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HomeMy WebLinkAbout042-290-026�. .may'... _` - _ -•testi.-_ter..-Y- �... INSTALLED MOBILEHOME W/O PERMIT 3%13/94 _� ..,r �/.^.1.�\ , .J r-...- . �C+r�.��• r� �- a ���_ J� ' - - _ '- - r� - it /% � � ��.-�,.-�l{t ` 42-29-26 y{l JIM ARMSTRONG E/S Meridian Rd., app. 750' S. of r ' Hwy 32, Chico` t , (.. S Permit�y 3 0-76P,E(util. +Tt �Z, f ELEC 042-290-026 99-77AG g Gerald Darling . SUPPORT STRUCT> E REQ. ,U10 AGRICULTURAL EXEMPT PERMIT COMPACTIOTEST REQ . / Trac' to storage _- 42-29-26 oermi 11781178_76I� I lsg� ed Permit #325-81P,E(uti �. ) ELEC. �A GAS SUPPORT STRUCTUt REQ ,, "` pC COMPACTION N-1 R__EQ. AAW 42-29-26 ' ;'ontr: Beich Mobile Home, Chico Permit#3663-82MHI existing site) w Issues za 1.? o 042-29-0-026 93-592 MHI ARMSTRONG, MARIETTA --Y ' 12320 MERIDIAN RD, CHICO'd_v -. 5 MHI--EXISTING SITE 1/5 4 j I O 1 F _� 'i -� �� �I � v 0 � '� ,� E� C�o cer/ VIOLATION CHECK LIST - A. P. #2- 1 Z9 :d� �. Address Owner of y cL Owner's Address 3 -Owndr's Phone No. gq 9 9/L z Supervisoral Di strict " Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. 9°•-/ Specific Plot Plan with C/V Noted _yes no Penalties Required 1st. Notice Sent ����� 2nd. Notice Sent ate Date Comments and/or � Determin tion - 4 /V 4h WgD- C4&d -hyi 171�s sposition For Citation ''aZg� itation (Date) (Date) Department Recommendation to_ Court Court Action Notice of Violation Recorded (Date) --0�7 CC) ;iF-*t4t -- g� r l BUILDING DIVISION _R COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PEBMJT NO. 19- 4 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. ©Z11 C% ® ZONING OWNEI�eray /� PHONE OWNER'S AD US /j% ( f/C L d A LOCATION F BUI I G / USE OF BUILDIN SIZE OF STRUCTUR /,�� X = SQ. FT. TYPE OF CONSTRU ION: WOOD FRAME 1�� STEEL CONCRETE OTHER (Specify) 7f/I/DNsy COV IING nn l� FLOOR TYPE/? ESTIM ED COST OF CONSTRUCTI $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT �51 SIDES REAR AGBuildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to complywi a requirements in effect at that time and before e occupancy Date / Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt fr04 building permit. Receipt No. 7 �-- FLOOD PARC P.D ROrG I ISSU Manager Building ivisi {y By Date 3 0 ' 7 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant i.a _1144w.r, y c lwi ' z ".��LS+�; "" •1 fes. P�""Z�: t� e�'a1ar^+}�if� + y`r►4" f.►ijl�I�t 7vt *�.,�:.=.r7 r ~ , QUUTY.OF-,BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 Z. w. .., - PERMIT APPLICATION DATA SHEET OWNER:,r l GYl/ �/�- ASSESSOR PARCEL NUMBER: '"' o� 9 Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or is uance: Date Received By Allitems have been submitted-------------------------------------------------------------------------------------- E12. Plot plans, 3/4 seti, signed by the preparer of plans- ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans- ----------------------------------------------------- _ ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings- --------------------------------------------------------- ❑8'iHiiardous Material Form. ------------------------------------------------------------------------------------------ 11-' }3 �❑9 "Manufactured Home data and installation instructions including Tie Down Specifications------------------- ❑ 10..Feesof $ ------------------------------------------------------------------------------------- ❑ 11". Impact fees as shown on the attached schedule, ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees- --------------------------------------------------------- ❑ 13. Flood elevation certificate- ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ' ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel- ----------------------- ---------------------- 1119. ❑19. Encroachment Permit for driveway construction approval prior to occupancy) ❑20. Pre -inspection for required. Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 022. Workers'. Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - -------------------------------------- ❑ 24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement- -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance- --------------------------------------------------------------------------- ❑ 28. Existing violations and/or expired permits- ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- ' ❑30. Other: ------- Whh issue the permit, process as follows ❑ Mail to owner, 1 to contractor. �Telephon�g S '��% g� and hold for pickup at M C C) ce. ❑ Deli with inspector. °� A•-� k FO � C� iia l aP >, Applican • Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, Ai tion Date: By: Copy of plans sent ❑ Health Department, o Fire Department, ❑ Other:. Date 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: 11.1 Contractor, designer, owner, was advised of the above r gn required data by ❑phone, ❑mail, ❑Building Division counter, by Date: f Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, o Building Division counter, by Date: 11 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 in 0 Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: w M _Jimmy D. & Marietta D. Armstrong 12340 Meridian Road Chico,.CA 95926 RE: Code Violations 12320 Meridian Road, Chico A' �ufte Count LAi�1D GF NATURAL W E A L T H AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: 1916) 538-7541 FAX: (916) 538-2140 January 10.'."1995 A.P.#042-29-0-026 Dear Mr: and Mrs. Armstrong: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated May 11, 1994 notifying you that you are in violation of the BCC at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome in violation of the Mobile - home Parks Act of Title 25, California Code of Regulations, adopted by Section 28A-1 of the Butte County Code as follows: (a) 1324 -Permit Required for Mobilehome Installation (b) -1326 -Inspections Required for Mobilehome Installation The above violation(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. You are in violation of the Zoning Code as follows: (a) Butte County Code Section 24-75, A-10 zone allows one (a) single family dwelling per parcel The above violation shall be correctedor abated by removal of the mobilehome from the property or applying for a use permit from the Butte -County Planning Department. If the use permit is granted, permits will be required from this office to do the work. This is your final warning. Unless you contact this office and make the proper ar-angements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through tt,e issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Letter to Jimmy p.,& Marietta D. Armstrong RE: Code Violations A.P. #042-29-0-026 Page 2 January 10, 1994 Upon conviction of said violation(.$) or of failing to comply with this =letter,'the court shall impose penalties (fines) and a Notice of Violation. shall be recorded in accordance with Butte County Code Section 41-7. The Notice of'Violation shall include a description of the premises the violation concerns,. a description of the- violation; the .date of your conviction and .the action necessary to correct or abate the violation(s). Should .you have any questions concerning this matter, please contact Scott Rutherford or Michael C. Vieira in this office at the address or telephone .number listed above. Sincerely, MCV:dms' Mich elC. Vieira, C.B.O. Manager, Building Inspection N It - 2 PROOF OF SRRVIa 37 MAIL I am over the age of IS and not a party to this causA. I am a resident of and employed in the count? Vhere the mailing Building Division ocr-urred. My business address is D a tment f Development Services GFounty Center Drive California. Oroville, CA 95965 I served the foregoing SECOND NOTICE VIOLATION LETTER (A.P. #042-29-0-026) by enclosing a true copy in a sealed envelope and depositing said envelope is the United Statas mail with postage fully prepaid on 10th. of January 19 -95, and addressed as follows: Jimmy D. & Marietta D. Armstrong 12340 Meridian Road Chico, CA 95926 1 declare under penalty of perjury under the laws of the.State cf Califormia that the foregoing is true and carracc and that this declarac-ion was executed on 1/10/95 at Ornv;ITP , California. Donna Sperling Office Assistant III Jimmy D. & Marietta D. Armstrong 12340. Meridian Road Chico, CA 95926 B=AU ..r.. -.......r,. • v vr. rryrr ...r.. • vr.