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Home My WebLink About041-520-029o i � '} J RESIDENTIAL 1 041-52-0-029 92-2990 MHI MANSFIELD, MArk 5 Runaround Rd, Oioville contr: Executive-HOmes mhi/existing site C? /8'0'5 JOB FINALE Signature i V=OK O = Not OK f = Not Applicable ! = Not Ready a MOBILE HOMES ' Date MOB$E HOME UTILITIES Plans OK except #'s %1 oning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBI OME INSTALLATION (Plans) OK except IS Z Aing Requirements -Setbacks Easements Foongs; Size -Spacing -Marriage Line Gas' MH Test-Demand-Valve—Connector A44-lec 'city; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector ; MH Test -Regulator -Connector W and Sewer Connected -C/O to Grade -HD Approval las and Electricity Tagged E ' ;Insp.-Sketch Cert. of Occupancy Date Card B-11 -- Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS , Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-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 ) J=OK O= Not OKt -=Replicable WfRESIDENTIAL (Single & Duplex) ' = NAf Re9dy Date UNDERFLOOR (Plans) OK except h's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-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 -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h'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 Card B-1 Date Card B-1 --------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti'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/Meeh. Fastners-Bond Gas & Water --------- - -------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI -------------- -- -- ------------------------ ----- ---'------------------------- 22. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or AI 29. Range Circ. / r 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 -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ---------- --------- -- - --- - ---------- ---------- - ---------------- 33. Smoke Detector ------------------------------ -- ------------------------------------------------ -Date Card _B- 1 Date Card -B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h'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 h's 39. Sits. 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. Headers & Beam -Size & 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 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 -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 h'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. ----------- ---------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 _23 . -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 77. Insulation -Foam -Looked in Attic ❑ Yes --------------------------------- - -- - -- - - - 78. -Guard -Rails & Deck -Const ruct ion- 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 C1No ------------------------------------------ - 81. Stucco: Brown -Finish - --- -- 82. A.C. Unit: Disconnect. Electrical, Plumbing -------------------------------- 83. ------------------------------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 ---------------------------------------- -- - 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: y COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ,A 'r�1�/ q2 _ 2 990 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. e^ L-- L,74' Q Dated _Inspector &f o , REV 11/8/ V MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. Address or location of mobilehome Owner's name X Owner's address Insignia or hud number t 0, Manufacturer's name Z- 4::i� e—e-z- Seri a] number of V. I.N. :j 2- J -', 2- X U- — Year of manufacture 0/ z�� M A Ij (OfficialAppro�ng�.stallation) I ([�ote) 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. I / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT N0. 7 County Center Drive - Orovllle,, Callforihia 95985 - Telephone: 918.'538-7541 �-�o APPLICATION AND PERMIT '7 — AlSES! R PARC9L NUMBER 041-520-029 ZONIN43 U BUILDING PERMIT OWNER MARK MANSFIELD TELEPHONE 533-0270 $O, FT. OCC, BUILDING VNQJA#rION OWNER'S MAILING ADDRESS 5 RUN AROUND ROAD OROVILLE 95966 CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 i CONTRACTOR'S MAILING ADDRESS 3042 ESPLANSDE CHICL 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15,00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER •� .. LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS - 5 RUN AROUND'ROAD OROVILLE- Permit fee - $ '35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap I 5.00 Solar or heat pump water heater 1 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❑ Mobilehome® Other SPECT FY Gas