HomeMy WebLinkAbout042-110-028FAILURE To FINAL ELEC SER CH &
TRI NEL TRAILER WITHOUT PERMITS
I
42-11-28
ARDS M. SIMPKINS
12254 Me i ian Rd., Chico
Permit #1396— E(MH util)
ELEC. "Zoo
"I �KINS
Rd C�
Me i Rd.,
#1 396_ E
0 7
0
GAS- NONE
SUPPORT STRUCTURE,.R
Cdki;k-TibN'TEST-REQ.
— -T
42-11-28 (P
Permit #1
tall PC)
Permit#2418-89E(elec ser chjMH
42-711-28 92-1523 Al
SIMPKINS, Ardith..
.12242 Meridian Rd, SChico
contr: Gerald Flowers
hvac/mht
042-110- 99-1531
MARTIN, Mathew
12242 Meridian Road, Chic
Contr: Jerry Hans;,---
MHU
F.42-110-028 99-1532
Mathew
7/ 0
0
12242 Meridian R Chico
1 0
rve
Ha 0
0
Contr: Jerry Ha
MHI (MRU 99-1531)
- C7
-------- -----
42-11-28� ---- ---------- -
Permit#95-89A(Agricultural E'xemp (ag
equip & implement storage)
o
1042-110-028 06-1716
MARTIN, MATHEW
12242 MERIDIAN RD, CHICO
Cont: OWNER
AG BLDG 2
V;K
xn
0
f.• ^�• aVk.if 4 .t �'i r^l
k i� .f��+F � - V ' � 414. )�'��.•'
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BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
6Po6 / 7/6
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.
ZONING
OWNER
PHONE NO
OWNER'S ADDRESS
LOCATION OF BUILDING
USE OF BUILDING Leo
SIZE OF STRUCTURE
SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE F IDING
to 5•.�� 7�
ROOF COVERING
3 ® ®-7
FLOOR TYPE
eorwc, e Ile -
ESTIMATED CO OF CONSTRUCTION
$ dam®
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows: -
FRONT Lfa-apSIDES ' fnt %n� 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.
n0 5? l QA it -/2-6[a
I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy.
Date Signature of Owner ✓_
Permit Fee -$109.98�/ The above described AG Building is exempt from a building permit.
Receipt No. �` /f/ PARC" P.D. i' F
ManagerAu-ildilk Division
Date —46�
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
35
1
0,4
1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT
(Rev.12/96)., APPLICATION AND PERMIT Al—MAY
ASSESSOR PARCEL NUMBER 042-110-028
ZONING t6
BUILDINGPERMIT
OWNER MATHEW MARTIN
TQ27586
yy yy
SO Fr. OCC. BUILDING VALUATION
.OWNER'S MAILING ADDRESS 994 ASPEN STREET, CHICO 95928
CONTRACTOR'S NAME JERRY HANSO
TE875EO369
CONTRACTORS MAILING ADDR41s,9 BOQUEST BLVD
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 23.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 12242 MERIDIAN ROAD, CHICO 95928
Ener Plan Checking
Energy g Fee
$
$
PERMIT FEE
$ 23.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome JP Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities)p Installation ❑ Other ❑
Describe Work: MT41-1
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home be
@20.00 60.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
800VOR LESS
Main Service p q OR LESS
23.00')3. 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 Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
RQ 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.
❑ I, 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
Main Service 200A TO +°OOA
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLOB.
s0
3.5¢FT:
r ON-RSNEW ODMULTI-
. CUTLET CIRCUM
@7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup.oLmETCRFDcruREs
20Q1•0°
BAL .50
O
Ex. Occup. CvrLEE°rsA Ro .1 ER
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00 9n nn
Misc. Wiring
23.00
PERMIT FEE
S 63.00
WORKERS' COMPENSATION DECLARATION
I 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' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt:
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I 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'
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
forthwith comply with those provisions
X _ .t Date
Signature of Applicant - Owner ❑ Contractor ❑ Agent'
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 $
Occ
CONST. TYPE
TOTAL FEE $ 1 6.00
HAZ.
D. FEES IM
D
CDF
P EL
Po
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No. 265278/$63.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroviile, California 95986 • Telephone (530) 538.7541�9r/ �7MIT Nt
(Rev.12/96) APPLICATION AND PERMIT
A.SosoRr etLNu
ZiDNNe
BUILDING PERMIT
OW07TsvHo"E
Z r'
%S
SO. FT. OCC. BUILDING VALUATION
owNsi wAUNo
COWRA=" W11w
�/C ®
TOONONE
•�
CONTRACTORt rNo mmm
OONsTRUOTION Uwalt
Firs lace
UINoexs ,NVAM ADDRIM
Total valuation i
ARCHMT oR °N0 401
ucom No.
Flgn Fee Z
20.00
Permit Fee i
,R CT oR o+oweme MAUNO VOWN
Plan Checkln Fee 5
allLO O ADORE"
.. e.. ,�
En Plan CheckingFee $
� G � l-1 b `Y
PERMIT FEE S
IOTNO.
susoNsio"mu!
POWINM YRP
PLUMBING PERMIT
Ring Fee 20.00
Each Tr
7.00
U8EOF8TRUCTURE
SF O DuplexMoblshome 11Other
Soler or heat pump water heater
23.00
Water piping
15.00
Each water heater or vent
15.00
TYPE O WORK
New O Addition O Remodel O Utflitiselt Instalstion ® Other O
Describe Work:
Gas piping systern 1 _ 5 ou"
15.00
Budding sower
15.00
Mobge Hom W
®20.00(90 1
PERMIT FEE :
�—
4
ELECTRICAL PERMIT
Fln Fee 20.00
Main Service 100A cit lEat
23.00
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that 1 am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Mo no Cods,
and my license Is in full force and effect.
License Chas Lie. No.
-BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors License
Law for the following reason:
O I, as owner of the property, or my employees with wages as their sole compensation,
wtl do the work, and the structure le not intended or offend for sale.
O 1. as owner of the property. am exclusively contracting with licensed contractors
to construct the project
O 1 am exempt under Sec. . Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -Insure for workers'
compensation. as provided for by section 3700 of the Labor Cods. for the
performance of the work for which this permit Is Issued.
O 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 In Issued.
My worksm' compensation Insurance carrier and poky number are:
Carrier
Policy Number
(The above sections need not be completed K the permit Is for work of a valuation
of one hundred dollars ($100) or lees.)
O 1 certify that in the performance of the work for which this permit Is Issued, 1 shag
not employ any person In any manner so as to become subject to workers'
compensation laws of California, and agree that it I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code. I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - O Owner O Contractor O Agent
An OSHA permit Is required for excavations over So* deep and demolition or construction
of structures over 3 stales In height.
Main Service ft" To loom 48.00
oR AD".. �B+N, - 3.50—
NONZ061' �alLTFolrrtlr @7.50
POwor APPOAUM
EX. Occup. OUTUR OR Wns�el yu •x:00
OWNER
Ex. Occup. p 'A 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00 2—C)
Mae. Wiring 23.00
PERMIT FEE :
MECHANICAL PERMIT Filing Fee 20.00
Heating
Coolie
Hood 6.50
Ventilation
PERMIT FEt'- S
Mobde Home Installation Fee :
Energy Inspection Fee =
Ccc
CONST. rine
TOTAL FEE _ -----
O. rm imp
FLOOD
con
li;,
ro
w
muC
This permit Is hereby Issued under the applicable
of the Butts County Code and/or Resolutions
Indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
ti
RseNptNo,
WHITE•O.O.S.-B.D. CANARY- SS R PINK -INSPECTOR OOLOENROD-APPLICANT
t `
t
I
�..3`3✓.%.��'�.i''�'1 „{v;,;..�1-•-L"�'"'4+=r'�-•IMS.��irLrti,�'b`T�:.r=4�t..iY:�IVW+'Tc iA.laiz110k�- �„•Ys��"�'�':.:..4'�,•:r�^'�'�
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
-7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
I
6
PERMIT APPLICATION DATA SHEET
OWNER: �' " ' r �2 -- ASSESSOR PARCEL. ER: A/ 4 --d
Proposed Building Use: Building Inspector: Date:
At time of permit application, I was advised the following data must be submitted prior to permit pros s mg and/or issuance:
Date Received By
❑ 1. All items have been submitted --------------------------------------------------------------------------------------
02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
06. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. ---------------------------- - ------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
. Fees of $ ` 0 3, -------------------------------------------------------------------------------------
❑ 11. Impact fees as shown ;on the attached schedule.-----------------------------------------------------------------
❑ 12. California Department of Forestry plan approval/fees. ---------------------------------------------------------
13 - elevation certificate.----------------------------------------------------------------------------------------
4 Sanitation and plot plan approva'Health Department. -------------------------------------------
5. City of Chico plumbing permit.-----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs
❑ 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). ----------------------------
020. Pre -inspection for required Request to Building Inspector on (Date)
❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------
0 22. Workers' Compensation carrier and policy number. -----------------------------------------------------------
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
024. Letter of signature authorization. --------------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
026. Letter of intent on building use. -----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------------------7-----------------------
❑ 28. Existing violations and/or expired permits. ----------------------------------------------------------------------
❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $---------------
030.
--------------
❑30. Other:
When you issue the permit, process as follows ❑ Mail to owner, ❑ a•1 to contractor.
Telephone �� - and hold for pickup at �� U office. ❑ Deliver with inspector.
Applicant:'��
.//s% 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: -11 4
❑ Plan Check List
2. Additional items required:
Contractor, design�as of the above required data by ❑phone, j>�nail, ❑ Building Division counter, by
Dater
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by
Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by
Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by
Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold i�
n ❑ Plan Cabinet, .P. folder. Note transfer by: Date:
von,,.,. r,,.... r�o.....-....,.... ,.rr�_..,.t,._-__• �--- -- ^- �, �• ,-.
11 1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT q4_
ASSESSOR PARCEL NUMBER 042-110-028
ZONING Q
BUILDING PERMIT
OWNER MATHEW MARTIN
TE89ONE758C
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 944 ASPEN STREET, CHICO 95928
CONTRACTOR'S NAME
JERRY HANSOM
TELEPHONE
876-0369
CONTRACTORS MAILING ADDRF�(.�S79 BOQUEST BLVD.
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
23.00
BUILDING ADDRESS 12242 MERIDIAN ROAD, CHICO 95928Ener
gy Plan Checking Fee $
$
PERMIT FEE S
43.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome EX Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.0-0
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IN Other ❑
Describe Work: MHI kMHU 99-1531)
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
1@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
-
OV OR LE
Main Service . AOR LESS
23.00
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 IL No.
OWNER -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.
❑ I, 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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP,
OR ADDNS. ( 6 ACC. BUDS.
SO
3.5QFT.
17—
NEW ID MULTI -OUTLET
@7,50
PowER APPARATUS
b SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
a20 p 1.00
.50
Ex. Occup. ops 6�SID.OE
Rl
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I 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' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 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
forthwith comply with those provisions.
��� � "0 �►,�
X�' Date
Signature of Applicant - IN Owner ❑ C ntractor ❑ Agent
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 s 100.00
Energy Inspection Fee s
occ
CONST. TYPE
TOTAL FEE $
HAZ. D. FEES IMP
FL OD
CDF PARCEL
Po
D SSUE
This permit is hereby issued under the applicable
in the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
ate
Receipt No. 265278/$43.00//
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
OOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 85866 • Telephone (530) 538.7541 PERMIT
(Rev. 12/90) APPLICATION AND PERMIT - '9 & /_5
BUILDING PERMIT
O1N�l _ys SO. FT. OCC. BUILDING VALUATION
owNw rw,Mo o GAlf— S si2i
COMMCITI" rN WE T�KIIIe
= 4O .D
oounuetO�t "o,001 e
eks
COWToiancm upOell
uPOIffi s rrasa Aooaess F
ireplace
atbn !
A�c,wrEcr °" �N011� uda»s ND ! 20.0
,�WMc ON o asps �Am Aoo�as !
inFee i
SULD'°A°°"as CheckingFee !