�. v�.a 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 May 11, 1994 RE: Code Violation A.P. #042-29-0-026 12320 Meridian Road, Chico Dear Mr. and Mrs. Armstrong: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome. (A use permit will be required for a second living unit in an A-10 zone). Since, permits and. inspections are required for the above work, please submit three, (3) complete sets of plans, apply for the required permits, and pay the appropriate fees: All work must stop until these permits are issued and you are' authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. Sincerely, MCV:dms Michael C. Vieira, C.B.O. Manager, Building Inspection cc: Assessor CA —9-3 g10— C� � —I67—GOO o ti 2 -2g o- o a-( - o c3 cr�r— l . -I I I i { I I • 1 1Av- -I I I -I I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER ZONING Q42-290-026 A-10 BUILDING PERMIT OWNER Marietta Armstrong TELEPHONE 899-9142 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 12320 Meridian Rd: Chico 95926 CONTRACTOR'S NAM E nwnprrt TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 20.00 ARCHITECT OR ENGINEER LICENSE No. Pian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit f $ 35.00 LUMBING PERMIT Filing Fee 12320 meridinn Rd-, Chico Eacg Trap 5.00 Sol r or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PA CEL MAP W ter piping 7.00 ach qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehomea Other Building sewer 15.00 Mobile Home S G W @ 15.00 SPECIFY TYPE OF WORK Pre—Tns ection New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ennit Fee $ Describe work: 1 Bedroom MHI Existing Site Co ractor 12 x 48 E CTRICAL PERMIT Filing Fee 15.00 Main se ce 200A OR LESS 18.50 CONTRACTORS LICENSE LAW Main servi 200A TO IOOOA, 37.50 I declare under penalty of perjury P y p I y (Check One): NEW CONST. DWELLING OCCUP.d\ 0 ADDNS. CC. BLDGS. / 3.64sq.ft. _;.❑ I am licensed under provisions of Chapt. 9, Div. 3 of th Business NEW CONSTR TI.OVTLET NON-RESID BRANCH CIRCUITS) @ 5.00 and Professions Code and my license is in full force and effect. (Po R APPARATUS e) SINGL OUTLET CIR. License No. Classification Ex. Occup(OUTLETS OR FIXTURES 20 76 _ .�FIXED I, as the owner, or my employees with wages as their sole compen- AP NNS. OR Ex. Occup. OUTLETS ( ESID.) EA.) 3.00 sation, will do the work,and the structure is not inten ed or offered Temporary service 15.00 _ for. sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with lic nsed contract - Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring -15.00 . ❑ I am exempt under Sec. , Business and /rofessions Code for this reason J Permit Fee $ - •- WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingfee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating \ ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insuran6e or a Certificate of Consent to Self -Insure. I Cooling I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject Ventilation to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S 70.00 is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE $ 125,00 all liabilities, judgments, costs, and expenses which may in any way accrue HAZ IMP FLOOD COF PARCEL PD HD ISSUE against said County in consequence of the granting of this permit. rFEES I I I I I X M01 A,ao fin MCQ Date 3 -10 —g �_ This permit is hereby issued under the applicable provi- Signature of Applicant - Owner R Contract ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHAwork permit is required For eicavations over 5'0" deep and demolition or construct- indicated above for which fees have been paid. ion of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS Receipt No. 5 Fac L/ q By Date PERMIT EXPIRES Date WNITC•D. P. W., YELLOW-A38[$90R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION - i et 7 COUNTY CENTERIDRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHIEET OWNER PE& 4a1U ,5 A.,P. No. / '2- Proposed Proposed Building Use ) n, h9/—/' Building Inspector Date 311C,15-- 1 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been sybmitted. ............................. . �nL� Plot plans, 3/4 sets, sighed by preparer of plans . ......................... . Complete plans, 3/4 sets signed by preparer of plans. . .4. Engineered plans and calcs3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance a\cupporting documentation. ... _ ....... . 7. Statement of Intent for Non-Heategand A/C Buildings. .. �� ............ . 8. Engineered truss details and layout 'n duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer'sistallation instructions, 2 sets. ........... 10. Fees of $ . .....................% ......... . 11. Impact fees as shown on attached sched e. ........ /.................... 12. California Department of Forestry plan approval/fees. lood elevation letter (100 year flood) by Caliitb nia Engineer . ................. . 14. Sanitation and plot plan approval `W14 - %" it . ............ x City of Chico plumbing permit . ..............�P�ar ....... . A:. Plot plan and business license approval from City ggs/Gridley. . 1 17 Planning approval for (A) Use: a4 &. PA (B) rng: ........ 18. Contact Land Development.about (A) Improvements - '%(ik) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . Prelnspection requeis 20. Pre -inspection for / required. . to Buf�ding Inspector (Date) 21. Contractor's license information. (No., Name Style, Classificati , n) . .............. Certificate of Workmans Compensation Insurance . .......... ............... 23. Owner -Builder Verification (Given to owner i ; Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement. ..... ......... . 25. Letter of signature authorization.... . 26. Copy of recorded deed of parcel creation �n d 60 right of way to'a publicoad. ..... 27. Letter of intent on building use. ...... ........................ . ` 28. Mobilehome utility clearance. .... ................................. 29.,Documentation of legal access. . . 30'Documentation of 50% subdivision developed or (A) Road improvements comp))*\Jea ,r and (B) Parcel meets zoning area and frontage requirements. .........:: 31. Existing violations/expired permits . ............................... . r 32. Plan check list . .................................................... 33. 34. r When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone -q 1 �4 2- — and hold for pickup at office. Deliver with inspector. Other Parcel Creation 1 Acreage Applicant �a Date S-10-93 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health .Dept. Fire Dept. Other Date By The following data must be submitteNnor ermit issuance: (Circle new item not checked above). 