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Home My WebLink About042-340-18442-34-.1+3-042-340 CA & CARTER ROTTSCHALK `, SUMMARYv, SHEET.•FOR LAND DIVISION +=;� 619 W nutshire'Lane, Chico Carl. Rottschalk a`,,*. �,% jos Permit��2 9 86B,P,E(ntil, :MH) Bay: Ave ��Chco LEC S act? • fluor" Wit, /no aN 9d/L- .",;'BOUNDARY. LINE' MODIFICATION GAS 4PC, 3/ Q i3 SUPPORT STRUCTURE /V41 4��ip �». COMPACTION TEST REQ � -34L_ $ ; Gontr: Paci 'c Modular Concepts ,•;''. Permit2 =86MHI ' Iss �4 .i f • �o 0 13 SUMMARY SHEET FOR LAND,DIVISIONS APPLICANT ADDRESS 2700 The -Esplanade, Chico CA 95926 1oef _ OWNER _ S ame , : e t -al. _ PROJECT DESCRIPTION BOUNDARY LINE MODIFICATION LOCATION 2 parcel's located -on .the east corner of Bay Avenue and Walnutslire Lane. Chico -.area. -ASSESSOR'-.S- "PARCEL -NUMBER(S)- 42-34-129 &--131 .ZONING SR -1- GENERAL PLAN PROJECT CONSISTENT? YES -. GENERAL -PLAN CONFORMANCE REPORT lune 30,-1993 - -- LAND CONSERVATION ACT -CONTRACTS? NO DATE APPLICATION RECEIVED July 1; 1993 AGENT/SURVEYOrW/CI-VfiL ENGII EER NorthStar Engineering- _ ADDRESS 20 Declaration Dr Chico CA 95926 DATE PLANNING DIRECTOR'S REPORT PREPARED ENVIRONMENTAL CATEGORICAL EXEMPTION - DATE FILED DETERMINATION AND DATE NEGATIVE DECLARATION - DATE ADOPTED MIT.NEG.DECLARATION - DATE ADOPTED ENV.IMPACT REPORT - DATE CERTIFIED STATE CLEARINGHOUSE NO. DEVELOPMENT REVIEW COMMITTEE HEARING DATE APPEALED APPEAL HEARING DATE BOARD ACTION. COMMENTS FOR PLANNING DIRECTOR'S REPORT ASSIGNED TO RECEIPT NUMBER LD 1005 (11/92) - DIS a ignature r L S. 2349-86P,E(MH) REKNIT NO. PERMIT EXPIRES&—A OWNER CARL & CAR ER 4TTSCHALK CONTR. Owner ASSESSOR PARCEL 42'34-131 LOCATION 619 Walnutshire Lane, Chico 3 lc� t , tr . OFFICE COPY � Address I GAS Meter By Date c ELECTRIC Meter By Date 9y�; ;�. iy .ti ;i Temp. Power Pole r Called PG&E Temp. Elec. Service Called PG&E i. ' Temp. Gas Service " Cal led PG&E r JOB FINALED (Date) 6/_ S' ignature r %, = OK C: O = Not OK " = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date j M0BIWfi0ME UTILITIES (Plans) OK except NIs Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements oning Requirements—Setbacks—Easements 2. Footings; Size—Depth—Spacing—Connectors its; Special MH Support—Sketch 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails er;.Location—deet— all-C/O—ConcreteAX er; Location—Test asement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing _ Electricity; Locatio CI rances —/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Encldsures 6. Gas; Locatio es p:/ /"Lft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7 tiIity c iearanV 7. Elec. . Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card-BI:2. Date Card -BI Date Date MOBI OME INSTALLATION (Plans) OK except N's Date S (Plans) OK except q's Z ng Requirements—Setbacks—Easements tbacks—Easements i ils; Compaction—Structure Stability F ngr9.;-Size—Spacing—Marriage Line 3, Pool Structure; Steel—Connections—Thickness—Dead Men—Lining M Test—Demand—Valve—Connector i 4. Elec.: Receptacles and Lighting; Distances—GFI 4 ' tricit ; MH Test—Crossovers—Breakers—Clearances Dra' H Test—Fall—Flex Connector ; 5. Elec.; Pool Lighting; 15 volt==GFI 6, Elec.: Enclosures; Conduit Entries—Terminals—List 6 MH Test—Regulator—Connector 7 er and Sewer Connected—C/0 to Grade—HD Approval ; 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 1 8. Elec.; Grounding; Equip. W/5'—Circulating Equip.—Pool Lghtg. s nd Electricity Tagged f Boxes— Enc losures—Panelboards—Ins. to Main in Conduit its; Insp.—Sketch 4 9, Health Department Approval 1 Cert. of Occupancy 10. Plumb; Cir. Test—Water Supply Test � t Card B -I Date '30 Card -BI Date Card -BI Date Card -BI Date na.,t R -I Date f Card -BI Date Card -BI Date Card -BI Date D J a OK •~ 0 ' - . �� '_0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex 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 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main: Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access - 7. 8. 9. 