piping system 1 - 5 outlets 5.00 Building sewer - 1 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities n._ Installation[ Other ❑ Describe work: I S ex1�7 /nJ S%�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 - Main service 200AA 00OR LESS 18.50 2OR LESS Main service 20CATO 10o0A1 37.50 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. `T4 7,7142— Classification l �� ❑ 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.tk) 3.6E sq.ft. OR ADDNS. ACC. SLOGS. NEW COSNI . . UTLET VON.RE0 BRANCH rIRC ITS @5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. ) EX. QCCUp� OUTLETS OR FIXTURES qA0 76d TS RESID LNS OR EX. OCCUp. OUTLFIXEETS PI R 3.001 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. ❑ 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 15.00 Heating 1 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, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai�;a .d Coun y i c asequence of the granting of this permit. permit. X Datel/ W1 �� Signature of Applicant4' Owner ❑ Contractor C]AgentE] 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 $, 70.00 Energy Inspection Fee $ occ CONST TYPE i TOTAL FEE $ 105.00 HA1 OFEES IMP f1000 COF PARCEL PO MD ISS This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do 01 work indica ab a which fees have been paid. R ' OF PUBLIC WORKS j By �T� Date PERMIT—EXPIRES Date Receipt No. 122906 ""ITC-O.P.W.. TCLLOW-ASeC730R, PINK -INSPECTOR, GOLOCNROO-APPLICANT COUNTY OF BUTTE -PARTMENT OF PUBLIC WOFO - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 1 fi K AMA -St fC&ID A. P. No. - I 2-Z9 Proposed Building Use 10 "r- Building Inspector Date E - Z - Z 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. 2. 3. 4. 5. 6. 7. 8. 9. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form ............................................. Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof$ .......................................... (Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees. ........................ 'Flood elevation letter (100 year flood by alifornia Engineer . ................. . Sanitation and plot plan approval Health Department . ............. City of Chico plumbing permit. ........................................ . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy) Pre -Inspection request Pre -inspection for required. . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner _) ............ Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . ......................................... . Documentation of legal access . ....................................... . Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan check list. .............................. X- When you issue the e i pr�� s: Mail o Mail to contractor. r. Telephon and h for p' ki at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior�it 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 Cou er by _ Date Contractor, designer, owner, was advised of above required data by _,phone _ mail C nter 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 TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance A Owner Location / APO Plan Approved for: Sewage Disposal v Water Supply Hold final for: Final clearance O.R. for: Clearance for bedroom obile Other . rir►' Water Supply Water Supply COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS. PERMIT N0. 7 County Center Drive • Orovillor Califoiala 95965 - Telephone: 916.538-7541 -- ^` APPLICATION AND PERMIT ASSESSOR PARI ENUMBER ZONING U BUILDING PERMIT ` OWNER TELEPHONE . r\A-e_41_ a�►^S.� i 1�sLD G35 —o- SO. FT. OCC. BUILDING VALUATION =:_..._ OWNER'S MAI LING ADORESS S ':R� 'rte 'IA e, o -i �^ CONTRACTOR'S NAME, TELEPHONE 1� ec. -Y-' 1 �/ E kkol- E S 1- - c'oaNTRAc2 -c 'S MACsooREss C;la'1 uo Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ' LENDER'S MAILING ADDRESS Filing Fee $ 15,00 - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee E ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee a PN. �i�!oNy► h i� ®'� � 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 pas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex[] Mobilehome'EZ Other Building sewer 15.00 SPECIFY Mobile Home IS_I G JW I @ 15.00 TYPE OF WORK New Addition ` Remodel C Utilities ❑ Installation�a Other ❑ Permit Fee $ Describe work: Contractor ry LA =6�� ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 1 18.50 Main service 200AT01000A1 37.50 CONTRACTORS LICENSE LAW NEW CONST. OR ADONS. l / OwELLING OCCUP.p�' ACC. BLDGS. 