1. Index permit .for above items No. ( 17 1`F 2. Additional items required: Contractor, designer ner, was advised of above required data by _hone _mail Counter by _ Date 3 i5 Contractor, designer, r, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by I Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Gd XV)L" V Ulu Copy - Department of Public Works Ctl K"6tS W m4A " 3J231 9/3 id C ;O d�l•[,ES -S . Lo M -W �Ol/Yrl COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS t-)-,P,91JMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER L4 `a_ -a, — ZING O/d -/p BUILDING PERMIT nONO NER , Y S TELEPHONE 2 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1 O ' 'C�'1 ' 0 26 CONTRACTOR'S NAE C/✓ TELEPHONE0W.4 I CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ Z ARCHITECT OR G N R LICENSE NO. Plan Checking Fee $ ARCHITECT OR E G EE IS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDIN D ES I Permit fee $ PLUMBING PERMIT Filing Fee ,00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF [J Duplex❑ MobilehomeJ] 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 ❑ Addition ❑ Remodlel ❑ Uti lilies ❑ [J'_2 Installation ` Other ❑ Describe work: ��/ /46n— - Q� ��� .rhe /e . , 7--1 -- Permit Fee $ p Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 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 No. Classification ❑ t, 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 200ATO1000A) 37.50 NEW CONST. (DWELLING OCCUP.81 3.6Q sq.ft. OR ACDNS. ACC. SLOGS. // NEW CONSTR _77 -OUTLET NON-RESID, BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e 1 SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 20 760 450 Ex. Occup. OUTLETS (PRESID )FIXED APLNS.REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. IYirin 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. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, 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 ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ ` S HAz 1 0FEES IMP I FLOOD I COF PARCEL PD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date Receipt No. WNIT!•D. P. W., 'CLOW-A99C990R, PINK•INSPECTOR. GOLDENROO-APPLI CANT COUNTY OF -BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER. VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. •I personally plan to provide the major labor and materials for construction of "the proposed property improvement (yes or no) X12 _. 1 2. I qhave4ave not) hoAV el-_ .signed an application for a building permit for proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address, City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Si ned: Property Owner Social Security Number�— Date c-1`� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. \J)PRE -INSPECTION OWNER J C LOCATION: AZA J DATE/fa�i 3 A. P. CONTRACTOR: OUn' ' ZONING % e c PRE -INSPECTION FOR: %�/ .�', f�-�,� C s I� c - Xep/mac �, �,�/ d — l lc eL DATE TO INSPECTOR TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: l TENNANT• Q OCCUPIED HAS ELECTRIC Q HAS GAS HAS SANITATION FACILITIES 1 Q im=-COOLED = PERSON CONTACTED OTM COK-MN-TS: ACTION COMMENDED: ISSUE Q HOLD FOR OTHER: DATE �5- 1 I 43 F" AS FOLLOWS: PERMIT HISTORY: NONE 11% 3�1v� If 26 r�2- d�� TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: l TENNANT• Q OCCUPIED HAS ELECTRIC Q HAS GAS HAS SANITATION FACILITIES 1 Q im=-COOLED = PERSON CONTACTED OTM COK-MN-TS: ACTION COMMENDED: ISSUE Q HOLD FOR OTHER: DATE �5- 1 I 43 i""►�Y . _ •,��•V��Y�, r��+j��.ti��w'SY��+i �P� .� 'V �� Ji'Y�,9kF�W��i��:M��.� 4 i _•`G�i'��y� BUTTE BOUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District h / c A.P. Number �Z;; ,Z - Z Jurisdiction 0 Property Owner" - M44 /%z"(Ii� /14 AmTr4 ,-J5 Building Department No. City �� County - � C r: Property Location/Address Subdivison Lot No. Residential Development 0 Sq. Footage No. of Living MHI Addition (Group R) Units Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) District Identification No. AJ School District certifies that (Street Address) 4Z74Zz,) IMM (Applicant) VL91ya (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing square feet. School District Rip—re by payment of $ '3 Date Paid by Check Number 414 Remarks: A o.-O(a G A lc n to Citi Bank Number y r , Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wk.1 (4/92) b w.- :,.. �. ....:..:.. b -1-1,4.1-O'l -lw/?/ Zh 9 %rW%JLI a A W&' uv &A A.;o ►/iia :u L a. -II a V►' Lffl i ♦ aiL & 1ILL&I a JL' A ► it.G►79 a7VLA1"JU\V 7 County Center Drive, Oroville CA 95965 Phone: 916-538-7541 Mar:ptta Armstrong ,10572 East Ninth Street ` `Chico, CA 95928 RE: Permit Application #93-592 DATE: March 3, 1994 A.P. # 04.2=29-0-026 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We,need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. -=Sanitation and plot plan approval _ C14Trp Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. -=Planning approval for Ag Worker Land Development . ('a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Certificate of Workmans Compensation Insurance. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50o subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Other: Since this mobilehome was ;nstallpd and connected t9 1 -Mites' a F'efund cannot he granted- The ; permt ne ; ce„ ad hcr21-1cc th® Abeye 4tems we£e fief County — vi.o a lon. Should you have any questions concerning the above, please contact SCOTT RITHERFORD of this office. NYpyrs very tr ly, Mic ael C. ieira, C.B.O. MCV:ahb Man ger, Building Inspection AGRICULTURAL AFFIDAVIT EMPLOYEE FNVIROtl4f'ENTQi RCAL 1,q MAR Z 2 1993 Chico, CAL'P010"IA Employee /"4-%htcK A. t&& Phone N. Employee's Address (Present) #� yt �iaFy aue C �"CZY 4f 4L yS 12 Name of Owner Mrn S+ r�nno Owner's Address �'��yp �e rkkian QA C, Owner's Assessor's Parcel No-+_L1--A_-a-9-:U- Building/Environmental o._y--A_-29-:U- Building/Environmental Health Permit Description and Number Date Issued By. Planning Department Approval: Date Zone A - I Q Dwelling on AP# n - n iwwtd We i a 2a I, PC_1_V c F R M,- ke , do declare, subject to the penalty of perjury, that I am'the employee of mD /(y1r1vir_hhr._ 4 address (present) / 2 3 yp on AP# and that I will be employed under Section 24-21.2 for at least Ca) to g thirty-two (32) hours per week for at least sixteen (16) weeks per year on AP# `i ce - 2q - Z?_ Signed�� Dated 3 - Z. , planning Department J. U N 17.1993 Denville, California Mq Nrq� y�14 rH R ? 2 1993 AGRICULTURAL AFFIDAVIT.'.. C9flccQU"0'91 q 3L43-'4k4YL EmployerPhone / M2 Employer's Address .(Present)�� Name of Owner :U7i rv, runt/ D M,_- e, Owner's Address__) Owner's Assessor's Parcel No. Building/Environmental Health Permit Description and Number Date Issued By Planning Department Approval: Date' 7A7one-t0 Dwelling on APS_04-2'?S�� -p By(A& Bio declare, subject to the penalty of perjury, that I am the employer of A7 lck- 01r�S�c� address (present) )q /aq - Lane tA1CD on AP#-Y2-�9- and that I will be employer under Section 24-21.2 - G for at least �r a to g thirty-two (32) hours�'•per week for at least sixteen (16) weeks per yearon i Signed �/ Dated { Planning DePartment JUN 17.1993 0700"lle, california oOdT7 Inter -Depart . a emorandum • �cov,���t � g9'Le�a TO: �%rI•�9 / 'A/ � Q �f JUN '�"��at FROM: �' a�CdP AW ��/ orovI 1 r 1993 suss ECT: �1 lf �tCG�".//✓T��L1 �/ /V ��� Z f ^ Z L C'cilp r��� DATE: /r! C'Wo .A -7e-dl Tdlis `iia rlo 4& l W d lila` �IC�S.e �i%i /ht �C n mcg l�m�✓ � T ��'B�ucs �u=f� eowd* q ✓JUS OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: ADDRESS: CITY & STATE: IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT TOTAL I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. CC ' Dated this ........,. .................. day of ..T.Q..r�.............. 199! , 4t4)........ Calif. ...........'.....................!1.al.11.:If]t.:�7 Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval F-1 (Check one) for the same. Datedthis ....... :............................ day of ............................. 19......, at ...........................:.. Celit..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. ,, INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. . Claims must be certified by the claimant and submitted to the De- portment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first, Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Orovill6, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: r M'S+r nq i 2. Installer's Name: C'v--,� 3. Is the site currently under permit? Yes F-1 No (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- Amps 7. 