10. Piers -Fireplace Fig. -Steel D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test Gas Pipe; Size -Anchors Water Pipe: Test -Anchors -Regulator -Service Test 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 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 Card -BI Date _ DateCard-BI Date Date Card -BI Date • PLUMBING (Permit) OK except #'s Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -Bl Card -BI 14. 15. 16. 17. 18. 19. Water Ht.: Vent -Access -Combustion Air Water Pipe: Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub& Shower, 2nd Floor -Tub Access Gas Pipe_Size & Anchors Date _ Card -BI Date Date Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Gard 8-I Card B -t 20. 21. 22. 23• 24. 25. 26. 27. 28. 29. 30. _ Fixture & Transformer Clearance - Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners_ -Bond Gas & Water 2 Appliance Circuits in Kitchen _& Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or At -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes _�No _ Service -Riser Conductors & Ground -Main Disconnect _ Equip. Clearances. Panels-Motors_Mech. Equip. - -_ Clothes Closet Light -Shower Light - _ - ---- --- Date Card -Bi Date _- Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. - Insulation -Foam -Looked in Attic El Yes 73. Guard Rails &Deck Construction -Post Caps 74. - Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive C, Yes ❑ No: Walks E: Yes []No; Planters El Yes EJ No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Uate MECHANICAL (Permit) OK except #'s 83. _ Corrections from Previous Inspections 84, Gas Test -Meters Tagged; Gas -Electric Card -BI Card - BI 31. 32. 33. 34. 35. A.C. Ducts. Insulation & Support Vent Fan: Exhaust above Insulation - Condensate Drain & Overflow: Size -& Grade Furnace -Vent: Access -Comb. Air -Return Air Vent- 115V_o_utlet _ Attic Access & Platform if Furnace in Attic _ Date Card -BI Date - Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, - Energy Compliance Certificate -Other Certificates - -- -- - - - -- -- - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Com lents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills, Prover Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops. Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions Garage Fire Protection Framing - -- - -- --- ---- (NOTE An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE'' DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE '1 OROVILLE, CALIFORNIA — 534-4541 a� - PERMIT N0. 'Address or location of mobilehome x, suer, =. t shtvrs ;4 Owner's name Owner's address 3S,� A,, -} Insignia or hud number' s 7 Manufacturer's name 6o /J CIA/ l Serial number of V.I.N. - '7<1 Year of manufacture��' 0 `r 1 ?y t' '(Official Approving Installation) + (Date) IF. THE MOBILEHOME IS MOVED OR, RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS fORM.SHALL'NOT- BE USED WHEN THE " MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.. r ,51313 White-,Owner,'Yellow -:Installer, Pink COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE N IFR DGDRAir Ki A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. -{ (M 4 d Se o� C'o.., G�-c. �U1�.i �7r M, ter, S��u./. � S U � �(u�✓f' a 00r��Cc!! G�Xti� l.•�,..�. 6� dv7S r v Inspector. +'� �_�—~ Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone': 534-4541 Skyway and Elliott Road, Paradise — Phone, 872=2961. Ezt. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediatoyh /f^1 i 1 LAW R, Inspector__ - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine irispection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS . 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57. CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional,explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ` r APPLICATION ANb' PERMIT ASSESSOR PARCEL NUMBER lambs P0„ -V- 2 2 • —3 9e ZONING ,5P" BUILDING PERMIT OWNER TELEPHONE 895-g C) 7 3 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS , Som i3 2, CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER JJ LICENSE NO. Plan Checking Fee ,$' 00 Energy Plan Checking Fee $ — ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 1 —1�-� PARCEL MAP 1-Z. Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[:] Duplex❑ MobilehomeRL Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 016DW 10.00ea ,(7J TYPE OF WORK New ❑ Addition ❑ Remoodel ❑ Uti lities XL Installation ❑ Other ❑ Describe work: EAr." Permit Fee $ got Dp Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;ao AMP 1 OR LES ORSLESS 10.00 p. 00 Main service EA. ADD•L too AMP 2.50 5 p CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.RESID I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ISI I, as the owner. Or my employees with wages aS their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& AUC New , CONSrR( TB OUTLET BRANCH CIRC ITS .50 ea 2.50 ea �/� POWER APPARATUS 6 N� WC�iV1SINGLE OUTLET CIR. Do Ex. Occup(OUTLETS OR FIXTURES 20050S eALeao FIXED APPLNS. . R Ex. Occup. OUTLETS (RESI D.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and { harmless the County of Butte against all liabilities, ments, cos , and expen which may in any way accrue against s o my 'n cons uence of the grant ng of this permit. • Date �r I��BL S• a Applicant — OwnerW Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ GJ4� S occup. CONST.TYPC I JF:�ODPARCEL; Po Ho esuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 1�—'�-8� Receipt No. Co OQ% a WNITC-D.P.W.• YELLOW-ASBC930R, PINK -INSPECTOR. GOLD ENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, `L'i4;iFF'OF�NIA 95965 - TELEPHONE: 96%34, 541 PERMIT APPLICATION DATA SHEET i Permit No. OWNER CO�r� Ro-Hscr►%QIK A. P. No. ya-3'1-)31 Proposed Building Use h K Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) \ Building Inspector X � —J.— Date At time of permit application, I was advised the following data must be submitted prior to permit processing r and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/tri.plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . ✓�CUSD ''Fees Paid" Stamp on Floor Plan 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. �Sanitation approval from co Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif,) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . ... . . . . . 16. Mobilehome Installation Data. . . . . . . . . . request to (Date3 Pre-Insp917. Pre -Inspection for Required. Building p q Building Inspe for 18. Recorded copy of A cultural Acknowledgment Statement . Pr ? VI 19. Others i Sir«% When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicln�_�.;j Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must mtte prior to permit issuance. (For required items not checked above at time Fof:3)1:ca i n circle item.) 1. Index permit for above Items No.�� 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone ./—Mail Other By 1 Date Plans checked by Plans approved b, Other Copy -DPW Date Date TO:. Building Department FROM: Environmental Health, Chico Office SUBJECT: Sanitation Clearance T Owner Plan approved for: Hold final for: Locat Sewage disposal c/— AP# _ c/ Water Supply Water supply Final clearance O.K. for: Water supply Clearance for— bedroom Mobile ho House Other Note'** Sanitarian ��- 2� Date COUNTY.OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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) X2. I (have/have not) signed an application for a building permit fortthe proposed work. 3. CAI I have contracted with the following person (firm) to provide construction: / Name Address C "6 Phone Contractors License I plan to provide portions of this work, bu to coordinate, supervise, and provide the Name Address posed /r have hired the following person jor work: Phone Contr ctors License No. 5. I will provide some of the persons to provide the wor Name Addreles City but I have contracted (hired) the following, icated : Signed: Property Owner Social,Security Number Date e.12.8( Phone Type of Work • 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. 86-26480 .� RECORDEp IN OFFICIAL RECORDS ' V OF BUTTE COUNTY, CALIFORNIA how., a s AT TNF REOUESt Of PARTY SHOWN 1986 AUG 14 AN 11 46 ELEANOR M. PECKER CIRlc—RECORbER FEE —26480 t 'Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT y �. - ..FOR RESIDENTIAL DEVELOPMENT Section -26-8.1 of the Butte County Code requires'tliis acknowledgement M be recorded p7ior to issuance of a building permit. The property described herein is adjacent to land or included _ Pages within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes,.and residents within said zones and on •adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. _All that real property situate in the County of Butte, State of California, described as follows: PARCEL- I t �_ ^t:;� :orth:r. .,:_�'_ ;.f Parcel_2,.:as�'showneon -.that.certaini Parcel111ap; entitled,. "Being.a ;,�� por-tion oftLot'!r,tFirstliSLibd-iv'isionlof.'th'e�Bay"T•ract-;;in Sec. ;17, T.22N.; . R`.1E.i19S 1.1•.D.B.1 VM", .Butte. County-, 'Cali:fornka," ,said, Parcel- MapCwa.s •filed in. - the:cOffice'i`of the: ., r :.