/ i� rl 6 �l PERMIT FEE !
Ii0'rNa
steawww" I POOK MW OI HUML1f2 MOYIT I Wren Fd.1 on n,
USEOPSTRUCTURE
SF O Duplex AbWNtans 0 Otlar
Each Tr
7.00
Solar or haat water heater
23.00
Water
15.00
Each water heater or vert
15.00
TYPE OF WORK
Now O Addition O Remodel O hslalatlon Other O
Descr(be Work: ��
a" 1 - 5 outlets
15.00
Build sewer
15.00
Mobile Home 3 O WT_
020.00
PERMIT FEE !
ELECTRICAL PERMIT
PAng Fee 20.00
Mar, ssrvlo. aw►oauss
2s.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 6 of the Business and Probsabns Code.
and my license Is In lug fcroe and effect
License Clam LIM No.
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am eoampt tom the Contractors License
Law for the following r6asorr<:
O 1. as owner of the property. or my employees with wages as their soli compensabn.
will do the work. and the structure Is not intended or olfsred for sale.
O I. as owner of the popery. am a wk*ieiy contracting wNh Nowmed oontaotors
to construct the project.
O 1 am exempt under Sec. , Business and ProfeMa» Cods for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the *Wowing decimations:
❑ I have and wig maintain a certificate of consent to self-knwre for workers'
Compensation. as provided for by section 3700 of the Labor Code. for the
performance of the work for which this permit In Issued.
❑ 1 have and will maintain workers' compensation insurance. as required by Section
3700 ofthe Labor Code. for the performance def work for which thin permit Is Issued.
My waken' oompensatton Insurance carrier and policy number are:
Carrier
Polley Number
(The above sections need not be completed K the permit Is for work of a valuation
of one hundred dollars ($t00) or lea.)
O 1 dartity that In the performance of the work for which this permit Is Issued. I shall
not employ any person In any manner so a to become subject to workers'
compensation laws of California. and agree that ti I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code. I shat
forthwith campy with those provisions.
X Date
Signature of Appilcant - O Owner O Contractor O Agent
An OSHA permit Is required for exoavatime over 5'0' deep and demolition or construction
of structures over 3 Owles In heigh
Main amloom 48.00
8.
NaftE °11�ii0 GOON► cowT 3.50ILIWI
w*pm a LU 07.50
PCVM APPPA02M
a 11111111110.2,.
�..
Eo. Occup. wnffOlt wmlAr "a "
Eo. Occup. "pp""5.00
Temporary Service 25,00
Mobile Home Facilghs 20.00
MIsc. 2x00
PERMIT FEE !
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FE! !
Moble Home Installation Fee !
Energy Inspection Fee $
occ
oorar. Tyre
TOTAL FEE $
,�
a r� Wr
rMoo
eor
"tea
"O
'o
•uc
This permit is hereby Issued under the applicable provisions
of the Butte County Cale and/or Resolutions to do work
Indicated above for which fees have been paid.
By Oats
PERMIT EXPIRES ON
bW
RecelptNo. _411
WHITE•O.O.S.• .0. CANARY- E3SOMPINK-INSPECTOR OOLOENn00•APPLICANT I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7'C'OUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
i PERMIT APPLICATION DATA SHEET
OWNER:-TGi^
ASSESSOR PARCEL ER:
Proposed Building Use: /?/J t t— Building Inspector: Date: At time of peirmit application, I was advised the following data must be ubmitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All iiems have been submitted --------------------------------------------------------------------------------------
E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ --
E13. Complete plans, 3/4 sets, signed by the preparer.of plans. ------------------------------------------ --"
t
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown plans.--------
1:15.
-------
❑5. Engineered truss details and layout in duplicate (requiied prior to plan review) No'faxes! ------------------
❑6. Enegy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings.---------------------------------------------------------
❑ 8. Hazardous Material Form.
119 -Manufactured Home data and installation instructions including Tie Down Specifications -------------------
o$ La) , is -------------------------------------------------------------------------------------
Impact fees as shown on the attached schedule. -----------------------------------------------------------------
California Department of Forestry plan approval/fees.---------------------------------------------------------
❑ 1 . Flood elevation certificate. -----------------,-,----------_----------------------------------------------------------------
Sanitation and plot plan approvagJ4� p Health Department. -------------------------------------------
❑ 15. City of Chico plumbing permit. -----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
❑ 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
(Date)
❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------
0 22. Workers' Compensation carrier and policy number. -----------------------------------------------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - --------------------------------------
❑24. Letter of signature authorization. --------------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
-------------------------------------------------
E12-6-.
- Letter of intent on building use. -----------------------------------------------------------------------------------
) Manufactured Home utility clearance. ------------------- --------------------------------------------------------
❑28. Existing violations and/or expired permits. ----------------------------------------------------------------------
❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .---------------
--------------
E130.
❑30. Other:
Wh u issue the ermit, roce follows ❑ Mail to owner, it to cotractor.
T❑ elephon �� G and hold for pickup a office. 11 Deliver with inspector.
/f3 IOF
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: 1� J , 7
❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by
Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by
Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by
Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by
Date:
Plans reviewed by: Date: 9—( -92 Plans approved by: Date:
Sets of plans on ho in ❑ Plan Cabinet; PA.P. folder. Note transfer by: Date:
Von,,.,, r ... r�o. ... rn -•_'_-- --� r-- =- - , , ,_
z
CONSULTING CIVIL ENGINEER
7786 SKYWAY • P.O. BOX 3249
PARADISE, CA 95967
(530) 876-9431 • FAX (530) 876-8435
September 17, 1999
To Whom It May Concern:
Re: AP No, 042-110-028, 12242 Meridian Road, Chico, 95973
The residence on the above referenced parcel is in FEMA flood zone X as shown on the
enclosed plat.
Please feel free to contact me if you have any questions.
Since ly,
E. RISSO
Encl
E.
"0* RCE 24016
*' Expies
14/31/01
srgTf FICA �OQ`�`P
DRIVE.
JOINS PANEL 0320
►LZ AJ 6-
A -b 0¢Z -Ir 0* OZ -6
OAK
ZONE 'X..'. -
AVENUE
=11
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroviile, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT -7 - -i-
N
ASSES50 PARCEL NUMBER
_
ZONING
BUILDING PERMIT
Ul
OWNER
yq7eP177,4 /72-
ELEPH N
SQ. FT. OCC. BUILDING VALUATION
O ER'S MAILING ADDRESS ^
",0.47 t7^j, Lr
CONTRACTOR'SNAM
TELE ONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDE
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGI EER'S MAILING ADDRESS'
Penalty
$
BUILDING ADDRESS
zz 2
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 pas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehomd7A 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 ❑
escribe work:
(D — i
Penult Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service SDOV 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
El 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.ti ,/s¢sgft
OR ACDNS, L ACC. BLDGS.
NEW CONSTR.
NON.RESID. BRANCH CIRCUITS) 2,50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup( OR FIXTURES 20050t
sALO 30
FIXED LNS.
Ex. Occup. OUTLETS APP
(RESID )REA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 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.
❑ 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� 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 shal I be deemed revoked.
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 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
againstMsoy i�o u of the granting of this permit.X // Date ---f-88
Signature of Applicant — Owner ❑ Contractor ❑ Agent E;l
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
JSCH�PLDDD
PARCE . D
ND•
390
1/
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
D E TO, OF PUBLIC
g7
BY
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Ji
Date ,/
J
ReceiptNo. 1.3 %79
WHITE-D.P.W., YELLOW-ASeESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENTiOF PUBLAC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CAIOFORNtA45965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
OWNER
Proposed Building Use
Permit No. c�
. P. No. 11� 1 a'
Building Inspector Date _5 V/Q
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 ofpans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement.
' _X 6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8: Fees of $
��O.
9. Letter of signature authorization. . . . . . . . -Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . , f'
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
17. Pre -Inspection for ' Required. Building Inspector (Date)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check).
22.
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
Applicant / � ate 4 �Z ke
Copy of plans sent Health Dept., Fire Dept., Other Date { `
The following data must be submitted prior to per 't issuan (Ci cl new item not h c
M5�1 MA
1. Index permit for above items No.
2. Additional items required:
1
Contractor, designer, owner, was advised of above 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 Date Plans approved by Date _
Sets of plans on hold in File cabinet AP folder
Copy—DPW
G
200'
..........
180,
�.'OELECTRICAL, MECHANICAL ,"'AAD PLUMOING.
cONSTRUPTION ( NOT -TI-M CHEC. KED')
SHALLCOMPLY WITH CUP-A-E-141r EDITION
- 0 C
t4E --UM-C. AND UPC_
All Materials & Workmanshtp.Shall Be: -
accordance with Recognized' (load Practices
)f a Quali.ty. Prescribed for theV-pecifted use
n th6 Uniform Building, Plumbing & MechaniW
Itsodes and the National. Ele.ctrictli�Cod6l
140' A Thic-sevoY pj-d�jg. ant iTpg'
t^` kcapt -6ii the job at all timt)s and it
make any change
s or altiarations onbame wlthbut
Mon-permission"
9� 4it 0f:PubUc-
I .0i
ty. -But
120'
. ..... ....... STRUCW1WS: AND - EQUIPill41_NT INCLUE
OVERHANGS-.SHALL-BE CLEAR OF ALL 'EASEM E
A SET BACKOF T1417,-.81IX..
10-FT.-FROMWTHE.REAR PSP rl-9
TY LINES
FT. FROM THE ROAD CENT11=RLINE SHAL
100,
-EX(
C A, IP *T
FO -Pr _tA\(Eb\(.84eAK1G"
80'
too
60'
IN
71
40' . . ......
20'5 CO
TvAr LC wpo
20'
40' 60' 80' 1001
120' \ 140'
0
4
j
200'
180'
4lG L
ITP
y�.
ELECTRICAL, sv��CHA�vi��►u, AND PLUMBING.NOT
CONSTRUCTION 11iiilTP� C�1RR�1. NT ED TION
SHAD. COMPLY .
EC MAC AND JPC.
'NOT& -AU Matehals & Workmanst p -Shall :5*a
160'
Accordance with Recognized Good_ -Pr actjces�*d
of a Quality Prescribed f,aT tth.v'3peQilfted use;
�.!...._
y In the thi6rM BUildin , Pltunbing & Mechan
Codzc and the National l lectrf Ea! Code. ,
71 ....t .. , ..
N 140' _ t�_�x:c�iplaiis nciuse i<"`1bti'�(iI3T
a dept tr l thejob 'at -.J1 titries and. !s.t:niavt tp
r1�ke ani than�;es or alteratians:oa
' •:rtex
�•3 II�ission 1°�roi ,. ti�� �ert� ;�:i�it ai' �lbl � •
'�Jni a Youlity Ul Mutt
e,
120' :.... ... _ ..... _....
;.: ALL:. STRUCTURES AND- EQUIPWNT'-INC LOUD
100' OVEF�{1135 SH L DE CLEAR OF ALL..EASEMENTS.
A14
.: '�� •�.. ' n - '- : , S BACK OF ,O •
§i -Aft
(a FT: FROM THE REAR.PROPE. �'f LiNE8 AN
5o FT. FROM THE ROAD CENTERLINE SHALL B
j CLEAR OF STRUCTURES AND. -EQUIPMENT EXCE .
80' _.. .......... ...1 FD" 2 FT. EAVE.C*VEAHANG. ct.
� r
,
40'
20'C0
Tod of Le vEr IrTT
20' 40' 60' 80' 100'
120' \ 140'
m
.4
- I
.I
160'
Mobilehome Manufacturer: FleP,� �8 Manufacture Year:
If other than single wide, furnish Setup Model Number:
Width: (ft.) Length:_ nLjft-) 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: :E 2 - 7-(f- Do t,J r\% Sys ifs
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line 1 P 1
Line 2 Lice 2
................................................................................................ .
Main Beams
Line 2................................................................................................ 2
Line 1 Lnae 3
Line 2
................................................................................................
