HomeMy WebLinkAbout047-060-009STORM DAMAGE REPORT
47-06-9
FIM McCUSKER.
,VS Cana Pine Creek.Rd,. app 1400'-
1 of Broyles Rd, Chico
47-06-9
--I>esmi - t #5092-76P�E(
E L E C
GA
SUPPORT STRUCTURE REQ. --4,0
CQkIPACTION TEST HQ.
-;�� -YO-'e—
Permi . t #578�- 76 4 7 - 0-6--9
Issued—Z� -2& j/
047-060-009 PERMIT#97-0049
McCUSKER, Jim
15501,Cana Pine Creek Rd., Chic
Ele Ser Ch/SF
47-06'09 92-36
MCCUSKER, Jim �&*' Suzanne
15501 Cana pine Creek Rd, Chico
Dtion P mit
(stoi�.e�6rchard equi�ment)
11
ri
tr
047-060-009 PERMIT#97-0049
McCUSKER, Jim,�
15501 Cana Pine Creek Rd.,.Chico
Ele Ser Ch/SF
7t
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center'Drive - Oroville, California 95965 - Telephone (916) 538-7541 0#1 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
047-060-009
ZONI
A40
BUILeING PERMIT
OWNER
JIM MCCUSKER
TELEPHONE
343-9226
SO. Fr. OCC. BUILDING VALUATION
OWNERS "UNG ADDRESS
15501 CANA PINE CR RD, CHICO
CONTRACTORS NAME
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 20.00
LENDERS MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
UCENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
15501 CANA PINE CREEI RD, CHICO
PERMITFEE $ i
PLUMBINGPERMIT Filing Fee 20 .00
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
1
PARCEL MAP
1
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system I - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other CK
Describe Work: ELECTRICAL SERVICE CHANGE
Mobile Home I S I G1 W 1 @20.00
PERMITFEE
Contractor
ELECTRICAL PERMIT Filing Fee 2 0.'0 0
OOOV OR LESS
Main Service 200A OR LESS 23.00 23.00
Main Service 200A TO 1000A 46.60
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason: t
Arl, as owner of the property, or my employeeswith wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale. '
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR SO
OR ADDNS. & ACC. BLDS. 3.50 FT.__
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS @7.50
POWER APPARATUS
SINGLE OUTLET CIR.
OUTLET OR FIXTURES 20 @ 1.00
Fx. Occup. ( BAL a .50
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESID.) FA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
— 23.00
-
PERMITFEE $ 43.00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject t6 the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
1 5"
X � K111 le� Date
��ighatMf' �Aplirant 0 Contractor 0 Agent
An OSHA permit is required for excavations -over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
I
TOTAL FEE $ 43.00
HAZ
I D. FEES
I IMP
I FLOOD
CDF
I
I PARCEL I PD J.HD
I ISSUE
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.,
. A
Dat/ 17
By e —
PERMITEXPIRESON M
I (Date)
ReceiptNo. 209519
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINKINSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI N
7 County Center Drive - Orovill4Z,, CalifoTnia 95965 - Telephone (916) 538-75 PERMIT NO.
APPLICATION AND PERMIT 7_06
ASSESSOR PARCEL NUMBER
047-060-009
ZONING
A40
BUILRfING PERMIT
OWNER
JIM MCCUSKER
TELEPHONE
343-9226
SQ. FT. OCC. BUILDING VALUATION
OWNERS MMUNG ADDRESS
15501 CANA PINE CR RD, CHICO
CONTRACTORS NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $ 20.00
LENDERS MAJUNG ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
UCENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
15501 CANA PINE CREEK RD, CHICO
PERMITIFEE $
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF Q Duplex 0 Mobilehome 0 Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other EX
Describe Work: ELECTRTCAL O)FRVTCF CHANGE
Mobile Home I S I GI W 1 @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 20.*00
OV OR LESS
Main Service 1%. OR LESS 23.00 23.00
Main Service 200A TO iOOOA 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Layv for the following reason:
&--I, asowner of the property, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST DWELLING OCCUP so
OR ADDNS. & ACC. BLDS. 3.50 Fr.
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS @7.50
POWER APPARATUS
& SINGLE OUTLEr CIR.
OUTLET OR FIXTURES 20 @ 1.00
Ex. Occup. ( SAL 0 .50
FIXED APPIJ4S. OR
Ex. Occup. ( OUTLETS (RESID.) EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $ 43.00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700ofthe Labor Code, for the performance of workforwhich this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
f on
ti; hundred dollars ($100) or less.)
/1-lecer that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
f rthwilh comply with those provisions.
Date
'at 're of Awiicar�t _-,4;IL—bw4_r 0 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee $
OCC
CONST. TYPE
EE
TOTALF 43.00
HAZ.
I D. FEES
I IMP I FLOOD
I CDF PARCEL PO I HD
I ISSUE
This permit is hereby issued under Oie applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Dati-12-17
PERMITEXPIRESON
I (Date)
ReceiptNo. 209519
WHIT-E-D.D.S.-G.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
NO
OUNTY OF BUTTE -DEPARTMENT OF DE ELOPMENTSERVICES -BUILDING DIVISION
7COUNTYCENTER DRIVE - OROVILLE,CALIFORNIA95965 -TELEPHONE (916)538-7541
PERMIT APPLICATION DATA SHEET
OWNER T(O,% ftie-ct4S*1e-f(Z:
Proposed Building Use 1!5z- E e 07 1 C SE(MC`� _.Building Inspector
A.P.No. 0117-0(;0-(909
Date 1-1-3-17
At time f a plication, I was advised the following'data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans.
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -.Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check) . ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
10. Fees of $ . .........................................
11. Impact fees as shown on attached schedule ...............................
12. California Department of Forestry plan approval/fees .........................
13. Flood elevation letter (100 year flood) by California Engineer ...................
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley . .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Developmenta bout (A) Improvements (B) Drainage ............
19. Driveway permit (construction approval required prior to occupancy). F;re�I;sWct�oA r6�dest
20. Pre -inspection for required. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) ................
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner Mail to owner ............
24. Recorded copy ofAgricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Popy of.recorded deed of parcel creation and 60 right of way to a public road . .....
27. Letter of intent on building use ..........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ............... * ...... ; ..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor. *
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. - Fire Dept. - Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other j , Date By
The following data must be submitted prior to permit issuance: (Circle new
1. Index permit for above items No.
2. Additional items required:
not ch
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
O.B.- 1
Attention Property Owner.