3.6esa.ft. I decl re under penalty of perjury (check one): NEW CONSTR. UL I.OUTLET D• @ 5.0� I am licensed under provisions of Chapt. 9, Div. 3 of the Business 7I NON-RESI BRANCH CIRC ITS (POWER APPARATUS e\ and Prof esslo .Code and my license is in full force and effect. s License No. Classification Cl' !� (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d IIAL- 494 ❑I. as the owner, or my employees with wages as their sole compen- Ex. DCCUp. OUTLETS FIXED (RESIO IREA.) 1 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating 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. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 permit Fee $ provisions or this permit shall be deemed revoked.. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee . S �0 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 Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEES all liabilities, judgments, costs, and expenses which may in any way accrue NAZ 1 0FEES IMP fL000 COf PARCEL PO HD ISSUE against said County in consequence of the granting of this permit. FLO ` X Date This permit is hereby issued under the applicable provi- Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permit is tyuired for excavations over 5'0" deep and demolition or construct- Work indicated above for which fees have been paid. ion of structuresgovle�r(3 stories in height. DIRECTOR OF PUBLIC WORKS Receipt No. I d�q oL By Date PERMIT EXPIRES Date i-- -- WNITI-D.P.W., YELLOW -Alec 7011. PINx•INePECTOR. GOLDENROD-AP►LI CANT ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE (916)5387541 3WNERM j9K 4&)5 PI ELD A.P. NO. PROPOSED BUILDING USE A4 K DATE 2. 3. REC. if DATE REC School Distric Fees OPO W 10A) (paid at District Office) ........ Sheriff Fees (paid at. Building Department) Residential ........... X _$ unit amt. Commercial(per sq.ft.) R =$ sq. ft. Urban Area Fees (paid at Building Department amt. Residential (per unit) X =$ # units amt. Commerical(per sq.f t.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) ........................... 5. Drainage District Fees (Contact Land Development). ......................... 6. Other 9-2- /- q 2- 7. Other it time of permit application, I was advised the above fees are required to be paid prix- to issuance of the permit.. APPLICANT DATE BUTTE COUNTY SCHOOLSIMPACT FEE CERTIFICATION FORM (One Form Per Building) School District_ V/V �O (��i� Building Department No. A.P. Number - �� - ,�G . Jurisdiction F City �;� County Property OwnerMRK Property Location/Address , Subdivison Residential Development No. of Living Units COUNTY OF BUTTE Commercial/Industrial BUILDING DEPT - AUG 21 1992 Building District Identification No. r 930549 HI TO RE P1 X�XrgTING A.H. New Lot No, 0 Sq. Footage Addition (Group R) V1 0 Sq. Footage Addition Date (Including Exterior Roofed Areas) 6Colb lk V y MAi 616,j School District certifies that (Applicant) �-j l ),� 1 �J pv 1 �/ (Street Address) (Phone Number) D�ou�11 64 (City) (State) (Zip Code) has complied with the requirements of Resolution No. �� 9CJ by payment of $ representing k-11"7 6 square feet. School District Representative Paid by Check Number Bank Number Paid by Cash EPA 8ic1 ' 969— Date Remarks: GGtX� 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) feeform.wki (4/92) BUTTE COUNTY DEPARTMENT .OF *PUBLIC WORKS. 7 County Center Drive, Orovillei--CA-••- '----•__•�,___ .._ ' .-PHONE : 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's..Name*. r -2. Installer's' Name.: 3. Is the site currently under permit? Yes �• .No. (If yes, furnish permit r,umber ) OR Is the site an existing site? Yes No ...E] (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 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- ff'.' on :natural gas -or -less 'than 50 ft."on LPG. ) 5. What is the mobilehome electrical rating? --------------- �•`^ Amps 6. What is .the mobilehome site service rating? ------------- Z Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric• load to be served by the No mobilehome site service? ----- --------------------------- Yes (If yes,' identify. the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) FT, LPG 10. What is the type of gas service? ------------------- Natural 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- ff'.' on :natural gas -or -less 'than 50 ft."on LPG. ) MOBILEHO14E SUPPORT DATA - If.other than single wide, q, Mohilehome Mfr. l�o'�-ct furnish:•Setup. Model .No'.' '''�"-'' ..;Years 1� - V. Width Z / nth 6b (ft.) 'Tagalong `or' Expando� Sizeft: x�'�"ft== Wi (ft.) Box •Le g On all mobilehomes manufactured after_October.7, 1973, furnish manufacturer'.s.