Main Beams
............................................................................................ Line 2
Line i
............................................ s
Tag or Triple e 4
ine 1
Line 1 Piers:
Size minimum: r 1 x
Spacing maximum: `
From ends -maximum: `
Line 2 Piers:
Size minimum: 2. x (301.
Spacing maximum: `
From ends -maximum ` 0 `
Line 3 Roof Loads Fy rso
Size minimum
Location (from front): F—
Line 5 Roof Loads:
Size minimum:
Location (from front):
May 1995
Line 1 Openings
Size minimum: [ ] x [ ].
Each side of openings
with width over: `
Line 4 Piers:
Size minimum: x ].
Spacing maximum: `
From ends -maximum `
GGC�i7/G!'i'iJ
95-1532 mks C
FILE COP
y
1.
2.
3.
4.
Owner's Name:
Assessor's Parcel. Number -J: L
Installer's Name: �✓e�-r� �/
Is the site currently under permit? Yes[ ] No[ ] Permit Mo.
i
5. Is the site an existing site? Yes No[ ] (If yes, furnish two plot plans).
6. What is the—el _'C ak rating of the mobilehome? ��-�-Amperes.
7. What is the mobilehome site circuit breaker rating?(b Amperes.
8. What is the electrical rating of the mobilehome site? Inn Amperes. =
9. -Is the main service remote from the. m obilehome 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 Ptc.)? 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 Noe[j
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 COMPLE17ED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
May 1995
1
8.5
LAND OF NATURAL WEALTH AND .BEAUTY
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE:. (530) 538-7541'
FAX: (530) 538-2140
August 2, 1999
Matthew Martin
994 Aspen Street
Chico, CA. 95928
Assessor Parcel Number: 042-110-028
Building Permit Number: 99-1531 .
This office reviewed the above referenced building plans. Please respond in writing to
each comment by creating a response letter. Indicate which detail, specification, or
calculation shows the requested information. Your complete and clear responses will
expedite the re -check and approval of this project. Provide additional information and/or
make revisions to plans,. specifications and calculations as follows:
1. Flood elevation certificate required.
2. Sanitation and plot plan approval is required from the Butte County Environmental
Health Department.
3. Balance of Building Permit fees = $103.00.
If you wish to discuss any requirements, you may contact me at (530) 538-7541 between
the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday.
Sincerely,
Glenn Gibbons
Plans Examiner
II
Mobilehome Manufacturer: rl,Plz� VX.18 Manufacture Year:
If other than single wide, furnish Setup Model Number.
Width:.2 (ft.) Length: (ft.) Tagalong or Expando Size (ft.)
On all mobilehomes manufactured after October 7, 1973, famish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation gradeX Other:
SUPPORTS: Concrete block(] Other.
Provide Tie Down Specifications for A Mobilehomes: Z - i t bo cJ V .5i757f ';
Pier Footings Sizes and Location
SIRGLE WIDE MULTI -WIDE
Liao 1 P1
Line Z VO° 2
................................................................................................
Main Beams
................................................................................................ 2
Line 2
Lice 1 Lias 3
Line 2
..................»......................................:.....................................
Main Beams
Line 2
............................................................................................ Line 1
............................................. 3
Tag or Triple 4
el
Line 1 Piers:
Size minimum: r i x
Spacing maximum: `
From ends -maximum. `
Line 2 Piers:
Size minimum: 17.1 x [301.
Spacing maximum: I 1Y 1 `
From ends-maximumj 1 60 `
Line 3 Roof Loadsr—Y XW
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
May 1995
Line 1 Openings
Size minimum: [ ] x [ J.
Each side of openings
with width over: 1 11`
Line 4 Piers:
Size minimum: x
Spacing maximum: `
From ends -maximum `
(532 M R I
q_
1,4
�C)7 srlf CUry
1. Owner's Name: AV/.1.: Ri!-.e zS-- -/-, X01
OR
�-k
Assessor's Parcel T
3. Installer's Name:_
4. Is the site currently under permit? Yes[ ] No[ ] Permit rTo.
5. Is the site an edsting site? -YesK]* No[ ] (If yes, furnish two plot plans).
6. What is the electrical rating of the mobilehome?Amperes.
W What is the mobilehome site circuit breaker rating? i> Amperes.
8. What is the electrical rating of the mobilehome site? Amperes.
9. Is the main service remowfrom the mobilehome site? Yes[ J 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[$0 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& No e(]
12. Size of as 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
200'
180'
160'
O ELECTRICAL, MECHANICAL, AND PLUMBING
,)YCONSTRUCTION ('NOT PAN. CHECKED
NP $11ALLCOMPLY WITH CURRENT EDITION
OF NEO, UMC AND UPI: .''
Mawritus w vvorZUnML1ZL"v Quou Be In
accordance''' with Recognized Good.Pr acti
of a Quality Prescribed.forwe Sbecifted use !.,
:
-P bnQie Uniform Building,Itimbing &.MechWc-,,.
Code's &Ifa: the National Electrical Code.
ThJi set of plans and; drieciffbatic.6s.MUST be
k6pt on the job at all-times-andit is�unlawful th.
.... .... ........ . I...1— . ... ... . 11 -�v- I .... ......
mak®
.y.c1langes. falterations
e of ph,04t
VerThisgiOn-1 0 b4i*
120'
7
Ail: 'STRUCTURES: ANb!' E0,4JIPW_ INCLUDM
EAHANGS SHALL BE-CLEA1=10E-All-EASEMEN L
... . . . ......
100, E -
HQ -1',E -A 0
T; Db
Fi. IPP -M THEREK.A LWES Ar D
Fr. FROM THE POAD CENTERU 'NESHAUIAE
CLEAR OF STRUCPJ.R!tib 't'41N1') EOUIPhENTEXCE
FQR A 2 Ff. EAVE OVERHANO..
80'
60' ...
i6
40'
20' (Ti_ co
Too LC Veto
H
20'
40' 60' 80' 1.00,
120' � 140' 1 160'
tv
km -
O ELECTRICAL, MECHANICAL, AND PLUMBING
,)YCONSTRUCTION ('NOT PAN. CHECKED
NP $11ALLCOMPLY WITH CURRENT EDITION
OF NEO, UMC AND UPI: .''
Mawritus w vvorZUnML1ZL"v Quou Be In
accordance''' with Recognized Good.Pr acti
of a Quality Prescribed.forwe Sbecifted use !.,
:
-P bnQie Uniform Building,Itimbing &.MechWc-,,.
Code's &Ifa: the National Electrical Code.
ThJi set of plans and; drieciffbatic.6s.MUST be
k6pt on the job at all-times-andit is�unlawful th.
.... .... ........ . I...1— . ... ... . 11 -�v- I .... ......
mak®
.y.c1langes. falterations
e of ph,04t
VerThisgiOn-1 0 b4i*
120'
7
Ail: 'STRUCTURES: ANb!' E0,4JIPW_ INCLUDM
EAHANGS SHALL BE-CLEA1=10E-All-EASEMEN L
... . . . ......
100, E -
HQ -1',E -A 0
T; Db
Fi. IPP -M THEREK.A LWES Ar D
Fr. FROM THE POAD CENTERU 'NESHAUIAE
CLEAR OF STRUCPJ.R!tib 't'41N1') EOUIPhENTEXCE
FQR A 2 Ff. EAVE OVERHANO..
80'
60' ...
i6
40'
20' (Ti_ co
Too LC Veto
H
20'
40' 60' 80' 1.00,
120' � 140' 1 160'
STATE OF CALIFORNIA -DEPARTMENT OF -HOUSING AND COMMUNITY DEVELOPMENT
REGISTRATION CARD MOBILEHOME nfr.AL NO-' crnstf t.n
MANUFACTURER NAME/ID `�
TRADE NAME
MADIS
MODEL
DOM
00/00/76
DOT
DFS
00/00/76
RY-76
SPC
AFL
EXPIRATION
10/31/88
EE NUMBER LABEL/INSIGNIA NUMBER
U A71
00WEIGHT 0000
000000
999949
999999
$CC
EXEMPT
USE
TYPE
10%29%87
11
2 B7106QXX96MCA
000000
999999
999999
TOTAL
3
4
FEES
5
PAID:
6
$132.00
Os
w I
N T
E U
R S
L
E
G
A
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SIMPKINS ARDITH M
PO BX 536
AFTON OK 74331
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SIMPKINS ARDITH M
PO BX 536:s,aq
AFTON ° ":•OK 74331
99WS BETWEEN ROAD 25127
USE SIDE ROAD
ORLAND CA
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HOME SAV/LN/GUARANTY„
FIN SERV v�
PO BX 3991 ..A
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.-.ATTENTION OWNER:
ta' r
THIS IS THE REGISTRATION CARD FOR THE UNIT DESCRIBED ABOVE.
f ;* PLEASE KEEP THIS CARD IN A SAFE PLACE WITHIN THE UNIT. i
¢¢ INSTRUCTIONS FOR RENEWAL:
`* REGISTRATION FOR THIS UNIT EXPIRES ON THE DATE INDICAJED ABOVE IN
{ ? * THE BOX LABELED "EXPIRATION". THERE ARE SUBSTANTIAL PENALTIES
FOR DELINQUENCY. IF YOU DO NOT RECEIVE A RENEWAL 140TICE WITHIN
o N HOLLYWOOD CA 91600 *. 10 DAYS PRIOR TO THE EXPIRATION DATE, CONTACT H.C.D. FOR RENEWAL
wDATE: 00/00/00 00:00:00' INSTRUCTIONS.
.�.:.�_
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IMPORTANT 03-299-01177
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEV;ELOPMENT AGAINST THE DESCRIBED UNIT.
i THE CURRENT TITLE STATUS OF THE UNIT MAYBE CONFIRMED THROUGH THE DEPARTMENT. 0300699
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COUNTY OF BUTTE - DEPAR'TMENf-OF PUBLIC WORKS PERMIT NO.
r. 7 County Center Drive - Oroville. California 9596;5 - Telephone: 916.'538-7541 �. •+�
• A' : APPLICATION AND PERMIT G.
ASSESSOR PARCEL NUMBER
42-110,028
ZONING
1 . BUILDING PERMIT
OWNER
ARDITH SINIMNS
TELEPHONE
342-2643
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
12242 MERIDIAN ROAD CHICO 95926
CONTRACTOR'S NAME
GERALD FLO4M
TELEPHONE
221.-4402
CONTRACTOR'S MAILING ADDRESS v
2478 VICPOR AVE
Fireplace
CONSTRUCTION LENDER i
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
y1 �n( CHICO 95926
Permit tee
PermitMERIDIAN
$
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[] MobilehomelVf Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW 1
615.00
TYPE OF WORK
New ❑ Addition F-1 Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: REPLACE HVAC
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
Main service 200A TO IOOOA)
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 ffect.
License No. 3 73 0,6— C-24' t- ��•
f
❑ 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 ACDNS. ACC. BLDGS.
3.64sq.ft.
NEW CONSTR^
NO N•R ESI D• BRRAANNCCHH CCIVCCU ITS
5,00
POWER APPA Tus &
(SINGLE OUTLE cIR. )
Ex. OCCUp(OUTLETS OR FIXTU s
20 76d
464
FIXED APLNS. OR
EX. Occup. OUTLETS PIRESID.I EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
bf.Mr 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
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 1 15.00
Heating
9.00
DUALPACK
Cooling
16.50
Hood
6.50
Ventilation
permit Fee
$ 40.50to
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 Count in consequence of .the granting of this permit.
X 1' Date S - P- q2—
$i pp nt - owner Contractor ❑ Agent
Signature ❑
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 S
Energy Inspection Fee
$
OCC
CONST,TYPE,
TOTAL FEE $ 4O• SO
HAz
I DFEES
IMP
FLOOD
cDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated ab /t a for which fees
F+ ?r r 'I
r/j DIREOF PU LIC
By I 1 �,,
PE YTXPIR S Date 5=11-tl
applicable provi-
resolutions to do
have been paid.