An "owner-bader" building permit has been applied for in your name and bearing your
signature.
Please complete. and retum this information at your earliest opportunity to avoid
unnecessary delay. in processing and i i your building permit. No building permit will
Issuing
be issued until this verification is received.
1. 1 personally plan to provide the m4jor labor and materials for construction of the
proposed property improvement: YES[ No[
.2. 1 HAVE[ ] ELAVE NOT[ ] signed an application for a building permit for the
proposed work -
3. 1 have contracted. with the fo.Uowm*g person. (firm) to provide the. proposed
construction.
NAMX:—
ADDRESS: CITY:
PHONE: CONTRACTOR*S LICENSE NO.
.....4. 1 plan to provide portions of this work, but I have hired the following person to
" ' i
coordinate, supervise, and provide the major work.
NAJWM:
ADDRESS: CITY:
PHONE: CONTRACTOR"S LICENSE NO.
5. 1 will provide some of the work but I have contracted (hired) the following persons to
provide'the work indicated:
NAME ADDRESS
PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER--_(,-�,
SOCLA,L SECURITY "ER.
DATE:
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our off -ice before
we are permitted to issue the permit.
OVER
.0
O.B.- T
M
WIN'
0".
. ..............
Dear Property Owner
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner-builde you are the responsible party of record
on such a perinit. Building permits are not required to be signed by property owners unless they are pemnally
performing their own work. If your work is being performed by someone other than yourscA you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors am required by law to be licensed and banded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work. with the =eption of various trades that you plan to subcontract. you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other tlian your immediate hmily, and the work Cmcluding
materials and other costs) is S300 or more for the'entLm project, and such persons are no.t licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer. you must register with the State and Federal Governments as an employer and yo� are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation irisitrance, disability insurance costs, and unemployment comp'ensation contributions.
0 There may be firimcial risks for you if you.do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract- the Internal Revenue
Service (and, if you wish. the U.S. Small Business Administration). For more ;pecific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or. through their own employem without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons profeising to be contractors is to secure an, "ownerbuilda"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95914.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
chail C. Vieni"al C.B.O.
Manaier, Building Inspection
NOTE: This Owner -Builder Inforrnation is required by Section 19830 of the California Health and Safety Code.
OVER
'q ,
DATE 1- 12-015
TIME 8-'a�
ESTIMATED DAMAGE $10, 0-00, 00
BY A
DAMAGE REPORT
FOR INITIAL ASSESSMENT
FLOOD JANUARY 1995
PUBLIC INFORMATION OFFICER
. 538-6947
Name Reporting Party S&19,441' Me-C"!q&ER
Address/Location CAA ?W -L CK-- fZ�- W
Telephone Number 3 C/ 1 -17 2-80 City County L-`
Type of Damage
(Note: Emergencies Refer to 911)
Building Descrigtion
.']-1.1Comm6icial/Us
Residential Type and # Units
Currently Occupied/Use
Abandoned/Vacant
Electric
Any electrical submerged OnJ Off
Obvious damage (failure, downed wires, arcing)
Gas
Natural/Propane
Obvious problems (odor, leaks, leaks, propane tank floating/submerged)
On [ I Off [ I
Structure
On/Off Foundation
Flooding above/below floor
Obvious leaning, tilting
Severe Damage/Collapse
Debris Hazard
Sanitation
. Plumbing working
Running water
Well Flooded
Obvious Sewage Problems
Chemical/Fuel
Wet, flooded, lost chemicals
Type pesticide, fertilizer,'� other chemicals
Amount
Fuel tanks (above or below ground)
Obvious hazards
Agriculture Loss P
Crop Damage L &,, #WL dacwh&s;
Livestock Lost
Building Damage
Roads (Public)
Road Name
Obvious Damage/Hazards
Location/Land marks
Traversable (Sedan, 4 wheel)
Involved Utilities (downed wires)
Levees Public [ I Private
Waterway Name
Location of damage/problem
Obvious hazards
Nearest Landmarks
Overflow/freeboard
Copies:
OES Agriculture
Health Fire
Building Sheriff
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, orother horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agriculturai products are processed, treated,
or packaged, nor shall it be a place. used by the public.
ASSESSOR PARCEL NO. ZONING
47-tl)(00 _00q
OWNER ) PHONE NO. C/ C;2
L� \ M V, � G U -,?—AA/A/
OWNER's ADDRESS
/ ;—a /
_13�
LOCATION OF BUILDING
o F C) o
USEOFBUILDING
E Q U i r rvtAcAIT sto JeA 6 6:� Fo yt- o A2 7L,
SIZE OF STRUCTURE
' D 0 SQ. FT.
e5;24 X - _V_ _'
TYPE OF CONSTRUCTION:
WOODFRAME— STEEL _��CONCRETE —OTHER (Specify)
TYPEOFSIDING
MC--7-1-1- L_
ROOF CPVE5_1NG
/T &--7 7L
FLOOR TYPE
ESTIMATED COST OF CO CTION
Z cl�4
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances follows:
as e
SIDES (S" REAR— 49-N!S'
� FRONT 10'�
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buill ings less than 1000 sq. ft. in floorarea shall be located a minimum of 6 feet from a residence, 10 feet
from a r�obilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and -40 feet -from a commercial building.
I declare under penalty of perjury that thp building will be used as stated above and the proposed use
conforms with the AG Building definition. ,If any change in use or occupancy of the building is made, I will
contact the Department of Public Works arI�, will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect'at that time and before occupancy.
_3,Z� Z
Date Signature of Owner
4 --
Permit Fee -$25-W 50 - The above described AG Building is e�empt f , rom a building permit.
FLOODA PA
RO
Receipt No. I /<
Director of Public Works
By Date
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
OWNER I M
Proposed Building U
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLItATION DATA SHEET
Permit No.
5 U P
Building lnspector_'�'X,� Date
At time of permit application, I was advised the following data must be submitted prior . to permit processing and/or issuance:
�lAll
DATE RECEIVED APPROVED
items have been submitted . ....................................
2.
Plot plans in duplicate/triplicate, signed by'preparer of plans ........
3.
Complete plans in duplicate/triplicate, signed by preparer. of plans
4.
Complete engineered plans and calcs, with wet signature on plans
5.
Hazardous Material Form ..........................................
6.
Energy Design Compliance and support ing documentation .........
7.
'
Statement of Intent for Non -Heated and AC Buildings ..............
