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--� ^- '- ' ' - - ' — ----- - ^ ^ > - ' 47-45-02RAYMON EN:M ico15238 ReeseELECSUPPORT STRUCTURE Rl���LPermit# -86MII Issue '000'. 47-45-02 FFA069. ' - ` � 4 rl . J' Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Facsimile www.buttecountv.net/dds www.butteaeneralplan.net ADMINISTRATION * BUILDING * PLANNING REQUEST FOR COPIES r BUTTE COUNTY FEB 1' 8 2011 DEVELOPNIENTi SERVICES Please furnish me with copies. of the building file documents I have indicated for the assessor's parcel number(s) and address(s) I have listed below. Iunderstand there will be a copy fee df'$:25-for tfie fist page and .06 for each additional page thereafter payable of the time the copies are picked up. I further understand that Butte County has up to 10 days to respond to this request based on the Public Records Act. Assessor's Parcel Number Al -7 — CJ - () Z Address TcL� Int e S c d� Name of document(s) requested e- -� . Assessor's Parcel Number Name of document(s) requested Assessor's Parcel Number Name of document(s) requested Assessor's Parcel Number Name of document(s) requested Assessor's Parcel Number Name of document(s) requested Address Address Address Address Please Note: Copies of building plans are not covered by the Public Records Act but instead are under California Health and Safety Code Section 19851-19853 and require written authorization from the property owner and the Registered Design Professional before being duplicated and a separate fee of $127.00 is required 9 aYIC ay - Printed Name ..- - q /�, Signature 2,- - I/ Date (=) S� � - 3230 "%-Y- c V l c o %w,�s w,, -a x c 0,,• Contact Phone Number/Email Address *When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. 3-1-10J:\2010 Handouts and Policies for approvahApproved Handouts and Website forms\Request For Copies 3 3 l0.doc I If f '+ i ,G' e o o rv` [•� c�"� � ,O e � e r' •{. I V ! n(C> �( o o /-rt • :7 c �, �P y� 00 1 , s7u�y { , 1 i C � fT'A d'i f { s i 1 CEmFICATION OF CWL,IIl1N VM (-ofarnr UUTTF Ony'�a�v �a6s I 'M, Ch,fl' tt+?t:t icc certifies that �y�.y�y� /3o '.3 has co liewith h requt to ' is ��f yes) regarding / _res: ny the on AssessL�fees el Y 9-� ��n of a pd)Ment oof $ - r 9eho©1 I tigat on gre nt d ' d /!_/ 1 ' , [91SD Tesenta ivC , X 2879-86B P�RMIT N0. s i PERMIT EXPIRES �D OWNER RAYMOND OLSEN CONTR. owner ASSESSOR PARCEL 47-45-02 LOCATION_ 15238 Reese Rd, Chico Temp. Power Pole Called PG&E Temp. C< Temp. C: JOB F Si %/-'= OK' - 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MI,S�ELl 4NEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DEC COVERS, AKWTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements K Zonipoequi ments—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/0—Concrete _ ootings; Size—Depth—Spacing—Connectors 3. ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) VWood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete cw olumns—Connections—Splice—Decal—Enclosures 6. Gas; LocatiorrTest—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG arports; in ows— 7. Utility Clearance _ Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's Date POOLS (Plan) O except N's 1. Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK o - = Not Applicable RESIDENTIAL )Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection_ - 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage: Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_ 7. Piers -Fireplace Ftg.-Steel 54. _ Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V. Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test - 11. Electric; Underground 12. Plenums &_Ducts; Clearance -Material -Support -Ins. 13. - Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date _ Card -BI Card -BI Date Card -BI Date Date -Card-131 Date Card -BI _ Date _ Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 57. Smoke Detector Card -BI Card -BI 14. 15. 16. 17. 18. 19. Water Ht.: Vent -Access -Combustion Air Water Pipe: Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors Date _ _ Card -BI Date Date Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61, Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Card B I Card B -t 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI Range Circ. / / ga. Cu or -Al- Oven Circ. / / ga. Cu or At, Insulated Neutral Yes _jNo -- _ Service -Riser Conductors & Ground -Main Disconnect -_- Equip. Clearances: Panels-Motors_Mech. Equip. _- _ Clothes Closet Light -Shower Light - ---- -- ----- Date Card Bi Date - _ - Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters Dyes ❑No 76. Stucco; Brown -Finish 77, - - A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof: Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Perry -it) OK except #'s--- 83. Corrections from Previous Inspections 84. Gas -est-Meters Tagged; Gas -Electric Card -BI' Card -Bt 31. 