF lo �t Of Underf loor Endvvoll Anchor Bolts. Vales 6'-O"o.c. (ifflocil.) (offset May Or May Not Area Sao Fndwall Anchor Bait (Offset May Or May Not occur Depending On Model) Chalet for Number Of 5018 R"Id. Ala" WWQI1 Occur Depending On Model) IF HOjUZCl9TAL LAP SIDING 15 TO B11 INS2ALLIED Chi TH9 FWWATIO11 FI:lW Mel% hih, 44' A# This Foundation Plan Is For A: WOOD PCMY WALL FRAKIWo AN [1111irl ritollor Sid -r -if near jaw Cr KDU" 3/80 APA pAm am"roa'# 24/0# EXPOSM AlwLIFIM11013 INSTALL11101- . I I be WcAd Trim% U Double Wl�),;zi er 716 --- :_ fad. 1114fill 614 7 E] -Triple Wide ZZ -.0 N, op 42_ Note 4tilove � - a- = .1r.r ;1: pal� -_ ,Zl- _1!TM_ ,4 41 ... WASrs - CM Wf= FE&DIMER (min. unum. SULD 1111"UnING si" W Id if 4"0X - Chassis PT FOUNDATION PL.AN ro'bMhum $it if lit"O.C. r1419 install I . . Ply'wd. "��rootsj vr it wl (.j e le -1 a-ic- N.T. 3 a 4 Top 1101611.01611 U/166 of 16"O.C. 0J." e�44 I it &A Hiploteard, All. 3/6"ll"I A.d. APA noted I` Fantle oil - I a 4*6 4116"04 4'; >--2x4l, Pressure Treattlid Foundation rard. Lumber 0.40111111111, P4,111111, "wite- If 4 IT, 111A 111I vil"16101,4P. .--- I NSA wilif w 40 1116(Ses Prou Afifil - of 0III Cam. sit, W49, All. KC III. Treated Umber Notes)(Studs at 16 IL6 r jr I.. upplort Locallojois Are Obtained From 4*0.& pol, Fadge Boom Loads And Distances To S HC 0 sol7of . 12 0 A4 0QI7QQHQ;7 TRFATFn Ujum a Q r -hart 1/1*4 a ig"A.111. if 1.11141 Ili. a of LUMBER NOTES WIWI lumber is cut after treatment, the cut surface $hell 04 killeb-901W vilth not less then 3 percent "w1we of *4,6004 prWrif. --M 1. of IMP be 01i" used in the erjewal lvvw-f 6*14 treated in confililrato with WPA Mulard M4-00 using a 5% isohmes of pentachlarophistralle capper naphthenoille GM#Q 4 Min. of a 2% copper metal, it 3% pololotigo of AGA, CCA tjte.s A, 6 or Cl of a 5% 44MIGIN at FCAP Of AW of or orelosoft In wo AIWPA 41ondard M4-11110 poeregrallik 1.511 - Fasteners shiall 60 0401 Or 1110-SPINI'd g"alsoffil. hot-ollippod Ogike $hall bill CWgd clf 19j, qftfaeffilro to thek final fWX4 lealucal powline, thretallillag or pile plalied 11406 or stoplost arA ho dippeoill zinc - soalleill steples, sm" "t he WMI1164. S14AIii, WMrj WMIltallil W*r *is re"01 mall be gigolifiles gliseli types $04 as dofl* 01 S"ll wation. ENOWALL ANCHOR BOLTS, LOAD UNIT LENGTH NO. OF 1/2 14 14 x loss A.S. REQ'D. ALONG ENDWALL *W r. 24" Up to 40 '-014 4tiDO0 __ -24 -sq. 18 it x24" -.6 24-x 32" 40 6-411 to 5011-011 6 �Z4-06­ 501- 1" to 56 7&j Ifto 561-10 to sol -ON 0,000 32-i 36" 60 - I" to 67'- Om 10 _36"sa. 24""06"" 10;000 Up to 40'- 0" ?Wyx 361, __ 2 11000 40 1 to 50'-0" Wx 36- 12 AN """" '50 -1 to 56 -0 Bt - Ise - 56'-1" to 60'-0" '60'- 1 is to 67 1 -0 RIDGE BEAM SUPPOR FOOTING SIZE LOAD I-ow"Off site Ilair $slis __ 1000 1500 3,000 *W r. 24" Q"x24" 4tiDO0 __ -24 -sq. 18 it x24" 5,000 24-x 32" 0 20 24 6,000 �Z4-06­ 24-sa. 7&j 28"Ift 36" 24"ti,26" 0,000 32-i 36" 2 4"s 32', 9,OoO _36"sa. 24""06"" 10;000 -ml-111-40" 6'p ?Wyx 361, __ 2 11000 115 It 44r' ' Wx 36- 12 AN """" Bt - Ise - 5.4 A,fhof Awl Chart I r r solotp few me, of left j.. --L . rAls, Its" RIDGE EA SUPPORT LOCATI NS_ A FRONT MODEL 4 4 Filter Will. W 48 If Used) REAR F' E 0 C 9 CAI 2"011 bolloon Of 4 Astal Con't. a 4 1 S (00 slalftl Alto 111111411 I set of 1*804 711M. 35 'of 31 it I "1 `4 . 