8.
Engineered truss details and layout in duplicate (required prior to plan check)
9.
Mobilehome installation data including manufacturer's installation
instructions .......................................................
10.
Fees of $ ........................
11.
Chico Urban Area fees paid .......................................
12.
Park fees paid ....................................................
13.
School District fees paid ..............
14.
Sanitation approval from Health Department
15.
City of Chico plumbing permit .....................................
16.
Plot plan and business license approval froTn City of
(see City for other requirements)
117�
Planning approval for (A) Use:—(B) Parking: . ......
18.
Improvements may be required. Contact Land Development Section DPW
19.
Driveway permit (construction approval required prior to occupancy)
20.
Pre -Inspection for req u i red Pre-inspec. request to
Building Inspector (Date)
21.
Contractor's license information (No., Name Style, Classification) ...
22.
Certificate of Workmans Compensation Insurance ..................
23.
Owner -Builder Verification (Given to owner b, Mail to owner 11)
24.
Recorded copy of Agricultural Acknowledgment Statement .........
25.
Letter of signature authorization ...................................
26.
27.
When
you issue the permit, process as follows: __��Mai`l to owner. Ma i I to contractor.
Telephone and hold for pickup at —office. —Del.iver w/inspector.
Copy of Haz-Mat form sent —Health Dept. —Fire Dept. ----Air Pollution Date
Copyofplanssent ---HealthDept. —FireDept. —Other— Date— By.
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by —phone ---mal I —counter by_date
Contractor, designer, owner, was advised of above required data by—phone _rna I I —counter by— date
Plans checked by Date Plans approved by Date
Sets of plans on hold in —File cabinet _AP folder
Copy—DPW
Mw
4
�t
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541
DATE 3-6-92
JIM MCCUSKER RE: B.P.' - APP. # 92-36
15501 CANA PINE CREEK RD
CHICO CA 95926. A.P. # 47-06-09
With reference to the above subject:
" Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plens Mobilehome Installation Information Sheet
Engr. CaIcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
X/ We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way,'Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of dead showing
Recorded copy of agricultural acknowledgement statement.
L X
OTHER PROPERTY SHOWN SUBJECT TO.INNUNDATION DU
FINISH FLOOR ELEVATION MUST BE ABOVT_THE
BE DETERMINED BY REGISTERED CIVIL ENGINE
AND SUBMITED TO US FOR APPROVAL PRIOR TO
Should you have any questions concerning the above, please contact , RE TAYLER
of this office. Yours very truly, '*--
William Cheff
Director of Public Works
F. Glander
f u
JFG/aj C�hFief Building Inspector
Attn: Mr. Rod Tayler
County of Butte - Dept. of'Public Works
7 County Center Drive
Oroville, Ca., 95926
Re: B.P. APP #92-36; APN #47-06-09
Dear Mr. Tayler,
March 21, 1992
I have been retained by Mr. and Mrs. McCusker to satisfy your require-
ment that the finish floor elevation of the proposed building be s. -
above the 1,00 year flood level (see attached letter).
A field survey performed by me shows the proposed building site to be in
Zone "X" of the F.I.R.M./F.E.R.M. map pertaining to this property (see
attached enlarged copy). This places the building site above the 500
foot flood plain elevation according to the above mentioned'maps.
It is my recommendation.that the finish floor of the new bui,lding be at
the finish floor elevation of theadjacent existing garage as shown on
t.he plot plan (see attached).
If you have any questions or comments please do not hesitate to call
(891-4585).
Sincerely, .
Andrew M.'McNulty,
e ql�
IX4 .
P. -E., L.S.
VOFESS
00 -Ilk
10*,
Ife
rcc NO. 47599;,-e-
0
EXP. 1
P,
4
01
AN
OF M%k
CO
C)E�p7.. UN7Y 0 -
OF PUBLIC, W64XZ;
MAP 2 4 i99,�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-754L
DATE 3-6-92
JIM MCCUSKER RE: B.P.*'APP.# 92-36
15501 CANA PINE CREEK RD A.P. #
CHICO CA 95926 47-06-09
-i-_--th reference to the above subject:
Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Cales Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
/_X/ Ve need the following information: -
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement..
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans..
Plot plans in
Structural details in
Complete plans,and calca in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County -Health Department at:
196 Memorial Way, Chico
7. County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte.County Planning Department, 7 County Center Drive,
Oroville, for
'Completed Owner -Builder Verification form.
Recorded copy of dead showing
Recorded copy of agricultural acknowledgement statement.
X/ OTHER PROPERTY SHOWN SUBJECT TO INNUNDATION
BY REGISTERED CIVIL
Should you have any questions co.n.cerning the above, please contact ROD TAYLER
of this office.
Yours very truly,
JFG/aj
William'Cheff
Director of Public Works
Glander
,�-""Chief Building inspector
PLOT PLAN FOR
1300'
JIM AND SUE MCCUSKER
F3 15-501 CANA PINE CREEK ROAD
S EPTIC CHICO, CA 95926
IEXIS I INU
MOBI L E (916) 343-9.226
�5' SEPTI
X I INU
C 110, EXISTING 45L -L�G-STNAGE
A HOUSE 0 GARAGE
N DRIVEWAY WELL A.P.N. 047-060-009-000
A
p
N
E
C
R
E
E
K
R
0
A
D
39.9 ACRES
11310'
Y) rl M
oep t
, 4
Th 1,3
0 L� 0 Vk
bt �OQ I
Bvtte Co. Div. of Env. Health
JUN 2 0 1989 P/0 Noll V1
its'leal C-0100mle
AGRICULTURAL AFFIDAVIT
EMPLOYER/EMPLOYEE
Please read the following*carefully before signing:
Section 24-21.2 Agriculture Employer/Employee
(Applicable only in zones A -5,.A-10, A-20, A-40.and A-160)
Aft individual who verified, by personal affidavit*'and by affidavit
of.his employer, that he is, or will be, employed at least thirty-
two (32) hours per week for at least sixteen (16) weeks per year,
or'that his primary source of annual incbme is, or is anticipated.
to be, derived from, any of the following described occupations:
(a) The preparation, care and treatment of farm land, pipelines
or ditches, including leveling for agricultural purposes,
plowing, discing and fertilizing the.soil;
.(b) The sowing and planting of any'agricultural or horti-cultural.
commodity;
(c) The care of any agricultural or horticultural.commodity.'