32. 33. 34. 35. A.C. Ducts. Insulation & Support _ - _ Vent Fan: Exhaust above Insulation - Condensate Drain & Overflow: Size _& Grade Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Card -BI Date _ Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates ---- -- - --- -' --" - Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FRAMING(Plans) OK except #'s Com rents at Final: 36• 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills: Proper Material & Anchors Walls: Sluds-Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Slop in Walls (rat proof) Fire Stops. Furred Ceilings -Stairs_ -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rflr. Ties- Purlin -Roof Brac.-Truss-Shthrig -Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing -- (NOTE Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO ASSESSOR PARCEL NUMBER _ �/r� O ZO IN BUILDIZ PERMIT OWNER s TELEPHONE 393 -/ 0 SO. FT. OCC. BUILDING VALUATION 9�✓ o fab OWNER'S MA ING ADDRESS S" e dis cf.7 el CONTRACTOR'S NAME TELEPHONE CON ACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER No -a— UNKNOWN Total Valuation $ p� V 190 • 00 FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ; 7W. S -C) ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ , Energy Plan Checking Fee $ ARC-HITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 t 1U ofk wns Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeg, Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 110.00ea TYPE OF WORK NewC&Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: ��rx:efta AR- _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP V OR ORSLESS 10.00 Main service EA. ADO'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a CC. BLDGS. New CONSTR.(A 1/2¢sgft ULT -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea / POWER APPARATUS s 1SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20060Q 5ALO 30 LNS FIXP(RESID IREA.) Ex. Occup. 2.00 Temporary service 10.00 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 Consent to Self -Insure. 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 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again 'd County in consequenc of t e granting of this permit. X 9_„ fi.� _ �- Date Signarur of Applicant — caner [Contractor E]Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ / o 7-l"'Butte Occu P- CONST.TYP! I I FLoo ARCE ;Df No 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE QR OF P LIC /® By IL PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. i, d/ d I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLL,4'8,A+L'tF"IA 95965 - TELEPHONE: 916Y534.-4541 i t PERMIT APPLICATION DATA SHEET Permit No. V OWNER d/5 e, -1 /5e,-1 A. P. No.. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector�l�`r�— + Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or ssuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2.., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. sanitation approval from Health Health Dept.. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 11 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Required. BuildingPre-Insp request to (Date) p q Building Inspector 18. Recorded copy of Agricultural Ac know Iedgmen t'Statement. . , t 19. Other When you issue the permit, process as follows: 00'Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant »?ate -1 ���a-c..1 Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above 4t_ljme of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Design , Owner as_ advised of above required data by Telephone',, mail Other By ate b a Plans checked byDate Plans approved by Date Other: Copy—DPW TO:' Building Department FROM; Environmental Health, Chico Office SUBJECT; !Sanitation Clearance < b 'Owner Location ppb Plan approved for: Sewage disposal Water Supply Hold final for: Water supply Final clearance O.K. for: Water supply Clearance for bedroom Mobile home House Other Note*** anitarian Date cb ►' COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) t/ tea,. 2. I (have/have not) signed an application for a building permit for the proposed work. 3.-k have contracted with the following person (firm) to provide the proposed C60 struction: 4. Name Addres Phone I plan to provN to coordinate, s Name Address Phone City Contractors License No. portions of this work, but I have hired the ervise, and provide the major work: Contractors License N6. 