WORKS
Date 1
?
Receipt No. 115329
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT
i
4r n:r' tib. '^��..ci:' ar: g!•i'2:G^4",r'+�++ti%*f�'v�'i�'+':.-�.,s ,'Y.�ir,r.. .ice„^a.".,:,.+,«,-. ,�+'...t/A*,,.se ) si+;,
42-11-28 92-1523 M .i • •,.$
SIMPKINS, Ardith
' 12242 Meridian Rd, Chico
contr: Gerald Flowers
hvac/mh
COUNTY OF BUTT`
w,
DEPARTMENT OF PUBLIC WkS
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
r
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 ontact this office immediately.
P - n .1
R. MCA
I JIM
Date �j Inspector
REV 11/91
Q
i
1
-
Date �j Inspector
REV 11/91
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916,`538-7541
APPLICATION AND PERMIT
PERMIT NO.
i
ASSESSOR PARC13L NUMBER
42-1107@28
ZONING
BUILDING PERMIT
OWNER
ARDITH SIMPKINS
TELER-NONE
342-2643
SO. FT. OCC. BUILDING VALUAT!PW
OWNER'S MAILING ADDRESS
12242 MERIDIAN ROAD CHICO 95926
CONTRACTOR'S NAME
GERALD FLOWERS
TELEPHONE
221-4402
CONTRACTOR'S MAILING ADDRESS
2478 VICTOR AVE
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
12242 MERIDIAN CHICO 95926
Permit fee
$
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
SFA Duplex❑ Mobilehome)4' Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New U Addition ❑ Remodel ❑ Utilities ❑ Installation Ci Other ❑
Describe work: REPLACE HVAC _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
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 fullforce and ffec
License,ao._3 730,6- Classification/ C -2c c, rr -7 _r
❑ 1, as the owner, or my employees with wages as their sol 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 200ATO1000AI
37.50
NEW CONST.! DWELLING OCCUP.&\
OR ADONIS.1 ACC. BLDGS. I
3.64 sq.ft.
NEW CONSTR ULTI.OUTLET
NON-RESIO• BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR. )
Ex. Occup( OUTLETS OR FIXTURES
20 @ 760
FIXED
EX. Occup. OUTLETS PRESID IRE A.)
I 3.00
Temporary service
1 15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare kinder penalty of perjury (check one):
p�.► 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 15.00
Heating
9.00
Cooling
g
16.50
Hood
6.50
Ventilation
permit Fee
$
40.5
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 Count in consequence of the granting of this permit.
X Date 5-11-92-
Signature of Appli nt — Owner ❑ Contractor ❑ Agentrvr
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 S
Energy Inspection Fee $
OCC CONST TYPE
TOTAL FEE $ 40.50
HAz
DFEES
IMP
I FLOOD
I CDF
I PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under the
sions of the Butte CAunty Code and/or
work indicated ab6t for wbich fees
I i? OR F PU LIC
By
PE I X S' Date
applicable provi-
resolutions to do
have been paid.
WORKS
lame ,5
Receipt No. 115399
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
.�.� Y! .:�q: �Kyr',�.,��_�` f.-�Z ?'t+t .r, i. � � .:.. ... rr . - . •.x-x�y-.��:`r. ��: ZO�.,.'�i7�'�"r4'. Vr+-Y*G'�+��s� ''M!C�UG✓'fi?..--�y'+Y,-^�•- -• '•�• • . - . -n
y -
COUNTY OF BUTTE _ DEPARTMENT OF -PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,,CALIFORNIA 95965 - TELEPHONE (916) 538-7541 `�•
PERMIT AP L1 ATI�t ° DATA SHEET
OWNER 1,A) A. P o. / y (��40t O
Proposed Building Use Building Inspector Date ,
At time of permi plication, 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. ......................................... r'
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 California Engineer . ................. .
14. Sanitation and plot plan approval 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). . .
Pre-4nsWction reque�s
20. Pre -inspection for regUlred. . . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ...............
22. Certificate of Workmans Compensation Insurance . ......................... .
23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... .
24. Recorded copy of Agricultural 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. ... f ......................: ...............
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 re ermits ................. .
32. Plan check list . ......................................................
33.
34. j
When you issue the permit, process as follows: Mail to owner. '�Aail to contractor. -
Telephone and hold for pickup at office. Deliver with inspector. ttj.ti
Other ,
Parcel Creation
Acreage , Applicant r%"'-� Date ,, x
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans tent•'~- 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: \
E 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 Counter 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
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, California 95965 - Telephone: 916 '538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
.-- 2
ZONING
BUILDING PERMIT
SO. FT. i OCC. BUILDING VALUATION
OWNER p
Ar. NlT Sih iA�s 2i1� W is
TELE HONE
Z-26 3
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME TELEPHONE
CPr,-.ed Flo w,,r ZZI- oZ
CONTRACTOR'S MAILING ADDRESS
zy7$ ,C g-
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
(V !�
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.SUBDIVISION
NAME
P4RCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF p�vvv---��v Duplex❑ Mobilehome❑ Other
/\ SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.001
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New Addition.-, Remodel Utilities ❑ Installation[ 0th rPermit
Describe work: �� �
Fee $
Contractor
ELECTRICAL PERMIT FiIingFee 15.00
Main service 200AORLESS 18.50
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 ;Jo. Classification
jJ 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 200A TO IOOOAI 37.50
NEW CONST.( DWELLING OCCUP.&) 3.60sq.ft.
OR ADDNS. ACC. SLOGS.
NEW CONSTR ' ULT).OUTLET
NON-RESID BRANCH CIRC ITS @.5•00
(POWER APPARATUS 6)
SINGLE OUTLET CIR,
Ex. OCCUp(OUTLETS OR FIXTURES zo 7
A RA
Ex. Occup. OUTLETS PIRESID )REA.� I 3.00
Temporary service 15.00
Mobile Home Facilities15.00
Misc. byirin g 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
MECHANICAL PERMIT FiIingFee 15.00
Heatin
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 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.
X Date
Signature of Applicant — Owner C' contractor ❑ Agent ❑
An OSHAwork
permit is required For excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories lin height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ CONST TVPE
TOTAL FEE $ ,
HAz 0FEESIMP FL600 COF
I i
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By - Date
PERMIT EXPIRES Date
Receipt No. "/
'NNITE•O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
It
GERALD FLOWERS COMPANY
Mechanical Services
2478 Victor Avenue Redding, CA 96002 License #373015 • FAX 916 221-1725 • 916 221-4402
May 11, 1992
fur B�
C' of Cl-dEe
Chico, CA
To Whom It May Concern:
This letter is submitted to the City of Chico so. that Nedra Flowers, Dave Rogers,
or Aaron J. Baggao, can sign documents necessary to obtain permits in your city.
They are duly authorized to conduct this business on behalf of Gerald Flowers
Company.
Please call if you have any questions.
Sincerely,
GERALD FLOWERS COMPANY
Gerald Flowers
Owner
GF:db
PERMIT NO. 1 -+9b -88P, E(MH)
PERMIT EXPIRESI� O 1
OWNER ARDITH M. SIMPKINS '
CONTR. OWNER
ASSESSOR PARCEL A.'?, -11-28
LOCATION 1.2254 Meridian Rd., Chico
r
eu
,y
/
I
4
t
1
iTemp. Power Pole .
1
' Called PG&E—
Temp. Elec. Service
Called PG
Temp. Gas Se
Called PG
i.
JOB FINALEC
Signature
= OK
0 = Not OK
- = Not Applicable
= lyot Ready MOBILE MES
Date MOBILE HOME UTILITIES (Plans) K except #'s
oningequirements-S s -Easements
i s; Special MH Support -Sketch
ewer; Location -Test -Fall -C/O -Concrete
ater; Location-Test-Easeme! t Needed (Sketch)
lectricity; Location -Clearances n .-Ood Amp-Co6. r
Gast I:.estio,.,T-est-W,ap-
/ - /'N r 11 G
)tlltility Clearance
Card -B1 Date Card -B1 Date
Card -61 i ate rd -61 Date
Date Obi LE OME INST LLATION (Plans) OK except #'s
Zoning Requirements -Setbacks -Easements
Footings; Size -Spacing -Marriage Line
---9-bas; MH Test -Demand -Valve -Connector
Electricity; MH Test -Crossovers -Breakers -Clearances
Drain; MH Test -Fall -Flex Connector
Water; MH Test -Regulator -Connector
Water and Sewer Connected -C/O to Grade -HD Apprc
Gas and Electricity Tagged
Exits; Insp.-Sketch
Cert. of Occuaancv
Card -B Dat rd -B1 Date
Card -E1- Dat and -81 Date
01.
x �
MISCELLANEOUS
Date DECKS,COVERS,CARPORTS,GARAGE PIa K except #'s
1.XZoning Requirements-Setbacks-Eas .ents
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
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
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -61 Date Card -131 Date
Card -131 Date 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- Enc losures-Panel boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1 Date Card -131 Date
Card -B1 Date Card -131 Date
=OK z ^
= Not
- 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.-/ /•• Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ P' 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-Wrap ped
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-Supprt-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 -B1
Date Card -131 Date
Card -B1
Date Card -131 Date
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
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -131
Date Card -131 Date
67. Stairs &Rails
Card -B1
Date Card -131 Date
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
71. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
72. Garage Fire Door; Swing-Landing-Closer73.
25. Romex Installed Close to Edge of Studs & C.J.
A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I.
75. Plb., Elec. &Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes O No
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
81. Stucco; Brown -Finish
Card -B1
Date Card -81 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -131
Date Card -131 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
9i. Energy Compliance Certificate -Other Certificates
Card -81
Date Card -B1 Date
92. Roofing Certificate
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Card -B1
Date Card -81 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
Card -B1
Date Card -81 Date
Comments at Final:
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
(NOTE: An entry must be made each time you visit job site)
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.
Inspector Date
COUNTY OF BUTTE .
DEPARTMENT OF PUBLIC WORKS
_�. 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile =Rhone: 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 Da
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 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.
/li/LC�rJ,✓ o' f / fG i > SLC vi 6 F '/ Cr.( <d- 9'
-3- f-
0,51"y/ Gs l� ,✓al��;� / _ /
Inspector Date
MOBILEHOME4
TALLATION ACCEPTANCE
COUNTY OF BUTjrE
(DEPARTMENT OF PUBLIC WORKS — 7 COUNTY -CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
Address or location of mobilehome
Owner's name
Owner's address
Insignia or hud number
Manufacturer's name
Serial number of V.I.N.
PERMIT N0.
Year of manufacture
Official Approving Installation) (Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
513B White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS PE IT N�
7 County Center Drive - Oroville, Ctalifornia 95965 - Telephone: 916/538-7541
— • APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING 4�)
BUILDING PERMIT
OWNER
M/2—/9 /%�• S///tl
TELEPHONE
�—
SQ. F'T'. OCC, BUILDING VALUATION
OWNER'S MAILING ADORES �' n h
�� ���9GU17
C NTRACTOR'S NAME
t.
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$
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
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
?Z/
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome® Other
/x SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
5.00
Mobile Home S'A G ffb
10.00ei;
TYPE OF WORK
New ❑ Addition ❑ Re odel ❑ UtilitieA Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V 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.
Wo icense 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 OCCUP.61 ,
OR ADONS. ACC. BLDGS. / /20sgtt
NEW CONSTR.TI.OUTLET 2,50 ea
NON-RESID .BRA CH CIRCUITS)
POWER APPARATUS e\
(SINGLE OUTLET CIR. /
Ex. Occup OUTLETS OR FIXTURES eA 030
Ex. Occup. OUTLETS IXED APP(RESID IREAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 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.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
f Consent to Self -Insure.
�--,�'
U 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
1s 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, anq expenses which may in any way accrue
against o ty in nsr the granting of this permit.
