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047-200-037
Itle AL -7- . 17 7-20-37 V73. m0Allen ?Sri /ghtC W �S � /S Reese Rd.,2200'N.of Munjar Rd., 2 'n 700'W.of Meridian Rd., Chico Pr it e #2833-77P,E(util.,MH) ELE GA S SUP ORT STRUCTURE REQ. COMPACTION TEST REQ.-- 0"�-- 0*,&e-20-37 Per t #3984-77MHI Iss ted 40a. rl, 47-20-37 Permit #2 86 7eMHI(existing site) Issued 92-1284MAI .BOASBY, Merle ��OAAO --15367 #2 R6ese Rd, Chico cont: MH Center mhi existing site 47-20-37 -aZ=1,561 B,E �- BOWLSBY, Merle & Arnalia 15311 Reese Rd, Chico garage 47-20-37 92-1865P,E BOWLSBY, Merle & Amalia 115367 Reese Rd, Chico mh utilities ELEC GAS COMPACTION TEST REQ SUPPORT STRUCT REQ 047-200-037 PERMIT#95-0420 BOWLSBY, Merle 15367 Reese Rd., Chico Cont: Skycrest Bldg Systems oel MHI Ex Site -4a1 Jr, E 1 0 RESIDENTIAL I 047-200-037 PERMIT#95-0420 BOWLSBY, Merle 15367 Reese Rd., Chico Cont: Skycrest Bldg Systems LM HI Ex Site 1 i- 1 i Y �I FyC 5t. t t A { S y OFFICE COPY 'Address % -S pt i GAS Meter By___,,,�Date j ELECTRIC !� Meter By Date • i JOB FINALED (Date) Signature J=OK O=Not OK Not = Not ReadyablE MOBILE HOMES .� Date MOBILE HOME UTILITIES (Plans) OK except #'s t 1. Zoning Requirements -Setbacks -Easements 2. Soils;.Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOB LE HOME INSTALLATION (Plans) OK except #'s 1. Z ning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line , Gas; MH Test- Deman d -Val ve-C electricity; MH Test- - reaker - arances C,5 -Drain; MH Test- a _ Cohnector 6. Water; MH Test- egu - onnector 7. Water and Sewer Connected -C/O to Grade -HD Apprc x 8. G s and Electricity Tagged ` -v_;4 -Exits; Insp.-Sketch 10. Cert. of Occupancy Date I ,Card B- 'Date Card B-1 Dat �- and B-1 Date Card B-1 i d MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s yt 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing ;! 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 4. 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed ! 'R 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit i 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK S Not 1' RESIDENTIAL (; ' = fioIIt Ready eadReady Date UNDERFLOOR (Plans) OK except ff's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except fr's 16. - Water Htr.. Vent -Access -Combustion Air -Baffle ----------------- ----------------------------- 17. Water Pipe: Test & Anchor -Nail Protection ------------------- --------------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------------- - ------------------ - - -19. Shower Pan; Test, First Floor -Tub Access --- - 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 --------------------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection ------------- ------ -------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -------------------------- ---------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ----------------------------- -- ------------ -------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ------------------------------------ --------------- ---- ------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ---------------------------------------------------------------------- 28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size ! 1 ga Cu or Al - ------------------------------------------------- 29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - ----------------------------------------- --------- ---------------------- 30. Service -Riser Conductors & Ground -Main Disconnect -------------------------------------------------- I -- - ------------------------------ Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ------------ ----------------------------------------------- ------ ------------ 35. Vent Fan: Exhaust above insulation ----------- ---------------------------------- ------------------------ . 36. Condensate Drain & Overflow: Size & Grade ----------------------------------------- - - - 37. Furnance-Vent: Access -Comb. Air -Return -Air Vent -115 outlet 38. Attic Access & Platform it Furnance in Attic --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 - ---------- ----------------------------- ---------- -----------•----------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors --------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -- - ---- -- - --- ------------------------- ------------ ------------------ 42. Draft -Stop -in- Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------------------------------------------------ 44. Headers & Beam -Size & Bearing Tingle & Duplex) ,Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50.- Garage Fire Protection Framing _ 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ----------- -------------------- 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. -Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ---------------------- ---- _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows - -- - -----------------------=- Date Card -B-1 1Date % Card B-1 . Date Card B-1 'Date Card B-1 Date FINAL (Plans) OK except ft's 61. - Ext. Steps -Door & Sidelight Protection -Landings ----------------------- -- 62. Smoke Detector 63 Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting ------------------------------ --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels, ------------------- 67. 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. --------------------------------------- - 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance -------- •--------------------------- - 71. Elec. Outlets & Receptacles at Kit. Counter ----------- - -------- ------------------------ ---- 72. -Garage -Fire - Door; Swing -Landing -Closer ---------------------- ---- 73.--A.C.-Duct in -Garage -Damper ---------------------------------- ---- 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location -------------------------------- 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ------------- -- ---------------------------------------- 77._ Insulation -Foam -Looked in -Attic C1 Yes ---------------------------- -- 78. Guard Rails & Deck Construction -Post Caps ----------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; --- -------- Planters --❑ ---Yes ------❑ ---No------ ---- 81. Stucco: Brown -Finish - - 82. A.C. Unit; Disconnect Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ------------------------------------------- ----- 84. Water Well; Disconnect, Electrical, Plumbing ------------------------------- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground -- ---- - -- - - -- --- - ---------------------- -- ----- - 86. Ventilation Throughout House --------------------------- 87. -------- 87. Glass Protection - ---------------- 88. ------------88. Corrections from Previous Inspections ------------------------------------------ -------------- 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval --------------------- ----------- ------------ --- 91. Energy Compliance Certificate -Other Certificates --------------------------------- Date ------------------------------ Date Card B-1 -- -- -... -------------- -Date Card 8-1 ---- -- ------------------------ Date Card B-1 Comments at Final: ------------------- Date ---Card B-1 Date Card B-1 Date Card B-1 3P � a�'�: .•.. +�'-'ea y .��., a-� �,'Sk '�'. :,,E °� "r„' ' fie' _< COUNTY OF BUTTE .j BUILDING DIVISION° DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA-' (916) 8.91=2751 7 County Center Drive, Oroville, CA - (916)'538-754.1 747 Elliott Road, Paradise, CA --(916) 872=6307 a -A CORRECTION NOTICE-- 6WIER PERMIT NO. ;z r A routine inspect•onindicates that the following violations of Butte. County Ordinances exist at <r the above ad as and should be corrected. Please notify this office when correction of work is If you have any quesions pertaining to this matter, or need additional explanation, nta t this office *mmed to y.e 7 w �x RERhi 7 k/ rVo c KS RO V !! -FL 4 , p u V. 3 PA,40 a.# Date �- — Inspector o REV 10/92 —'+ ,+..�: .rTlr •t+'Mw.Lsji7';- is Vis. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE Fr OROVILLE, CA 95965 ---PHONE (916) 538-7541 r APN: PERMIT NO.: ; Owners: ' Name: Owner's: Address: Mobilehome n / �... Year of Manufacturer A Manufacture: Serial numbers /"„�' /'L.% � f � �'�.'' , j Insignia or/� or V.I.N., . V s. t:. HUD number: Official approvi g installation:• v " Date: ! ' ---Jo 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. 513600�- White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor • i COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION - 7 County Center Drive - Orovill6, Califorpia 95965 - Telephone (916) 538-754 PERMIT N . APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER R' ZONING A10 BUILDING PERMIT OWNER MERIE S TELEPHONE 342-3057 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 15367 RERSE RD, CHWO 95996 CONTRACTOR'S NAME TELEPHONE 342-2694 CONTRACTORS MAILING ADDRESS p Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23.0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 15367 REESE RD CHICO PERMITFEE $ 40 PLUMBING PERMIT Filing Fee 20.0.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex' Mobilehome-K Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation d Other)p Describe Work: REPLACE ON EXISTING,SITE Mobile Home S I G W 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service e00V OR LESS ( zooA OR LESS 23.00 Main Service ( 200A TO 1000A ) 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 C�- -% Lic. No. .2 � 5 4 �.� OWNER -BUILDER DQE -L�ARAT— IO I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ACDNS. ( 8 ACC. BUDS.) s0. 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 POSINWGLEER APPAOUTRATUS ) LET CIR. Ex. Occup. (OUTLET OR FIXTURES) 2e 0 1.00 BAL SO Ex. Occup. ( OFIXED UTLETS(RESD.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy numb e are: Carrier A .U�QA&CE �%S�G,C%�9?ES EDa//V S MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (,t 101 1? ?[L �3 125 eMobile (The above sections nee of be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo Ith comply W' h those provisi s Q X Date �- 7 _ Sig at of Applic n - ❑ Owner C tr ctor Agent An OSHA permit is required for excavation er 5'0" deep and demolition or construction of structures over 3 stories in height. Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 143. Q HA2. 1 O. FEES I IMP FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON 41 F1 applicable provisions Resolutions to do work been paid. �' DA c7 (ate) ReceiptNo. 17C1p76 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .:;5'�fDf�a+v�.`�'�FC�E��:+.•eT�. .,::. U:,.L :., iJ,?_C.3 r'J, v.,. ..,,.�,. ;x_i y!: _. �, ,. _r � ._9'. .• � it �Z..ti a.w[�. ... ..rd.,...., 2.r�; �=axJ; va+>,SS. s,«iK'+�.nti�:.s" '+'i•�G::114...�:-.;:s_:� •. .:... ... .... .. . :' ,. ,..:..-�.� �r .,ka_ a. CONTRACTORS VERIFICATION I.. CERTIFY .THAT,.,.I, HAVE INSTALLED..THE.,,,:GROUND LOC, TIE, DOWN SYSTEM As. PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE TIE DOWN SYSTEM,.OR,TO..THE.;BUILDING,STRUCTURE. ; COMPANY NAME CONTRACTOR'S LIC.#- , DATE:. SIGNATURE' , IifiS Ile�2 13468 Hwy. 99, Chico, CA 95926 (916) 343-8494.... •- •-•• -• , - I TO: Building Dopartnjont FROM: Environmental health SUBJECT: Sanitation Clearanee I'lul I'lun Auuahefl __ Vloof flus Aluiulml_- 4enl In IM), /-573 ,� 7comer Owner Location AP# flan Approved for: Sewage Dispos tl Water Supply: Public Private Well Clearance for 49- bedroom mobile homes Peojz,c bg-dr-oowvr �thGJ�� %lmw-p- Lli/�1 Tia 6G4r111 mal. le- how e ancla Hold final for: Final clearance O.K. for: NOTE: bi rr ri Pla_n vi o eAf 1"�.411 0"41 eL. E. Environs ntal Healt Specialist 8/92 Date COUNTYOF BUTTE - DEPARTMENT Qjf-D� ;LOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CA0:ORNIA95965 -TELEPHONE (916) 538-7541 . / - V PERMIT APPLICATION DATA SHEET OWNER -4C� A. P. No. 1�7'n(L--37 Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED 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 . ..............................f ............. 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. ........... Feesof $ . ...................... ............ Impact fees as shown on attached schedule. .SG%�rj04..4." ��-�!J............ 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer. .. ............ . 1 anitation and plot plan approval 0�,4 L-ZA1 Health Department . ............ City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............ . 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ... . �Freanspedionrequ—est . 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 of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ............................ `............ . 28. Mobilehome utility clearance . .......................................... 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 . ...................................... e0Plan check list. . . - - - J ........................................... . Wheg.fiou issue the permit, process as follows: Mail to owner. Mail to contractor. t/ Telephone '3!f7_ 3o57 and hold for pickup at C office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date /4dQ Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date V Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitt, 1. Index permit for above items No. 2. Additional items required: rior toperrMit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by phone_ mail Cou ter by/A/ Date .3rMlk Contractor, designer, owner, was advised of above required data by _ phone _ mail Co nter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works wwwwa ALL 81MUMUPM AM EWPNENT SHALLgE CLF. OF ALL EASEMMM 0-48MAtM - . FROM THE I AND ._W MCK Op /0 FT Fr. FROM, T14E REAR PRO PERTYES A14D 'M 8HA�- 8E ffM TME ROADrENTEFU. EQUIPMENT EXCEPT Off gMUMRES AND .trr =1AM-OVERHANG- Jy d\�K A Xv r nol' —100 H�� y7 ao� 37 i M* 6f Plani and ipecMc,t;,M MLST l On the lob at .1 h* .times and it is unliwful to make any changes or alterations on same with OW written Permission from the Department of Pubhc Works, County of Butt. wo -X4 AFcordanc. cN".1. w Of with A 0 ,0 .4"Mfth1p Shba a qualify gnized Gocd .Uniform prescribed for ed S Prcwe.w die N. Building, plurnbin, Ocified v. - and E6ctr;,�.l 9 & h4oczical In #be CQ% -cade� BUTM (MUNW. BUILDING DEPARTMENT ,AP P R 0 V E &ffl; ONMWAL HEALTH APPROVED Opti 117 gL,57 - T 7 MAR 2 8 1995 X _ Chico, Calffomia 00 0.1 77 11, J- 4 i— I J J Ec/ � I --) I \\, \ L ---j i 4 9 9&0 r APPROVED OP? DER MYL Butte County environmental Health —' ate :)]VISIONS — — — — — — — — — — — — — " ,111 laPS21a' MR ^ 1112 i 34 553 c i 1115 Ft 571 oru�l ar:/ : tntflU) 1 1125 % 35s� s91 rSj C i0D [Pt 11�4� 11'Pi 60 N6 IPJti[D R[Di1EAs kWAT 0.01 ►! 1 • � acteafffs iwor :axe tI1 1131 528' 512, 8 tPQ11f UF[I e' BOLI: L3 0011 tlU1 B of $1gn re ,Q C I 113 531 a IFulm ufl m Do56 uo tH: Ates t .uxns 12 SHEET �F — 183 5:5 I DoX LE1`�� DESCAlPT10N DRA7S71(C 17UkBER i 1:1 San dG d -3r -CAIN A9U9 XT u -U' 1Bt e3B• _ -- —• APPROVED Butte County :..nvironmental Health -------------- --- �s ... --// Date --------------------- ---__- Signature - G y7 2,0 37 A' l 0 6" i Ht,! L 15-31-7 WRONMENTAL HEALTH MAR 2 81995 Chloo, Cafifomia BUTTE COUNTY SCHOOLS IMiPACf PEE CERTIFICATION FORM (One Form Per -Building) School District �� h i r(.r ck Building Department No. A.P. Number 03`Jurisdiction: City County. Property Owner U Property Location/Address Subdivison Residential Development Commercial/Industrial 0 No. of Uving Units New Building Department Representative _Lot No. L� Addition �y y0 r, , Sq. Footage 1—'�'�'"i (Group R) r" r �j Sq. Footage Addition (Floor Plans reviewed by School District Personnel) Date (Including Exterior Roofed Areas) District Identification No.' x/ C .� /2c ; School District certifies that � �✓'� - :. 1� v^. i L/�_ (Applicant) Af 3�: 7 (Street Address). (Phone Number) ity) (Zip Code) has complied with the requirements of Resolution No. 7 J by payment of $ c� representing iJ square feet AB 2926 $ (` FULL MITIGATION $ School District Representative Date Paid by Check # AJ Remarks: �%,�� Bank Number G[��.a �� t-;aL��! , r 'q ; Y Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wk, (11/94)dmm h utte Count LAND OF NATURAL W E A L T H AND BEA�J PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE,-CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 FAX: 1916) 538-7785 April 13, 1995 Merle Bowlsby 15367 Reese Road Chico, CA 95926 CERTIFIED MAIL Re: Use Permit, AP 047-200-037 Dear Mr. Bowlsby: Enclosed is your validated Use Permit No. 95-122 to allow a second unit on property zoned A-10 located at 15367 Reese Road, Chico. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Thursday. Very truly yours, Barry K. Hogan Planning Manager BKH:Ir Enc. cc: Land Developmentgivision Building Division V/ Environmental Health Department of Forestry 1 I �! USE PERMIT BUTTE COUNTY PLANNING COMMISSION APR 13 1995 DATE: (Certified Mail Rec.) 95-122 PERMIT NO. AP 047-200-037 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Merle Bowlsby is hereby granted a Use Permit in accordance with application filed: Use Permit to allow a second unit on property zoned A-10 located at 15367 Reese Road, Chico. I. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-62. 2. Unless otherwise provided for in a special condition to this use permit, all conditions must be completed by the Permittee within 12 months of the delivery of the countersigned permit to the Permittee. 3. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the Permittee, the permit shall become null and void and reapplication and a new permit shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. SPECIAL CONDITIONS: The Second Unit shall not exceed 1200 square -feet. 2. Provide two additional off-street spaces. 3. An attached or detached garage or. carport with a maximum exterior dimension 20' by 24' is permitted. 4. Adequate sewer and potable water facilities shall be provided as determined by the Butte County Environmental Health Division. 5. Either the existing single family dwelling or the Second Unit shall be owner occupied. Verification of ownership shall be required prior to permit issuance and annually thereafter by submittal of a declaration in a form specified by the Director of Development Services or designee. 6. No permits for any additional dwelling may be approved unless the Second Unit is first removed. 7. All structures must meet the "Fire .Safe" ,requirements of Butte County and PRC 4290. Pay $200 into the Battalion 4 water tender fund. Minor changes may be approved administratively by the Director of Development Services upon receipt of a substantiated written request by the applicant. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other' requirements. Butte County Planning Commission Chairman CC: Land Development Division Building Division Health Department Department of Forestry ._c;.. {`r.� i Rte.. 4 LURA oQo �ot - •; Q �F� r+?.mow` ; % ..,� �. ST da %V C tiJ�LC - /S.� 17- REUSE Pd. f,.',, l'q ?syz 6 COUNTY OF BUTTE%- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 96965 - Telephone: 916/539.7541 APPLICATION ANDiPERMIT PERM% NO.IT A$5Z53OR PARCEL NUMBER • 047-200-037 ZONING A-10 BUILDING PERMIT OWNER Merle & Amalia Bowlsby TELEPHONE 42-3057 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 15367 Reese Rd., CHico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 15.00 15367 Reese Rd., CHico Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S FG--FW—T— @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilit- E]Installation[II 0 her E] Describe work: M1 7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. %cense �0. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.N) OR ACDNS. l ACC. BLDGS. 3.64sq.ft. NEW , MULTI -OUTLET NON•RES'ESIDBRANCHCIRC ITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. p OUTLETS OR FIXTURES EX. Occup( 20 76 FIXED APNS Ex. OCCup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g Hood #6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again aid C un1YJ.ase quenc o the granting of this per Date Z / � gnature of Applicant — Owner ❑ ntractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $70.00 Ener Inspection Fee $ 9Y P OCC CONST TYPE I TOTAL FEE $105.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 116252 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .�!,•�L.. tM't,w.-L,.�� ..i T,I.'�,�i,:.r-r'�. j`+"+'{"�tY MW��v"P.'+ Ty 7t„t_ J�,.,, �„ �Y,.,.. .�.i,i�,,, ��'�,r.� z,Fi��e`['ia•r..{ }y: r' ...y r.�' •.r_,.-�.-•, �. � a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI�_LE, CACIFORNIAi:95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER /6 Proposed Building Use Building Inspector Date At time of permit application,4 was advised the following data must be submitted prior to permit processing -and/or issuance: ~ : DATE RECEIVED 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 . ...................... Engineered truss details and layout in duplicate (required prior to plan check). ... . % 9 Mobilehome data and manufacturer's installation instructions, 2 sets. ........... (- ees of $ 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. 1*4 - Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... '. 19. Driveway permit (construction approval required prior to occupancy). .. ... . 20. Pre -inspection for F..reanspection request % 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 of Agricultural Acknowledgement Statement . .................. ' 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 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�2� lift . ..................................................... 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 CreationG Z Acreage Applica Date a_ Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other, Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). 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 Y COUNTY OF BUTTE- Depa:tment,of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538_7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property i provement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3.- I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following.person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social SeFu;it747 tuber Date Z 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. i �gidct� 1 Z qo' lose cr; Sgt �► a. 2 qo' 1. Owner's Name: 2. Installer's Nam BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes ® No F] electrical rating? --------------- (If yes, furnish permit number ` ) OR the mobilehome Is the site an existing site? Yes a No 7. What . (If yes, furnish two plot plans.) the mobilehome site circuit breaker rating? ----- �U® Amps 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 F (If no, clarify 5. What is the mobilehome electrical rating? --------------- Z00) Amps 6. What is the mobilehome site service rating? ------------- Z! () Amps 7. What is the mobilehome site circuit breaker rating? ----- �U® Amps 8. Is there any other electric load to be served by the 1Z F mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) 90 (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What.is the type ------------------- Natural LPG of gas service? 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- 2 D (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.) If other than single wide, Mobilehome Mfr. % furnish Setup Model No.0�ka-Z92 Year_ Width Iq (ft.) Box Length�(ft.) Tagalong or Expando Size On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural)' setup sheets (if not on file with the County of Butte). FOOTINGS (check one) [!/]/I. Wood-pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)101. Concrete block; 1:12. Other (specify) Pier Footing Sizes and Locations i SINGLE -WIDE MULTI-W1D$ fes. Main Beams WiLt 2 —— — — — Line inc7 — — — — — — — — �1 -3 Main Beams — — T7:- Line 4 Tag or Triple ------ Iine4 Line 1 Line 1 Piero: Size -Min. ------------ Spacing -Max. -'------- From Ends -Max. ------- Line 2 Piers: S1•r.e-Min.------------ nx Spacing -Max.-=------- Prom Ends -Max .------- 1.1 ng 3 Root Loads : --- - -- --- Size -Min. ------------ ..x ..x 1. Location (From Front) 11 Line 4 Piero: Size -Min -------------- Spacing-Max ---------- Prom Ends -Max.------ I_ Line 5 Roof Loads: Size -Min------------- x n x n nx u "x 11x "x "r, k " Line 1 Openings: Size -Min- ------------------ Each Side of Openings With Width Over --------- J Line 3 Piero: (Under Bearing Wall Only) Size -Min .------------------ IIx o Spacing -Max---------------- From Ends -Max .------------- Size -Min .------------------ 'k Spacing -Max.--------------- 1 0 From Ends -Max.------------- '- " Location (From Frant) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHO/NE.:.