•installation�—__ manual and structural setup sheets•(if not on file with the.CountyJ of Butte). FOOTINGS•(check one) 1. Wood -pressure treated or,foundation grade. a 2. Other (specify) SUPPORTS (check one) 1. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Llne 1 Plere: Size -Min. = --<-------- 'k Spacing -Max, Fr,,m Ends-Max-------- AL,------- Linc 2 Piers: Sire-Mln- ------------ 1 Z'k3a'r Spacil,x-Max---------- From ---------From Ends -Max ------- I_1ne• 3 Wloi loads: Size -Min ------------ AL,. _ i3� A-rh Location (From Front) Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only) Sf:a•-M1n-------- -- 1 Size -Min ------------- k "A I r SpsLJug-Max- ------- . o Spacing -Max. ------..-.. From Ends -Max --------.- Ir From Ends -Max -------------- 111c S Roof Loads: ... MULTI -WIDE Line 1 Line 2 lua.i -GQUNTY . Q DEPARTMENT Line 1 Openings: Size -Min. --------- =_.7' _Irx Ir Each Side of Openings With Width Over -------- Line 3 Piers: (Undo Bearing Wall Only) Size -Min------------- ---- x Spacine-Max---------------- , r From Ends -Max -------=------ ,- . (1j]ib f Slze-Nlil♦•--•�•---• Irx Ir Irx , ' Ir Ilx 11 1 11 IL 11 Irx Ir 11x'. 11 IL Ir IDcatfon (From Front-) Oi SIsAM. jyja 9BR of Plfe�bis u►�►ewtt _ \ jWO pn the lob at 84 'WM on s O public or Shera Maim any the P0i SUM. WO,Cody r 0 O"t IVM.—M M$terials & Workmanship She %iim ll000rdanoe with Recognized Good PracWW axe dn �nY PMsc it eJ/d foror the Spedfied rise in flee ---- u -, WftW Cedw Wd Ve Neafflal EWcViW Code. 400we, Location of structures & -equipment shall be as shown & clear of .a 1 easements. S i SzpE &,,2 S�593� T 2 n) . v c . ar, W4uauruoIinu3 _ dunoJ 944ng ®MgNady __ - . s' t A setback of 5 ft. from the Property lines and a setback Of 50ft. from the read �S centerline shall be dear of structures or equipment except / fcw e 2 ft. eew awrhan t Ar BUTTE BUTTE COU�TY 3UI�.DING BUILDING SEP RTS NT�1. P P � p,p f V-W/lop 00e� 000 t . kRTAAE=NT 0 V E D y, RESIDENTIAL F5R -29 1065-90P,E IELD, Mark ' around Rd, Orovilleities/MH) J �r w OFFICE COPY 1 Address I t, . GAS Date i Meter By I ELECer TRy IC Date MetBT J JOB FINALE Signature k. -- J=OK O = Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except it's Xzoning Requirements -Setbacks -Easements ils; Special MH Sup rt Sketch Sewer; Location- Fall -C/O L Water; Location -Test -Easement Needed (Sketch) i -.5 -'Electricity; Location-Clearences-Grnd-,0Amp-Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. ,/ Nat. or7-1%'L"ft. /"LPG Utility Clearance Date 4j27-& Card B-1 1W,'19, Date Card B-1 r Date e/- :9�ACard B-1 97 Date Card B-1 Date ' (MOBILE HOME INSTALLATION (Plans) OK except It's _I 1. ono Requirements -Setbacks Easements L 4' AIqPtriCIty; MH Test-Crossover#r6Feakers-Clearances V'etrain; MH Test -Fall -Flex Connector ` 'MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval f and Electricity Tagged Ex' Insp.-Sketch %Urtert. of Occupancy Date`- Q Card B-1 Date Card B-1 Date3 s Card B-1 k---6ate Card B-1 -5- 4 Z-3�7_I r✓ MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except ft 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except ti'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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date • UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-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. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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. 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 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 Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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. 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 #'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 (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. 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 T -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 Screetl-Fd. Vents-Underflr. Access 57. Glazing Area -Glass Prot®otion-Skylights_-_Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows z Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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-Mech. 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 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 instld.; Drive ❑ Yes O No; Walks ❑ Yes ❑ No; Planters ❑ Yes O 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 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: (NOTE: An entry must be made each time you visit job site) 'ms's-sCl1.