5. I will provide some of the worit�b persons to provide the work indic Name Address y wing person t I have�ontracted (hired) the following Signed: 0perty' Owner p �r Social Security Numbe Date 2-0— .z, Z./ 8-6 Phone Type of Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. CONTR. owner ASSESSOR PARCEL 47-45-02 LOCATION 15238 Reese Rd, Chico —V J PERMIT NO. 804-86P,E(Mfty'-' PERMIT EXPIRES. Address OWNER RAYMOND OLSENa CONTR. owner ASSESSOR PARCEL 47-45-02 LOCATION 15238 Reese Rd, Chico —V J i ' OFFICE COPY Address GAsy tr Meter,'6 AVE ��5 g �'6 {Date , ELECTRIQL. Meter By Date .0 f r I b 1 I Temp. Power Pole— Called ole_Called PG&E _ 't Temp. Elec. Service f Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature J _ OKE 0 = Not OK = Not Applicable MOBILEHOMES_ MISCELLANEOUS = Not Ready i Date MO LEHOME UTILITIES (Plans) OK except N's Date DE KS, COVERS, CARPORTS, ETC. (Plans) OK except It's Zoning Requirements -Setbacks -Easements oning Requirements -Setbacks -Easements _ . Soils; Special MH Support-Sketch' Footings; Size -Depth -Spacing -Connectors 8 Sewer; Location -Test -Fall -C/0 Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Water; Location -Test -Easement Nee ed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing Electricity; Location -Clearances -G d.-/2,0'6( Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Y-fias; Location -Test -Wrap:/ /"L"ft./ /"Nat.or /"L"ft./) 6. Carports; Windows -Doors /VIN/Utility Clearance 7. Elec. Card -BI Date 0 J11ft Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILXH9MEI S ALLATION (Plans) OK except #'s Date POOLS (Plans) OK except a's LeSpl'ing Require 'nts-Setbacks-Easements 1• Setbacks -Easements F otings; Siz Spacing -Marriage Line 2. Soils; Compaction -Structure Stability Gas; t- errand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining tricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI rat MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI at MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed ate and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w%5' -Circulating Equipment -Heater d Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. %,09x -its; Insp.-Sketch Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 ' Date' Card -BI -->Da-e 6 Card -BI Date Card -BI Date Card B -I = Date .S/6 Card -BI Dare Card -BI Date Card -BI Date Sf� �8'� —mac �►� —7 V = OK 0 = Not OK ` - = Not Applicable RESIDENTIAL:(Single and Duplex) * = Not Ready Date UNDERFLOOR (Plans) OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings r 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / _ -/" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access " 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. Card -BI 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Date Card -BI Date Card -BI Card -BI Card -BI Date - Date Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water HL; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan: Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access - Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower; 2nd Floor -Tub Access _ 19. Pipe; Size & Anchors 62. Stairs & Rails _ - _Gas 63. Fireplace or Stove; Clearances -Hearth Card -BI Date 'Card -BI Date 64: Elec. Outlets at Wood Panel; Int. & Ext. _ 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66." Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer " 68. A.C. Duct in Garage -Damper -- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. 75. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.: Drive ❑ Yes ❑ No; Walks El Yes ❑ No; Planters El Yes ❑No - 27. 28. Range Circ. / / gra. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral _,Yes El No Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances: Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - - Card B -I Card B -I _30. _ Clothes Closet Light -Shower Light - ---• Date _ Card -BI Date Date Card -BI Date 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ 31. 32. 33. A.C. Ducts_ Insulation & Support Vent Fan_Exhaust above Insulation Condensate_D_rain & Overflow; Size & Grade 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Card -BI 34. 35. Furnace-_Vent_Access-Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: _ 3_6. 37. 38. 39. 40. Sills; Proper Material &_Anchors__ _ Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & F_loor_Nailing Draft Stop in Walls (rat proof)_ Fire Stops: Furred Ceilings -Stairs -Chases -Tub 41 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing _ (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS e, 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 015e -J 176'-1 - ?