8. What is the mobilehome site Is there any other electric mobilehome site service? --------------------------------• circuit breaker rating? load to be served by the ----- J`� Yes F-1 No Amps (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 10. What is the type of gas service? ------------------- Natural (in.) LPG [] 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. Flims/rte_-r�JJ furnish Setup Model No. Width / I- (ft.) Box Length ! 6 (ft.) Tagalong or Expando Size x t. ear On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural seta -sheets (if not on file with the County of Butte). FOOTINGS (check one)" 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 1. Concrete block. ❑ 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI_ Main Beams------,.,�+ Line 2 Line 1 Piers: Size-Min.------------ Spacing-Max - ----------- Spacing-Max. --------- From Ends -Max - ------- - Line 2 Piers: Size -Min. ------------ „x Spacing -Max.--------- _ From Ends -Max .------- Line 3 Root Loans: Size -Min. ------------ Location (From Front) Line 4 Piers: Size -Min ------------- Spacing-Max ---------- From ------------Spacing-Max.--------- From Ends -Max. ------- Main Beams Tag or Triple Line 1 Openings: Size-Mio.------------------� "x Each Side of Openings With Width Over --------- Lire 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ x Spacing -Max---------------- From Ends -Max -------------- (Ucder Bear Size -Min .------------------ x Spacing -Max.--------------- - From Ends -Max -------------- Line 5 Roof Wads: Size -Min.------------ E "x "x "x 'k 'k "x 'k "x Location (From Front) _ _ THIS PERMIT WAS NEVE. ISSWD. THEY ARE APPLYING FOR A REFUND. CAN. YOU DETERMINE IF THE MOBILEHOME IS INSTALLED/ miev- 4LP- T�5. -22�s1fL To F ❑ AM Date Time ❑ PM WHILE YOU WERE OUT M of Phone ) Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message Operator AE A S T M A N 413200 &00 / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 9596£-•TeI*7 hone: 916/538 7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER r� — 0— 6 ZONING A-10 BUILDING PERMIT 0,,D2-290-026 WNER Marietta Armstrong TELEPHONE 899-9142 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 19320 Meridian Rd. Chico 95926 CONTRACTOR'SNAMETELEPHONE Owner "I CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 155.00 Permit Fee S 20.OU ARCHITECT OR ENGINEER I I LICENSE No. Plan Checking Fee ,$' ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1 Permit fee $35.00 Chi n PLUMBING PERMIT Filing Fee Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP I Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE f SF Duplex❑ Mobilehome[] Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S TG F7 @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other o Describe work: 1 Bedroom MHI Existing Site 12 x 48 k Pre—Tnspection Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 i Main service 600v OR LESS 200A OR LESS 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 No. Classification •'�I, as the owner, or. my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) + ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI 37.50 NEW CONST. ( DWELLING OCCUPM OR ADONS. ACC. BLDGS. 3.54sq.ft. NEW CONSTR ULTI.OUTLET NO N.RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 75d FIXED TS IRES. OR Ex. Occup. FIXED APPLNSs IRESID.) EA.) j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE ' I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California.Ventilation Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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 I 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. )(fin, o Date 3 ' 10 -g ?i Signature of Applicant — Owner [K Contract ❑ Agent ❑ An OSHA permit is required for neigh tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 70.07 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 125.00 i HAZ DFEES IMP FLOOD I COF PARCEL PO t,o ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions toiio have. been paid. WORKS Date ate ? Receipt No. ! ,f ( y t6. WNITE-O.P.W.. TCLLOW•A.DE 3,OR. PIN. -INSPECTOR, GOLDENROD -APPLICANT / (k. -0 S�9 N • MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. Qh)f+ ie_r furnish Setup Model No. ea Width 1 2, (ft.) Box Length_- _(ft-) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)01 Wood -pressure treated or foundation grade. El 2. Other (specify) SUPPORTS (check one) Concrete block.�2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE r i— l - Line 1 Main Beams Line Line fine Line 3 Line 1 Pie Size-Min.------------ Spacing-Max - -----------Spacing-Max- --------- From Ends -Max. ----- Line 2 Piers- . Size-Min.------------ Spacing-Max ---------- From -----------Spacing-Max--------- From Ends -Max. ------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Main Beams ------_____ Line Tag or Triple I in, Line 1 Openings: Size -Min- ------------------�. Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ k Spacing -Max---------------- „ From Enda-Max -------------- Size -Min ------------- k „ Spacing -Max.--------- From Ends -Max .------- e 5 Piers: (Under Bearing Walls Only Size-Min------------------- Spacing-Max ----------------- From ------------------Spacing-Max.--------------- From Ends -Max -------------- Line 5 Roof Loads: Size-Min.------------ "x'k "x "x "x Location (From Front) _ _ _ BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: M�2ic A r AD Mps Amps 2. Installer's Name: rYlf-- 7. What is the mobilehome site circuit breaker rating? ----- 3. Is the site currently under permit? Yes F-1 No (If yes, furnish permit number ) OR Is the site an existing site? Yes � No (If yes, furnish two. plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic.tank and leach fields and clear of all setbacks and easements? Yes No 10-1 (If no, clarify N 5. What is the mobilehome electrical rating? --------------- AD Mps Amps 6. � rP,�SGt What is the mobilehome site service rating? ------------- V-0O� 2001 P _Amt$ps�'UY�- f'"" t 7. What is the mobilehome site circuit breaker rating? ----- \a% 1 Amps 8. Is there any other electric load to be served by the E a mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural LPG 17 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) PERMIT NO. 3663-8214HI(ex site l�4 A? PERMIT EXPIRES OWNER JIMMY ARMSTRONG CONTR. Beich Mobile Home Sales, Chico ASSESSOR PARCEL 42-29-26 LOCATION E/S Meridian Rd, 750'S Hwy 32, Chico Temp. Power Pole 1 Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E V C�A2 JOB FINALED (Date) /�G/� Signature _ COUNTY OF BUTTE DEP-A RENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner Owner's Address Mobilehome Mfg. ' f Af' ' Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date 31 THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. J = OK 0 = Not OK - = NotAQicable RESIDENTIAL, (Single and Duplex) Ready . -- Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection - 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except It's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Card -BI Date Card -BI Date - Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper --- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors - 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location _ 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes - 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails &Deck Construction -Post Caps _ - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -_ 27. Range Circ. / / ga. Cu or AI -Oven Circ.'