-91.6-538-7541 ' ( 6-11-92 DATE 1 MERLE & AMALIA BOWLSBY RE: APP. #92-1865 MH U 15367 REESE ROAD 92-1866 MH I CHICO 95926 1 A.P. # 47-20-37 With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER �L We need the following information: LE 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: 1469 Humboldt Road, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner-Builder.Verification form. Recorded copy of deed showing -Recorded.copy of agricultural acknowledgement statement. L.l- PT.nT PT.AN:C ACY77TRATRT.Y_.CNf1G1.TN('__AT:T -T-RAILERS,--AND OR -MOBILE HOMES APPROVAL FROM PANNING DEPARTMENT IN ADDITION TO ABOVE. IN ANY CASE PROVIDE CLEAR- ANCE.�ROM HEA.LIH DEPARTMENT BASED ON NEWLO PLANS. Should you have any questions concerning the above, please contact BOB KEITH of this office. JFG/aj BETWEEN 3 &.5 P.M. Yours very truly William Cheff Director of Public Works J.F. Glander COUNTY OF BUTTE =_DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICATION AND`PERMIT PERMIT NO. et 0 ASSESSOR PARCEL NUMBER 047-200-037 ZONING A-10 BUILDING PERMIT .R Merle & Amalia Bowlsb TELEPHONE 342-3057 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 15367 Reese Rd., CHico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 77TUNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $20.00 PLUMBING PERMIT Filing Fee 15.00 19167 ReeAe Rd-, CHirn Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 3 @ 15.00 45.00 TYPE OF WORK11�--�� New ❑ Addition ❑ Remodel ❑ Uti lities tJ Installation❑ Other ❑ Describe work: MHU Permit Fee $60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 1 Main service LE 200A OR LESS 18.50 18.50 Main service 200A TO 1oo0Al 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. Icense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. // 3.60 sq.ft. NEW TLFT . NONRESI., BRANCH CIRCU ITS @5.00 POWER APPARATUS &) ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APP LNS. OR Ex. Occup. OUTLETS IRESID.1 EAT I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 5,00 Misc. IVirin g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ,o agree to save, indemnify and keep harmless the County of Butte against iabilities, judgments, costs, and expenses which may in any way accrue gnssaid County in equenc of the granting of this perm't.X/ Z _Z—This Date Signature Signature of Applicant — Owner ❑ ..tractor 11 Agent over 5'0" deep and demolition or construct- ion of structuresover3q stories in height. Mobile Home Installation Fee S Ener -inspection Fee $ gY occ 1 CONST TYPE TOTAL FEE $128.50 HAz I DFEES I IMP I FLOOD I COF PARCEL I PD HD ISSUE permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC DIRECTOR By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 116252 WHITE-D.P.W,. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 47-20-37 92-1866 92-1866 MHI - ft OF PUBLIC WORKS 5 - Telephone: 918,'538-7541 RMIT BOWLSBY, Merle & Ama11a 15367 Reese Rd, Chico mhi au., unc0 95926 BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION CONTRACTOR'S NAME Owner TELEPHON CONTRACTOR'S MAILING ADDRESS " Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ 20.0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 15367 Reese Rd. , CHico Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [I Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W I @ 15.00 TYPE OF WORK New 7, Addition F-1 Remodel❑ Utilit eSE] Installation[Il Other ❑ scribe work: MHI/it/04�cj -� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 20GATO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ t am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. (cense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.rs\ OR ADONS. l ACC. SLOGS. // 3.6asq.ft. NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. / Ex. OCCUp\OUTLETS OR FIXTURES 20 76d EX. Occup. OUTLETS IPRESID IRE A.) I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERNIIT FiIingFee 1 15.00 Heating Cooling g od 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot �e to enter upon the above-mentioned property for inspection purposes. ;o agree to save, indemnify and keep harmless the County of Butte against .„liabilities, judgments, costs, and expenses which may in any way accrue again aid C un, quenc o the granting of this per 't. ^ Date / Ignoture of Applicant — Owner❑ ontractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $70.00 Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $105.00 NAz 1 0FEES I IMP I FLOOD CDF PARCEL I PO HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By DCDRAIIr cvotorc r,..... applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 116252 o cE et ao g . tp " o CD J'; -,go j = 'wD 5—D -r� Q) 4fvjl;� VP /YXS-6, 'el 04e -;47 top COUM OF BUTTE BUILDING DE" APR 13 1992 & COUNTY OF BUTTE - DEPARTMENT F PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916!538-7541 APPLICATION AND-RUMIT PERMIT NO. ASSESSOR PARCEL NUMBER 047-200-037 ZONING A-10 BUILDING PERMIT OWNER Merle & Amalia Bowlsb TELEPHONE 342-3057 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 15367 Reese Rd., CHico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $20.00 PLUMBING PERMIT Filing Fee 15.00 19167 Reese Rd CHJ co Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S TG W 3@ 15.00 45.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities U Installation ❑ Other ❑ Describe work: MHU _ Permit Fee $60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18'50 18.50 Main service 20CATO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business - and Professions Code and my license is in full force and effect. icense No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ orsa the owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUPM OR ADDNS. 1 ACC. BLDGS. 3.6$sq.ft. NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76AL 46 1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $48-50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. Er I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains said Co my in equenc of the granting of this per X Date Signature of Applicant — Owner ❑ ontractor ❑ Age nr An OSHA ion of structures tover 3gstories oineheight ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $128.50 HAz FEES IMP FLOOD CDF `— PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 116252 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT '''!�!'r.-•`+�'°'i1�����1� " �"��"�"` _ ti ! Tl�'J���•l"' �'�'�►�,,3�v�j, l�y�e►'"'�j -' ��y�l•Rl��'zY'i�kY.SY^L . i ,. COUNTY OF BUfTTE - DEPARTNtENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE{ - OROVILLE, CAd 'FQN1A 95965. TELEPHONE (916) 538-7541 PERMIT APPLICATION' DATA SHEET 061 OWNER ff fits fi� ° P. Proposed Building Use Building Inspector Date At time'of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been sl DATE RECEIVED BY submitted ......................................... 2. Plot plans, 3/4 sets, signed by'preparer of plans . .......................... 3. --Complete plans, 3/4 sets, signed by preparer of plans . ...................... f4. 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. ........... ... . Fees of $......................................... -' 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. ........................ Flood elevation letter (100 year floo by California Engineer . ................. . 14: ;Sanitation and plot plan approval L0 Health Department . .....:..... . 15. City of Chico plumbing permit . ......................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............... 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . 20. Pre -inspection for :toBuiaingIns Inspector. required. . . to Building Inspector •21. Contractor's license information. (No., Name Style, Classification) . ............... Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner Mail to owner 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 11 25. Letter of signature authorization . ........................................ �. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on' building use. ........... ....................... . 28. Mobilehome utility clearance . ................ ............................ 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 violation's/expired permits . ...................................... ' Plan check list. ........ ................... ................ . 34. -X I�Telephone issue the permit, process as follows: �MaillIQ ownef. Mail to contractor. 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. ti Other Date By The following data must be submitted prior permit issuance: (Circle new item not checked above).D 1. Index permit for above items No. �` 2. Additional items required: (Date) Contractor, designer, owner, was advised of above required data by _ phone I - mail Counter y _ate Contractor, designer, owner, was advised of above required data by _ phone _ mail Count _ Date Plans checked by V--- Date,./-- X ?2 --'Plans approved by Date Sets of plans on hold in File cabinet AP folder ~' Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLICIWORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (91 )5387541 37 OWNER PROPOSED BUILDING USE A.P. DATE 1. School Distric Fees (paid at District Office) 2. Sheriff Fees (paid at Building Department) Residential ......... X =$ unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at. Building Department Residential (per unit) X 7$ # units amt. Commerical(per sq.ft.)_X X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other TE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance 5,YxIe E-1 J ownerLocation AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom- obile home. Other '�C , fD�►M �, - YYf��"Jlog NOTE * * * Date Sanitn„ diia fe�O Ac ONO 33�- �dw o� o �� o 1 4 - LLL -L WMASTER - F. 13 �4.. AEDROOM --��- ,2rrU LIV1sC 10OOM, ._ ...-..,.,.._..':►nn+a+r�! I -_�'_._N 1k �.� ..<u. .. __.._lir a,ika�� :_..__�na�.,.. 1.--1-DROOd1 POVEL 630---e✓ )'4'X -5E' 746 SQ,F-1. x! rCHEN -i-" DINING MANUPAC7URER'S SuGGt STED RETAIL SELLING PRICE (Without frolght, set -tip costs, porrnit foes, cost of Fivcbasortes added by the selling deaforDr- Square foolape is beeed upon nppraximmo oxterlur dhnenrlonc Base Brice, See testuro sheet for additional standard equlprnent and lurtfuras< Manufactuler'a Suggested lietill Soiling Price shown is the pilcu In off GI bt ill" 4f rnanufacture and Is aubiect to change ;(3 ilAIC; ;;Ua t A Po A (are f. O Re, 9 i -G -//-9z f� �a�F M Fk . �2 r a� 'y�_e.�r I �i Y sce _.� -mac-; .e . c�u.,� .� Z �f X l� o 1J' 3 RE`J 5-i5-91 POINT FOOT;,y5 ------------------------------------------------------------------------ rE CRIPTllON",BIGNAMI l:ESHHMCE --------------- 11 _tiATA ------------- Fj `3 - :SOT! -arT ;'n gin-": _ r�; �i1 n, Y;) YTS �' !.!!!: !t `i, AD _. U._ _ ._ ten, LIVE 95.:31-!? , ------------ CONCRETE AT .:F -,•...-M TT -------- ili!A---------- �----[---,`.`_I�?rlltl.ki�'u 3;F! - ,•Ji?�'.1_T- iCt_ ,l i, SiJii hT 13.0024 0 CAi Tnnit S _-t_ ------------------------------'iii! id'TA 1'mi'i------------------------------ r ti?Iii�i SIZE _._ 6 FT Ln{'.+1h'� �rt+n 1 ,� i Iii !U�VI a!�!'LI T?)ICX!dcca.1. ' --,(ii'u 11.O - - i;T^TA r R TM- 1 i T11 -_qtr i!dQ c16r1T ...ir vTnm •TirP.l F, ASTii z r.78 !iT> MCT ... C. .Iii - 1; r%11 .i Y'._�' zEn 1Teh1r ;..-.-..-.-. iii a_ilitiv_ !_n.]�iii --M_.!-_�:] - iji,}_ ritt1. iit ,.,1 Iiia, I.UD.i - - - - - - - - - - - - - - - - - - - - - - - - - 'iii Thi- _ T 1r!n.'_'�-°T-------------------------- iz .._i!4!LE M1-t�°^fir; 11 7-T_VT�, rCT -.. }vl`L. 1! v. i:OIEIY__i Rn=(Mu/0)bd' 10 497 o,;I K_3ry 1•t ,rCt`@:..5 0MCBis `;FT, Tht!,._ !NA*? - T!„e-:ten _ ' Th!^r;-___ - ,,.F -._u�li RTI'l :ia_: 'it=. ,ti i=. ^r R`JLniy L;. itfL _ NO: 1MR I NO S BARS •!n -BARS C , i11- . / , M.. .. !! e . r 7. "4PERMIT NO. 2086-78MHI PERMIT EXPIRES A//u OWNER KIM A . SLInHT0M CONTR. owner LOCATION (A.P. 47-20-37 ) W/S Reese Rd, 2200' N of Munjar Rd, 2700' W of Meridan° Rd, Chico Temp. Power Pole Called PG&E Temp. Elec. Serv.0%r—"f 5 Called PG&E Temp. Gas Serv. �. g Called PG&E JOB INALED (Date) (Signature) i 9. Electrical, I A. Is service I&cge enough to providd adequate amperage -to mobilehome.(must-equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes�No_ B. Is there proper clearances around panels? Yes No_ C. Is power supply cord,or feeder assembly properly fused? YesZo_ D. Is continuity test satisfactory as per the following -procedure? YesZo_ 1. De -energize electrical wiring system of the'mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6.• Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle/ 6CY S Lengthy Width_ O -.276 -U 1- -s-A-2- O 22el Vehicle Serial No. State Identification No. (Ty DG C q V!2--' -. Z Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes_ o 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes4,::�<o_ 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes.✓No_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) YesL,-*No_ 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID mjin.)? (Sec. 5566) Yes vlVo B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes1/No_ I C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No ,,t NA — 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes/ B. Does it have minimum k" per foot slope'and is it properly supported? Yes�o_ C. Are any leaks detected in drainage system after running 3- onof water through each fixture including washing machine standpipe? Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes No IVA 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 mobileh a gas line inlet without reductions other than the mobilehome connector. Yes o B. Test OK as per following procedure? Yes 4___14o 1. Open all 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. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly insta led? Yes/ -I No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings, Windows 3rd Floor Stemwall Siding To out ' Slab Roof Sheathing Water Piping ' Piers _'+.) Roofing Sewer Garage ri Fdn. Vents.- Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Pip ng & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footinq EL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures FIRE SPRIN Mesh MECHANICAL Grd. Fault Pro Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping WOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water PipingDrainage . Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) ECTRICAL �:w r- a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILL=, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, C apter 5, under permit number/' d for the following location: 91J� �/%/� i� /!%//�i/.6 ► ,r%7li�ra /�(l U yri�iry. K� Al, /..a - Owner 71 /,49,2 Owner's Address, Mobilehome Mfg. / //�r' c -22t Model � ��'"`�— Year Ins i g n i a No.�, 6C l elf f Serial No. �- It is hereby c died fotoccupancy at the above described location and may be occupied. Director of.Pic Works Date S /a By TFF S CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED I "1 .. COUNTY OF..BUTT-E — DEPARTMENT OF PUBLIC WORKS 7 CAunty Center Drive — Orovi lie, California 95965 Telephone' 534-4541 APPLICATION AND PERMIT F0111,� • 1 aurnunce representatives Or the County Ot butte to enter upon the above-mentioned property for inspection purposes. X Date J a Signature offP�ermitee Agent Receipt No. Z ' rm7ZQ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. Building permit expires. BUILDING Owner S afD SQ. FT. OCC. BUILDING VALUATION Mailing Address S� C Telephne N Lr Fireplace Contractor i -� Total Valuation Q=W• Address l,U G� Permit Fee Plan Checking Fee&/or Penalty !i A Telephone No. Permit Fee Building Address P' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 /^ ,nd of e S rT }~ Each Trap 1.50 %}�l/lV r Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. o. �O _ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es Saaft+4at+en I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Plans Parcel Declaration Parcel Ma P 60' R/W lmrovements P Lawn sprinkler system 2.00 BI g. Plans Recd Parcel oval PI pprovol Permit Fee $ $ NEW ❑ ADDITION [:]UTILITIES ❑ OTHER [$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 `A, vy ` l, /� T Main service 6001 OR LESS 100 AMP OR LESS 5.00 ' Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ' Others ❑ OVR 600V Main service 10 EAMP OR LESS 25.00 Main service EA. AOD•L 100 AMP 1.00 NEW CONST DWELING OR ADONS. ( ACCLBLDGS.CCUP. &) 22sgft NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS)2.50ea NEW CONSTR. 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) @251Q!04 Ex. Occu FIXED APP LNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 N1 I am exempt from the Contractors License Laws of the State of California. 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. ❑ 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 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 :5a s4c,,,_ 1 C,— ia—^— TOTAL PERMIT FEE E7 -- aurnunce representatives Or the County Ot butte to enter upon the above-mentioned property for inspection purposes. X Date J a Signature offP�ermitee Agent Receipt No. Z ' rm7ZQ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. Building permit expires. 1109 ck C�s 14, Afl �;tii y Conne.:Woh3 sli(,it be locate;; in 4 f4. outside -the rear f`I ter! tee;' -o{ ¢� e home O an the mobil f"6nd)-;side of the mo6;fn alum of a 2 ft. eave overhdrA ..4 LOsse -��{'iG— — _ U1LDING. D PgRTV1 �RR-C the BIdg-Set ack-shaft-6e 5 ft-frome sidE 'ne - property and 50 ft. from the alum of a 2 ft. eave overhdrA ..4 LOsse f \ BUTTE COUNTY'DEPARTMENT OF PUBLIC WORKS _ 7 County Center Drive, Oroville, CA: PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes./ / No / X/ (�If `yes, furnish permit number ) OR Is the site an existing site? Yes K No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be'located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / No ( If no, clarify ) 5. What is the mobilehome electrical rating?.--------------- ------ lQ O Amps 6. What is the mobilehome site service rating? ----- ------'=-� % 75 Amps 7. What is the mobilehome site circuit breaker rating? ------------- /?7 d Amps \ 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No /X/ (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the t e of as service. Natural yP / / LPG g ----------------------------- 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.) UrTE COUNTY:. BUILDING DCPM-FMCN i .RQVED �' ` - MOB ILEHOMESUPPORT DATA If other than single wide, ' MobilehoSk me Mfr. vI- v' furnish Setup Model No. � ,Years .'7 Width OZ Box Length (ft.) Tagalong or Expando Size ft. x —f t. (SHOW SUPPORT DETAILS BELOW) On all-mobilehomes manufactured after October 7, 1973, furnish manufacture':_� pstallation manual and structural setup sheets (if not on file with the County of Butte ,', i All center supports measured from front of mobilehome unless otherwis specified. 1�' Single t.)(in.) I (in.) (in.) Cent r support Center support to ations* footing sizes (in.) x G ( ) (in.) (in.) (ft. (in.) (in.) (in.) (cin.) (in.) x�u (ft.)l (in.) I (in.) I (in.) *If center piers are otlier than drawn above, draw in locations, spacing, and dimensions. Footings (check one) 1. Wood either pressure treated o: foundation grade. 2. Other (specify) re, 15 4,-'L Supports (check one) 1. Concrete block. 2. Other (specify) 1�---Tagalong or Expando, show support details. � x z.,L -- Typical Support in.) (in.) Footing Size �` ._ p •� -- Max. Pier Spacing (ft.) (in.) _ 0'i -- Max. Overhang (ft.)(in.) CLAIMANT: ADDR ESS: e&utt*. 2Utbe OROVILLE, CALIFORNIA GENERAL CLAIM James Berr 6624 Oak Branch Ct. CITY & STATE: Citrus Heights, CA 95621 IMPORTANT: June 3, 1992 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT I Owner has decided not to do work. Permit 92-128 AP#47-20-37, Receipt #115670, dated 4/22/92. l ! Total Permit Fees Paid ----------------------------- Retain Plan Checking Fee ---------------- $20.00 Retain Building Permit Filing Fee------- 15.0 Total Permit Fees Retained------------------------- 35.00TOTAL j j =---------------------------------- I i 1 I _ j i TOTAL $701 I, the undersigned, ieclare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as 7� stated. Dated this Itrt .................�. .......... day of ...r:...1.................... 19 1 L; at �I �.. 1 i. '✓. Calif. l�;r�.r/s/'�"-�1. .,.... �...... :�`��`k—� .... `..... .................. ............ .. .............. ... '" ...... ....... r. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation E] or Specific Board Approval E] (Check oneW Dated this 3rd da of June 1 92 Oroville , Cauf. .................................... y .......... ne ............... 9......, at .............................. ........ .... .. .nt Head or Authorized Deputy Dep`' 440... Cod 4210500 Cons' . Permits Code ............................................ Code ................................................PAYABLE FROM ................................................... FUND ................................ DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. U AU n T- ,gfA g2-rzBy FSR Process �/lS u C�4/4 mad� CO/1�r, LNC CSD �1GvQ Gcto If ti or.4, i!r-� f r`I in Sai1�d rev ►ov�S 4wne Y , y �' 06/6Z/90 0- OOIH3 '1S OOIHO 8£9£ AM 3NNOBd M314 AS 814M0 'W'8 'N3113 06-S66Z 690 -0 -TZ -6£0 06/6Z/80 0 03I0 '3AV 113MOI9 9891 IVM3N38 NAN N38YXIM380NV '38A1NIOW 06-166Z ZIO-0-09-£90 06/LZ/80 006 31IIAOSO '13381S 'H1ZT SVT M83N 83NMO N3H01389 'N3MN NVA 06-6862 SZO-0-91-0£0 06/6Z/80 0 31IIAOSO 'OV08 NMO19NI81S 96T 3104 83MOd NAA 30VM 'ANVO 06-986Z £00-D-OS-ZLO 3IIIA080 06/LZ/80 OOS '18(100 Sm HSIH 98£5 x030 ON NOILMNISNO3 SM 311IOnI '13INVO 06-Z86Z 6£0-0-1£-690 06/62/80 0 00IHO SNOW SOOOM SON ZS IN OV OV 9 SIN 33SS3t N3A 'NOS10 06-T86Z S10-0-19-900 06/LZ/90 DOS A310I89 '3t1N3AV N0013HS 59 N3MIIN 1303N 1838(>f1 ON 30f H1IWS 06-9L6Z 5£0 -0 -LZ -9Z0 06/8Z/80 0 311IANO '18(100 SkO08HOIH LT% NW/NOIIMISNI 3" NOO 013 'SIlIX 06-96Z 890-0-1£-690 06/LZ/80 ONT A310I80 '13381S 1083A OOT HO8f1HO/AO0838 9NIA008 7 318(100 'ISI M 1S8IA 06-46Z 9£0-0-TT-TZO 06/1Z/80 0 00IH3 '830NV310 909T NO 93S 0313 S3HMH 3A31S 3A31S 'S3HSM 06-OL6Z ZTO-Z-10-SVO 06/LZ/80 0 O3IH0 'OV08 WMINNIA 61£5 1VM3N38 83NMO NVI89 'Af VISOW 06-196Z 110-0-S£-1TO 06/SZ/80 0001 30rV8Vd '3NV1 ANS 038 ZVZ£ NIS ONI09000M NOIlnISNOO 83AV39 VMnVS '8311IW 06-996Z DZO-O-SMSO 06/9Z/80 0 311IA080 '1S HAT 9S61 AS/9NI8IM 3SIW '8'8 19NV81S A&GH 8313d '831SIM 06-T96Z 090 -2 -OZ -TM 06/9Z/80 0 31VAH3I8 '1S H08fIHO S8£5 3NI1 SV9 OV WOO 83NMO SMA 'AIIWVA 0838(> I 06-996Z 9ZO-0-I1-6ZO 06/9Z/80 0 U3383 A8839 '08 ZON OIVB SLOT 39VM SOAX810313 83m0 XM 'AllVd 06-996Z 91.0 -0 -TZ -Z90 06/LZ/80'0 13SSM `08 N3383 ON 89T 1VM3N38 83NMO 38VW '13NIOSV3 06-Z96Z L20-0-60-990 06/02/80 9908 00IH3 '08 130RM 0996 3MV9 130 1SNO3 3NO1S83NBOO NV03W '031 06-9962 Z10-0-91-950 06/0£180 D96TT VIIV9VW 8IO VNVO 9609 VOVWVB HW 1SNOO 0908VIN INOIA 'SIN39IZ 06-562 STO-O-ZZ-990 06/£Z/80 0 A310I4 '08 NIN8V1 91£1 81H 21VM SV9 IVISNI ONImid S83H0131A 39VM 'H180400 06-£6Z SLO-O-80-9ZO 06/9Z/80 0 31IIAOSO 'NI V131 8891 310d SM 33V1d38 HW 3A31S '1SNO3 SIM INd 'SIMO 06-Z96Z VTO-O-£D-0£0 06/£Z180 0 A31OI89 d0 A1I3 '1S OINO Z% AS mm an 78 'GSV3 06-T96Z ZIO-Z-10-600 •06/LZ/80 OOOZ WVHNN 'N1 OBOANVIS 19L8 3AI&O3 01 1IW834 am 9389 VM 06-8£62 610 -0 -LI -8£0 06/£Z/80 OOZT OOIH3 '3AV H19 M 005 400838 83NMO 3NIV8801 'MVHSdV3 06-9£62 6£0-0-80-£90 06/0£180 0009 VIIV9VW '80 83AM TUN SAO3O HW Z NMON>rNtt VI '011S3IBd 06-Z£6Z £TD -0-91-990 061D£lk 0091T 31IIA080 '3AV NN319 OC££ 1004 ONIWWIMS 81N00 A311VA H18ON MIS 'NOSN31SIW 06-0£6Z £20-0-0£-890 0610£180 0999 311IAOSO '10 8088VN 6£ 39V8VO 11300 `nOIIVS ON 'kSIA 06-6Z6Z ZVO-0-TZ-690 06/9Z/80 9ZTZ NMOIS3980A 'N1 A8011VW T6 -4/3131MOO an A993d/OIV83O '008 06-8Z6Z 99D -0-9T-£10 06/ZZ/80 OOS9 A310I89 % A31OI89 1SV3 S69 AS/ONIOIS IANIA MIS30 IANIA Nd1V8 'AOVNVO 06-LZ6Z £ZO-O-OZ-SZO 06/ZZ/80 0 31IIAOSO 'ORIS NI0NI1 0999 IVM3N38 83NMO MA '113MO18 06-9Z6Z Z£D-O-ZO-9ZO 06/ZZ/80 0 311IA080 as 39V1I83H 5LZ£ AS/A2S 0313 NMON)Mn WN `3ZV19 D6-SZ6Z 9ZO-0-6S-690 06/9Z/80 OVIT WVH8M 'NI WOMB %£6 -41A00838 am MS3 'S3NOf 06-26Z 900-0-55-090 06/9Z/80 OOSZ VIMVW 'NI 83)DIIl 9TS£ AS/3131M NOI1AISN03 WN 3AVO '3NNI3H 06-216Z Z1D-Z-LT-S90 06/LZ/80 0 311IAOSO '3110ONVAM 93MOI 0295 ASIAB S 0313 2f io SV11VO 'H31IHA 06-LT6Z £00-0-59-9£0 O6/ZZ/8O 0 31IIA080 `80 WVH90088 999Z HW/NOI1V11V1SNI S3WOH 3AI1f1 G H13N M 'NNVWf1Hl 06-ST6Z 940-0-01-9£0 06/6Z/80 OSZZ 31IIAOSO % 3A3 038 MOT AS/x330 N3d0 83NMO 83908 `S31V3 06-9T6Z 69D-0-85-850 06/TZ/80 0 00IH3 130VNV143 109Z NNS BOA 0313 NO3N 3IAIM dIIIO '131Vd. 06-ZT6Z T90 -MT -900 06/TZ/80 0001 31II40SO `NI COOMNVO 69 AS/3AOIMM NMONW NOO/SI800 'kBV13 06-0162 2ZO-0-20-SZO 06/ZZ/80 0 VIIV9VW 'MMIN T19VT OIN10313 IV )DIS '1N381 H83SOf VSf3d 06-9062 S£0 -0-T9-990 06/OZ/80 0 31IIAOHO '3AV OIIlOW&I 9901 HW/ONIdId SVO 83NM0 3NIV13IWVIIIIM 'H1008 06-206Z LT0-£-SZ-T£0 06/OZ/80 0 A310I89 '3AV 3111I1 OZZ 9n SIS/AUS 0313 HMO WON 'S83AW 06-0062 990-0-01-TZO 06/OZ/80 0001 31IIAUO 'AVM VW01 VW ST AS/3AOIS000M NMONw 831531 '091HO08 06-868Z STD -£=ZZ -890 0610Z/80 DOZL 31IIAOSO '13 NOSN089 SS M 31314 M an 000 '113MI3 06-L68Z OSO-O-OS-9£0 06/ZZ/80 0 A310I89 '3AV 93MW 691 AS/ABS 0313 OIN10313 A311VA HIM O21MI8 'NOSIVM 06-9682 LLD-0-9Z-9ZO 06/SZ/80 00892 OOIH3 'N1 8309 £6091 -4/NOIII00V am 311 `831SOA 06-£6OZ 9TO-O-£S-00 06/8Z/80 0061T 03IHO '08 3NIHS 6 61 IOU ONIWWIMS S100d V1IN08 Affix 'OMOO 06-Z68Z . 