-<- OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �I r) p N A/` tin. O M PITC r ps _.Z' pure. Inspector�V Date � 0 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 6(( eL PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector 46R— -i' Date MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 r PERMIT N0. l f, Address or location of mobilehome I 1-t- Owner's name "ti '" i 4440-- f r -,,Owner's address f U U t• s 'w' 1 t Insignia or hud number 4 ! Manufacturer's name .Serial number of V.I.N.C� i �1 (Official Approving Installation) Year of manufacture ) 9 7c' (Date) :r IF THE tjOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION l ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. .c F513B Whitei Owner, Yellow - Installer, Pink : D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERM N0. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER gs-Ni Mint" TELEPHONE SQ.FT. OCC.1 BUILDING VALUATION OWNE%� A L NG ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER M� UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' bd Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL ING ADDRESS ro O N o$— Permit fee $ 60 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 I�A 46 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome0 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 1W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities,�j Installation L�l Other ❑ Describe work: i�l�)('vh L��'' / \ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 �f Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. ense 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.s , OR ADDNS. ( ACC. BLDGS. /zOsgft NEW CONSTRULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200@00 e AL030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 9 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 6f �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 becomesubject 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 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of he granting of this permit. X Date H —ID '— �'� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height., Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ V, Oa OcCUP. CONST.TYPEJ 631-0001 PARCFLJ PD ND ISSUEall This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR F PUBLIC BY PERMI XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date_q—moi _PK.HITE-D.P.W.. - -2,9�a ` / [Receipt No. S -,2d YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OFBUTTE -DEPARTMENT OFPUBLIC N/ORKS'BU\LDING IVISION `| �� ^ ' ` ' 7CDUNTYCENTERD/534'4541 n �� ' !�ROV| E. C�L|FORN|A958O5 ' TELEP�OmE� 81� _ `ERK8llF APP1 |CAl[UA OVA SHEET \� ~ Permit No. Proposed Building Use 14 Permit Fee Based Upon: Complete Contract Price DPW Valuationq, Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items.havebeen submitted . . , , , , , , , . . . 2.. Plot plans in duplicate/triplicate . , . . , , . . , , . ------ 3, Complete plans in duplicate/triplicate. , . . , , . . , -_--_ 4. Complete engineered plans and oa|oa, ' , . . . , . , , -_---- 5. Plans with Energy Design Compliance Statement , . . . , . - --__-- 8, CUSD "Fees Paid'' Stamp on Floor Plan , . . , , . , , 7 Statement of |nUyrt for Non -Heated and AC Buildings. ------ 8, Fees of $ . , . , , , . , . ------ S, Letter of signature authovication' . . , , . . . , . , 10, Sanitation approval from Health Oopk, , , 11, Planning approval for (A) Use: ___-----(B) Parking:-___-_--- , 12, Certificate of Workmen's Compensation |nnu:onoe, , , , . , 13. Contractor's License Information (nn., name aty|o. o|aaoif.) . ` 14. Owner -Builder Verification (Given to mwnar�l ��. Mai| to mwner���l ) Improvements may borequired . , , , . ^ , , , , obi|ohome installation Data.c;',°-,-6 cw�"~� 17. Pre -inspection f Required- Building '�/��'�-,-��—est - om�) ----- - " "y'"p" or ------18' Recorded copy of Agricultural Acknowledgment Statement 19, Other -Driveway When issue the ermit, process as follows: ----_--Mail to owner. -_-__---Moi| to contractor. Telephone ~/r3and hold for pickup otx�.kJ�.o-_nffioe. ________De|ivar w/inepootor. _---_- Otho ' Copy of plans sent —Health Dept,. —Fire Dept., ---_-'Other Dote During the plan checking pr000aa, the following data must be submitted prior to permit issuance; (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2, Additional items required: / (Contractor, Designer,Owner) was advised of above requiredd by —Telephone PlansBy Date checked by Date Plans approved by Date Other: . -- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orov0le, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT 0. ASSESSOR PARCEL NUMBER - ®a ZO ING -J� BUILDING PERMIT OWNERt TELEP=ONE 34, SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILIONG ADDRESS r CONTRACTOR'S NAME V TELEPHONETELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER N LICENSE NO. Plan Checking Fee $ • o Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILIN ADDRESS Penalty $ BUILDING ADORE s .4 ro o ' Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT O. SUBDIVISION NAME In.,. TA -i/_ PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex[] Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00 ea 0.00 TYPE OF WORK New❑ Addition[] Remodel❑ Utilities,, Installation[] Other❑ Describe work: 1 QI.rm _ Permit Fee $ '90.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 V, CV Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification �-,�f Lam, as the owner, or my employees with wages as their sole compen- cation, 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. ACC. BLDGS. h¢sgft NEW CONSTR MULTI -OUTLET NO N.RES'D BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t eALO 30 FIXED APLINIS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 D 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. gEt--1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. g:::'7 O�.o� r Date 2_ ��p Signatur of Applicant - Owner Contractor [IAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 910, DD Occup -1 CONST,TYPEJ I FLoo PARCJ Po, ND 595E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D-LRECTOR OF PUBLIC By PER T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date-!/1c�(o Receipt No. .V z�S (o9 WNIT!•D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sa(/nitation Clearance p)�, S V JP!C 2 Owner Location AP# Plan approved for: sewage disposal Hold final for: --F' al clearance O.C. for: Clearance .for bedroom mobile home. Other i 1 Note*** Sanitarian water supply -water supply water supply, Date 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OR.—LkJFORNIA 95965 - TELEPHONE: 916/t 534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER ��r+10Nd O l Sem A. P. No. y7 ^-YS Ua Proposed Building Use r Permit Fee Based Upon: Complete Contract Price V DPW Valuation Other (Explain) Building Inspector y w� Date At time.of permit application, I was advised the following data must be submitted prior to permit processing and./or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. ... . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . WNll be:. reyk�-rel 7 Statement of Intent for Non -Heated and AC Buildings. (1Or +'. M I -F T 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . Ae"'10. Sanitation approval from Gkuo Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . .17. Pre -Inspection for Required. BuildingPre-InspIn request to (Dote) p q Building Inspector y� / 18. Recorded copy of Agricultural Acknowledgment Statement . . . 19. Other Driveway permit (const. approval required prior to occupancy) When ou issue the permit, process as follows: Mail to,owner. Mail to contractor. Telephone 3 13--360V and hold for pickup at Ch+co office. Deliver w/inspector. Other Applicants Date `7 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by 4 1 Date Plans approved by _ ate o Other: Copy—DPW TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance &koe�©��xe Owner Location AP# Plan approved for: sewage disposal water supply o�dfnalfor: r water supply Final clearance O.K. for: water supply Clearance for bedroom m ile home Other Note*** 43 - Sanitarian Date Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT _t1JE_ 1 0. Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 86-10850PAR T -S! The property described herein is adjacent to land or included I U6 A I PR -8 PH 1: 58 ' � J, within an area zoned for agricultural purposes, and residents of EtNq0,R k. DE1, ' ':. ' property may be subject to inconveniences or discomfort arising K -RECORDER - FEE:- the use of agricultural chemicals, -including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, ke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be"prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: 'Z/ — PROPERTY OWNERS: State of On this the day of 19�, before SS. me, the undersigned Notary Public; personally appeared County of I Present A.P. No. `417 I Ler)c-�\Q Personally known to me. �oved to me on the basis of satisfactory evidence. to be the person(s) whose bame(s) cv, �_ —subscribed to the within instrument and acknowledged that Alr1e� executed the same for the purposes therein contained.. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Uyl i C 1"3@MARSHA F. OARDNER NOTARY PUSL IC -CALIFORNIA Lassen County in W comdu!Dn Eoms Duty 20. i 9 a a as •• 9 All that certain realproperty situate in the County of Butte, State CO o of California, described as follows: ''K PARCEL 1: GD The North half of the -Southeast quarter of the Southwest quarter of theF"'� 'Southeast quarter of Section.7, Township 23 North, Range 1 East. PARCEL 2: rn �. C0 An Easement for road and public utility purposes and the right of ingress! and egress over a strip of land 60 feet wide, the centerline of said 60 foot strip of land being described as follows; BEGINNING at a point in the Southerly line of the -Southeast quarter of Section 7, Township 23 M orth, Range 1 East, M.D.B. & M., said point being the point of intersection of said Southerly 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. w •• 9 1 _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: 0 � 3., Is the site currently under permit? Yep k No (If yes, furnish permit number oY� ) 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 _1 ( If no, clarify ) ( ) 5. What is the mobilehome electrical rating? --- --------------------- d n Amps 6. What is the mobilehome site service rating?---------------------� Amps 7. What is the mobilehome site circuit breaker rating? ------------- % G` Amps 8:. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No (If yes, identify the load and size: L L (Load) o�D A- (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- % ( _(in.) / ----------------------------- LPG 10. What is the type of gas service? Natural %—% 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (B) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED MOB ILEHOME SUPPORT DATA �. .' If other than single wi e, Mobilehome Mfr. 1 Al RI -It- l N furnish Setup Model No. Year Fidth(ft.) Box Length___�/2 (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 foundation grade. 2. Other: (specify) ft.)(in;) (in.) (in.) i .:enter support Center support S, 2 `� ne uports (check one Supports. p locations* footing sizes (in.) Concrete block. x—J E] •2: Other.. (specify) (ft.)(in.) (in.) (in.) *-Tagalong or Expando, show support details (ft.)(in.) (in.) (in.) X "-- Typical Support (in.) (in.) Footing Size 3Z. (ft.)(in.) (in.) (in.) y -- Max. Pier Spacing • • r' (ft.)(in.) Max. Overhang (ft-) (in.) (in.) (in.) (ft.)(in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. i A setback of fit. from the property lines and a setback jof 50ft. from the road cbnterline shall be clear of �ructures or equipment except `for a 2 ft. -eave overhang. Utility connections shall be within / 1/7- X G 6 4 ft. of the mobilehome, either / a 64 %'1 o or,-, � 0b 1 1,.,ciirectly behind or within the rear ()v/ haNd I of the `Y mobileEiome. ' � 5 T . —All Materials & Workmanship ShaH il�� /e Kccordance with Recognized Good Practices t a# m quar*„ prescribed for the Specified use its, f6 ��( 1r Uniform E!�ding, Plumbing & Machanical Codi ¢ the National Electrical Code• %� permit wiD be requlred foo Al Installation of the mobilohem aIt) 11�j TWs set of plans and specifications MUST be 6r, kept on the job at all +imes and it is unlawful to C make any chonges or alters'ions on same withouf 7Q .' written permission from the Department of Public WoAi, County of Butte. _ -. A i� 176 .4071 �n�,Qil�►�fa/ BUTTE COUNTY BUILDING DEPARTMENT APPROVED ��Z) a i A setback of fit. from the property lines and a setback jof 50ft. from the road cbnterline shall be clear of �ructures or equipment except `for a 2 ft. -eave overhang. Utility connections shall be within / 1/7- X G 6 4 ft. of the mobilehome, either / a 64 %'1 o or,-, � 0b 1 1,.,ciirectly behind or within the rear ()v/ haNd I of the `Y mobileEiome. ' � 5 T . —All Materials & Workmanship ShaH il�� /e Kccordance with Recognized Good Practices t a# m quar*„ prescribed for the Specified use its, f6 ��( 1r Uniform E!�ding, Plumbing & Machanical Codi ¢ the National Electrical Code• %� permit wiD be requlred foo Al Installation of the mobilohem aIt) 11�j TWs set of plans and specifications MUST be 6r, kept on the job at all +imes and it is unlawful to C make any chonges or alters'ions on same withouf 7Q .' written permission from the Department of Public WoAi, County of Butte. _ -. A i� 176 .4071 �n�,Qil�►�fa/ BUTTE COUNTY BUILDING DEPARTMENT APPROVED ��Z) AP # OWNER - PERMIT 9-vq — �b MH UTIL.CLEARANCE DATE q a g 4 INSPECTOR �� r ELECTRIC GAS Support Struc. Compaction Test Req. iervice size Other Load " Type Pipe Size Len th YES NO YES NO I „ lit ✓