/ / ga. Cu or AI, Insulated Neutral ❑Yes [I No 75, Following instld.: Drive ❑Yes E] No; Walks ❑Yes El No; Planters ❑Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish - -_ 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -_ 30. Clothes Closet Light -Shower Light _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -- -- - ----- 79. Water Well; Disconnect, Electrical, Plumbing ---- -- 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I ----- _Date _ _Card -BI Date -_ 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's - 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric -- 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent -Fa t; Exhaust above Insulation _- _Condensate Drain _& Overilow; Size & Grade 86. Energy Compliance Certificate -Other Certificates Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI - Date __ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors _ _37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing ---- Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub T _-- 41. 42. 43. 44. 45 46. Header & Beam -Size & Bearing _ Hangers -Post Caps -Anchors -Connectors -� Cing. Joist-Rftr. Ties-Purlin-Root erac.-Truss-Shthng.-Rfng Fireplace Ties or Type A Flue -Fireplace Throat Attic _Access; Size &_ Romex Protection -Draft Stop -Ins. Baffles Bdrm._Windows or Exiling Doors -Sill Hgt. & Dimensions 47. -_ Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) V = OK_ O = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS n Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Carports; Windows—Doors — 7. Utility Clearance 7. Elec. — Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBI ZHOME INSTALLATION (Plans) OK except q's Date POOLS (Plans) OK except q's V Zo ' g Requirements—Setbacks—Easements 1. Setbacks—Easements ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining EI tricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI r ; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI meter; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 77s"77and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit Exits; Insp.—Sketch :mow L to"Ifert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I t— Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillek Califa,.nia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT �PERMIT NO. ASS SSOR PARCEL NUMBER ZONING BUILDING PERMIT �OWNER A TE 3- /'•/( TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING XDDRESS Re C. eCZ '$ NAME O�/ / TELEPHONE CO�NNTTRACGTQR''S MAILING ADDR SS r ��I S `qp � / [� �j/� , o4 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 NDER'S MAI LIN ADD ESS D t �,� d �fl,Gjq ��ti�f Permit Fee $ ARCHITECT OR ENGINEER L,CENSE NO. Plan Checking Fee / $ /S100 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUI DING ADDRESS �� '• �� , �.. � `� �(P PLUMBING PERMIT Filing Fee 10.00 LJ y ;F Each Trap 2.00 Repair drainage or vent piping 5.00 VQ %�D S, aGi!��� J'Z .W Water piping OT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Re�odeI [:]Utilities ❑ Installations Other ❑ Describe work: i/' n7!Uk U IQ v40 S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ain service 100v OR LESS 100 AMP OR LESS 5•00 Main Service EA. ADD'L 100 AMP 2;50 NEW CONST. ( DWELINGOR ADDNS. ACCLBLDGS.CCUP. y\ 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 19 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: l7 to b � Classification d &, ❑ 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 NON.RESID R BRA cH CIRCUITS)/ 2.50 ea NEWCONSTR / POWER APPARATUS D( NON .RESID. (SINGLE OUTLET CIR, / 50 @ EX. Occup OUTLETS OR FIXTURES BAL@1 IXED APPLNS. OR700 Ex. DCCUp.�OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee S .O17 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ' I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saidCounty in consequence of the granting of this permit. 2_ G _ �� XDate Signature of Applicant -wner ❑ ContractorsAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overr73 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 7p, 40V OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND 1 1.SUE, This permit is hereby issued under of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By P T XPIRES Date the applicable provi- sions resolutions to do fees have been paid. WORKS %/'�G��� Date / •�-1-�� .% Receipt No. /S`3�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .ar fA t C`16 Bim` -0 Z 0 N 1 m un- 1� �n l t C`16 rn je J Bim` -0 Z 0 �p m rn je J r � �, � f: thl.� • 1 �0. 4 I. ' t\ r+ • �• r V T5 0 t o 't, 04, I or JP y n - � � 1 i jr- 0 0 y A- 'ti' ��yl] %, a• k r � �, � f: thl.� • 1 �0. 4 I. ' t\ r+ • �• r V T5 0 t o 't, 04, BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1 N 1. owner's name: 2. Installer's name: 3. Is the site currently under permit? Yet / / No (If yes, furnish permit number 7 OR z Is the site an existing site? Yes / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of.all setbacks.and easements? Yes No (-If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- �7' Amps 6 t. . What is the mobilehome site service rating? ---------- Amps b B 7.. What is the mobilehome site circuit breaker rating. ------------- � � Ames 8. Is there any other electric load to be served by the mobilehome ----1 .S .9 -- w-�` ---------------- site service? -�--- ------ Yes No / / (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site'gas pipe size? ---------------------- ,'e'l/ 10. What is the type of gas service? ----------------------------- Natural 77 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? w0 -11-f (ft.) 12. What is the mobilehome gas demand? ------------------------------ /VO(BTU) (This information not required if pipe length less than 6 ft. on natural gas.. or less than 50 ft. on LPG.) y f ' 1' 1 MOB ILEHOME SUPPORT DATA If °other than single wide, / (/ Mobilehome Mfr. furnish Setup Model No. Year a Width, (ft.) Box Length _(ft.) Tagalong or Expando.Size x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of - mobilehome unless otherwise specified. Footings (check one) Single D--r.--Wood either pressure treated or foundation grade. 0-O gy X-30 (ft.)(in.) (in.) (in.) ❑ 2. Othersecif:(p y) Center support locations* Center support footing sizes -'Supports (check one) (in.)1:- Concrete block. .2i Other. ( specify) (ft.)(in.) (in.) (in.) 3 / 2il"X301' 4 --Tagalong or Expando, show support details. (ft.)(in.) (in.) (in.) a.x Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) Max. Pier Spacing (ft.)(in.) x� x of -- Max. Overhang ft. in. ( ) ( ) (in.) (in.) (ft.) -(in.) BUTTE COUN iY BUILDING DEPARTMEN drawn 2.. APPROVED. /.. *If center piers are other than above, draw in -locations, spacing,. and dimensions. " §~ COUNTY OE BUTTE DepartmeAF of Public Works 7 County Center Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner / ,D AW5/(� Location Mobilehome Installation Permit No. 637 Z ' FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1. Width 2L� x Box Length 60 x 3 = �3 2. 2 Kitchen Appliance Circuits ................. = 3,000 3. 1 Laundry Circui)t� = 1,500 4. Ovens ...... = 5-5,0C) 5. Cook Stove Top ....................... = 6700 6. Hot Water Heater ... ........................ _ `t5O27 C90 4Mo) (s 0ANP) ! X 7. Dishwasher & Disposal 8. Clothes Dryer ................................ _ k20 c 9. Other (specify, i.e., motors,'exhaust an etc.) Sub -total - Watts . :3:30 c .First 10,000 watts @ 100% ................................. = 10,000 Remaining _2 3 OCA watts @ 40% ....................... = 93 0 10. Air Conditioner watts @100%.. ��� Lar st Demand Central Heat System watts @ 65%.. _ �(� ) TOTAL DEMAND WATTS REQUIRED ............. (IlU Qd "Demand Watts,Required" 230 ............. AMPS De -rate Mobilehome to ................................. / J�� Z�ANTS /Z- zo I BUTTE CUUNI-I BUILDING DEPARTMEN1 325-81P,E ,,::::,,—PE,AMIT NO. PERMIT EXPIRES/ / / a OWNER Jim Armstrong CONTR.— owner ASSESSOR PARCEL 42-29-26 LOCATION E/S Meridian Rd.,app.750'S.of Hwy 32, Chico T �A - P.