/l
X Date -- _� -��
Signature of Applicant - Owner El Contractor ❑ Agent 21,
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.Receipt
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
Occup'
CONST.TTP[
JSCN00LJFr/DJPA2JJ
PD
D
IS9U
This permit is hereby issued under
sions of the Butte County -Code and/or
work indicated above for which
D) :CTO�PUBLICKS
By
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
No.
WNIT[-O.P.W.. YELLOW-ASOCesOR, NK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT,.OF._RUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER .S/y������tJ S A. P. No.
Proposed Building Use /���`ll Building Inspector,_,-� Date l�/
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 duplica ./tri licate, 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. . .1 .
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 authorizat'LLon..
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 owner ❑•)
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . .��
Pre -Ins ec. re nest to
17. Pre -Inspection for Required, guilding In,
/�/i 1D�te)
t18. Recorded copy of Agricultural Acknowledgment Statement, as g k
. Driveway Permit._
20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check).
22. '
When you issue the permit, process as follows: Mail to owner, Mail to contractor.
Telephone and hold for pickup at -off ice, Deliver w/inspector.
Other
Ue7
Applicant Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prio to per 't issuance: Circl e 'tem not checked above).
1. Index permit for above items No.
2. Additional items required: f
Contractor, designer, owner, was advised of above required data by_phone---jnall—counter by date
Contractor, designer, owner, was advised of above required data by—phone—mall—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
55-015551 66-018551 88
1
���• 88-0 16551 1 R e c F e e
Check
- Recorded' 1
Official Records
`Coabty of
' Butte
Candace J. Grubbs
Recorder
1:42pm 25 -May -88
-018551. 1
5.00
S. 00V:
RB 1
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
���Z - /,/— 2,94 /Gl
owner location AP #
10
Driveway permit OL)
si ature
has been issued for the above property.
f, 2��-��
date
I�
TO
Buildinq Department -
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Aw
wo ner Location
Pl
AP#
an Approved for: Sewage Disposal Water Supply
�olfin�lfr:
Final clearance O.K. for:
Clearance for _ bedro mobile home Other.
NOTE * * *
Sanitarian
Water Supply
Water Supply
I(-
Date
i
Buft co. Div. of Em. Heatnh
. _ MAY 1-8-1988��
e►,ree, c�ir�omra
ADN 95139-1349 No f5.139 1 3A 9 Kay 241,88" 09-:30 P.02
Mag 23.88 15:13-P,02
XcLuril I o DPW AGRICULTURAL STATEMENT OF ACKNOWLKNP.WNT
FOR RFA
UDWIAL I VELOPMEW
Sectton 26-81 of Lhe BULLe County Code
requirep tlijs Aickt)owledgemetq. be recorded
prJcar to Isauance of a building permir.
The liroperLy dericrA6ed herein its adjacent
it) land or Included warAin an area zoned
,'rear attriculturni. purponem. anti residents
Of thi.n prc)perty may be subject to incon-
venlencem or di.Kcowfort. ariuing from the
une of agrtculrural chemicals, including,
but. liol. 11inti-od T -o fie-rhic-ides, peroLie.1des,
JbIld. ferLili.era ; and from. t he purfRuit.
of, ag'riculrural operation's including,
but, not. limited to cultivation, plowing,
pruyilTig,r and litirves-ting whft.h
t)(1casiorad ly geneme duAL, woke, noise, and odor. Butte County has e.owbIja4liva jigricui
Lural zones which have as a priority use for prolduCtive agririilLural purposes, and r(!Wdvntt4
,within f#FiJd zoines and- on adjacent property should be prepared to accepL such 0iroityti0onve
or dinconform ?.roml normol, nk-ceussary Karin opermL'i(nLu.
All , thikl. roal properLy SiEUAte In the County of Ruttt-j StUt-e 01- 0111f0l'111.11, di'MCWK-d M4
follows:
AS SW= ON TEAT CERTAIN PARCEL PAP® HK=0 A ?MT10H OF PROMOTED
5I TI 190rods"10 22 1KORTKI RAM 1 nS'Tip M.D. B. & N. 0 WH= PARCEL MAP WAS nMORDED
IN TIM OFFI(M OF TRE wm=mt OF THR CC OF MM80 STATE OF CAMMXTAt ON AUOUST
319 1984t 19 3= 97 OF WSs AT PA (S' 82.a
Oato: 'Mroli
Sm
KQPE ERS-
04-)
U
Statc, ofof esa do Y
On thisthe
CIO 6- A A
CUU11L y
. & W Uft Is OA&nvu "ovary FUWAJ-c. personally appeore
of Jhad_cWin)
� r11., t.�� - _-.-'.1__-__-.....- "'_7
rmR M.
0;4
Personally known to me,Proved to me on the ham is7
U0 of 5UL18f8CLory ovidence .
to be Lhe person o whose name (4
oubscribed to the within Instr6munt avid acknowledged Lill -IT
executed the same for the purposes therm n contatrod , I
WHER30F, I hereunto act my hand and official seal,
-Not Try Pul), 14
Aan,ess
lrty S
6s.:e L
RECORDING REQUESTED BY
AND WHEN RECORDED MAIL TO
7
SPACE ABOVE THIS LINE FOR RECORDER'S USE
POWER OF ATTORNEY
(Special)
KNOW ALL MEN BY THESE PRESENTS:
That.. 1Q.(.2 -0.V M4......... t ... _ �.1.. ...�! ''?!� ........... , of.. D.. o�c . . 12, �L................ .
City of.. Ch. C.6 ........................................... County of... c ,.....................,
State of California, hereby appoint(s) .. —e—I i...... ......kms c l
............................
of... ......................................... City of....cl'kk -D .........................
County of.....wk.v....................................... . State of California, as...... .attorney in fact
to act in. name and to do any and all of the following: `C)kti-C-Ce..
1 h A Anuvu- atio
IfIL ' ErLI t c-,�C+� l O+LAJ
Granting M. .. attorney in fact 6311 ower and auth r
g � Y p o ity to do and pe orm all and every act
and thing whatsoever requisite, necessary, and proper to be done in the exercise of any of the rights and
powers herein granted, as fully to all intents and purposes as ... :T ... might or could do if
personally present, with full power of delegation substitution or revocation, hereby ratifying and
confirming all that.... attorney in fact s substitute or substitutes, shall lawfully do or cause to
be done by virtue of this wer of attorney and the rights and powers herein granted.
Page I
This document is only a general form which may be proper for use in simple transactions and in no way acts. or is intended to act, as a substitute for the advice of an attorney. The printer
does not make any warranty, either express or implied, as to the legal validity of any provision or the suitability of these forms in any specific transaction.
OWNER
PERMIT �k
MH UTIL.CLEARANCE DATE D
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compaction
Test Req.
service
Size
Other
Load
Type
Pipe
Size
Lenjzth
YES
NO
YES
NO
V, wry T..-L•�yTA -��yZw ',� ' .. -�R� r *..r��+•+��-P`
r
}' i,
COUNTY OF BUTTE - DEPLAITM•ENT OF. PUBLIC WORKS...., ;' PERM,I,T/NO,
7 County CeAter Drive - Oroviliei Caliornia 95965 1- Telephone: 916/536-•7541 I • � / Y w j
r i �..,
APPLICATION AND PERMIT . I
ASSESSOR P•AR CEL NUMBER
ZONI •
�(�
--
BUILuuDING,PERMIT s
OWNER r TELEiHONE
�(
AV, r -f
SO. FT., OCC..; F'11' BUILDING VALUATION
(4.
OWNER'S MAILING-ADDRESSo�
r of
CONTRACTT,/ORR'''SS. �NJA/ME 1
j•� f TELEijHONE
1N -
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER UNKNCWN
Total Valuations
,,/ 1
LENDER'S MAILING ADD~RIESS
Filing Fee $ 10.00
Permit Fee $
ARCHITECT OR ENGINEER -71
ARCHITECT OR ENGINEER LICEN•IE No.
Plan Checking Fee • $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
,. ...
Penalty $
BUILDING ADDRESS ' `
o
Permit fee i
YO r_1 cf i
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2,00.
° ,
• I . •
Solar or heat pump water heater 20.00
LOT NO. SUBDIVISION NAME
PARCr.L-MAP
Water piping 5.00
' i
Each qas water heater or vent 5.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets 5.00
SF ❑ Duple ❑-MobilehomeJ Other 161 �^
Building sewer 5.00
_ sPEclyr ii
Mobile Home S G W 0.00 ea
TYPE OF WORK I.
I(��-IIl
New ❑ Addition I_Remodel ❑ Utilities❑ Installation❑ l'cOther
Permit Fee $
Describe work: K e h Q I P C. �� �G +� — 4106 A +« fie
Contractor
4' S, ��l/ -� �
ELECTRICAL PERMIT Filing Fee 10.00
-
J'
Main service e00V OR LESS 10.00
100 AMP OR LESS O�r•�--
Main service EA. ADO'L 100 AMP 2.50 f-
9 -CONTRACTORS, LICENSE LAW-'-
NEW CONST. DWELLING OCCUP.d`
OR ADDNS';, ACC, BLDGS. / ,/20Sgft
I declare under penalty of perjury (check one):
NEW CONSTR MULTI -OUTLET
2.50 ea
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the 3usiness
NON .BRA CH CIRC TS
/POWER APPARATU_
(SINGLE CIR.
and Professions Code and my license is in full force and effect.
OUTLET
r
License No.
Ex. OCCUp OUTLETS OR FIXTURES ��- eAL030
oClassification
- ❑ I, as the owner, or my employees with wages as their soletcompen-
FIXED APPLNS.
Ex. OCCUp. OUTLETS ((RESID )REA.) 2.00
sation'will do the work,and the,structure.•is not intended ',offered
Temporary service 10.00
for sale. (Sec. 7044) ,, I,,
Mobile Home Facilities 15.00
as
the-owner, am'excl.usively contracting 'with licensed'contract-
ors. Sec. 7044) i
�.:.
Misc. Wiring 15.00 S
". ❑ I am exempt under Sec. ,'Business and Profess' ns Code
for this reason ' - M *�-
Permit Fee
Contractor
WORKMEN'S COMPENSATION INSURANCE s
I declare,under penalty of perjury (check one): -
MECHANICAL PERMIT Filing Fee 10.00
❑ The permit is for $100.00 (valuation) or less.
Heating
❑ I have placed on file with the County of Butte Building Dpartment
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
Cooling
g
t/ I shall not employ any person in any manner so as to becow. subject
Hood 3,00
to the W. C. laws of California.
Ventilation
Notice to Applicant: If after making this statement,should you becorrg subject
to the W. C. of the Labor Code, forthwith comply lith
Permit
it Fee s
provisions you,must such
provisions or this permit shall be deemed revoked. f
Contractor
I certify that I have read this application and state that the above ieormation
Mobile Home Installation Fee $
is correct. I agree to comply to,alh•County Ordinances and State Law relating
Energy Inspection Fee ,,- $ • -
to building construction, and hereby authorize representatives of ,the ;;ounty of
Butte to enter upon the above-mentionedlproperty for inspection purpobs.
�,.
�-
TOTAL PERMIT FEE.' 1;'!>$
I also agree to save,. indemnify,and keep harmless the County of But against
all liabilities, judgments, costs,' and expenses which may in any wky accrue
OCCUP, CONST.TTPE PD ND S9U
+
against said County ip,consequence of the granting of this permit.
1�/ r✓�.,'� t. r 1 rr 7
JSCH00LJFL000JPARCELJ
This is hereby
r. r.
✓� - -^ ^ Date t
permit issued under the applicable provi-
r/'
sions of the Butte County Code and/or resolutions to do
Signature of Applicant — Owner❑ Contractor ❑ Agent E
work indicated above for which fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition oiconstruct-
DIRECTOI•i 0F' UBLIC WORKS
ion of structures over 3 stories in height.
/
O/
Receipt No. /�! ` i
`rAICANT
BY Date
PERMIT -7- 7_7—Y
WNITE-D.P.W.. 7ELL0W-ASeC330R, PINK -IN SPlCTOR. GOLDENROD-APPLI
EXPIRES Date
M
S�9 z
.� -77 i_
Oor
o // e
N
CLqL-11.