As used.in this subdivision,' 11care" includes,.but is not
limited to, cultivation, irrigation, weed control, thinning,
heating, pruning, or tiein'g,-fumigating, spraying and -dusting;
(d) The harvesting of any agricultural or horticultural commodity
including, butnot limited to, picking, cutting, thrashing,
mowing, knocking off -,-field chopping,* bunching, baling, balling,
field packing, and placing in field containers or in -the ve-
hicle in which the commodity will be hauled on the farm or to
the place of first -processing;
(e) The assembly and storage of any agricultural or horticultural
commodity including, but not limited to, loading, roadsiding,
banking, stacking, binning and piling;
(f) The raising, feeding and management of livestock, fur -b ' earing
animals, fish, frogs and other ' aquatic animals, and bees in-
cluding, but not limited to, herding, housing, hatching, milking,
shearing, handling eggs and extracting honey;
(g) The operation, conservation, improvement or maintenance of
such farm and its tools and equipment.
sum Co. J)Jv. 07 My. T199191 I
JUN 2 0 1989..
califomis,
AGRICULTURAL AFFIDAVIT
EMPLOYEE
Employee J02,57EIP14 ZA)-R1'C'H . M 0 tA"D. Phone S 7 41- CS
Employee�s Address (Present) CA,,JA ?I;Vr, OeZZ& ka -C 14 th 019 ir
Name of Owner- dirpi AL-Cusek-ri
Owner's Address ISTO/ CAM4 f911vcCREc)( RD.- Clyjco., GA.)_1r-,W1v14
Owner's Assessor's Parcel No. 0-6�7-0100_coc?_000
Bu4r�/Environmental Health
Permit Description and Number
Date Issued d. a,42�
Planning Department kpproval:
Date z�;-2,0-3q Zone
'ARM
MW
Dwelling on.kP#_Q�_�6Q_L991___Q_00
Ak
I, T,2sa7a/ do declare,.subject to. t . he
e of T.I'M V. Me OU -9/c -47P
penalty of perjury, that I am the employe.
address (present)_1_17�( CAAJA
and that I will be employed under Section 24-21.2 A-Cq-V '.for -'at -least
(a) to (9)
thirty-two (32) hours per week for at least sixteen (16) weeks per year on
AP#
I �.A
Signed
Dated
I
AGRICULTURAL AFFIDAVIT
Employe E R' _Phone -7 '13 -. c? 2 2 ig.
Employer's Address (Present) iS-S-o-L CA,\IA ?I'tJe- j!�PEE-w R77)-- Ct-4�re-)
Name of'Owner J i'm V, Mc Cas w ii—R o P- U 11) N ti E M—A
Al f4i(Zo9s('�9! A� L
Owner's Address IS -.S-0 0, a Al A
Owner's Assessorls Parcel No.- -0 /-/ 7- 6 6 0 - 0 0 C?- 0 0'a
IL C-
M 4 /V-n-Trj -nnnna-ntal Health V�
JJ ���
Permit Description and Number
Date Issued� Z
Planning Department Approval:
0- Dwelling on AP# 0
Date Zone
I
0
do declare, subject to. the
V, Mc
penalty of perjury, that I am,the employer of �T CL 02
on AP#
address (present) 1,S-qq?'C,4A1A
and that I will be employer . under Section 24-21.2 q. -p for'at least
to (g)
thirty-two (32) hours per week for at least sixt-een (16) weeks per year on.
AP#047-'06/0-002-00
e
Signed_.,:,
D a t e d V
!,PERMIT NO. B2"76P,E
PERMIT EXPIRES
OWNER Jim V. McCusker
"CONTR. owner
�OCATION (A.P. 474-9
W/S Cana Pine Creek Rd., -app. 1400'N.of Broyles
Rd., Chico
Temp. Power Pole
Called PG&E
. - '4 -
feffnr Elec. Serv. AM— 'Z- t�-- 7
Called*,PG&E Z6--Fk--7(n
Temp. Ga's Serv.
C alled PG&E
/j B L
FOINA Eblio—
(D
(Signature)
COUNTY OF'BUTTE — DEPARTMEN, T OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING.
BUILDING (Cont'd)
rE
Gas Pipinq & Test _44-0
Temp. Gas
PLUMBING
Setback /5--?
Firewall
Soil Piping
FIREPLACE
Forms
Parapets
1st Floor
ELECTRICAL
Main Bldg.
Restroom Finish
2nd Floor
Reinf. Steel
Footings
Windows
3rd Floor
FIRE SPRINKLERS
Stemwall
Siding
Topout
Slab
Roof Sheathing
Water Piping
/,"57— 7e
Piers
Roofing
Sewer
to—
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Prov. for p sically
A "n—es
Carport
Footings
handicapped
Conformance of ex.
structure
rE
Gas Pipinq & Test _44-0
Temp. Gas
Slab
Final
Sanitation SEAE 1V07'X_:- 47MV49
Patio
FIREPLACE
Final 1Q --2.-k--7& -
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final /00,
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing Test Water Htr.
Stucco Final Subpanels
4L Lg —
Mesh dECHAi;hCAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts, Underground
Interior Lath Ventilation Permanent 16
7JLM2� - !&
Door Closer Final Final
.16
DAJ;E -74, —REMARKS OR CORRECTIONS
0',
IV Fry, t f—D
P&S-7—
P e,
I f I
(NOTE: An entry must be made on this form each time you visit the job site.)
TO: Building Department
FROM: Environmental Health
RE: Sewage and/or Water Clearance
J -��C64�j , �e,�
, A.P. #
a4NER LOCATION
Has been approved for.
<�A L
PL
PL
V
eSanitarian
Date
r
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
�-Ik CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the re5uirement.s
otjL the Cglifq�ngL Administrative Code, Title 25, C pter 5, un er ermit
number, —7L for the following location
Owner JOW
Owner's Address IR17— 13 6 2�c -,5;' 7
Mobilehome g. 5�,/' Model e a r
k, IL
Insignia No. 0 5 Serial No.-'� if WO -5 3
>
It is hereby --c-�e`rCtli7iedifo/rr occupancy at the above described location and
may be occupied. Director of �P
Date By _.ublic Works
- THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
9. Electrical
A. , Is sel-vice large eiloilglt to provide adeqUare ampc�rage to mobilcliome (must equal rating of
1110bilehoi-iie �Atit a. -.Anivlum of I P) and other facilitias o�'16t, i.e., water pumps,
c a ban a , (! t c . 7 L-�'No
j� is ther,-� proper clearances around panels? Yes 6---
C Is power supply cord or feeder assembly -properly fus6d? Ye.sle�_ �Io__
D. Is continuity test satisfactory as per the following procedure? Yes
1'. De -energize electrical wiring, syste,,-ii-of the mobilehome at the pedestal.