890-0-05-00 06/OZ/80'D99 31IIAM '80 M3IA 1W ££ AS/A00838 an WVIIIIM '33(188 06-169Z 100-9-9£-890 06/TZ/80 0 VIIV9VW 'AVMAA 960VT WW001S1HOI110dS 2" IN 'NO18380d 06-688Z 8ZO-0-££-990 06/OZ/?O 0 WVHa 'lO NO1lI0 8196 IVM3N38 NOI10f181SN03 IIVI AM ''IIVI 06-8882 900 -D -9S-6£0 USK NOIIVnIVA NOI1V301 S821 & 8013VNI O 3WVN S,8m0 # 1IW83d & 'd'V £1.8 1SI1 06/02/80 0106/91/90 03nSSI S1IW83d SX0 3I•i81.1d AO 1NNISVd30-31if18 A0. A1Nf103 0611£/80 7 'ON 068d . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 APPMATION AND PERMIT ASSESSOR PARCEL NUMBER 47-20-37 ZONING A 10 BUILDING PERMIT OWNER MERLE B BOWLSBY TELEPHONE 342-3057 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 15367 REESE ROAD CHICO 95926 CONTRACTOR'SNAME MOBILE HOME NT TELEPHONE 343-5611 ' CONTRACTOR'S MAILING ADDRESS 3130 ESPLANADE CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00" Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 15367 #2REESE, ROAD CHICO 95926 Permit fee $ QF - PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW= @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation g] Other ❑ Describe work: " Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I dere under penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions �C`ode and my license is in full force and effect. �C W/ �� ` License No. �9Z Classification _. ❑ I, as the owner or' my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with. licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. /DWELLING OCCUP.&\ OR ADDNS. l ACC. BLDGS. / 3.6Qsq.ft. NEW CONSTR MULTI -OUTLET NON RE BRANCH CIRC ITS @ 5•�� POWER APPARATUS 6 SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES 2D 76 FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.I EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor r I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against ments, costs, and expenses which may in any way accrue all I' taou Inst aiin consequence of the granting of this permit. QQ Date �-'2�/ nature of A licant - Owner Applicant ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE193.0N 105.00 HAz 0FEES IMP FLOOD COP PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. 115670 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDEN ROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION ,� r 'COUNTY CENTER DRIVE _' CrVIL'Le?FACCALIFORNIA 959652 TELEPHONE: 916/538-7541 ` PERMIT APPLICATION DATA SHEET Permit No. OWNER lN(S�/ A. P. No. Li7'ZU 3 % Proposed Building Use Building Inspector Date vzz/5?z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .., 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....... 19 Park fees paid .............................................. ✓ 1 ahle0 School District fees paid .............. 4 Sanitation approval from 6MMOr C*4-0 Health Department 5. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: _1 Z (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 required ... Pre-I"Spec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... —� 25. Letter of signature authorization ................................... T, —� 27. aa�N PErM �.� F 2XX� When you issue the permitrocs s as __- Z'Telephone and n+k-, Z4.g —5-611 follows: Mai I to owner. r - hold for pickup at 040 office. ro Mail to contractor. Mi _Deliver w/inspector. 947,11 Copy of H laz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. - 2. o._ 2. Additional items required: n-dV,-- 4D in 7 0 ie en r G Allio i6 e ,4- (CircI Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by 60 Date 22 Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW e). COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, California 95965 - Telephone: 916/536-7541 AP.PLICATfON AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER -go 3 ZONI G ii -�V BUILDING PERMIT OWNER TELEPHONE 1 SQ. FT. OCC. BUILDING VALUATION 1-2 R E` v a OWNER'S MAILING ADDRESS 1,5362 eNleo co, s z CONTRAClTO 'S NAM TELEPHONE /21 17,A A ® CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION &ENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ '�.W Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. plan Checking Fee $ 2o, OV ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS .� PRrni)ermit tee $ 3S • Cn � PLUMBING PERMIT Filing Fee tMOO e O 2fI0 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home S I G I W= O.00ea TYPE OF WORK New ❑ Addition❑ Utilities ❑ InstallationR/Other ❑ Permit Fee $ ,.,❑ .�Re�model Describe work: Contractor ELECTRICAL PERMIT Filing Fee `VTOO Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.a` , /20sgft I declare un er penalty of perjury (check one): OR ADDNS. ACC. BLDGS. 1 NEW CO -NS TR MU LT'-OUTLET I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CIRC TS POWER APPARATUS 2.50 ea and Professions Code and my license is in fullforce and effect. .&) SINGLE OUTLET CIR. License No.26�O S' Classification �+ a7 EX. OCCUp�OUTLETS OR FIXTURES SAL@30 60@530 F] I, as the owner, or my employees with wages as their sole compen- EX. DCCUp. OUT ETS (RESID ) FIXED APPLNS. REA.� 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, the Mobile Home Facilities 15.00 as owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. �Yirin 9 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee E#900• he permit is for $100.00 (valuation) or less. Heating I have placed on file with the County of Butte Building Department � a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Conlin g ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee ; provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ 7 is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ 50� 1 also agree to save, indemnify and keep harmless the County of Butte against occu P. CONST.Ty PE SCHOOL :LOO.PARCEL PD ND ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue I aga' said County in sequence of the granting of this permit. X �" ��ate This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do 1 ature of Applicant — Ow ContractorAgent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 50K0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3//stories in height. Receipt No. / �V By Date WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT : g" - 15 &5::0 FOR RESIDENTIAL DEVELOPMENT ct.ion 26-8.1 of the Butte County Cede requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 1 92-015850 1 Rec Fee 8.00 to land or included within an area zoned I Cash .00 for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the Official Records I use of agricultural chemicals, including, County of I but not limited to herbicides, pesticides, Butte I and fertilizers; and from the pursuit I Candace J. Grubbs I of agricultural operations including, Recorder I PUBL. XX 2 but not limited to cultivation, plowing, i 2:47pm 13 -Apr -92 I spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. ` Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: a� IT /17 aTf��rz�T��tir1.� �sT H Tip d r r 'A-1rte,gST M r'r"sS l -1,/u /57 3 6 7 P 0-s J �� . v, C�-9s"9.2 6 Date: L PROPERTY OWNERS: E LF Bowls 6 State of CA On this the day of 19 li , before me, SS. the undersigned Notary Public, p rsonally appeared County of OFFICIAL SEAL LAURIE HILTON NOTARY PUBLIC • CALIFORNIA z �y* BUTTE COUNTY c'LIFOOD' My Comm. Expires May 23, 1995 0 Personally known to me. Proved to me on the basis ofsat* fctory, evidence. to.be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WI NESS WHEREOF, I hereunto set my hand and'official seal. Present A.P. No w ; U' Notary Public Form No. 1056-4 All Policy Forms SCHEDULE C ! 5 8 `5' The land referred to in this policy is situated in the State of California County of Butte and is described as follows: The North 10 acres of th'e West half of the Northwest quarter of the Southeast quarter of Section 7, Township 23 North, Range 1 East,M.D.B.' & M. TOGETHER WITH a.non-exclusive.easement for road and public utility pur- poses 60 feet in width being'descrbed,.as follows: BEGINNING -at a point in the Souther=ly`1_ne of the Southeast quarter of Section 7, Township 23 North, Range -1 E•ast,M.D.B. & M., -said point being the point of intersection of said So'u'therly line with the.line separating the West half of the West half of the Southeast quarter and the East half of the West half of said Southeast quarter and running thence North to the Northwest corner of the Northeast quarter of the Northwest quarter of the Southeast quarter of said Section 7, and the end of said line. END OF DOCUMENT 6 -1-- Gt2 i� dviseal © w ne 4o o�-ia�n m �(u M H I r ' t�ermi-�So� �prsf ins (�io(• (,,1l�ty W��J-�. �wS�aL�Po� lu/D Per vw4s Z� AaV�se� a C.Jh,2r SQVL� A r n c�earQ+tC� 70 0 M.©(VtA rA Y tRES NTIAL 4 - 0-37 9271561 B,E BOWLSBY, Merle & Amalia 15367 Reese Rd, Chico garage ,t • C, i 3 lr �i 1' L JOB FINALE Signature IN �dOK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single ' = Date UNDERFLOOR (Plans) OK except H's Date 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mair,;'Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth & Duplex) FRAMING (Continued 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped ----- 6. Stemwalls, Garage; Steel-Blockouts-Wrapped ------ 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers-Fireolace Fto.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except u's 16. -Water Htr.: Vent -Access -Combustion Air -Baffle -------------- --------------- ---------- 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------------------------ --------------------- 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ----------------- -------------------------------------------------------- Date Card B-1 Date Card B-1 --------------------------------------- - --------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except P's ------------ - 22. Fi ransformer Clearance -Ins. Protection ------------------------------ -tion----------------- ---- - Elec. Receptacles Spacing -Lights & Switches at Doors 24. Si xes & No. of Conductors -Stapled ----- ----- Romex Installed Close to Edge of Studs & C.J. - --- - - OD4k' Ground made'up w!Mech. Fastners-Bond Gas -&- Water -- ----------------------- 2 pliance Circuts in Kitchen & Conductor Size!GFI Subfeed Wire Size rpt ya C� r AI-A.C. Wire Sizer __/_ga . Cu or At ----------------- -------------------------------------------------------------- Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------------------------------------------------- -------------------------- Service -Riser Conductors & Ground -Main Disconnect ------------------- ------------- ---------------------- ------------------------- . Equip. Clearances Panels-Motors-Mech. Equip. ------------ --- - - --------------- ------------------------------------------------ 2. Clothes Closet Light -S er Light -Spa Light ----------------- - - -- - ----- ------ --- ----------------------------------------- - -- Smoke Detector -- ---- --�-�� -- - -------- - ---- -------------------------------------------- Datepp /�/ Card B-1 Date Card B-1 ----- lT--.Y _ Y--- --------------- ----------------- ------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P's 34. A.C. Ducts Insulation & Support -- --------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------------------------------------------ 36. -----------------------------------36. Condensate Drain & Overflow: Size & Grade -----------------------------------------------------------------------.._.. - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent--l-1-5-out-let.. 38. Attic Access & Platform it Furnance in Attic -------------- -- - - - -- - --------- --- -- --- - ---- -------- Date Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. Sils. Proper Material & Anchors ----------------------------------------- -. 