15 0 10 u it a nil, meted of 4 O.C. If 540 3900 3910 A;L80 2440 X440 LOAD still. Prolisure (Sea Note 161 -READY OPTION FTG- FOUNDATION -READY OPTION BACKFILI- FOUNDATION q"AX4 2�%2 I ;viw;,-A - STANDARD REAR L K H G FRONT DIST 511& -lie LOAD 3`9 "10 Lsiaiirq lialstial 314-Af 10, �41,lr J a b I I-A- 24ry. (Po" Z but of 'Nowii Trim $04 hills &#low is 0C All'icie to Ef,j Alt 7/16 lb: 4 Of- bik'l of. min. 10 S.T.S. -1 - 6= M a f;if-Tsej To SsIP V11,141111,1L E Dist. 6 Dist. 5 Dist 4 Dist. 3 -1 Dillif. 2 Dtst. I field Inblaii PT W/101.1 C r - 6 Is 4 top Plot$ Al lots- 0/2% 10 Plylidid. J F fi:A otsidorgld, AIL 3/0"Ififift.) Bi-,. (.�Aw)'e Part. Oil IL 4'11 at 14"" OWN-* APA listed Ply'vid. SAIlIftiAll 2 & 4 AT. S.4 Plate 0 f" r Mel 0/114 Of 4*04-Edift, 2 x 4 Pressure Treated Foundation Grd. Lumber, 0.40 E3 B si so 12"O.C.11ilsod Cans. SitergI WIWI, All. KC 11 V1,#sI0,.AP. ` -a a- 0: 0 ost 90WALL Ill( See Press. Treated Lumber Notes)(Studs at 16" cc.) so *I 4"O.C. -Jll 'o if -J4 Nobel C"I.111116,11111 KC 0 11f, 3 0 Hil1h to Used) 9 jDist.0 D* T aDist la A Dist, 11 ei 0 14 1 1 10- D, EM $.a ".,no bell Cho bw if *f $*irf. fw He. of aw 16410. r 172E"rI1- NOTE. -All Matorials & WortimansT*t S 1 00 on Am C i Accordance wHrh R"oqn7zed Goozd 'era ces an I _-B i ;;no � . I Ej E3 G U=1 - �? 4-, h I?s . of * qunl;fy pres-c, od ior ilw -c Specified a in f. Clio I' oil liellara of [fill. 14 Assaf V411 of 44 Uniform Buil `ml hvnicgl do* a.. still a WOW 71 I'Shife, III C 111, 11 U114? P k; f-ob; ,­ g tvi 1�, C $filing An$ Insist, 1111SA41i Old so 4 04- file Nl:wfl-nnol 5actrica. Code. (Soo Halilll$ I 0 W STANDARD NON FOUNDATION -READY OPTION BACKFILL NOI`l FOUNDATION- READY OPTION 4) et on S vis S - "btak C1, -ON*- ilia 10 anL�C-s 0� I e '011 1 lk,o C G� . 'jorp�rirovnl (ENDWAILL CLOSURE OPTIONS) it SECTION C -C '10 f. -Y. 4) cc (4 cn 11 Ill Woe ENGINEER STATE APPROVAL r. NFPAI NOT see siddowall Closure Wedgilis, For Leveling - Typ- L THIS FOUNDATION PLAN IS DESIGNED TO BE USED PAWN X a 116 HZ.B.(AIT. Metal Pier) - Typ- 12!' 36" 1 % � WIT # min. max. H mFQlD. HQM1E* ell -owl NEA1.11141 AP40 SAP AKE V k_1 I_Vd5 M COW 41clnow till"il M MODEL',-- A P P R 0 V I D 1/2" X 10" A.0 of 72" 0'.C. -4- 008COT6 -) I 0" r 1 .4 W v 2, DESIGN LOAM. SMICT to costiticnodids thilim will P,S.F Approvicill doses rat WAIstrize of qw" my odee" 0 deaddifift 0P.sF 3-8-94 'A ROOF LIVE i.OA L 6 min. wo I * '' - " 4L FLOOR L fE LOAD: __22A F - love refollw"oft (if offillikooloole No IM W 404WAK Y a WIN AD,. Vill! min. 0 LO -7r- T__ I 5 uppoe7 -ED 04 1j C -.e 4 SEISMIC ZONE: Skoods of Comomia none 'D. HOMES ..d re 4QjW19tr I I JeOR THIS FOUNDATION IS FOR PLACING MFG Daggett i and of Hainktito onal Corawolooloy ifiveletiopeowe 3. *4 Rebor Cont. CONSTRUCTED W/ LOkGIYUDIN&L OR CROSS JOISTS. [8 DMSISN�CCIDES ANr) 4TANDilf,111106 94 Rig. T P I C A I- F C 12 #4 Rebar Vert. at 48" o4TIjJ 0 ID05 4. ALL CONCRETE SHALL HAVE A COMPRESSIVE STRENGTH OF 2000 PS -1. IN 28 DAYS. OLC.(Rsq'd. Only STEEL PIER CONCRETE BLOCK 5. THIS FOUNDATION PLAN 13 DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO SPA NO. EXISTING SOIL PROBLEMS. ,Z4-0 ;r Y P 1W I O;r,,y TYPICAL APPLICATIONS 6, MFG -D. HOME mAy Be SHIPPED FROM THE FACTORY Nk Plan A )rvvol Expires _00 STATE APPROVED (APPROVAL -*SPA 250 -ti- WITH SIDING CUT IIACK 24 AND Z BAR INSTALLED. FOUNOATION CONTRACTOR SMALL VERIFY ALL OF %130 E C T1 ON B -B ABESCO BEARING PAD ow� 'RE CO"TRUCTING FOUNCIATION, SECTION A -A DIMEN$IONS BEF#w 7. 7-71 t - 1 .1 ;;;;; 7`1 J77 _7� . I .