2.L'Aake sure that t1he power supply cord or feeder assembly conductors, -including . neutral
conductor, haVE-, been disconnected.
3-t"iK<4irch all brealcers and switches in the mobilehome to the "on" position.
4.6<onnect one 1.:�,.,-id of a test ins�runnent to the mobilehome grounding conductor and
C-, r.., cof-11Ljcto-j:, including neuLral.
M bLIPP-L
L.0
UU
P
5.L';!Il noni-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
viater line), including fixtures and appliances, shall be tested for continuity from
such qqi.iipment and the grounding condu.ctor.
&�—Kpo`nco7jpletion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
te-L shall then be ri,,ade between LI -.he q 0
groundin- electrode and the chassis of the i
111obilehome. UDon saLisfactory completion of theelectrical tests, the lot or s te
service equipment may be approved for energizing.
r
Ts job card si,;
,ned by Health Departmeat for wate and sanitation? A/6 -71
I I verything okay, sign off 'card and tag services.
1A.. If e C,
MOBTLEMME DATA
Manufdcturer andlor Namestyle
11 c r. g t h— W i d t t_��
Vehicle S , erial No. F PC 313
7 V2-)
State Identification No.
A&ILtional Information or Cormnents:
'MOBT!.'E11OM11` INSI'ALLXTION INSPECTION CHECK LIST
I
Is the. mobilehoni,� locited wit:11 quired separation from lot lines and buildings and generall\,
conform to plot plan? Y es lNo
2, Docl�; the i-anbilehome have required clearances above ground? (Sec.5085) Yes t -.,-K'5
3. Are footLn--;s and supports properly sized, spaced, and braced as per approved plans? (Note
t
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes
4. Is the mobilehome level.? (Sec. 5088) YOXI--- or
5. If mLo:r.,e h a sitigle unit, are crossover connections properly installed? (Sec. 5088)
Yes 10
5. Water
A. Is f�lexi
connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes 0
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes &--N-O-�
C. Backflow - If coach o S of California approved, does station have backflow device
f
and pressure -relief V s No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? YesA---N'o
B. Does it have minimum k" per foot slope and is it properly supported? Yes A--h�
C. Are any leaks detected in drainage system after running 3 -gall s of water through each
fixture including washing machine standpipe? Yes_ No
D. If coach is not t e aliforniaap roved, does station have required trap and vent9
Yes No 14� 1P
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 mobile' e gas line inlet without reductions other than the mobilehome
connector. Y= �No
B. Test OK as per following procedure? Yes L,
1,. �Open I appliance connector valves. -
2,. Shut off appliance burner and pilot valves.
3��Air test 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. (L.Q. �ect gas meter to mobilehome with connector, turn. on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Y e s 'L—<O�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Dri ' ve , Oroville, California 95965
Telephone: 534541 -76
APPLICATION AND PERMIT
y - u F- 1 -
above -mentioned property G in;pe�ti�n purpose;.
X &, . e:5,—Z— ate
S �Oture of Permitee or Agent
Receipt No. <7 7
White-D.P.W. - Yellow -Assessor - Pink -Inspector Golden rod-Appi i cant
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 PUBLIC WORKS
Bv D at e
3
13ermi Dires 0
19kildinag permit expires Date 2--Z- -7 7-
BUIL _1
Owner t4c /Z
SO. F T. OCC. BUILDING VALUATION
Mailing Address A -r- /7/ /305-, 41-7 ?
Telephone No.
3,
13_,7Zz 6
Fireplace
—
Contractor 4 A�
Total Valuation
Mai I ing Address
Permit Fee
PlanChecking Fee&/orPenalty
Telephone No.
Permit Fee $
Building Address
PLUUBING No. @ FEE
PERMIT FILING FEE $3.00
9d,
Each Trap 1.50
xc� -
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 417- 6>6
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe/841/1e-
I SaftHrrInd
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel onTParcel
I Declarati
Map
60' R/W I Improvements
I =
Lawn sprinkler system 2.00
,,_)/14V4ck9V0/ I Parcel JCa��val'
Plans 4_PP_r-_:-_l .
Permit Fee $
$ I
NEW F] ADDITION UTILITIES OTHER [ff
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
-7
7-1 o,.,v _!7
6..V DR LESS
Main service FSS
100 AMP OR L 5.00
Main service EA. ADD -L 100 AMP 2.50
Single Family DuplexE] Mobil Home Others
OVER 600V
Main service 100 AMP OR LESS— 25,00.
Main service EA. ADD -L 100 AMP 1.001
NEW CONST. ( DWELLING OCCUP. &)
O -R ADDNS. ACC.-BLDGS. 20seq ft
NEW CONSTR. (MULTI -OUTLET S)
NON-RESID. BRANCH CIRCUIT 2.50e6
NLW.CONISTP- (POWER APPARATUS &I
NON RES 0. 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) 50 @ 25t
BAL 0 100
FIXED APPLNS OR
Ex. Occup.(OUTLETS (RESI'D.) EA) 2�00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring .25
I am exempt from the Contractors License Laws of the State of Cal ifornia.
Permit Fee $
$
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.
EJ 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
'permit is issued ' I shall not employ any person in any manner
so as to beccme subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
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
rl C) J
A2
TOTAL PERMIT FEE 3,0.0 0
$
y - u F- 1 -
above -mentioned property G in;pe�ti�n purpose;.
X &, . e:5,—Z— ate
S �Oture of Permitee or Agent
Receipt No. <7 7
White-D.P.W. - Yellow -Assessor - Pink -Inspector Golden rod-Appi i cant
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 PUBLIC WORKS
Bv D at e
3
13ermi Dires 0
19kildinag permit expires Date 2--Z- -7 7-
MOBILEHOME SUPPORT DATA
Mobilehome Mfr. �kYLILVELoAP, Li4ol-fe7A�-) Setup Model No. Year
Width 20 .(f t.) Length (f f -Expando'Size ft.x ft.
(Draw support details,below)
On all mobilehomes manufactured after October -7, 1973, furnish manufacturerls installation
manual and structural setup sheets (if not.oA.file with -the . County of Butte).