40. Walls Studs -Nailing Spacing & Bracing -Plates -Sound -------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ---------------------------------- -------- ------- 42. Draft Stop in Walls (rat proof) --------------------------------- - -------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing 49, Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------------- - 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings --------------- 60. Infiltration -Walls -Windows --------------------------- Date _ _ Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings --- -------------------- 62. Smoke Detector ------------------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection --------- -------------------- 64. Bedroom Exiting --- --------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels - ------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. ---------------------------- 70. ------ --------------------70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance -- --------------------------------- -71- Elec. Outlets & Receptacles at Kit Counter -- 72. Garage Fire Door Swing -Landing -Closer - 73. A C_Duct in Garage -Damper -- - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage Above Floor-Mech. Protection 75. Plb__Elec_ & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------------------ 7 Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No - --------------------------------- ----- 81. Stucco: Brown -Finish ---- 82. A.C. Unit: Disconnect Electrical, Plumbing --------------------------------- --- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ----------- -------------------------- 84. Water Well: Disconnect, Electrical, Plumbing - -------------------------- ---- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House -----------1---- ------------------------------------------- 87. Glass Protection --- . - - -- -------------------------------- 88. Corrections from Previous Inspections - - - - - ----------------------- 89. Gas Test -Meters Tagged: Gas -Electric - - - --- -- ---- ------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------ --------------------------------- ---- Date Card B-1 Date Card B-1 -------------------------------------- Date ----------------------------------Date Card B-1 Date Card B-1 ---------------------------------------- ----- Date Card B-1 Date Card B-1 Comments at Final: J=OK O = Not OK Not = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P1 ft. / /"Nat. or/ /" L" (t./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 e MISCELLANEOUS Date DECKS OVERS, CARPORTS, GARAGES, (Plans)OK except #'s oni equirements-Setbacks-Easements &ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. n.; Columns -Connections -Splice -Decal -Enclosures 6. C s; ndows-Door ctri r g; o -St s-Rftrs-Trusses Nailing -Veneer -Stucco -Mesh oof; Shthg-Roofing • 11. Ext.; Steps -Doors -Landings Date -(- Q LCard B-1 X_h, Date L(� Card B-1 Date l-/- 97- Card B-1 126, Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center. Drive, Orovi Ile - Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 pp' CORRECTION NOTICE ER -136 / PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date / Inspector _ t 4 a Date / Inspector _ IN V' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, .Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 EYliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE /- 9i PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to -this matter, or need additional explanation, please contact this office immediately. 61- rQ5 -fe..i e�Dw-I-- /IiYl"6zs.'/ w "A / —�; .,, J':!� 1-e6 A-5 a- e."5'14 . 0,-, 1� 41-,n i P i„ 5- ,.i e! 4 t' n ,-oO Date 9 (' °l Z Inspector REV 11/81 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'536-7541 APPLICATION AND PERMIT PERMIT 0. ASSESSOR PARCEL NUMBER 047-200-037 ZONING Al -10 BUILDING PERMIT OWNER Merle & Amalia Bowlsb TELEPHONE_ 342-3057_ SQ.FT. OCC. BUILDING VALUATION 760 13 824.00 OWNER'S MAILING ADDRESS 15367 Reese Rd., Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 13,824,00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 127.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 63.75 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 206.25 PLUMBING PERMIT Filing Fee 15.00 15367 eesR Chico Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New Addition ❑ Remodel[—] Utilities[] Installation❑ Other Describe work: Dpt-nrhed GArngt= _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20rATO 1000A) 37.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUPM OR ACDNS. t ACC. BLDGS. I X 3.6Q sq.ft. 26.851 A NEW CONSTR "ULT' -OUT LET NON-RESID' BRANCH CIRC ITS 5,00 POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESI D.1 EA.) 1 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Permit Fee $41.85 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coun in cons u ce of the granting of thi7;71 't. X �v =— - = - /Qom_ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.DI Mobile Home Installation Fee $ Energy Inspection Fee $ i CONST TYPE TOTAL F E $ 4 .10 HA2 0FEES IMP FLO COF PA L PO ,HD I UE This permit is hereby issued under the sions of the Butte County Code and/or work indicate above foLwhich fees ECT OF UBLIC By , pE IT EXPI S Date applicable provi- resolutions to do have beenp aid. WORKS ' Date� - Receipt No. 1191115 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I ., �.� A. �•r.� , .1�J . 1 . . .. y+r►}r r-. ,Y!';'17:v'''1'..:.r-+r✓�..�y,i4i' vlg4 `'ky VIVO$ s, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION i 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7r%Al' PERMIT APRUt ATION DATA SHEET OWNER MC g ce, �,i NO t), 6e)w&s Z, 41 -7 Z D - 37 Proposed Building Use �O Building Inspect Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted . .......................... 0:��-iPlot 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). ....S 9� 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. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval 614 / G C) Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... a 19. Driveway permit (construction approval required prior to occupancy). .. .... est 20. Pre -Inspection for to Building Ins re t required. . to Building lnspeaor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance ...................................... 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. PI a check li .... . .... .... .. ..... ..... ... 33. �� ;e%f/�n�S 1 /n N npmol�d lir Q -'I D ��3� 9t� 34. W eny� )ssue th,per it proc!7 as follows: Mai to owner. Mail to contractor. t/ Telephonnd 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 Date By The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: it issuance: (Circle new item not checked above). Contractor, designer, owner, was -advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was ad Iv sed'of.above required data by _ phone _ mail ouster by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO ' Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance iv►e w /S3 41 7 /PeC�e i Id - m Owner s o Location ekp AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: clearance Cvz� 6C, NOTE * * * for I Water Supply Other -gyp �Z ` Date aA�a gff COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlllet California 95985 - Telephone' 916 :538-7541 APPLICATION AND PERMIT A111115011 IA114L OU D 3 z NIN r BUILDING PERMIT owNESO. r�Lt, r� a��sb TELEPHONE 3�ia�3o� FT OCC. BUILDING VA LUATI Na OWNER'S MAILING ADDRESS l 6-3b t, rs r' �o CONR CTOR'S NAME L c� tom/ L S r� TELEPHONE YZ o CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation ¢J LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 47� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6 7 �t;-•s c tco Permit fee $ PLUMBING PERIII_IIT Filing Fee 15.00 Each Trap 00 Solar or heat pump water heater 420.001 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or veov,7.00 USE OF STRUCTURE _ SF[:] Duplex❑ Mobilehome❑ Other agRaI - SPECIFY Gas piping system 1 - 5 lets 5.00 Building sewer 15.00 Mobile Home Sl G I W 615.00 "" TYPE OF WORK New : V Addition i_; Remodel ❑ Utilities ❑ Installation[ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 00A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification lU. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A, 37.501' NEW CONST./ DWELLING OCCUP.E\ 3.64sq.ft. OR ADDNS. ` ACC. BLDGS. // NEW CoNSTR ULTI.OUT LET NON -PE D BRANCH CIRC ITS Ca1.5.O0 POWER APPARATUS e SINGLE OUTLET CIR. ) EX. Occup( OR FIXTURE 20 76d R Ex. Occup. OUTLETS PIRESID FIXED APLNS.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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 FiIII944e 15.00 Heating Cooling Hood.6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any w y accrue against said County in consequence of the granting of this permit.1JJ X Date �2 Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE -214 TOTAL FEES HAz DFEES IMP FLOOD CDF PARCEL -[7D- ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Signature of Applicant — Owner C r Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. 3J' WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. an—r—n—PI i—T F COUNTY OF BUTTE - Department of Public Works 7 County Center Dxive,.Oroville, CA 95965 Phone: 916-538_7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid 'unnecessary delay in processing and issuing your building permit. No building permit will be"issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) f2�11/4! signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Secuxity umber Date 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. < Jrr A APPROV • - - 13utte County Environmental eoith / p APPROV, ED Butte County EnvironmOnmi Fleall,"n mill 7— -26) - - -16,10b 1 'T ;§�� (c, -.2 wi-Y 00 A. 4 PERMIT NO. PERMIT EXPIRES OWNER Kim Allen Slightom CONTR. owner LOCATION (A.P. 47-20-37 W/S Reese Rd.,2200'N.of Munjar Rd., 2700'W.of Meridian Rd.,Chico 2833-77P ,E Temp. PoWer Pole Called PG&E Temp. Elm Serv. CalleAPG&E A A.A 60 TempAGas Serv. Called PG&E I/INAI-ED Sg--- (Date) (Signature) I 9. Electrical.� A. Is service large ei:o��gl� to p�-ovidc adegLate amperage to mobileiiome (must equal rating of mobileltome (aith a ::tinimum of ,00 amp) and other facilities on lot, i.e., water, pumps, garage, cabana, etc.? Yes No - 4 B. Is ther--� proper clearances around panels? Yes 1`�No C. Is power supply cord or.feeder assembly properly fused? Yes --L Vo D. Is continuity test satisfactory as per Mie following procedure? Yes No 1. De -energize electrical wiring systeiu of the mobilehome .at the pedestal. 2. Flake sure that the power supply coal or feeder assembly conductors,. including neutral conductors have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position_ 4. Connect one load of a test instrument to the mobileh-ome grounding conductor, and a1 ` Lhe oLliei: lead to each Lt1UU1.LC!.!Uillt��$�lp�)ly CutiJactor,, including neui..rail.. pp .L All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas: kine, eater line), .including fixtures and appliances, shall be. tested for c.onti:nt,.i.ty froze such equipment and. the grounding conductor. 6. Upon completion of the above procedure, the power. supply cord. or feeder assc:raY;l�= conductors shall be connected to the site service equipment: A further continuity--. to t shall then be made between 4he grounding electrode and the chassis of fl.e mobilehone. Upon sat'is'factory completion of the el.ect:rical: tests, the lot air, site service equipment may be approved for energizing. job card signed bay Health Department for water and sanitation? 11.. If evi.rything okay,, sign off card and ta,- services. MOBIL::?0_4L•' DATA r Manufacturer and/or Namestyle Length (r��_(J Width - 1 chicle Serial No. State Identification No. Additional Inf=mat.ion or Comments: i • r 'MOBTiXIi0 I1: Ik,'S`1'ALLAT IM UYSPECTION CHECK LIST r 1, hs the niobilehomt loar•!ted wi.tai required sepatation from lot lines and buildings and general].