�^n-v „ �:.y'V�:Gh-rk� `�' �..'`-'�f„^sE•fcK.-i'c�' 'y^ _ _. Y K COUNTY 01F BUTTE DEPARTMENT OF PUBLIC WORKS' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 ?y 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE Iva C41 cl/V OWI R 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. Date �— Inspector Jul i/jk 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 OWNER '" f/ 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. \\ 4) Q< 5 ?i 0 i ti 1 0 /< 716 ( d t'Ci-- 4 S�e 4.0 %e y -27- Y� �/)/) (� St Date Inspector X " ' , 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 - �. 16 'ERMIT 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. r n %wed S (�r5 to S/ 4:>,6 e- GA G, c, -d s.'l MdGyt r h e < al S/t ut c- P Date S// Inspector // MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. L Address or location of mobilehome Owner's name n 5 -C; Owner's address "T r- ,1:,& 4 Insignia or hud number 4 -7 2- R 4 Manufacturer's name C --/z 114 /—) a 04 Serial number of V.I.N. Offic'ial)Kpp-roving Installation) Year of manufacture/ 24? IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILIEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 (; unty Center Drive ..Orgville, California 95965 - Telephone: 916/538-7541 1890-90 APPLIL"ATI'd AND PERMIT ASSESSOR PARCEL NUMBER 41-52-29 ZONING U BUILDING PERMIT OWNER Mark & PatriciaMansfield TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee - $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5 Rtin Around Rd - Permit tee $ 29.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ MobilehomdM Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORK NewEJ. Addition ❑ Remodel ❑ Utilities ❑ Installationg Other ❑ Describe work: MHU#1065-90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8011 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): ❑NON.RESID 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- pation, 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.ad OR ACDNS. ACC. BLDGS. , 2/zQsgft NEW CONSTR ULTI.OVTLET BRANCH CIRCUITS 2,50 ea /POWER APPARATUS &) -SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES EX. Occu o 20050a SALO 30 FIXED Ex. OCCup. OUTLETS PAPLNS.(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 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 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 10.00 Heating Coolin 9 Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities judgments, costs, and expenses which may in any way accrue against sai unty in con q ce of a granting of this permit. XDate 1i -!L� Signature of Applicant — mer ❑ Contractor ❑ Agent ❑ An OSHA permit is requireUr r excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ OT - Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ CUA PARK SCH - FL >11 P IS E This permit is hereby issued under sions of the Butte County Code and/or work indicated ab �e for which fees DI E OR F UBLIC By PERMIT EXPIRE Date I(J the applicable provi- resolutions to do have been paid. WORKS ' ln D to %/n/ Receipt No. 66572-70.00 WNIT!-D.P.W., YELLOW-A58ES80R, PINK -INSPECTOR, GOLDENROD -APPLICANT �aqp r,♦ ��J�� 4 ri�.CS.+ � '?""♦'�?:'s �4,♦t4s � a. �, � �i:t"i'r'-�lt�-�v�rCy..M-r`'t '•``,'ti"�w ' t , .. M' COUNTY OF BUTTE - DEPAR7MEY0,OF PUBLIC WORKSk=+.BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORQ,; g LIFORNIA 95965- TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Z 9r Permit No. 41-5Z OWNER prri.L< t'Haj41jb*id I-Ua4k nl(4.11d 4 A. P. No. Proposed Building Use Building Inspector it.y Date (P'11-90 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 cal'cs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) i Mobdehome installation data including manufacturer's installation instructions ..................................... ................. 10. Fees of $ -- :� 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ................................................. 13. Mo 4*' School District fees paid .............. z o 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: -(B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval "req uired prior to occupancy) :20. Pre -Inspection for required.... Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24.1, Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ...........�. . .................... 