-Ro, //" IA151A,,& Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Ser ice Called PG VE JOB FINAVED (Date) , Vlt4,li / Signatu V = OK 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready 1: MISCELLANEOUS Date MOBIL HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's 1�01oning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements de'soils; Special M uppor ketch 2. Footings; Size—Depth—Spacing—Connectors ewer; Lo on—T — C —Concr 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails "r; Location—Test—Easement Needeg4gm4. Wood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing lectricity; Location—Clearances rn -:7l l Amp—Co to C7 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures i est—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 1"01-11ity Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card - BI Date Card -BI Dat Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I D to Card -BI Date Card -BI Date Card -BI Date J = OK , 0 = Not OK N^ = Not Applicable RESIDENTIAL (Single and Duplex) � Not Ready ' Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection I 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access y 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date i t ELECTRICAL Permit OK except p's 66. Elec. Outlets & Receptacles at Kit. Counter 67, Garage Fire Door; Swing -Landing -Closer 68. 69. . A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors I 22. Size Boxes & No. of Conductors -Stapled ( 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. t 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 1 73. 74. Guard Rails &Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light i 77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. _ Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B I Date Card BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 31. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. 34. Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: _ 36. 37. 38. Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39. 40. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors _ 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 / APPLICATION AND, PERMIT ASS E`S OR PARCEL NUMBER ZO I'NG UILDING,PERMI OWNTkA TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING A RESS CONTRACTOR'S NAME T EPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER A �►Y/ UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,b' 1060 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING A RESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 eb Water piping , LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 0,00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeEll" Other SPECIFY Building sewer jot Lawn sprinkler system 5.00 TYPE OF WORK �, / New ❑ Addition ElRemodel ❑ Utilities I� Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 5•00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.y\ OR ADDNS. ACC. BLDGS. / 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification [ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW.RESID R BRANCH CIRCT Ts 2.50 ea NEw CONSTR POWER APPARATUS e) NON -R ESID. SINGLE OUTLET CIR, \ Ex. Occup OUTLETS OR FIXTURES a �@1 IXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Fi ling Fee 10.00 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabilities, judgments, costs, and expenses which may in any way accrue again t said County in consequen a of the granting of this permit. X Date����f Si ature of pplicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occup. GROuP I TYPE OF CONST. JPA;�5}1 PDall This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE��OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date a -/Z -RI 7,-/ Receipt No.417 32 y WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT AGRICULTURAL AFFIDAVIT EMPLOYEE Employee 1144 hiZ H'e�17 rM S/ / aA10-0 Phone Employee's Address (Present) % CI KC L-2 P'''/ low Name of Owner �► r» ryN ,� m 4'i� Owner's Address �'� 2, f�o 3 2 C;4 Owner's Assessor's Parcel No. O `!�— Z C> Building/Environmental Health Permit Description and Number Date Issued By Planning Department Approval: / Date 1< Z� ?( Zone - c /1 Dwelling 'on AP# By do declare, subject to the penalty of perjury, that I am the employee of o address (present)ZZ06„ (,sjlV '- (•/oL,�. on AP# q 2 —2 - ZL .and that I will be employed under Section 24-21.2 for at least a to g thirty-two (32) hours per week for at least sixteen (16) weeks per year on AP# Sig-, Dat r ' -AGRICULTURAL AFFIDAVIT EMPLOYER Employer�i t{7 -mss-,, Phone Employer's Address (Present) 03a Name of Owner e Owner's Address Z v >Z. 3 2, 2/---G l Owner's Assessor's Parcel No. Vz - Z- F- 2( .Building/Environmental Health .-Permit Description and Number Date Issued' By Planning Department Approval: Date pone Dwelling on AP#`'� By Bio declare, subject to the penalty of perjury, that I am the employer of .- n+ S address (present) J7 C'lrCA , on AP# and that I will be employer under Section 24-21.2 for at least a to g thirty-two (32) hours per week for'at least sixteen (16) weeks per year on, AP# Signed �- Dated Z --� i . _ �,;i�� . _ .. _-Y.+e'�` ti✓d s �ks`f=y ', � -a =j`=. .j4�yg' .';"' fix. C -.rrC - - '_'.. _ f �+LSi .r _,_.�c_ . .._.- _ • .G+. . _ I� n _ w�-"?�` , � �" �.* .c:�r+.-�+w;w'f.».;`�".' �,� �2� ..w....ds:�.�^ai x .: n . , cat. _. _ � - _. , NOTE:=Ai! Materols rkm nshi ` II �. Accord .,. ' wifh Rcogniz G p p 'Sha $ ."FA; L �' o .a re ed� Q d Prcicti i� qr p Iscril�edor. tie Sc�ecifi ees"dt�d r ' . Uniform B d u ulld.in�, Plurnbin & }vlacfhi n! the;f 9 ani- C' des.; and j ��"' i the tional El.ctric�l Cede. i �' i s MAST �,e 5 eci{iCation ful to { . lans and P un1aW T is set o P times and it �s without W a} all on same the; iib alterations { Public kgp °" chances or; th'e Department o xe any from wr` tteri pertm i°no{ $utte _ 1 arks. county, 4t p x � Utility connection shall be. within 4 ft. of the mobil home, either " ' X mOIL directly behind o within the rear half of the roadsi Je (left) of the j I \ mobilehome A setback , f #t. frgm tF o �. property fines and a'.setback ,BU E COUi'TY f 50t, from the road E?ARTS V....�� _ ntorline shall.be clear df AD G D jjTvzjpres or equipMent kcuPf n 41't, eave overhand.; lit --�—Flo vi� • __ .. � � �. .. � .. '/+' L.lT/ ice+ /�A / `C ' 9 s 9 � -c. � �; _ x�-� ;, • E W. /z, J I OC kit Mp wit ercorrale & l WarL • �f • of 0--q r�alrt Ypres I Buil in Re ri6e� Plum o9ni fo ed the�ecif' 1'MOO.rI P $hall B oodPr aUn�fo ctic s a r o d i na g+ �� ing � M chcr i e�i use int a+od s-and e r4of cep on he j66 at and all ti specifications, es cind iis IjV1US, 6e I na vri a any en chagee rmission r alt . r 4i the ufilawf�l ns ori yam Without toii ; I I I Ivo p Is, Coun of rom Butt Di part ent'of Pt blic �. max{ 1 � x• 1 A setback P perry o. .,li9 lin e%s ft. an fro+ a s the tbacl: I 1 I I. of 50ft. 'frorr� thenad ! ' cefit e.rih str�Ctvr re sh s cr II b egvi Clea I me of ' exc;pt" for a 2 - t ea av r �ha. , L � 3 Y.2 — J V/ • E W. /z, J k' •L" �C n � � r^— � � �` • p"� r , r' �`' -�,--r •+„ i-+--'Q'.:'"''moi-------w►-- n , k' •L" �C n � � r^— � � �` • p"� � � , 1! •+'ter± tv �`' -�,--r •+„ i-+--'Q'.:'"''moi-------w►-- -•m----+a-`--;–'-- --� ��-'P'-— OIC 3(2393 r OWNERS NAME: 101144 )afrr1'y A^s RECEIVED BY: C DATE: A. P'.". # 2 - 2 S - 2-�' PERMIT # TIME: 5' = ESIDENTIAL NON RESIDENTIAL RECEIPT # ------------------------------- -------------� QUIRED PRIOR TO PERMIT ISSUANCE FROM DATA __tA QUES BY PLAN CHECKER ENGINEERING OTHER a 4 - REQUESTED BY CORRECTION YES NO ITEM: LOCATION IN BUILDING WHERE CHANGE.000URS: .WHEN APPROVED, OCESS-AS FOLLOW E Mail owner 1 S\ Mai to contractor 4 C 11 and ho] eliver with next inspection. REVISED PLAN $20.00 $40.00 for pickup at the office. iE FEES PAID: Additional Fees Not Required AGRICULTURAL AFFIDAVIT EMPLOYER J 3L43 -4q 4b EmployerPhone Ft 9�i - 9 y2 Employer's Address (Present)�,,,l.tip id/ons Name of Owner 91 m rnJ / 1� Y/ �> � rr» c ✓o Owner's Address ) 2, � t!0 Owner's Assessor's Parcel No. Building/Environmental Health Permit Description and Number .Date Issued By Planning Department Approval: Date Zone Dwelling on AP#. By I, Timmy � V/e 4rm sot nrip, Bio declare, subject to the penalty of perjury, that I am the employer off Llce Mans address (present)_t_ 141 110a L4ne , Ct? on AP# and that I will be employer under Section 24-21.2 - G for at least a to (g). thirty-two, (32) hours per week for at least sixteen (16) weeks per year on d - . Signed Dated733-22.2 - 93 AGRICULTURAL AFFIDAVIT EMPLOYEE Employee Pw l't t c K A_14a 4's ke —Phone- Employee's honeEmployee's Address (Present)` Ni ��� fy atie C l,�ca l �a ySf2 Name of Owner i rn n % Mar�P �Cx- ArmS+r,n - nq Owner's Address Owner's Assessor's Parcel No.