I
Gl.S
1-16-9-.)-- /0 days
1:7
r
- 711, � Ov c, s -, - v
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
.1 . . ♦
CORRECTION NOTICE
Lns
OWNER u 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.
ria G.!
n7"e S� � I/ �� -�T �� s
S/0 �4 K
6.2 a lei h--, 9, F t re o,� ;!�n 6 /2611/Ile
1If �
1 /GQ �� n o O .e �i> Fd r c -Q Jnr
Date'— f— FZ- Inspector
REV 11/91
5i
+COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
X1469 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
OWNER U PERMIT NO_
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above/addessand should be corrected. Please notify this office when correction of work
is comrpleyou have any questions pertaining to this matter, or need additional explanation,
pleasg cp this office immediately.
11
Z� I SPG J Le d u, LE d �i �$
1
�l lrinTQc-� totAt'
Date Inspector OZ6�
REV 11/91
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS, r;
196 Memorial Way, Chico — Phone: 891-2751
tel f County Center Drive, Oroville — Phone: 538-7541' '
r 747 Elliott Road; Paradise— Phone: 872-6307 c,
CORRECTION NOTICE ;c
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. te
04 A4
/iya
a,IVIV�J—
�e/2<rt (.✓ �'dj
/�.D C ��� �`� o.,•� D -h �y' % ry o o- cam✓ ye_
0:>-j/L �Ro6�e� �.N"V e_
d« e L✓�i e..� d�..�r L rs
%bG.,B red / f✓S 13 C� a
U)
f� le -19-S' L)5 �ct
Inspector Date
-- PPPPP
COUNTY OF BUTTEPr r
DEPARTMENT OP PUBLIC WORKS
196 MemorialWay, Chico — Phone: 891-2751
r 7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE ,
OWNER
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 needfadditional explanation, please contact this office immediately.
Inspector 1 'JwM_t W Date E ? 6 /
— COUNTY OF BUTTE
DEPARTMENT OF PUBLIC.WORKS
1' 196 Memorial Way, Chico — Phone: 891-2754
' 7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
FYl
1 � MA X\ lh A r,A el r)
Vfg7ER \ 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 eed additional explanation, please contact this office immediately.
n
I
Inspector (Alm Q Q.P Date
T . w
a n� w�.-•s,
z;
/ July 21, 1992
J Ardith M. Simpkins,, E_tal
12242 Meridian Road
Chico, CA 95926
RE: Code Violations ` A.P.#: 042-11-0-028
12242 Meridian Road, Chico
Dear Ms. Simpkins:
'?.his is a warning letter to notify you that f you are in violation of "the
Butte County Code at the above referenced location as follows:
Failure to obtain approval of prev:;o�is corrections and failure to obtain
final inspection prior to use anc permit expiration for electric ser-
vice change.
Since permits and inspections are required for the above work, please contact
this office within ten days of the dare of this letter, apply for the re-
quired permits to make corrections and complete project, and pay the appro-
priate fees.
Placed an additional living unit r ion your property that is not permitted
by the A-10 zone.
Since the additional living unit is not permitted in the zone, the travel
trailer must be removed from the property or the occupancy and use must
cease and desist immediately and th'e travel trailer be placed in dead
storage.
All work must stopuntil these
permits are issued and you are authorized
by our field inspector to proceed. Tfis field authorization cannot be -jade
until the existing work is inspected and approved.
Please be aware that Butte County has entered into a Code Enforcement Program
that seeks voluntary compliance with the Butte County Code but provides
an effective means of enforcement if such compliance is not obtained. If
voluntary compliance is not obtained, enforcement will be pursued through
the issuance of citations, fines, and the recording of a Notice of Violation.
COUNTY OF BUTTE - D.EPAR MENT OF PUBLIC WORKS E PT0 Q
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT �4
ASSESSOR PARCEL NUMBER
612- - / -
ZONI G
_ /0
BUILDING PERMIT
OWNER
V, o� SI►"1 K
TELEPHONE
3y3 ` S -
SQ. FT. OCC. BUILDING VALUATIO
OWNER'S MAILING ADDRES -/
Z2 Z fVt e a� t Ct. ^ not
CONT ACTONAMEf'
v �{/k �i
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MA LING ADDRESS
Filing Fee
$ 10.00
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
$
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❑ Mobilehome6 Other
SPECT v
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW I
10-00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other!
Describe work: S P.+n [, lc. - IkAl,G iL — YDB A 1-1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
•
6001 OR LESS
Main service 100 AMP OR LESS
1.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
i❑ 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
or 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.m` ,
OR ADDNS. ACC. BLDGS. f /20sq It
NEWC
CONSTR TI -OUTLET
NON-RESID .BRA CH CIRC ITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
e20050Q
Ex. OCcup(OUTLETS OR FIXTURES AL030
FIXED APLNS
Ex. OCCUp- OUTLETS P(RESIO )REA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee 2 f_O $
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.
Noce to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against d ence of the granting of this permit.
X ) co qu
Date
Signatu a 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.Receipt
Mobile Home Installation Fee $
Energy Inspection Fee •
TOTAL PERMIT FEE
occu P.
CONST.TTP[
JSCIIOOLJFL10OOJP1111LJ
PD
1 NDISSU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
�OFBLICWORKS
By—ate
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
No.���
WHIT!-O.P.W.- YELLOW-ASe eO R, PINK -INSPECTOR. GOLDENROD-APPLICANT•JO R, PIN!-IN9PlC TOR. aOLDINROD-APPLICANT
COUNTY OF BUTTE - DEPARTMEO 0 PUBLIC WORKS - BUILDING DIVISION
_ 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER 'din Ij I 'C t w% A. P. No.
Proposed Building Use 140 — _5.�.,,., Y 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 ubmitted.....................................
2. Plot plans i,n triplicate, signed by preparer of plans........
3. Complete plan d p icate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
12. School District fees paid .................
13. Sanitation approval from ` r l " ' 'Health Department ...
14. City of Chico plumbing permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking:
17. Improvements may be required. r
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Inspection for required .. , , Pre-Inspec. request to
p q Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
2.Owner-Builder Verification (Given to owner ❑, Mail to owner ❑) ........
�_1 Recorded copy of Agricultural Acknowledgment Statement ............
4. Letter of signature authorization .....................................
25.
26.
When you issue the permit, process as follows: Ma"I to owner. Mail to contractor.
Telephone'-? 1S39 and hold for pickup atroffice. .~Deliver w/inspector.
Other
Applicant
Date 7-,2 S -(19) <'
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit �forab-oo—veiem°s-N .2. Additional itmse_Uired:
r p"
Contractor, desi ne�owner, was advised required data b .-
9 q y _phone�nai I _counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
RECORDING REQUESTED BY
AND WHEN RECORDED MAIL TO
lame
i
fr real
adress
tate L
SPACE ABOVE THIS LINE FOR RECORDER'S USE
POWER OF ATTORNEY
(Special)
KNOW ALL MEN BY THESE PRESENTS:
That.. _Q-Q_0.'A1714 ..... H. �...St rv 1c, of.. -Po.
................
City of.. 0/1.k.C6 ............................................ County of.... ................................
State of California, hereby appoint(s) . - K -e—'44— ......
of... ........................ ................. City of... . C�k . .........................
County of ..... .Bw*;.r ........................................ . State of California, as.. attorney in fact
to act in. name and to do any and. all of the following: 4F)kiE
Nom. a-4 Lt
U
���R6 p CCj_LAiX/K S-mzvLce-'�
dL'
Granting t M.t.attorney in fact power and authority OKI "and
pe orm' all and every act
and thing whatsoever requisite, necessary, and proper to be done in the exercise of any of the rights and
powers- herein granted, as fully to all intents and purposes as ... T_...might or could do if
personally present, with full power of delegation substitution or revocation, hereby ratifying and
confirming all that.... attorney in fact, or his substitute or substitutes, shall lawfully do or cause to
be done by this*wer
virtue of of attorney and the rights and powers herein granted.
Page 1
This document is only a general form which may be proper for use in simple transactions and in no way acts, or is intended to act, as a substitute for the advice of an attorney. The printer
does not make any warranty, either express or implied, as to the legal validity of any provision or the suitability of these forms in any specific transaction.
By executing this document I further intend to revoke all previous general power of attorney
appointments executed by me or on my behalf to the extent that they authorize any of the same acts herein
specified. Tk
IN WITNESS WHEREOF .......... -........ have hereunto signed...... . names(s) this. ..day of
19.
... .. dna-.l--.. � .. .. .... �-:��...�.................................................. .
Signatu a Signature
STATE OF CALIFORNIA
ss.
COUNTY OF . si¢!►! J..�i 9-t?�9 .. .
On this.. !�TH...day of.. y..........in the year ... l.frr�..... ........:..
..............before me...
Notary Public, State of California, duly commissioned and sworn, personally
appeared.... ....... S ................. , pffsena•IIYInown
te-� (or proved to me on the basis of satisfactory evidence) to be the person....—..whose name
...........subscribed to the within instrument, and acknowledged to me that... !f E'
•he-. T....executed the same.
IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal in the
S'� f p .::.:::........ County of.N.T.7 .�!�..... on the date set forth above in t is certificate.
�........
Notary Public, tate of California
OFFICIAL SEAL My commission expires ... ....................
cm,01 DAVID A. g1FPM
NOTARY PUBLIC- CALIFORNIA
SANTA CARR COUNTY:
MY COMISSIC�I EZA..d1LY 25,1901
STATEMENT OF WITNESSES'
I declare under penalty of perjury under the laws of California that the person who signed or
acknowledged this document is personally known to me (or proved to me on the basis of convincing
evidence) to be the principal, that the principal signed or acknowleged this power of attorney in my
presence, and that the principal appears to be of sound mind and under no duress, fraud, or undue
influence.
Signature............................................
PrintName ..........................................
Date.................................................
Address..............................................
Signature............................................
Print Name ..........................................
Date.................................................
Address..............................................
Page 2
This document is only a general form which may be proper for use in simple transactions and in no way acts, or is intended to act, as a substitute for the advice of an attorney. The printer
does not make any warranty, either express or implied• as to the legal validity of any provision or the suitability of these forms in any specific transaction.
4
VIOLATION CHECK LIST
A. P. # -/M) - Address
Owner S'
Owner's Address S -e_
Owner's Phone No.3`f3 - % 5 3 9 Supervisoral District
Tenant's Name Phone No.
Type of Violation in Detail with Code Section Priority No. P/
Specific Plot Plan with C/V Noted _ yes no Penalties Required
1st. Notice Sent 7 - / - _
ate
Comments and/or Determination
Disposition
2nd. Notice Sent.
Date
W�
For Citation Citation
(Date) (Date)
Department Recommendation to Court
Court Action
Notice of Violation Recorded
(Date)
Inter-DepairtAt ffiemorandum
TO:
FROM: ��./��� � ' � � •
SUBJECT: .r \` Q .' O -a-� t C O"-T�+ll�.w•�►``1c�Nf (�
DATE: ..• �iYZDz S .Y �e� N a
a sty I.
• ct
I_ r L I /
ON NdQ �i WdfAi� �p'C-4f �.5 VLO tf4c COw�q JG...
//�� l71 �� iQJIlNJ SSC �r R4K.CS•`V
Inter -Departmental Memorandum
TO: Al +i
FROM: *%�N art
SUBJECT: �J 1 A17
DATE: �� 40— fZ_
a �
ONS '�ra�L�-��a��t� S'fi �� %+ooi<_ej
-:•a
/,•.A b I �o �•Q ? =.S� ,so-+-t,.a .., ifs ot- v [ o l a. -4-i o -.j
yon Need vtbae « skel-cam.
yo � Gt.lSo Nuca -#� Provl�t, rno•c. �.r �o..»aa.-�•c.,>
O N f 6.� (,a �- r` c c o r c� • ► ai-( rr%.t. ct 5 ".4%
�N �r0� �r� �U �^OGGSS 0.. GO ei►t VCo�0.T[0�!