\ conform to plot plan? Yes No! 2, Does the m•.tbil.ehomc have required clearances above ground? (Sec,5085) Yes 0� No 3. Are footin,;s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec.. 5082 & 5083) Yes 6�, No 4. Is the mobilehome level.? (Sec. 5088) Y c s `ido 5. If more than.a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No / i 5. Water A. Isle-:_ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Y Qs_V N B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes L, 0 C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains VIA A. Is connection made with Schedule 40 D:,IV and have flex connectors at each end? Yes �No B. Does i.t have minimum " per foot slope a -ad is it properly supported? Yes 6-`�No. C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum. mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobi ehome gas line inlet without reductions other than the mobilehome connector. Yes_V No B. Test OK as per following procedure? YesV/No 1. Open all 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. Connect gas meter to mobilehome witli connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes ' No an V- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Seltack F ewall Ski Piping For PaNpets 1 t Floor Mal Bldg. Rest om Finish 2n Floor Fo ins Windo 3rdNoor Stem all SI To out Slab X Roof SheaNina Water Plp)ltg Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings V Prov. for ph sical handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab X Final Sanitation Patio REP ACE Final Footin s Footing E ECTRI L Masonry Walls Throat Rough Reinf. Steel Final zFixtures Bond Bea FIRE qPRINKI EFh Motors T Stucco mesn,f MECHANICAL X Grd. Fafilt Prot. Scra h Heati Servi B n Coo ng T mp. Pole nish DUfts nder round Interior Lath entilation Permanent oor Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service -- Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - Support s — Elec. Continuity / 2 Water Piping �� %/'� Aunage �) /�� m � Gas Piping — / — —/ `7 i!4} DATE 9-3-1117 REMARKS OR CORRECTIONS 'A,ef�,z. �/w✓w ��� v-2ff (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF B _ UTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 _�'% Tel ephorr X534-4 r41 / l APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XL_ Date` • /n Signature of/Pjermit/' or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO'A-10F PUBLIC WORKS By Date 7-1 / — 7 L Building permit expires Date 7—// 7� BUILDING 1 Owne " SQ. FT. OCC. BUILDING VALUATION Mailing Address 1 % f r G J _R4 el ephon e 3 — n07 S Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Tlephone No. e Permit Fee $ Bu' din A s �,� EPLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,Did �v ach , Trap 1.50 Repair drainage or vent piping 1.50 Wateraping W achg as water heater or vent 1.50 ng Verification O c e Z A. P. No. 4 7 — 5 — A Zo "n Gas piping system 1 - 5 outlets "P40 v0 Each additional outlet .30 Fa C. a) io Fire Dept. Fire Zone Use Permit Building sewer SpIflO )O�oo EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rove nts P Lawn sprinkler system 2.00 B �i�s�Rec'd � ar oval Plans Approval Permit Fee $ $ mo NEW ❑ ADDITION ❑ UTILITIES,& OTHER EJELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,ate Main service 1100v DR LESS 5.00 Od 00 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 D Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 1100 AMPORLESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW LING O OR ADDNST ( ACCLBLDGS.CCUP. &) 22sgft NFW CONSTR. MULTI.OUTLET NON-RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONSTR (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)50 @250 104 Ex. QCCU FIXED APP LNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 j ,ate License No. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 5a 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. ❑ 1 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 California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 42.00 Hood 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 State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 5;-6and authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XL_ Date` • /n Signature of/Pjermit/' or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO'A-10F PUBLIC WORKS By Date 7-1 / — 7 L Building permit expires Date 7—// 7� Y NOTE: ---All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. 1�i15i irk' CSf, pfamMWT E>P fs��atplo�i.�.���d`�'�i0 or GI M�e+i rha� lm wo u�me w,�{F�`w �;•.vtv—, �r`%1 i'', ue1 (�L•'T �'S,'l!5K l.a?;l ���:Sy1� iL kyr4 � qtr CCit:2i•.N- iia' Diw'0W w' The. Setback shall be 5 ft. from the side property line and 50 ft. from the cenferline of the road, permitting a maxi - muni of a 2 if. eave overhang but entirely cut of all easements. ,i u. ".� BUTTE COUNTY ni� -� BUILDING DEPARTMENT s r •• OFP21A S' :.00ADS RETURN TO • CERTIFICATE OF COMPLIANCE t. i "r:"r+- i,,)UI STa:1) sf Planning Dept. Issue x;t Robes t Lee Henman T " ,� W TC©' �i�34 f P 0 Box 3147 �Y�� Chico, CA 95926 1.00.1 KU"HOER 0011 i ii1 L6RU NO EEE 3®'64 This Certificate of Compliance is hereby issued by the County of Butte'to certify that the land division which created the parcel of property identified below complies with applicable provisions of the Subdivision Map Act and of Chapter 20'of the Butte County Code. 1. Property location: north side of Munjar Road, east of Meridian Road, Chico. 2. Assessor's Parcel Number: AP" -47-20-37 r - Description: All that certain property located in the County of Butte, State of California, more particularly described as follows: The North 10 acres of the W' of .the NW4 of the SE4 of Sec 7, T23N, RlE, MDB&M. Together with rights-of-way of record. Issuance of this certificate is conditional upon the follow- ing conditions which have been imposed pursuant to Butte County Code Chapter 20-48 and Business and Professions Code Section 115832.(b) to protect the public health and public safety. 1. That 60 ft. of access be provided to the publicly maintained road. END OF DOCUMENT N Co (JO Cts -z► County, of Butte C - Subdivision Committee By COUNTY Ot EIUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — UroviIle, California 95965 APPLlel epho je.tili5N-4541 X7 7 ICATION AND PERMIT aulnurlce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signaturesooff Permiteep Agent Receipt No. LTJ �/_7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O"UBLIC WORKS :By Date pp _ /0 - -7 7 ilding permit expires Date O , 0-I' 7, BUILDING Owner c C' SQ. FT. OCC. BUILDING VALUATION ;i Mailing Address i CTelephone /GO No. M91V& Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address — it cs l K c PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. Y6. y,—wa Zoning & PlanningGas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Ffe/es Senii� FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Imp Provements Lawn sprinkler system 2.00 131d ons Rec'd 00 Parcel 60roval 0 Plan Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 7 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 OR ADDNSNEW // CONST. ACCDWELBLDGS.LING CCUP. &) 2¢sgft NEW CONSTR. MULTI.OUTLET NON.RESI D. ( BRANCH CIRCUITS) '2.50ea NEW CONSTR.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. Occ Up(OUTLETS OR FIXTURES)50 025C 109 Ex. Occu FIXED APPLNS, OR P•(OUTLETS (RESID.) EA) 2100 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I'GI am exempt from the Contractors License Laws of the State of California. 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. ❑ 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 California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood , 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above(ASC information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby G --4a Oepa TOTAL PERMIT FEE $ ' © aulnurlce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signaturesooff Permiteep Agent Receipt No. LTJ �/_7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O"UBLIC WORKS :By Date pp _ /0 - -7 7 ilding permit expires Date O , 0-I' 7, MOBILEHOME SUPPORT DATA Mobilehome Mfr. Setup Model No. Year Width % 0`1' (ft.) Length d ' .. (ft.) Expando Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on .file with .the County of Butte). S in g le k ► Center Center Support Support Footing Sizes Locations (in.) r X in:f(-in. f� [ft5 lin (in:)( n•) X-] 1 (i .)(in.) } i ft. 'n.) in. n. • X 'aL (in.) (in.) 1.. ' *If center piers \\are other than drawn above, draw in locations, spacing, and dimensions. :, Y Footings,(check.6ne) / /.1. Wood.. either . pressure treated or fdn. grade. 7R 2. Concrete pad. 3. Other,: specify Supports (check one) / 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify �T� Footing Size Topical Support in. in.) i 1 Max. Pier -in.) Spacing Max. Overhang BUTTE COUNTY BUILDING DE?AR?MEN1 ,Ppp E® 1. Owner's name: C 0 & ` BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 2. Installer's name: 3. Is the site currently under permit? Yes / No ( If yes, furnish permit number�.3 �_ 77 ) OR Is the site an existing site? Yes / / No / / (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes c/ No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- O Amps 6. What is the mobilehome site service rating? -------- � � Amps 7. What is the mobilehome site circuit breaker rating? ------------- ASO Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No %%Tc (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 3/A/ 10. What is the type of gas service? ----------------------------- Natural / / LPG /77 11. What is the gas pipe length from meter or tank to the mobilehome? 9' —(ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (T]Aslin�Eormat.ion not required if pipe length less than 6 ft. on natural gas or less than'50 ft. on LPG.) ...f OVVNER_ DATE MISCELLANEOUS ADDRESS APPRAISER APPRAJS/jL SHEEP 4p_�A e7 x e, PARCEL49-7— SHEET OF SHEETS 5 -Wed mk 60. M ti Q I U DECLARATION`REGARDING LOTS OR PARCELS I certify that as owner of the property acquired by deed in Volume �. Page.. Official Records of Butte County, (APM�'�-�' I am iequesting.permission to build or install an additional living unit on this property. I.will not divide' the aforementioned property for sale, lease, rent, or financing unless all applicable land division laws and map requirements are com- plied with. I.am conversant with the present zoning regulations affecting the aforementioned property, and declare that I shall not violate same. I represent that the proposed nee of the Rd'Iit.ionnl IivinQ ,tilt )v - C.— L.0 i and that further I shall not change this proposed use of the additional living unit .....,..-t-.-�.1;r-?y.+.�;R%`"±!�yr);;...;.:►'a;i'rAJ"';ie:r`'���.x:.:e. , as , . , rj}1r}rE��a' unless' 6nd'bntil' I receive written approval therefor from the Confit :o Butte n."' t°::<'+ w Lr N I fully understand that pursuant to Chapter 20 of the Butte County Code and §11535 et seq of the Business and Professions Code that if I, in the future, sell, lease or.finance the area on or adjacent to said improvement without fully complying with the applicable laws and ordinances, that I shall be guilty of a misdemeanor and therefore, subject to the aforesaid penalties and imprisonment pursuant to law. 'i Further, this statement shall be properly acknowledged and recorded at the request of the County of Butte. oEFicl:m I;F.Cnp' Jut �. UO ii' 1171D tuu+,. MITI I: i . I'r. : I: STATE OF CALIFORNIA ) ss COUNTY OF I)t it i ) w r Addreas. Dat On this ;4 day of J ci/4�i — 197 , before me, _ --� Zc /� dV4 cd - i a Notary Public in ant for the County of ZyState of California, resting therein, duly commis- sioned anJ9sworn, personally appeared//c.. !'