�L4 9-�,,]40 Building/Environmental Health Permit Description and Number Date Issued By- Planning Department Approval: Date Zone Dwelling on AP# I, pa�hrc F R No- N s ke , do declare, subject to the penalty of perjury, that I am the employee of�rn� [�� �,r� , �-t rm5�ro►� address (present) / �2 3 yp n R_ n and that I will be employed under Section 24-21.2 for at least a to g thirty-two (32) hours per week for at least sixteen (16) weeks per year on AF# `i7 --24-D t Signed Dated 3 - Z /_ q w ti �-Itil.,MH .PERMIT NO. 390-76P,t PERMIT EXPIRES ,OWNER Jim Armstrong IFONTR. owner 7 ,',LOCATION (A.P 42-29-26 iE/S Meridian Rd. app. 750' S. of Hwy 32, 2Chico 11 tr Temp. Power Pole I Called PG&E Temp. Elec. Serv.— -/4 Called PG&E tY uj 7) Temp. Gas.Serv. Called PG&E 14 JOB FINALED (Date) (SignYur-e) f A. - t v _ Oz COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPEaCTION RECORD 1 BUILDING BUILDING (Cont'd) PLUMBING Setback ES-- (.>—. .tib+ -- Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer —dZ b -7� Garage Fdn. Vents Fixtures Footings Garage Vents 4 Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test _ Temp. Gas Slab Final Z— 7 Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h 46 " Reinf. Steel Final Fixtures Bond Beam FIRE SPRI KLERS Motors Framing Test t Water Htr. ` Stucco Final Subpanels Mesh MECHANI AL Grd. Fault Prot. Scratch Heating Service e Z S Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS / )- )t,— !� 7i e9 — - .(Q v ox r,0 ty--�Ca In �� Ce R, C, 7"0 WE, 4/C Foe �o ®�Zo76 (NOTE: An entry must be made on this form each time you visit the job site.) SIFT l/lGi-LZ— TO: Building Department FROii: Environmental Health RE: Sewage and/or Water Clearance P14 Cf1�1 41 Has been approved for: DISPOS bJATER SUP'.LY S95-775 LOCATIOri Sanitarian Date A . P;r MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wi th wired separation from lot lines and buildings and generally conform to plot,plan? Yes o 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes�To — 3. Are footings and supports properly sized, spaced, and braced as'pproved plans? (Note possible variation at spring shackles.) (Sec, 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes - No 5. If more4a ngle unit, are crossover connections properly installed? (Sec. 5088) Yes 6. Water A. Is flexr connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes 4/No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes �to — C. Backflow -If%fc�a not State of California approved, does station have backflow device and pressur valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes 4- -No B. Does it have minimum k" per foot slope and is it properly supported? Yes C. Are any leaks detected in drainage system after running 3 -gal s of water through each fixture includi g washing machine standpipe? Yes No D. If coach i -e of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line iLilet without reductions other than the mobilehome connector. Yes�/IVo - B. Test OK as per following procedure? Yes 1. Openallappliance connector valves. 2.. A8A5ut off appliance burner and pilot valves. 3. Atrltest with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4.�hect(as meter to mobilehome with connector, turn onas test connections nectzons with soapy water. / C. Are all appliance vents properly installed? Yes L— 9. Electrical 'ry" = f' A. Is service large enough to provide adequate amperage. to mobilehome (must equal rating of mobilehome with a minimum of 109,,ai6p) and other facilities on lot, L�.e., water PUTPS, - i.e., garage, cabana, etc,. Yes o COcO C2, AL-~— -S'C, B. Is there proper clearances around panels? Yes Lido C. Is power supply card or feeder assembly properly fused? Yes L --9-0 D. Is continuity test satisfactory as per the following procedure? Yes - o 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. ake sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. S all breakers and switches in the mobilehome to the "on" position. 4. C dect one lead of a test.instrument to the mobilehome grounding conductor and apply tb e other lead to each rn.obilehome,supply conductor, including neutral, 5. non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from Z:n h a ui.pment and the grounding conductor. 6. completion of the above procedure, the power supply cord or feeder.assembly conductors. shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. A/Qo 10. Is job card signed by Health Department for water and sanitation?-S'E1've��2'. �a 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle jT Lengths Width Vehicle Serial No. �? State Identification No.� T Additional.Information or Comments: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE_ OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit n,*er,%`%8— 7l for th j -zz Cy ollowing locat�iof Owner Owner's Address Mobilehome Mfg. I&W S L) ! Model �j Year Insignia No. I -� <7 Serial No. 7 2 -7 .S 3 It is hereby certified for occupancy at the above described location and may be occupied. �t // Director of Public Works Date _ 7"/ — -7 c, By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE � - D6"ARTMENT OF PUBLIC -WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT dZ,---�� p en ves o the County of Butte to enter upon the above-mentioned property for inspection purposes. DateA:Z-',1 $ re oPermitee Ant��Receipt No_,/�f-2 ces White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS B Date 3 ' 7`7 }r 'r 7� tlding permit expires Date 3 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address • Tele hone N Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ BuildingAddress /�� ® PLUMBING No. @ FEE PERMIT FILING FEE $3.00 eS� 0 X �'Q / Q Each Trap 1.50 Repair drainage or vent piping 1,50 / CJ Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 9 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 S Fire Dept. Fire Zone Use Permit Building sewer 5,00 EQA Plans Parkin Declar tion Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 " ans Recd I ParcA Approval Plans Ap oval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _ /S•r © Al �i �l ,�/� / 600V OR LESS Main service 100 AMP OR LESS 5.00 .�' 3 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ®• Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC• BLDGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. (BRANCH CIRCUITS) 2.50ea NEWCONSTR. /POWER APPARATUS &1 NON -RESID. %SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@2SQ BAL@1 Ex. Occu FIXED APPLNS. OR P•(OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ermit is issued. I shall not employ any person in any manner so to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 re res tat•)f S 4-27 /0 TOTAL PERMIT FEE p en ves o the County of Butte to enter upon the above-mentioned property for inspection purposes. DateA:Z-',1 $ re oPermitee Ant��Receipt No_,/�f-2 ces White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS B Date 3 ' 7`7 }r 'r 7� tlding permit expires Date 3 COUNTY +c OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 /1 d" 7 Telephone: 5y 4-4541 APPLICATION AND PERMIT 7(a w •n ..