CC . St r v 1 sc�.-e,
t.,.a'� l gra Iv O G GGG S T
A"rc,.,Lel keoq&w�z.i,f�-cS rccGSS vCoia--!o J
I_ P
_ 7
G`ea-r-• Sae. -F�rG
puloa..S GOrrL'C�0'J �OI�
Vta(aT[o•vS
/ S ♦ � S` °�v�^,f c. �CG.car�� w
_ �P
Inter -De artm" emorandum
_0
• \.JU�iSi�
TO: Code Enforcement Officer
FROM: T.F. Glander
SUBJECT: Citations
DATE: October 15, 1992
Attached are copies of correspondence for the following owners and
locations:
Ardith M. Simpkins, Etal--- .P. #042-11-0-028
.Keith & Konnie Orman --- A.P. #072-30-0-016
Would you please issue citations for violations listed in 30 day
letter and any additional code violations which. may be found by
you on site.
Should you have any questions concerning this matter, please contact
this office.
RT:dms
&o F. C i..b.tY•
J.F. Glander
Manager, Building Inspection
r
n .
.L
Ardith M. Simpkins, Etal
12242 14eridian Road
Chico, CA 95926
RE: Code Violations
12242 Meridian Road
Chico
Dear Pis. Simpkins:
r
September 10$ 1992
A.P. #042--11-0-028
lie sent you a warning letter dated July 21, 1992 notifying you that you
:are in violation of the Butte County lode at the above referenced location.
As of this date$.the following violations still exist:
Failure to obtain approval of previous corrections and failure to obtain
final inspection prior to use and permit expiration for electric service
change in violation of the Uniform Administrative Code Provisions for
1984. the National Electric Code adopted by Section 27-1 of the Butte
county Code as follows:
(a) Section 301(a) Permits Required
(b) Section 305(a) Inspections and Approvals Required
The above violation shall be corrected or abated by you applying for a permit
to complete the work and paying the appropriate fees$ within thirty (30)
days of the date of this letter. After permit issuance and field author-
ization to proceed* the corrections must be completed and approved by this
office within the permit specified time.
Placed an additional living unit on your property that is not permitted
by the A-10 Zone in violation of the Zoning Code, adopted by the Butte
County Code as follows:
(a) Section 24-75 allows only one (1) single family dwelling per parcel
The above violation shall be Corrected or abated by ceasing and desisting
occupancy or use of the travel trailer and removing it from the property
or converting it to dead storage within thirty (30) days of the date of
this letter.
qv
vo
Letter to Ardith M. Simpkins, Etal RE: Code Violations A.P. #042-11--0-025
Page 2
September 10, 1992
Unless the violation(s) is (are) so corrected or abated, a citation shall
be issued to you to appear in court for said violation(s) and for failing
to comply with this notice. Upon conviction of said violetion(s).or for
failing to comply with this notice, penalties shall be imposed and a. Notice
of Violation recorded in accordance with Section 41-7 of the Butte County
Code.
Should you have any questions concerning this matter, please contact Roel
Taylor or David Purvis of this office at (916)538-7541.
RT:dms
cc: Building Inspector
0
n
I
Yours very truly,
S.F. 0lander
Manager, -Building Inspection
11
2
3
4
5
8-
aI
9
10
Il
12
13
14
15
is
1?
is
19
20
21
22
24
2!
2E
PROOF OF SERVICE BY KkIL
I
am- over the ace'of 12 and not a party to this cause.
I am a resident of and employed in the county where the mailing
Building Division
occurred. My business address is De artment gf Development Services
J? County enter rive
California. Oroville, CA 9.5965
I served the foregoing 30 -Day Violation Letter
by enclosing a true copy
in a sealed envelope and depositing said envelope in the United
States mail with postage fully prepaid on 0TH- OF SEPTEMBER
19 92, and addressed as follows:
Ardith M. simpkins, Etal
12242 Meridian Road
Chico CA 95926
1 declare under penalty of perjury under the laws of
the State of California that the foregoing is true and correct
and that this declaration was executed on 9/10/92
at Oro v -ill P California.
July 21, 1992
✓ Ardith M. Simpkins, Etal
12242 Meridian Road
Chico, CA 95926
RE: Code Violations A.P. #: 042-11-0-028
12242 Meridian Road, Chico
Dear Ms. Simpkins:
This is a warning letter to notify you that you are in violation of the
Butte County Code at the above referenced location as follows:
Failure to obtain approval of previous corrections and failure to obtain
final inspection prior to use and permit expiration for electric ser-
vice change.
Since permits and inspections are required for the above work, please contact
this office within ten days of the date of this letter, apply for the re-
quired permits to make corrections and complete project, and pay the appro-
priate fees.
Placed an additional living unit on your property that is not permitted
by the A-10 zone.
Since the additional living unit is not permitted in the zone, the travel
trailer must be removed from the property or the occupancy and use must
cease and desist immediately and the travel trailer be placed in dead
storage.
All work must stop until these permits are issued and you are authorized
by our field inspector to proceed. This field authorization cannot be made
until the existing work is inspected and approved.
Please be aware that Butte County has entered into a Code Enforcement Program
that seeks voluntary compliance with the Butte County Code but provides
an effective means of enforcement if such compliance is not obtained. If
voluntary compliance is not obtained, enforcement will be pursued through
the issuance of citations, fines, and the recording of a Notice of Violation.
Letter to Ardith Simpkins RE: Code Violations A.P. #42-11-28
Page 2
July 21, 1992
Your cooperation in resolving this matter would be appreciated. Should
you have .any questions concerning this matter, please contact Rod Taylor
or David Purvis of this office at (916)538-7541.
RT:dms
cc: Assessor
Building Inspector
i
Yours very truly,
J.F. Glander
Manager, Building Inspection
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COMPLAINANT
ADDRESS:
PHONE NUMBER:
OTHER COMMENTS:
Pe r mWS g 2 e ctYe. c i %e
6 W e W ct 3 0. Y+ti a (p -.e c�-F G(� a( In O-� Sea • +� Q d `t 9.0- r n ccC-
�mvK�p ky i�•S w�� Cow izea(u (aca�s
COUNTY OF BUTTE v DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROVILAWLPFORNIA 95965 - TELEPHONE: (916) 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 horticulutral 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.U7 �
77L �
ZONING 11-/ ^
(�
OWNER
n �
PHONE NO.
3 — 95-39
OWNER'S ADDRESS
I 2 VL Afwl %e/✓ A0,
LOCATION OF BUILDING
2 2 y'z �e> i
,o v.✓
USE OF BUILDING
Rt L ✓G �V'�4/�L � �� n'Ji%./ �yi Z�i�E'n/rT' � �o (�ii�
SIZE OF STRUCTURE
32 'X �z H-190 SQ.
= — FT.
TYPE OF CONSTRUCTION: Go JCAC#,f_ PLOO(L
WOOD FRAME_ STEEL CONCRETE OTHER (Specify)
TYPE OFF,SIDING
hywoD'o
ROOF COVERING
56-
FLOOR T�yPE
ESTIMATED COST OF CONSTRUCTION
$ �5-oa 10,
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows -,
FRONT
FRONT 3b J',— SIDES � � 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.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
J
b
Date Signature of Owner4A ///I -
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
LZ -1. /
Receipt No.
FLOOD/ PARCEL I P.D. I ROOF I ISSUE
Director of Public Works
BY '� Date
White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant
.r rt 1 N
COUNTY OF BUTTE - DEPARTMENT OFPUBLIC'WORKS - BUILDING DIVISION
l �
.-- -
7 COUNTY CENTER DRIVE.- OROVILLE, CALIFORNIA.95965 - TELEPHONE: 916/538-7541
3
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER /DQ.4 ri—.0, A. P. No.
,
Proposed Building Use S7-0RA-Se—A.cin� Building Inspector C,Sn/ Date Z$ g
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. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ....................................... .
11. Park fees paid .....................................................
12. School District fees paid ................
13. Sanitation approval from Health Department ...
14. City of Chico plumbing permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Ins ection for re ulred . , • , Pre-Insperequest to
p q • •Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
�. 23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization ...... ..............................
_ti 26 1
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
Date
}' The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
J 2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_-nail counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked by
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet , AP folder
Date
,
r
Y+
.+ 1
pill
--=' DESIGN LISTED AND TESTED BY BSK & ASSOCIATES
3/8'0X 1'
WAYNE T. POLVADO, PE - LISTING NO. F94249
LOCK BOLTS 6'
TYP. OF 3 3/4' 9/16' 0 X 1- 1 /2' t r
---� OLTS TYP. OF 4 ROTE: All Materials & Workmanship Shall Be In l9
AoWrdance with of a Quality Prescribedfor the p cited use and ��Q ` V 9Q tin
114' PLATE�
6' GRIPPER BASE !n the Uniform Building, Plumbing �i MechaniCd
Cedes and the National Electrical Code. W , - ~ m
fiA. ti, 0.� r i ! : U
3/4' GRIPPER PLATE GRIPPER BASE tr �
SWIVEL HEAD * �F•
9/16' 0 3' 0 SCHL 7bb Leet of plans and speCif DMions ILLUS T be
HOLE TYP. 40 PIPE kept on the ob at all times and it 1B unlawfulto. s� CIVA.
GRIPPER BASE t'OTHRD ROD ADJUSTER��e samoof vtc ENGIN _ Qi' 1
make any c��� S P
1" 0 HEAVY HIX NLJT, wrttten permtah�
PRESSED AND WELDED Works, County of Butte. WtIJECT TO CORRECTIONS NOTED
INTO PIPE Approval does rct authanze or approve any omission or
71/2' deviatioi from reg0rements of appl,ca�s State laws �
regr!ations.
3/4' GRIPPER PLATE
1/8° DEEP CRIMP � State cf Ct&forri3
1-1/2' 0 SCH 40 PIPE Depar• ,9nt of Housing rad Co.r.rXnAy Oevelap.inert
RISER WITH THREE OR MOR:: - X -S ` ,,D SiwtDARL�
1/4' PLATE ADJUSTER HOLES By Din d
6' 1/21 0 X 31 GRADES �� �srgna.ore)
PIN, LOCK WITH SPA NO / Z B
3/4' 1/8'0 COTTER PIN i 2.0 SCH 40 PIPE ds
1 W/ 2 ADJUSTER HOLES This Plan Approval Expires o /D 2�xrD
LU
9/16' 0 _ GRIPPER BASE `�'
HOLE TYP. 'I TUI+ - T STAND
GRIPPER -PLATE 3n6, FILLET.. WELD.60
MIN -
- STAND
v.
.. .. .%. :.: .-'.a.tt:' .:. r. -...__-r. .s•.r Vl(bw.i01'::Y>: .....wt..- .. .. tR _ -
. ._:-.. ,.. .- J !P AMa..s �;_WM•r,Y.'.....J�:r.,..-..«LyM.�o-..�.....w.: .r-. ':. � .4' !:_ .. •.. F' i _ _ •1.-
�['�'_. 'L.; . _ I.. . •{- .f.�+-. .>. it w.._... _ ..,tX:.�s -
!-..-�lw_. <. yr .:. .. _. � : ...-- ._.. .._. .:. . ..-. -. .._.. . '.-. .: -' qq��._^ •G- _ _ _.d• _ -
-
r .r
_
` e
-.,,. _. .. .. -.... �7r^
-, :.. �-.ter.,,.: .z,�.. ->., .t. .aei �- ...,... _ :. � - ♦ .:� ..
311s'x2BRACE STAND.• ELEVATION
w
BAR W/ MIN:. 3/16°
,.. ,
FILLET WELD 1/2' 0 HOLES FOR ATTACHMENT
TYPICAL OF 4 TO PP -I -HD CONC. FOUNDATION
PAD AS SHOWN ON SHEET 4 -NOTE e
X16
10' 1/4" PLATE TUF 2 STAND
TYPICAL INSTALLATION DETAIL
9/16'
HOLE TYP.