� a �O .. .y � O .. � o� ,� ..i :m .-�. �� i/i„tf �.J.,JL+tt ��.� � ��' .'fir OWNER PERMIT �k MH UTIL.CLEARANCE D TE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. iervice Other Pipe YES NO YES NO iize Load Type' Size Len th W COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE MIT 7 County Center Drive - Oroville, Califortia 95965 - Telephone 916/534-4541VX �� APPLICATION AND PERMIT. ASSESSOR RCE=NUMBER — ZONI G BUILDING PERMIT S�l TiT �i TELEPHO E SQ. FT. OCC. BUILDING VALUATION O.1�NER'S M I G ADDRESS v� SD 1 ONTRACTOR'S N#MAE EL EPHONNEE� OR'S M I ING ADDRESS i I.J 4V _Qbit 9 Fireplace ONSTRUCTION LEN ER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING A ESS Permit Fee $ ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGI ER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PERMIT FiIingFee 10.00 WPLUMBING Each Trap 2.00 Z) Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 SE; S TURE SF [I Duplex[] Mobi lehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Descri tit work: _ �yL yC (o h Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 - V OR L Main service 1000 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I. declare er penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio ss y Coe and my my license is in full orce and effect. License N s Classification / F11, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.Il New DcorNisrR(A BLDGS ) , h2sgft UC I.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS Q) SINGLE OUTLET CIR. EO( x. CCupOUTLETS OR FIXTURES 201150, 8AL@ALo30 Ex. OCCUp. OUTLETS ((RESID )FIXED APPLNS. RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ermit 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 subjectPermit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Fee $ Contractor 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 authorize representatives of the County of to enter upon the above-mentioned property for inspection purposes. 1 also a e to save, indemnify and keep harmless the County of Butte against all liabilitl judgmen s, costs, and expenses which may in any way accrue against saidW i c nsequence of granting of this emit. X Date ant — Owner Contractor ❑ Agent Signatoermi Orequired for excavations over 5'0" deep and demolition or construct- ioner 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Q occUP. CONST.TYPc oD PARCEL PD ND 139U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRE R OF P LIC /^ By. PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Receipt WHITE -D. /. W., YELLOW-A58C990R, PINK -INSPECTOR, GOLDENROD -APPLICANT • gyp. OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATASHEET Permit No. A. P..No. tza-3 121 V Proposed Building Use �-L %— Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain)? i Building Inspector ��i��7/�/ Date At time of permit application, I was advised the following data must be submitted prior to permit processing issuance: and:/o DATE RECEIVED. APPROVED 1. All items have been submitted. . . . . . . . . . . . 2- Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ '- 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . 17. Building Inspector (Dote) Pre -inspection for 4 Pre-Inspec. request toRe uire, 18. Recorded copy of Agricultural Acknowledgment Statement. y.. 19. Other Dri-,7pwav nPrmil- Wr.onst„ approval renuired prior 'to occut)ancy) Whe�r•you issue the permit, process as follows: - �Ma.N-to-owner-. Mail to contractor. // � �/ TelephoneV and hold for picKup at a office. Deliver w./inspector. Other icant Date Copy of plans sent Health Dept., 'Fine Dept.,, , Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By "'"Date Plans checked by ate Plans approved by Date Other: Copy—DPW PC BUTTE COUNTY DEPARTMENT OF MLIC WORKS 7 County Center Drive, Oroville', CA. ' PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 7 Tr C00003 2.' Installer's name. V .'K 3. Is the site currently under permit? Yes / ✓/ No / / • (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No / (If yes, furnish two (2) plot pians.) r 4. Will the mobilehome be located at least 5'£t. away from septic tank and leash fields and clear of all setbacks and easements? Yes ;; 1?ayNo (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- /46 D Amps 6. What is the mobilehome site service rating? --------------------- a? O , 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: o (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- ( in. 10. What is the type of gas service? ----------------------------- Natural LPG 11. What is the gas pipe.length from meter or tank to the mobilehome? (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.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED ri If other than single wi ti �� ` \6 Mobilehome furnish Setup Model No. L iJ Year- M_�p�� W jdidth_(ft.) Box Lengthr(ft.) Tagalong or Expando 'Size ft. 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). ill center supports measured from front of — Sr.obilehome unless otherwise specified. Single IN A-- A IZ X30 (3t.)in;(in.) (in.) r.7t:ert Center support ccfooting sizes k (in.) oZ x 3 0 (in.) (in.) 3a (in.) (in.) x3� (in.) (in.) a2 x 3a (in.)((in.) *If center piers ake other than drawn above, draw in locations, spacing, and dimensions. Footings,' (check cue) 1. Wood either pressure treated 01 foundation grade. El 2. Other. (specify) Supporta (check one) 1. Concrete block. El -2. Other. (specify) Tagalong or Exp•nda, show support details. yjoj Typical Support (in.) (in.) Footing Size Max. Pier Spacing I -O (ft.)(in.) -- Max. Overhang pgar. a,-,- fWRA," t OPTION CARPET STA NDAKD CAR PET arli. / r), — — — 7 3' M6Tr. OEVWOM HA /- I- A;U,60 r ®ATN /2 A &$Arg /2'-0' A PIA 4K - M/ f/. R W-194 2 'Yr Co' /zto, 65'6"AffrX. 7- ffR 020PA'00M IZ`6" 9!te 2lepcaoA4 12,-o, /0=9" /(,1.0. 1"I SACTO ONLY SUPPORT PIERS CANTE913UXY GOLMN "L� SLJ. I r. CAPACITY FOOTINC SIZE CAPACITY FOOTING CARPET LAYOUT A14D RIDGC BEAM FIELD SUPPORT PIERS 2U009Jill 12"x 24" (IL) 80c 1111"X 2 '1 4000# 2 It" xTT (5) 10,000# 60"x24" I- - i-/ �- - GM W, 7 313" C7, 0:0 0-0 x 2 It" F()R Fil:LU SUPPORT DLI'AlLb. SLE DWG'S. S-1 atl(I S-) OF INSTAI.I.ArION MANUAL. M f A * , �)Jfkijq , /loop. CPIr ICKAr 7 I h �)�I 0A L Y/Na goom QR MMPTCATION OF Co,'qjj,.! -'TTH BjyM COUNTY ORDL The C ico uhi d School ist�, that q that 9 qs - � �j LAJ _71,3 em t lie -0 o �f;-- T� �-X 3S-0 A t 2 on T, 2463 ht a --,plied trith Shejcqu. nmee i w1i t (s) Parce, I P6AoLLj*_7--. bY . thQ /440 s -I 7Z7. on Assessor of fees of S �,Zution Of oprIoAl CA H PET s TA NvA gz�, cARPEr Payment Schmi bWact tigati. reement X/ 7"C,-VeV — — —, 12'. 0, /1'-3' xoom,- L,,4 41flLlry — — — /Z' -O' 7'-Y 21-1 M 6 TIC. DEAC00111, HALL IGU60r ASATAI /2'- 0 ,Off M 04TH /Z*- 0, Wt I R -,D Ij SACTO ONLY SUPPORT PIERS CANTEP54YAY 4., • CAPACITY FOOTING SIZE CAPACITY I FOOTING SIZE 2000A121IX 40001 24" 01) 1 8000. 1 48"x24" 60"x24" CARPET LAYOUT A14D RIDGE BEAM FIELD SUPPORT PIERS ........6-711-19f. 2411x24-1 10, 000# 60000 36"x 2WT-- I OH F.I.LU SUPPORT DETAILS. SLE DING -S. 5-1 -d 5-3 OF INSTALLAYMN MANUAL. C160—JA 0 of a the fhis sot of plans . and 'specifications MUST be cept on the job at all times..-4-is-4wlilw_ful to make any changes or/i" erations on same witho�t,,,, written permissonfrom the --Department of Public � \V 1.1�JTSN1 RE LiJ►t3F' Works, County/ of Butts. MarteridIs & Worycmanship Shan Be in with Recognized Good Practices and prescribed for tie Specified use; in the \ I ding, Plumbing 1y Mechanical Codes axed I Electrical Cod I 7-1 0 1 -\Ve►.L Utility co n ctions shalVbe within \\ 4 ft. -of t .e obileho/ne, either �, \ directly ehnd or within the reet�: half of the a', PARCEL .� r bilehornE. m A permit will be r.c quired for the ;RAR 2 installations of the mobileh®me. .001 AC. - AP_.:.:_.0_4 _3 - . :0:131-0—E.ocN- +-% NE M ILE HOME MUST o o BEAR KUZ. LABELS M:ore:!LE. Eton j 81 { . 1 lib%— —.. I 9 v ,M uviLuiNG DE ARTMEW APPR VED ®•,2• e3G