26. ' 27. When you, issue the permit, process as follows: Mail to owner. Mail to contractor. �_ Telephone "- 463 and hold for pickup at 6t6 office. Deliver w/inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept: _ Copy of plans sent ____Health Dept. Fire Dept.., Other The following data must be submitted prito Kr it issuance 1. Index permit for above items No. 2. Additional items required: it Pollution — Date Date Date By le l ew„item not checked abov ) Contractor, designer, owner, was advised of above required data by_phone---nail_counter by Contractor, designer; owner, w advised of above re Plans checked by Date Sets of'plans on hold in File cabinet Copy—Dft uired data by—phone _majj _4_ -counter Plans approved by -I folder _..date- - date — Date D COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ANN PFPMIT PERMIT �I IIIIIIIIIIIIIIIi ��i.% ASSESSOR PAR4r NUMB " ZO M;NG BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CO TR C R NAME TELEPHONE CONT'RACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 5 10.00 Permit Fee Plan Checking Fee $ j $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $. PLUMBING PERMIT Filing Fee 10.00 Q� Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SU801YISION 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 1 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYP OF WORK New ❑ Addition ❑ Remod'e, l Utilities ❑ InstallatioOther ❑ Describe work: /�'Ll U/ !� f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service °00 AMOR 0RSLESS 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. ADO'L too AMP 2.50 NEW CONST. DWELLING OCCUP.eI OR ADONS. ( ACC. SLOGS. , /:¢sgft NEW CONSTR.MULTI-OUTLET NON-RESIO BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURESe zoos0¢ ALO Zoe FIXED APPLN S. OR EX. Occup. OUTLETS (RESIO., EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 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 against said County in consequence of the granting of this permit. XThis Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0•• deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee 3 cc c CONST TYPE TOTAL FEE $ HA2 I CUA PARK I SCHL FLD I PAR PO Ho ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. W (O%S-7- PA '7D.6D WNITE-O.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, COLO EMR00-APPLICANT r COUNTY OF BUTTE -" !l artment 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 .n 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 r-iaterials for construction of the proposed property improvement (yes or no) rf. 6_. 2. I (have/have not) _ r 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 _ �! Social Security Number „ Date /.:-// -V) 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. MOBILEHOME SUPPORT DATA If -other than single wide, Mobilehome 11fr. ' C 7-�Z�r �� furnish Setup Model No. Year Width- 17- (ft.) 'Box Length__�5_& (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. F�2. Other (specify) _ SUPPORTS (check one) 1. Concrete block.F2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line ... Line 1 Line 2 _ _ LI't --_—_— _ _ — Main ----�----line — — — — — — —Line Beams 2 2 --- -- -- Main ---- -- --- — ---- Beams --- +L' 2 "—e — ,� Line 2 `...—Linc L — — — — — — — — Line — — — Line Tag or Triple Lin, 4 Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. ------------------ .> ,kms Spacing -Max. '-'-'-'- _ Each Side of Openings From Ends -Max. ------- ' " With Width Over --------- Line 2 Piers: Size-Min------------- Spacing-Max - -----------Spacing-Max. --------- _ From Ends -Max. ------- Line .) Roof Loads: Size -Min ------------ Location (From Front) Line 1 Piers: (Under Bearing Wall Only) Size -Min .------------------ x Spacing -Max.--------------- „ From Ends -Max .------------- �ar,.oF Xao ® A4,L Jdi ; BF,a2 l/6 -OA27z7-�,✓S ,x11 „x „x „x „x Line 4 Piers: Size -Min .------------ k Spacing -Max.--------- , From Ends -Max. ------- Line 5 Piers: (Under Bearing Walls Only) Size -Min ------------------- T E ------------------TG CO U N-1 ,Pacing -Max---------------- i® j&Fyr��om Ends -Max. ------------- " Line 5 Roof Loads: BUIL'�INU LJr-Y "��" � Size -Min. ----- - ---- v pp-�-+� ..x „x „x „x „x Location (From Front) 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: 3. Is the site currently under permit? Yes No (If yes, furnish permit number �G�j--�Id ) OR Is the site an existing site? Yes No RI (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 14 No 17 (If no, clarify 5. What is the mobilehome electrical rating? --------------- 6:6 Amps 6. What is the mobilehome site service rating? ------------- �� Amps 7. What is the mobilehome site circuit breaker rating? Amps 8. Is there any other electric load to be served by the mobilehome site service? ------- ------------------------- Yes (If yes, identify the load and sizer E< (Load) No 17 (Amps) 9. What is the mobilehome site gas pipe size? -------------- '3/ (in.) 10. What is the type of gas service? -------------------- Natural LPG `fix , 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- �6 (ft.) * 12. What is the mobilehome gas.demand?