Sin le
f
Center
Center Support
Support
Footing Sizes
Locationsl
(in.)
) �kin
A
Ail
*n.) (in.)
VW
EtT�i�n
*If center piers are'other than drawn �bove,
draw in locations, spacing, and dimensions.
Footings -(check. -one)
i% 1. Wood.either
pressure treated or
fdn-. grade.
2. Concrete pad.
3. Other,�specify
Support s check one)
1. Concrete block
2. Concrete piers
3. Steel piers
4. Other, -specify
Typi�al Support
JU 10 Footing Size
1h,
Ma x. Pier
Spacing
;,i nj.
Max.
1.2-6i'Overhang
KMECMN"
OUILDING DEPARTME.NT
APPROVED
APz""Y7—e6— c/
n
BUTTECOUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: 0 L A D YS E. M r- CU.S K E R
2. Installer's name: CnLEM k6usz Hoyc&T
3. Is the site currently under permit? Yes ZRI-7 No
(If yes, furnish permit number ro 92 - 7/, Pv F_ OR
Is the site an existing site? Yes No W/
(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? ------------------- Amps
-----------------
6. What is the mobilehome site service rating? zoo Amps
7. What is the mobilehome site circuit breaker rating? ------------- 70 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: (Load) (Amps)
9. What is the mobilehome site gas pipe size? ---------------------- (in.)
10. What is the type of gas service? ------------------------------ Natural LPG X/:
11. What is the gas pipe length from meter or tank to the mobilehome? -(ft.)
12. What is the mobilehome gas demand? ------------------------------ 1AQr 00e) (BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
Ba its coun f,
L A N D 0 F NATU RAL WEALTH A N D B E A U T Y
DEPARTMENT OF PUBLIC HEALTH
1. Hoindl, M.D., M.P.H., Director
z Address 0 695 Oleondor Avenue, P.O. Box 1100, Chico, Colifornio 95926 - Tel p o 343�42
h no 11
reply to 0 2430 Bird Street, O-vill., C.lif.,ni. 95965 - Teleph... 533-1230 Ext. 62
August 24, 1976
..Mr., Jim V. McCusker
'Route 4, Box 479
Chico, California 95926
Dear Mr. McCusker:
This is ' to advise You that pursuant.to Section 19-19 of the Butte County Code -
the Board of Supervisors has approved a variance to Sections 19-10 and '19-12
of the Butte'County Code for thie' placement of a mobile home on your.property
located at Route 4, Box 479, Chico, California, AP# 047-06-0-009-0. '
This variance was granted on August 24, 1976 andincludes the following conditions:
1) The variance is granted only for a term of one year. At the
end'of one year you must apply for a'new variance if the use
is to continue.
2) If the applicant residing in the mobile
41 home or conventional
residence moves to another location or is deceased, the vari-
ance automatically expires and the mobile home shall be removed,
within 30 days. If the mobile home is not removed within 30 �
days, the County may remove said mobile home and'store it at the
owner's expense.
3) The'mobile home shall be T).laced on the property without violating
any of the setback requiremeT?s of the zone in which the property
is located.
4). The applicant shall secure all necessary sewage disposal, electrical,
plumbing and building permi ecessary to install 'the mobile home.
Ver -v t-ruly yours rm Qie c,,/
��w 4Zd J . T o u s sai ilrector
Division of Envirdnmental Sanitation
Cc: Clerk of the Board
Planning Department
Building Department
Chico Environmental Health
FILE NO.
BUTTE COUNTY
(Far Action 1, 2, 3)
Public Works Dept.
(For Information,/)
Director
Dep. Dir.
Sec.
Rd. & B,. Mtce.
Shop
Equip. & Yards
Ref. Di,p.
Bldgs. & 'Grds.
'Bldg. I-sp. Admin.
D & C/Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Mapping
Drng./Permits
Sub. Checking
Right of way
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Dri^ - soroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
,,— . a ?* a.L Date
ignature of Permitee or Agent
Receipt No. /,D ;7 6 -
White-D.P.W. - Yello�-Assessor - Pink -Inspector - Goldenrod-Appli cant
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 0 BLIC WORKS
By D at e ?--_ A- - -2 C,
B dddi I ng permit expires Date
BUILDING ;`7
Owner -� I
SQ. F T. OCC. BUILDING VALUATION
Mai I ing Address 77
C�b 0
Tel ephon e No.
Fireplace
Contractor
Total Valuation
Mai I ing Address AJ e
Permit Fee
Plan Checking Fee &/or Penalty
Telephone
No.
Permit Fee $
Building Address C,9 M A 'PIA/e_ Cye--A::- RJ.
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
tV A0 ro 0- Af Af, o r- 13ro yL e -s fd-,
Each Trap 1.50
0- A
Repair drainage or vent piping 1.50
Water piping 445a /0-0d
Zoning Verlficaff�.n gnty
Each gas water heater or vent 1.50
A. P. NO/
In a
Gas piping system 1 - 5 outlets -*:ed
Each additional outlet .3
F6<
*6(
S6ktio]FireDept.J
FireZone
Use Permit
Building sewer 52M
EQA
Parking
Plans
Parcel
LIDeclaration
I �arcel Map
60' R/W
Improven nts
�e
Lawn sprinkler system 2.00
Bldg. 4-5._rRec'd
"'07P'ar`c"eI'App1:;r_', I
Plans Approval
Permit Fee $ 31 oo
1$ dTo o
NEW ADDITION UTILITIES OTHER
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE $3.00 _3�00
main service 600V OR LESS 06�
100 AMP -OR LESS 5.00 5
Main service EA, Ann -L 100 AMP 2.50 Z,
Single Family Duplex Mobi I Home Others
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. DWELLING OCCUP. 9
OR ADDNS. ACC.BLDGS. 20sq ft
NEW CONSTR. (MULTI -OUTLET S)
NON-RESID. BRANCH CIRCUIT 2.50ea
NEW.CONSTR. f POWER APPARATUS.&)
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) PBOA@L 25�t
@ 100
FIXED APPLINIS OR
Ex. Occup.(OUTLETS (RESI'D.) EA) 2.00
Temporary s ervice 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
1 amexempt from the Contractors License Laws of the State of Cal ifornia.