� icNicacnLauvca UI L"e LFI rOULY UI b011e IU enter upon the above-mentioned property for inspection purposes. Date 27? ignotu a $�Permi�teeor, gent Receipt No. White-D.P.W. _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS BY Date 7,3- ilding permit expires Date 7, —3 —7i BUILDING Owner -- ® SQ. FT. OCC. BUILDING VALUATION Mailing Address Tele hone No. C, 7-f�kf-41492 Fireplace Contractor Q Cu Total Valuation Mai I i ng Address Permit Fee PI an Checki ng Fee &/or Penalty of Telephone No. Permit Fee Building Address -- ® PLUMBING No. @ FEE PERMIT FILING FEE $3.00 co Q S Q Each Trap 1.50 Repair drainage or vent piping 1.50 l �` Q Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — Fe W. S 1 n Fire Dept. Fire Zone -/0 Zoning & Planning Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 Use Permit Building sewer 5.00 r EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 �%dg. Plans Rec'd Parcel. provol P Plans pproval Permit Fee $ r $ NEW ADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 5 p(' Main service 100 AMP ORV OR LESS5.00 QQ Main service rye. ADD'L too AMP 2.50OVER �Q Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 00 AMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADONS. ( ACCLBLDGS.LING CCUP. &1 2¢Sgft II NEW CONSTR. MULTI -OUTLET NON•RESID. BRANCH CIRCUITS) 2.50ea MEW CONSTR. (POWER APPARATUS & NON.RESI D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ELL d Ex. Occup(OUTLETS OR FIXTURES) BAL@1 09 Ex. QCCU // FIXED APPLNS. OR p.(FIXED (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee L2 6 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. A*XI 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 TOTAL PERMIT FEE $ w •n ..� icNicacnLauvca UI L"e LFI rOULY UI b011e IU enter upon the above-mentioned property for inspection purposes. Date 27? ignotu a $�Permi�teeor, gent Receipt No. White-D.P.W. _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS BY Date 7,3- ilding permit expires Date 7, —3 —7i BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 1. Owner's name: T,:r `r" 2. Installer's name.:l� MOBILEHOME INSTALLATION SHEET 1-/i' ms �ra n q 3. Is the site currently under )ermit? Yes 'tea Nol_1 (If yes, furnish permit number '210 -2(0/ _� OR Is the site an existing.site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes f / No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- c5 4 Amps 6. What'is the mobilehome site service rating? --------------------- a 8 Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------= Yes No (If yes, identify the load and size: C/E/p (Load) /Z50 (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 3 (in.) 10. What is the type of gas service? ----------------------------- Natural 7_1 LPG %�/ 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. :What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA Mobilehome Mfr. s o4gop a � " Setup Model No Y / Y'-? L,kQ Year70 Width 12 (ft.) Length ..f (ft.)-Expando .Size �ft.x ft. (Draw support details below) . On all mobilehomes,manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets ..(if. not .on file with the County of Butt Single ...... „ . Footings--(check.one; / 1. Wood :either - -r - pressure treated or Center Center ,Support fdn."grade.:: Support Footing Sizes Locations (in.) Ljj.2.:Concrete pad. - x :. / / 3., Other, specify ?-n-. - in: in. — — — — _ Supports (check one) 4 1. Concrete block 2. Concrete piers (f7TT7in1- - (in:)(�:ne) . . 3. Steel piers Other, specify ?: ... /4 ... ........ .. Typical SupportFfFfc - , Footing Size ' f% .. ............. Pier: ��.....) Spacing kin - ft. in.) -3--i (iri.)(ink\!4. f Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. ME COUNTY BUILDING DEPARTMENT APPROVED NOTE:—All Accordance of a quality Uniform .BuM the National r � This, set .of p(bns'W FW61 M MUST`6e kept on the iob at all times and it is unlawful +o make cinv chr ages or alterations on same without written permission from the Department of Public :Wbrks;-County-of Butte. — --- - -- .4aterials & Workmanship Shall Be in l rich Reconnized Goon Practices and iretcribed for the Snep* end use in th-e ig,- Plumbing & Machankcal Codes and ( 39D-76 lectrical Code. All utility connections shall be C located within 4 ft. outside the rear C� third section of the mobile home i on the left (road) side of the mobile I homy. IV� -c _ !-.Amit will "be required for the 4-r,tion of f jhe mobilehome. Septi system and location - , r a i to be as per Butte County Health Dept. Re- quiren ienfs. BUTTE The'Ift S at back shall be 5 ft, from BUILDING the side property fine and 50 ft. from •. the centerline of the road, permitting _ I A P P R I a maxim uryt4a-2 ft. eave -- I E w 1 S :OUNTY E?ARTMENT DVED 1irr..n. O . A�'Sia �* 9 AGRICULTURAL AFFIDAVIT EMPLOYER Employer Employer's Address (Present) Name of Owner�l ► rn rn v n Phone 3`43-44944 Owner's Address J q 3 q0 / r l P vidian LrJ %r%k1;V16,1 /<, Owner's Assessor's Parcel No. ,��_2q`-_Dz Building/Environmental Health Permit Description and Number Date Issued By Planning Department Approval: Date Zone Dwelling on AP# By Mo n rr/-) ro nQ Bio declare, subject to the penalty of perjury, that I am the employer of address (present) n' on AP#-��- and that I will be employer under Section 24-21.2 /q---ec,-% for at least thirty-two (32) hours per week for at least sixteen (16) weeks per year on Sig Dat 6'qq- I/qz ,v0 ewNc� (IML) QBE A;/ A-6 Gu02lC6 AGRICULTURAL AFFIDAVIT EMPLOYEE Employee Phone %99-912 i Employee's Address (Present) /a 32n 22 Ly Ign h r 9 915N-2164 Name of Owner Owner's Addre Owner's Assessor's Parcel No. Building/Environmental Health Permit Description and Number Date Issued Planning Department Approval: Date Zone Dwelling on AP# I742rito4a= do declare, subject to the penalty of perjury, that I am'the employee of address (present) on AP# and that I will be employed under Section 24-21.2 42 to G for at least a to g thirty-two (32) hours per week for at least sixteen (16) weeks per year on Signed Dated ��.�7 - 025 a _ o a6 STATE OF CALIFORNIA -DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT _ CERTIFICATE OF TITLE MOBILEHOME DECALNO. LAC8025 { MANUFACTURER NAME/10 WHITTADE NAME WHITTIEREL 00/0 m OOT 09/OFS SPC EXPIRATION -- WHITTIER/ �-- U /SERIAL NUMBER 1750582EL/INSIGNIA NUMB O.OG1IT 00 000624 000144 02/ Z/93 SOGC EXEMPT SFSJSE TYPE S4 -26'73U PP TOTAL 311 FEES s XA c ~5 $54.00 s 2`1 A ARMSTRONG MARIETTA DOLORES 3• D 12320 MERIDIAN RD RELEASE OF DEALER o CHICO CA 95926 NEW REGISTERED OWNER, FILL IN ITEMS 4 - 9 E 4.A) AND S OR B) S NAME - PLEASE PRINT E R ARMSTRONG MARIETTA DOLORES a �x4 r WIN a CURRENT MAILING ADDRESS E cmt I A 12320 MERIDIAN RD s) CITY✓ CNTY ST ZIP S I E L CHICO CA' 95926 6• FUTURE MAZL,ZNG ADDRESS R X E I. o 0 p RELEASE, F REGISTERED OWNER 7FA) LOCATION ADDRESS r,A �aY o s 12320 MERIDIAN2RD �8�IR$. Y W Z sCZTf�'a. CNTYz ST ZIP N Tr ,., E u CHICO �" a CA 959,, _ - ..... 26 R S �'.....ff 1&241Z v ) PURCHASE PRICE DATE l ............._ 1_ L NEW REGISTERED OWNER SIGNATURE Gy NEW LEGAl3 OWNER, FILL IN ITEMS 10 - 12 �2 sac' x p� I-vi W VA NAME - PLEASE PRINT Via»�s..y>. E 2.A) ��............€�.&�siz�d�•���ll. mm R RELEASE OF. LEGAL OWNER „y.� C. ADDRESS B)�. �. RETENTION , GF LEGAL OWNER 12. m CITY n ,CNTV ST ZIP C)&* NEW 1ST JR. LIENHCLDE FILL IN ITEMS 13 - 15 *** ASSIGNMENT OF%EGAL OWNER t 41v NAME - PLEASE PRINT U F ,� n „ 91 4 . fI I ADDRESS O S R T 15. CIN CNN, ST ZIP L* NEW 2ND JR. LIENHOLDER, FILL IN ITEMS 16 - 18 aEx>E I E 16. N S NAME - PLEASE PRINT H E O C 17. ' ADDRESS L O D N E D 18. CITY CNTY ST ZIP R IMPORTANT 01-048-0001` THIS CERTIFICATE OF TITLE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0100004