4
TYP.1/22 i , 1;'1 1 f' KENNETH D. REED CIVIL ENGINEER
STAND BASE -PLAN VIEW j! ��% 8976 SIMMONS ROAD RCE 41063 exp. 3/31/99
`' ►vit �N�i REDING, CA. 96001-9715
== (530) 243-3296
E - Z TIE DOWN SYSTEM
PER BSK TESTING and DESIGN
GUS GUARD COMPANY
P.O. BOX 128
CATHEY'S VALLEY, CA 95306
209-966-5540 FAX 209-966-5540
SHEET 1 of 4 1
E - Z BRACING SYSTEM NOTES
I. DESIGN LOADS:
WIND LOAD - 80 .MPH - EXPOSURE "C'
SEISMIC ZONE - 4
2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE
WITH NO EXISTING SOIL PROBLEMS..
3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN
THE 'MOBILE HOME INSTALLATION INSTRUCTIONS'.
4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) CAN OCCUR, MANUFACTURED
HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4`, OR WHEN IT WILL ADVERSELY
AFFECT MOBILE HOME UNIT.
5. CARRYALL. FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS ARE DESIGNED
FOR 1000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH
LOCAL SOIL CONDITIONS.
6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD
ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATED -ASTM A36 BOLTS- SAE
GR 5=ASTM A449=ASTM A325.
7. THE E - Z ASSEMBLIES AND THE TUFF -1 SHOWN BELOW SHALL BE LISTED AND LABELED
BY BSK & ASSOCIATES FOR THE FOLLOWING LOADS:
ASSEMBLY LOADS HORIZ UPLIFT VERT.
4400 LB 2000 LB 6000 LB
A 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT
MOBILE HOME BEAMS ARE. OF STANDARD SECTION EQUAL TO OR GREATER THAN
W8X8#:
4. THE SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF
FLOODING DOES NOT EXCEED 3 FEET-. -
10. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF UNITS PER
CHASSIS UNIT MEET THE REQUIREMENTS SHOWN AND THE PLACEMENT AND
INSTALLATION PROCEDURES ARE FOLLOWED PROPERLY.
11. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTIVE COATED.
12. FOR MPG, USE 1 1/8' UNDERLAYMENT PLYWOOD WITH WOLMANIZED TREATMENT OF
0.40 MAX. -PCF RETENTION WITH DRYING AFTER TREATMENT.
13. ROUND STAKES (3/4 X 141 MAY BE USED IN PLACE OF THE 1- X 1/8' FLAT BAR WHEN
�-? SOIL IS EXTREMELY HARD OR IN ROCK
14. HOLES MAY BE PRE -DRILLED WHEN NECESSARY, WHETHER FLAT BAR OR ROUND
STAKE IS USED.
15. LIGHT HEAVY -WEIGHT PLASTIC AND STEEL PAD MAY BE USED IN PLACE OF PLYWOOD PAD.
i 16. WHERE STAND IS PLACED ON EXISTING CONCRETE SLAB 1/2' ANCHOR BOLTS MAY BE
USED TO SECURE PIER BASE PLATE.
17. ATTACHMENT METHODS FOR C & J BEAMS sflowd Gw Sgr S.
r
-' F -'3..: .. ,_� Yom•-.�. - . - --
SINGLE WIDE COACHES
E=2'MIN./8'MA)C
r
DESIGN LISTED AND TESTED BY BSK & ASSOCIATES
WAYNE T. POLVADO, PE - LISTING NO. F94249
DOUBLE / MULTIPLE COACHES
E = 2' MIN. / 11' MAX.
RIDGE BEAM SUPPORT AS REOD ❑ ❑
BY MANUFACTURER TYP.
El 0 El 13
0 0 ❑ ❑ O
T
8' NOM.
-�i ❑❑n
STANDARD MH FOUNDATION PIERS
ARE RECOMMENDED RV TW;: iuew 1F4rn iRFR
TYPICAL THR(
PADS IN ANY PART MAY BE
ROTATED 90° OR OFFSET TO
OTHER SIDE TO AVOID CLEARANCE
PROBLEMS.
KENNETH D. REED, CIVIL EP
8976 SIMMONS ROAD RCE 41063 exp. 3/31/99
REDING, CA. 96001-9715
(530) 243-3296
Q�pFESS,111
I. pozk
x NC 051110 rn
Exp.
CIVt1.
9jF OF
�1
MPG SERIES
SUPPORT PAD TYP.
E - Z TIE DOWN SYSTEM
PER BSK TESTING and DESIGN
GUS GUARD COMPANY
P.O. BOX 128
CATHEY'S VALLEY, CA 95306
209-966-5540 FAX 209-966-5540
SHEET 2 of 4
i
Zr W
• . . ,..
_ - ' ... . - , � � y _ � _ � • -�.
2" X 2" X 3/16" STL. ANGLE
,-1/2' BOLT & NUT
PVC PADSTAKE ?,qfEs
DETAIL "A"
9/16' DIA. HOLE
F75-1 (8) PLACES r-
6'
3/16'
TYP.
0 0 0
u— STEEL FRAME a
_ TOP VIEW _ _
1 1/2'X 1 1/2"X3/16'X2`TS
TYP. OF 4'
STEEL FRAME DESIGN LISTED AND TESTED BY BSK & ASSOCIATES
WAYNE T. POLVADO'PE - LISTING NO. F94249
SEE DETAIL wA'
3/4'0 IRON ROUND
AF
UZ
LO
2"X2'X3/16"L
TYP. OF 2
LIGHT - HEAVYWEIGHT PAD
_ PVC PAD
(2) REQUIRED
2-1/4"X 1-1/4"
TEK STS
COACH "C' BEAM
2' X 2' X 3/16" X 6" COACH 'J" BEAM ----
LONG ANGLE 2 1/2' X 6' X 3/8'
Gripper Plate
2-5/8" A307
BOLTS
2-5/8' A307 Gus -Guard
BOLTS PIER
3/4" X 3/4' X 0.062" TS
SPOT WELD ALL SIDES
1-1/2'x 1-1/2'x0.062'TS
1-1/4'x 1-1/4"x0.062'TS
7/8' X 7/8' X 1' BAR
2-1/4'X 1-1/4'
TEK STS � im
C- BEAM ATTACHMENT ' ' J - BEAM ATTACHMENT
1' X 1/8" BAR
TYP. OF 2 /
v DRIVE STAKE
GUIDE TUBE
KENNETH D. REED, CIVIL ENGINEER
8976 SIMMONS ROAD RCE 41063 exp. 3/31/99
REDING, CA. 9600179715
(530) 243-3296
LA' No. C 051110
z Exp.
civil-
F CN1CC:•.:y
C 7 TIC f1r1U/AI CVCTCA A
GUS GUARD COMPANY
P.O. BOX 128
CATHEY'S VALLEY, CA 95306
209-966-5540 FAX 209-966-5540
SHEET 3 of 4
0
8- 3/8' 0 X 2' CAD PLATED
MACH. BOLTS, COUNTER
SUNK FLUSH Q BTM TYP. 7
--L—i
SIDE - MGP PAD
:AVY WEIGHT
PAD
24'x 36' x 1-1/8'
PLYWOOD PAD
END - MGP PAD
MGP = UNDERLAYMENT GRADE PLYWD. P-4 S CCA=P.ZESSUREJR
70
Cel
x
LISTED AND TESTED BY BSK.& ASSOCIATES
WAYNE T. POLVADO, PE - LISTING NO. F94249
Q?,OFESSSpN
T Ppz`�F2
P O
ho. C 51110
,r �
* Exp. 01 2
sT
C1yiL
TFOF C
mm-m-m-m-�
LAN - MGP PAD
.1
•
E - Z TIE DOWN SYSTEM
PER BSK TESTING and DESIGN
GUS GUARD COMPANY
P.O. BOX 128
���� '- �•^ '` �' CATHEY'S VALLEY, CA 95306
�KE1tfTH D. REED, CIVIL ENGINEER 209-966-5540 FAX 209-966-5540
8976 SIMMONS ROAD RCE 41063 exp. 3/31/99
REDING, CA. 96001-9715
243-3296 _ _ _ _ - SHEET_, 4 .-of. 4 DESIGN _-
56 t. 00 Fr
from the
5 it.
ck
A setbaFV- 0' 93 F Ti
3roiperV. lines.. and a setba
I I ,ne road
Of 50ft� frorr
eq be clear Of t:.,•
centerilne sh
e
ment XCOP
ru1P Ojx (74- F
structures 0 e overhang. vcL
V I C- E. PAN tL
for tat)
or a 2 ft. eav t rner j4- 5 shall Be in
OL 1. (0 p4OTEm—Aff Materials & Workm� and
Cood P..."C
fl in }he
X -1250 GAL. Acc C1,;
P Tl C TA N ordcanca Recognizo- 1 i
of (2 qucsl-.-.'/ r, rescr, - L; -- do& 000
& tv"CC-110nicei Lco
—7\ wing. Hur"L
Uniform Bu..
116 FT
-i rt.,+riccil Code.
NWjon
Sba be I
I-Jons e le% lltY ar-
Con,,ec -\e\-01" .' I\le\Te,
j\je rVNO\O% NOWn 01 1%
lnd Of
be.
ayed
1na\{
C
c.
L
(No got*+ Ions and specificom+ions SAUST bt
on the -11 Krnas-� nd it is +e
phake any or COmr-mFoons an some, -ofthout
hiueid of Pr d&
5 I "� 7;
M-77-
-BUTTE COUNTY DEPARTMENT OF PUBLIC WORXSPHONE: 538-7541
MOBILEHOME INSTALLATION -SHEET
l, Owner's Name: _
2. Installer's Name:
2. is the site currently under permit? ^-- ---'
Y 6 �7�'
(If yes, furnish permit cum6ez ) OR
is the site an existing site? Yeo [__1 No L__]
(If yea, fuzu�eh two plot plans.)
4' will the mo6iIebome be located at least 5 ft. away from septic tank and leach
fields and clear of all setbacks and easements? Yea [_`] No 1-1
8. Is there
clarify
mobile|uome ait� service? ---------------- -----------
Yes [__J
No L__]
5, What is the
umuzlevu,me
=^=ct^^^a^ rating?_
20 Amps
6' What is the
mvbile6ome
site service rating? -------------
2'0 o Amps
7' What is the
mo6ilehomc
site circuit breaker rating? -----
c'e* Amps
the type of gas service? -------------------
. ,
^-�- ,--^ ~. �" "~r�pd �v the
8. Is there
any other elecccic ^o�" �" ~^ ~~-'_- -,
mobile|uome ait� service? ---------------- -----------
Yes [__J
No L__]
ideo�ifv 1 -he load aud size:
(Load)
(Amps)
(If
yea,
9. What is
the moh1lebume site gas pipe size? --------------
(i)
l0. What is
the type of gas service? -------------------
Natoco
Il. What is the gas pipe length from meter or tank to the
________________-___--
om6ilebomc? -------------------____
^`------ (BID)
*
12. What is the mn6iluhome gas demand? ----------------------
*(This information not required if pipe length less than 6 ft' on
natural gas or less than 50 ft. on LPC~)
�
if other than single wide, \J
Mohi}ohome Mfr. furnish Setup Model No. q Year
Width
2 (fLength
1
up �
(ft.) Tagalong or Eopaodu Size
On all
v="`j�~~ ~~
mubilebomeo �anut�c�dr�d
-`~-
m��er
, October 7 l97� furnish manufacturer installation
e ,
manual
and structural setup sheets (if
not on tile with the County of Butte).
(check one)
(check nue)i ~ l.
Wood -pressure treated or foundation grade. 2, other (specify)
Concrete block. D
2. Other (specify)
Pier Footing Sizes and Locations
S iNG LF -WIDE MULTI -WIDE
I Line
___________
�m�ms
Size -Mi "---------Each Side of openings
-