Permit Fee $
J3t
WORKMEN'S COMPENSATION INSURANCE
I 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.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
Cal i forni a.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling I I I
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
TOTAL PERMIT FEE 1$
sylbe-
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
,,— . a ?* a.L Date
ignature of Permitee or Agent
Receipt No. /,D ;7 6 -
White-D.P.W. - Yello�-Assessor - Pink -Inspector - Goldenrod-Appli cant
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 0 BLIC WORKS
By D at e ?--_ A- - -2 C,
B dddi I ng permit expires Date
A-1
( 1 1/0' '71,
R7
u-mLi-�I'&s
The A*t. Setback shall 6e 5 ft. from
Oe side property line and 50 ft. from.,
f he centerline of Ae rood, permitting.
a maximum of a:2 ft.. eave overhang..
PROP05,aD A
ac)
AvA i � c A 71. DoVrO ?-;4-)�L'
Pe
."4 T0110 Non e p6c_
the lwre�l
for
rn*leho... 9
s 71 .6-
W*6
BUTTE COUNTY
3UILDING DEPARTMENT
�PPROVPD
/7:* �o 9;
All'
located within 4 ft. outside the rear
Septt'c stem lo'cation o4&9*,, utility connections shall be
--L , - -
'to be as per
unty.* Health Dept. Re-. third section of the mobile home
quir.ements. on the lef'
Oroad) side,of the mobile
NOTE-�—Afl I MciferIals I WorAmanship Shall Be in
Accordance with RecOnized Good Practices and
of a qualify prescribed lor the Specified use in the
Uniform Buildingo, Plumbing & Machanical Codes and
the National Electrical Code.,
home.
This set of plans 0 '119SUft-AW 1 MUST 156
kept on the job at all times and it is 'UnLawful to
make any changes or alterations on same, without
written permisson from the Departrri'ent6f.-Public
Works, County of Butt6..
i
5k�_
Address 0 196 Memorial Way
Reply to Chico, California 95926
Telephone: 916/891-2727
Jim McCusker
Route 4, Box.479
Chico, CA 95926
Dear Mr. McCusker:
B E A 1,1 T Y
--WL -1, I �L. r1r_Mt_ I ri
CK7 County Center Drive 0 747 Elliot't Road
Oroville, California 95965 Paradise, California 95969
Telephone: 916/534-4281 Telephone: 916/872-2961, Ey.t. 58
February 17., 1983
This is to advise you that pursuant to Section 19-19 of -the Butte
..County Code, the Board of Supervisors has approved a' variance renewal'.
to Sections 19-10 and 19-12 of*the Butte' County Code for the continued
use of a mobile home on your property located at Box 479 Cana Pine Creek
Road, Chico, CA and identified as Assessor*'s Parcel Number 47-06-09.
----------
This variance renewal ' was granted on February 8, 1983 and includes the.
following conditions:
1. The variance renewal is granted only for a term of one year. At
the end of one year you must apply for a new variance if the use is to
continue.
2. If the applicant residing in the mobile home or conventional'
residence moves to another location or is deceased, the variance
automatically expires and the mobile home shall be moved within 120
days. If the mobile home is riot removed within 120 days, the County
may remove said mobile home and store it. at t�e owner's expense.
Very truly yours,
Lynn Vanhart, Director
Division of Environmental Health
LEV/lld * . .1
cc: Clerk of the Board
Plp!ning Department
,OKilding Department
W 4
Address
Reply to
4u
D OF NATURAL W E A L'T H A
DEPARTMENT OF PUBLIC HEALTH
DIVISION.OF ENVIRONMENTAL HEA . LTH
0 695 Oleander Avenue, P.O. Box 1100 X 7 County Center Drive 747 Elliott Road
Chico, California 95927 Croville, California 95965 Paradise.. California 95969
Telephone: 916/891-2727 Telephone: 916/534-4281 Telephone: 916/ 872-2961, Ext.
December 29, 1981
.Jim- V. -McCusker
Route 4, Box 479
Chico, CA '95926
Dear Mr. McCusker:
.This is to advise you that pursuant to.Se'c't.ion 19'-19 of the Butte
County Code, the.Board 'of Supervisors has approved a -variance renewal
to Sections 19-10 and 19-12 of the.Butte County Code for the* 'continued
use of a mobile home on your property located at Box 479 Cana Pine Creek
Road, Chico, 'CA and identified as Assessor's Parcel Number 47-06-009.,
This variance renewal..was granted on December 8,'.
1981 and includes the'
following conditions:
1. The variance renewal is.granted (only'for a term of one year. At
the end of one-year you must,apply for a new variance if the use
continue. is to
2. If the applicant residing in the mobile.home 'or conventional
residence moves to another location or is debeased, the variance
automatically expires and the mobile home shall be moved within 1'20
days. If the mobile home is not removed within 120 days,'the County
may remove said mobile home and store it at the owner's expense.
Very truly yours,
Lynn Vanhart, Director
.Division of Environmental Health
ILEV/lld
cc: Clerk of the Board
Planning -Department
�-Building Depart,:n_�_n_t
Address
Reply to
.- I -- -mig!, L A N D 0 F NATURAL
AM WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC HEALTH
196 Memorial Way DIVISION OF ENVIRONMENTAL HEALTH
7 County center Drive 0 747 Elliott Road
Chico� California 95927 Oroville, California 9596� Paradise,. California 95969
Telephone: 916/89 1-27 . 27 Telephone: 916/534-4281 Telephone: 916/ 872-2961, Ext. 5�
December 17,.1986
Mr. Jim V. McC'usker
Route 4, Box 479
Chico, CA -95926
Dear Mr. McCusker:
This is to advise*you that pursuant to -Section 19-19 of -the Butte'
.County'Code, the Board of Superivi'sors has approved a variance renewal
to Sections 19-10 and 19-12 of the Butte.County Code for the,continued
use of a.mobile-home on your property located at Cana Pine Creek Rd.',
Chico, CA and identified as Assessor's Pa'
rcel'Number 47-06-009.
This variance renewal.was granted on November 251 1980.,a.nd.inc.ludes the
following conditions:
1. The variance renewal is granted -only for a term of one year. At
the end of one, -year you must apply for a new'variance"if the use.is to
continue.
2. If the applicant residing in the mobile home or conventional
residence moves.to another'location or is deceased, the variance
automatically expires and the mobile home shall be moved within'120
days. If the mobile home-is.not' removed within 120 days,.the County
may remove said mobile home and store it at the owner's expense.