----------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) ELECTRIC GAS Support Struc. Compactioi Test Re . Service Other Pipe YES NO Size Load Type Size Length YES NO 20Z COUNTY OF BUTTE - DEPART-IENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 41-52-29 ZONING U BUILDING PERMIT OWNER MARK MANSFIELD 408 TELEPHONE 942-1873 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 5 Run Albund Rd. Oroville CA 95965 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation +$_ LENDER'S MAILING ADDRESS Filing Fee $ AR Permit Fee $ ARCHITECT OR ENGINEER Nonp LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS v'll Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP // Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑X Installation ❑ Other ❑ Describe work: 2BR Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00e 30.00 Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10001 OR 0 AMP ORLESS10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.S0 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered �for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCC"" OR ADONS. C ACC. BLDGS. , 2/zQsgft NEW CONSTR. M NON•RESID BRANCH CIRCUITS 2.50 ea (POWER /POWER APPARATUS &) OUTLET CIR. Ex. OCcU OUTLETS OR FIXTURES P 20®e0Q BAL930 Ex. OCCup. OUTLETS P(RESID IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. bYirin g 15.00 Permit Fee $ 37.50 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 Certificate of Workmen's Compensation Insurance or a Certificate v'otf Consent to Self -Insure. shall not employ any person in any manner so as to become subject o the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 exp ses which may in any way accrue against sai oun y in con u of t granting of this permit. / %� (�y Date - / �'icy Signature of Applicant — O erLTJ Contractor ❑ Agent An OSHA permit is required for exca✓v1ations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 92.50 PAZ — CUA PARK — SCHL -' FLD PAR HD IssuS I/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees D) C R OF PUBLIC BY f PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ate Receipt No.- WHITE-D.P.W.. YELLOW-ASSFSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT WPM COUNTY OF BUTTE - DEPARTME iOFPUBLIC WORKS - BU:ILDING DIVISION ' 7 COUNTY CENTER DRIVE - OROVI,LLE, EALI.PORNIA 95985 -TELEPHONE: 918/538-7541 / PERMIT APPLICATION DATA SHEET ' r ' Permit No. OWNER f In l Yi 1 P. No. �l - -C� \r Proposed Building Use Building Inspector Date(s (?Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: r DATE RECEIVED APPROVED 1. All items have been submitted. ' ..............1.................... . 2. Plot plans in duplicate/ I icate igned by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .............................. 6. Energy Design Compliance and supporting documentation ......... 7. 'Statement of Intent for Non -Heated and AC Buildings .............. . 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions.. �� `�..d} . 4V10. Fees of $ ............:........... 11. Chico Urban Area fees paid ...... .. _.......................... ti' 12. Park fees paw. ................................................ 13. S thool Distri t fees paid .............. 4. Sanitation approval from 1►^4 V i 1 �Ci' Health Department 15. City of Chico plumbing permit ...................................... 16. -Plot plan and business license approval from City of ' (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ......, AImprovements may be required. Contact Land Development Section DPW 9. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... l - I — 2. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... ; 4: Recorded copy of Agricultural Acknowledgment Statement ......... _ . Letter of signature authorization ................................... X26.. .7 27. When you issue the permit, process as follows: _� Mail o owner. Mail to contractor. Telephone and hold for pickup at office. /Deliver w/inspector. Other ,�! 4 Applicant Date %Copy of Haz-Mat form sent Health Dept. Fire Dept. Pollution Date % Copy of plans sent Health Dept: Fire Dept. Other Date By. ` y The following data must be -submitted rio to pertnA iss IF new item not Checked above). 