`,•' a..' known to me to be the Derson whose name. subscribed tote within instrument and acknowledged to me that _he_ executed the same. IN wlTNESS WHEREOF I have hereunto set my hand and affixed my official seal in the County of the day and year in this certificate first�.above .4 written. S16-1275 OFFICIAL SEAL .'REIL:11 J A. d.A11Cl1ARD------------------ NOTARY PUBLIC - CALIFORNIA 67,E L(`tNry ly h-., a*n SEP � 11179 otary Public Y )PHO f� A E COUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive . - Oroyille, California 95965 x — 7f Telephone:rI�34-4541 APPLICATION AND PERMIT VVUllly ul Uu110 N CIIICI UJ/Ull Lilt: above tioned property for i spection purposes. xat 41i. nature XP m' ee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date Building permit expires Date BUILDING boner SQ. FT. OCC. BUILDING VALUATION Mailing Address 0- Tele honO�/ Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty �. Telephone No. Permit Fee $ Building Address Cc//- PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 4W A "0", Each Trap 1.50 Repair drainage or ve piping 1.50 Water piping , AQOing Verification nl ach gas water he r r vent 1.50 A. P. No. f%> �D ", /Al3r/4-�� Zoning Gas piping sys em - 5 outlet Erach additio al outlet .30 s C.Sanitation I FireDep t. FireZone Use Permit Building se a .GA6 EQA Parking Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawns in er ystem 2.00 _..ffPlans �FKans Recd pproval Plans Approval Permi $ 0O $ NEW ❑ ADDITIO UTILITIES OTHER E]ECT CAL No. @ FEE PERMI FILING FE $3.00 .300 Main se vice inn AMP OR01 OR LESS5.00 Da Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. ODWELING R ACDNS. ( ACCLBLDGS.CCUP. 9 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS 2.50ea - ' ' NEW CONSTR. POWER APPARAS & NON-RESID. (TUSINGLE 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. ` Ex. Occup(OUTLETS OR FIXTURES)@25C BAL@1 Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Li ense No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 00 1106 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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.1 @ I -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 herebyJUL. O/ D6 TOTAL PER IT FEE $ VVUllly ul Uu110 N CIIICI UJ/Ull Lilt: above tioned property for i spection purposes. xat 41i. nature XP m' ee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date Building permit expires Date 6 -6 47-20-37 y Allen L. Johnson W(S gravel Rd., app.4/10 mi.N.of Mun- jar Rd., app.3/10 mi.E.of Meridian IR,',;. , Chico Permit #653-78P,E(util.,MH) ELEC. GAS SUPPORT SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. PtpMIT APPLICATION WORK SHEET a Permit No. OWNER A. P. No. 7 zo .37 Zoning Use Proposed Approved Not approved Permit fee based upon: 1. Complete contract price: 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received 1. All items have been submitted. ------------ w Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs. -------------------- 5. Fees of $ -------------------- 6. Letter of signature authorization. ---------------------- 7. Sanitation approval. ------------------------------------ 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ------------------------------------- 13. Aunt Minnie information. -------------------------------- 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ----------------------------- 17. Pre -inspection request for -- 18. Improvements - plans required & DPW approval. ----------- 19. ther ------ - By Date Bldg. Inspect r During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition the following: 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by Date 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup @ office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notic:.e Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other PERMIT APPLICATIIN WORK SHEET Permit No .6i J- -7-F OWNERR�A.P. No.� Zoning Use Proposed Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): During plan checking process, the or information must be submitted issuance: 1. Index permit for items above and in addition the following: following data prior to permit 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by Date When permit is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold or pickup @ office. 5. Other 11;_� Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Ndtic:e Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other At t' o t 1'cat' t o ica t a th owi g or i 'o t be .s to prio o pe proce ng and/o issuance: Date received 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. Fees of $ -------------------- 6. Letter of signature authorization. ---------------------- 7. Sanitation approval. ------------------------------------ 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. -------=---------------- 11. Parcel declaration, recorded copy. ---------------------- 12.. Access declaration. ------------------------------------- 13. Aunt Minnie information. -------------------------------- 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ----------------------------- 17. Pre -inspection request for - -- Im rovements�- n required uired & DPW a r�°val. p ----------- 9. Otr ----- � E�pb B� By Date /7-70P Bldg. Inspecto During plan checking process, the or information must be submitted issuance: 1. Index permit for items above and in addition the following: following data prior to permit 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by Date When permit is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold or pickup @ office. 5. Other 11;_� Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Ndtic:e Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other LTi ,if — • i' ^� COUNTY OF-BUT--T-L- — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — ftUrovillj;; California 95965 Telephone: 534-4541 APPLICATION AND PERMIT uua I— — IVVIVOVIILOLIVCJ UI 1110 %,UUnly UI 6Ut-te LU enter upon the abzignotUre property for - pe on purposes. X Date f Per it aor Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner O D SQ. FT. OCC. BUILDING VALUATION It - Mailing Address `I Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address y Gf% ��£ Q � PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3 *.fl Each Trap 1.50 /Cd Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1. 0 A. P. Zoning 8 Planning Gas piping system 1 - 5 utle 1.5 Each additional outlet s Fire Dept. F, re Use Permit Building sewer -00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler s st 2.00 Idg. Plans Recd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELE TRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 6100 AMP RSLESS 5.00 Main service EA. ADDI 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1,00 NEW OR ADDNST /DWELLING ACCBDGS.CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (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) @2514ig Ex. Occu FIXED APP LNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 L'c a No. Classification Misc. Wiring 6.25 ' am exempt from the Contractors License Laws of the State of California. 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. I have placed on file with the County of Butte a certificate of rkmen's Compensation Insurance. r I certify that in the performance of the work for which this rmit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ G ` Ai $ 701 401 _70 1 TOTAL PERMIT FEE $ 7�7( uua I— — IVVIVOVIILOLIVCJ UI 1110 %,UUnly UI 6Ut-te LU enter upon the abzignotUre property for - pe on purposes. X Date f Per it aor Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date '0. IN 47-20-37 Permit #G,73,—i8MHI Issued PERMT APPLICATION WORK SHEET ` Permit No. OWNER ZSD�j� _ A. P. No. Zoning Use Use Proposed T/r�/S%G l/_ Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: ----------- Date received 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. Fees of $ ----------- ------- 6. Letter of signature authorization- ---------------------- 7. Sanitation approval. ---------------------- ------------- 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate - ----------- 10. Contractors license information- ------------------------ 11. Parcel declaration, recorded copy- ---------------------- 12. Access declaration. --------------7---------------------- 13. Aunt Minnie information- -------- 7 ----------- ------------ 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, -recorded copy. -7 -------------- 16. Parcel map, recording data. ----------------------------- 17. Pre -inspection request for -- 18. Improvements - plans required & DPW approval - ----------- 19 er ------ By_ `) G Date Bldg. Inspector During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition the following: 2.r Applicant advised by Telephone Mail Other 3.. Plans checked by Date 4. Plans approved by -Date Lt is issued, process as follows: 1. Mail to owner. . 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup @ office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Ndtic:e Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: �i� �J f! (ij o -S6 2. Installer's name: Salle 4 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 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? ----------------------- l Amps 6. What is the mobilehome site service rating? --------------------- 0 Q Amps 7. What is the mobilehome site circuit breaker rating? ------------- f Amps 8. Is there any other electric -load to be served by the mobilehome t (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amos) 9. What is the mobilehome site gas pipe size? ---------------------,- 3Z(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?�0 (ft.) 12. What is the mobilehome gas demand? ---------------------------=a- 2- 017'r (BTU) t (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. ✓f�� "� furnish Setup Model No. �� Year Width (ft.) Box Length49(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). All center supports measured from front of mobilehome unless otherwise specified. Footings .(check one) Single 1. Wood either pressure treated or l • 3 Q foundation grade. x J (ft.)(in.) (in.) (in.) 2. Otjier (spec' Center support Center support locations* footing sizes Supports (check one) (in.) 1: Concrete block. x 2. Other (specify) (ft.)(in.) (in.) (in.) Tagalong or Expando, show support details. (ft.)(in.) (in.) (in.) V.( Typical Support (in.) Footing Size ph(x dZ in. in. )( ) ( ) ( ) Max. Pier Spacing Max. Overhang (ft.)(in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. MOBTLEiiOME SUPFC0,"t DATA if other than single wide, Mobilehome Mfr,. 5 K_y I, 11V6, furnish Setup Model No. Aq d Year /q S ft. Tagalong Ex Width x4 (ft.) Box Length Y# ( ) g or ando Size ft. x ft. g P 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). Cts iYC fZ�iE ,$ C.[)Cf� FOOTINGS (check one) X 1. Wood -pressure treated or foundation grade.�2. Other (specify) SUPPORTS check one)n1. Concrete block. Other (specify) ( LJ Pier Footing Sizes and Locations SINCLE-WIDE MULTI-WIDLineE ` Main Beams— Line Line 2 — _ _ — — — — — — ^ t i Line 2 Main Beams— _ — .a Line 2 — — — — — — .r..o i —. — —Line 4 Tag or Triple — — — — — '— — - — Line 1 Line 1 Openings: , Line 1 Piers: - Size -Min. ------------------- Size-Min - - ---------- Size-Min. ------------ rrx r Each Side of Opening$ Spacing-1tax . ---------r- i rr With Width Over s_ From Ends -Max. ------- Line 2 Piers: Size -Min - ---- --- rrx Spacing -Max .--------- From Ends -Max .------- ' Line 3 Piers: (Unaerbearing wa++ Size-Min------------------- Spacing-Max ---- ----- Spacing -Max.--- r From Ends -Max.--------`---- '- Line 3 Roof Loads: - )Jqq Z "x r x. rrx n Size -Min. - - --" /I1 "x� "x3 Q, x✓�m _ __ rr - v rr tl r - o - Location/✓ , (From Front). _ - Line 5 Piers: (Under Bearing Wa11s On y) Line 4 Piers: Size -Min. --------- Size -Min ------------- Spacing -Max.- -- r" Spacing -Max.--------------- ,r From Ends -Max -------- '- From Ends -Max .------- n Line 5 goof Loads: Size -Min .-.------_- -- n n n u u v rr nx n nX n ux u "x rrx x x x Location (From Front) flu" coufm BUILDING DEPARTAIENIt BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,__CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: /M 4E96.6' 60 w G. S 13 7 --- 2. Installer's Name: y C. P—. T U l t- / a6 X5 'TCM S 3. Is the site currently under permit? Yes No M (If yes, furnish permit number _y) OR Is the site an existing site? Yes X No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No No (If no, clarify 5. What is. -the mobilehome electrical rating? --------------- ___�®D Amps 6. What is the mobilehome site service rating? --------- -- Amps 7. What is the mobilehome site circuit breaker rating? ----- /00 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No X (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 314 (in.) type g ?--------- 10. What is the t e of as service. --------Natural F] LPG U 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- ld (ft..) * 12. -What is the mobilehome gas demand? -------------------- (BTU) *(Thin information not required if pipe length less than 6,ft. on natural gas:or.lessthan 50 ft. on LPG.) ,c. I 10 AC µ. .* o ; :� r.CLSm OF 1 FT. FROtA Id Fr. FFOM THE REM FWM TM ROAD CEN1`ERLINEI SHALL BE tmm oil iTRUMURF-S AND EQU1PMEt4T EXCEPT ,.. ' • 2 I� �f0,va5e Gara0-e -.2 S L 2q x 10 i / d --:- 60 1 f�� y7 ao�3T This set Of plans and specifications MUST be kept on the job at all times and it is unlawful to. make any changes or alterations on same with, out written permission from the Department o: P ' Wk Works, County of Butte. N OT M Materials I V,64 n'orrship San Be 114 Accordance with Recognized Good Prcg#i,,s and of a quality prescribed for the Secifiad use in ffte Uniform Building, Plumbing & ect to kim Electrkcrl QWN -4 P P, / OV%