Very truly your*s,
Lynn Vanhart, Director
Division of Environmental Health
LEV/lld
cc: Clerk of the Board
,Planning Department
t Bt
. �ilding Department
2
'14 -
Same countv
DEPARTNIENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
Address 0 695 Oleander Avenue, P.O. Box 1100 7 County Center Drive 0 747 Elliott Road -
Reply to Chico, California 95927 Crowille, California 95965 Paradise, California 95969
Telephone: 916/891-2727 Telephone: 916/534-4281 Telephone: 91G/ 872-2961, Ext 58
November 5, 1979—
Jim V. McCusker
Rt. 4 Box 479
Chico, CA 95926
Dear Mr. Mccusk6r:
This is to advise you that pursuant to Section 19 -19 -of the Butte
County Code, the Board of Supervisors has approved a variance to
Sections 19-10 and 19-12 of ihe Butte County C6de f or the placement of
a mobile home on your property located at Box 479-Ca'na Pine Creek Rd.
Chico Area and identified as AP,# 47-06-09
This variance was granted on October 30, 1979
0 and includes
the following conditions:
1. The variance is granted only for a term of one year. At the
end of one year you must apply for a new variance if the use is to con-
tinue.
2. If the applica�nt residing in the *mobile home' or conventiona. . I
residence moves to another location or is deceased, the variance.auto-
matically expires and the mobile home shall be moved within- 120 days.
If the mobile home is not removed within 120 days, the County may*reaove
said mobile home and store it at the owner's ex-oense.
3. . The mobile home shall be placed on the property without violating
any of the setback requirements of the zone in whlic� the property is
loc
ated
4. Th- applicant shall secure all necessary sewa--e dispos 11
a
to i,
nst
eleCturical, plumbing a -rid building permits necessary all the mobile
13
a home.
Ve truly yours,
Variharu, Director
-sion of Envi-ronment"al Health
D* i
L 7E V/ j r
cc: Clerk of the Board
Plannir.- De-oartment
J�u i 1 d Li g De-oartmen'
F-hviroEmental Healt-h
XX
September.7, 1978
Mr. Jim V. Mccusker
Rt. 49 Box 479
Chico, Califania
Dear Mr. McCusker
This is to advis& you that pursuant to Section 19-1.9 ofthe Butte County Code,
the Board of Supervisors has approved..a-variance to Sections 19-10 and 19-12
of the Butte County ' Code for the placement of a mobile home on your property
located at Rt. 4, Box 479 Cana. Pine Crock Rd.- AP#1047-06-0-009-0
1. Street Address AP#
This vaCriahce *as graxited on Augtist 22-," 1978 and includes the-followincy
conditions:
1) The variance is granted only for a term -of one year. At the'
end of one year you must apply for a new variance if the use
is to continue..
If the applicant residing in the mobile home or conventional
residence moves to another location or is deceased, the variance
automatically expires and the mobile home shall be removed within.
120 days. If the mobile home is*not removed within 120'days, the
County may remove said mobile home and store it at the owner's
expense.
3) The mobile home shall be placed on the property without violating
any of the setback requirements of the zone in which the property
is located.
4) The applicant shall secure all necessary sewagp disposal, electrical,
plumbing and building permits necessary to install the mobile home.
Very truly yours,
LYNN WMART, Director
Division of Environmental Health
cc: Clerk of the Board
I.Z?P anning Department
Luilding Department
x
Mly. Jim V. f4ccusker
Rt. 4, Box 479
Chico, California
Dear 111r. McCizier
August 25, 1977
This is to advise you that pursuant to Section 19-19 of the Butte County Code,
the Boar ' d of Supervisors has approved a variance to Sections 19-10 and 19-12
of the Butte County Code for the placement of a mobile home on your property
located at Rt. 4� Box 479 rana P-*na Creeh Road AP#047-06-0-009-0
Street Address A P
This variance was granted on Aumust 23, 1977 and includes the following
conditions: date
1) The variance is granted only for a term of one year. At the
end of one year you must apply for a new variance if the use
is to continue.
2) If the applicant residing in the mobile home or conventional
residence moves to another location or is deceased., the vaH-
ance automatically expires and the mobile home shall'be removed
within 30 days. If the mobile home is not removed within' 30
days, the County may remove said mobile home and store it at
the owner's expense.
3) Thehobile ' home shall be placed on the prop-rty without violating
any of the setback requirements of the zone in which the property
is located.
4) The applicant shall secure all necessary sewage disposal, electrical,
C>
plumbing and building permits necessary to install the mobile ho -.w--.
C. C>
Very truly yours,
Howard J. Toussaint, Director
Divisidn of Environip--ntal Health
cc: Clerk of the Board
Planning Department
v1fuild;Lng Departr--nt
Chai CO Envirol-Imental Health
Mr.- Jim V. McCusker
Route 4, Box 479
Chico, California 95926
Dear Mr. McCusker:
I I %
BEAUTY
DEPARTMENT OF PUBLIC HEALTH
1. H.I.dl, M.D., M.P.H., Di,gct.
Addraj. 0 695 Ole -der Ave—, P-0- Box 1100, Chico, California 95926 - T0,ph— 343-4211
-Ply to 0 2430 Bird Strear, Oroville, California 95965 - TelePh 533-123o Ext. 62
August 24, 1976
This is to advise you that pursuant to Section 19-19 of the Butte County Code,
the Board of Supervisors has approved a Variance to Sections 19-10 and '19-12
of the Butte County Code for thie placement of a mobile home on your property
located at Route 4, Box 479, Chico, California, AP# 047-06-0-009-0.
This variance was granted on August 24, 1976 and includes the following condit . ions:
1) The variance is granted only for a term of one year. At the
end of one year you must apply for a new variance if the use
is to continue.
2) If the applicant residing in the mobile home or conventional
residence moves to another location or is deceased, the vari-
ance automatically expires and the mobile home shall be removed
within 30 days. If the mobile home�is not removed within 30
days, the County may remove said mobile home.and store it at the
owner's expense.
3) The mobile home shall be placed on the property without violating
any of the setback requir6eTft of the zone in which the property
is located'.
4) The applicant shall secure -all necessary
J�s
electrical,
Rlml:!kng and building. _�rmi ecessary to install the mobile home.
Vvyervt ily you
i r
. ; ' . ) e
H ward J. Toussai ir ctor
-Di-vision of Envi Vnmental Sanitation
cc: Clerk of the Board
Planning Department
Building Department
Chico Environmental Health
1.14
i 'AV
46 . .. .. '! � , , I - -
6. 4"1
f lv it
it
41
I
u
1* (V.P,