1. Index permit for above items No I 2. Additional items required: Contractor, designer, o e,, was�advised of above required data by—phone ail_counter by.date �_—/, T O contractor, designer owner&asfadvised of above/Ieg66ed dAtA by—phone —mal l—counter b date xfli9 - �, , - 77 M y t� Plans checked by� Date Plans approved by T /'/ Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildinq Department FROM: Environmental Health SUBJECT:. Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold.final for:. Water Supply Final clearance O.R. for: Water Supply Clearance for Z bedroom mobile home. Other NOTE * *. Sanitarian 0 y z3 , 61 Date Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT ' 'REQUESTED BY• s(,�� FOR RESIDENTIAL DEVELOPMENT ;Section 26-8.1 of .te Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents APR 2 3 1990 of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, 90-016138 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 agricul- tural 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: Date: ,Pit- 17, !moo State of 6WF0P_Ai1 A SS County of�r.46, 4 =OFFICIAL ALUNSKIomia='t OUNTYay 7, 1993 PROPERTY OWNERS: On this the /— day of l"t- , 19 Qb before me, the undersigned Notary Public, personally appeared ® Personally known to me. XProved to me on of satisfactory to be the person(s) whose names subscribed to the within instrument nd acknowledged that executed the same for the purpo es herein contained. IN WITNESS WHEREOF, I hereunto set my hand nd official seal. the basis evidence. Present A.P. No. - S � ^C9 Notary Public ice} 9'0-07.422 ORDER NO. BU -111048-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 7, 1981, IN BOOK 86 OF MAPS, AT PAGE(S) 32. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROADWAY AND PUBLIC UTILITY PURPOSES OVER CONDOR RD. AND RUN-AROUND RD. AS SHOWN ON SAID PARCEL MAP. PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROADWAY AND PUBLIC UTILITY PURPOSES OVER CONDOR RD..AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 7, 1981, IN BOOK 86 OF MAPS, AT PAGE(S) 32. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM 0,4�- S26 - o Z9 (One Form per Building) A:P. Number 91-5 Z- Building Department No. School District G� '' C+ty_.County ® Jurisdiction Property Owner DftoA 7 Project Location/Addres,1 ,5, �htM PWAI n41 el Subdivision \�-' Lot Number Residential Development: ` IZ�S(o Sq. •Footage (,l Z # of Living MHI,'"`Addi .n f (Group R) Units Commercial/Industrial: DSq. Footage New Addition (Including Exterior Roofed Areas) BuildingJDepartment Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) 9-±Nstrict Id No. 9000150 /W/ (_ Schoo District certifies that" (App,licant N me) (Phone Number) (,81freet Add ess) ray -4L) 7 ca (City) (Srte) (Zip Code) has complied with the requirements of solution No. AQs-AV by e payment of rep esenting /0<., square feet. 0 School District Re,glresentative Date PAID BY CHECK NO. REMARKS: BANK NO PAID BY CAS white- plicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) A 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 o Mark Mansfield 5 Run Around Road Oroville; �-,A 95965 With reference to the above subject: L� Attached is: OTHER PHONE:. 916-538-7541 RE: Permit appin #1890-90 for MH Inst. A.P. # 41-52-29 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 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 L 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: 196 Memorial Way, 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. XOTHER We need the following: 1- MnhilPhnma Tnctal32;t}A1; pai:a 2. Orovi 1 1 r- 11ni nn Ai n}, G14Ag1 w-su-i ent Feet-ia+d ' Please submit the ahnvP zn that ...o 1;2p. ;hsSl a ye ---i mabi4eho-- permit. _he llti l i ti ac t-rAra incPorteE1 and eleaFed 5 231'98. Should you have any questions concerning the above, please contact DAVEWASURy of -this office. (916-538-7541) Yours very truly, JFG/aj William Cheff Director of Public Works f.F. Glander Chief Building Inspector VUgTbw Set of astd spe ins +t is uttlav+ to on the io ages �t Ot POW anerations on same maks any c"091, ttom the 0eP NOM—All Materials & Workmanship Shin gv ih en pem►-got Bate, Acooadance with Recognized Good Practices and y,�dcs, c4tm Y of a RWtiY prescribed for the SWIUd use in tis Me NaWnW t code& McO�tanICB} cotes t� 7A, y / A setback of 5 ft. from the r � / property lines and a setback l of 50ft. from the road c centerline shall be clear of 0 40 o sfruclures or equipment except 1 for e 2 h. eavo pve ftn , 1 B E OMTY BUILDING EPARTMEWr �-,�; A,PP 0 V E D f dl w � rr kI