Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
056-320-016
56-32-16 Ronald 0 Shute 056-3Z � �� App. 1000'off E/S Hwy 32; app, mi, above Stage Rd. , ,Forest Ranch. Permit #3277-76B� (•new d tached r'vat storage bldg,/�� 56-32-16 Perm' �5 90-76P,E(utilIIi) ELEC . / (9 �p �p GAS .- WRCT : / 1�1-PPOR URE APO Al COMPACTION TEST REQ.. `1ajt7 rR{ 56:!-6 contr: Carrell Bros Mobil ome Sales Chico n I Permit �k6287-76MHI Issued -056-32-0-'016,'93-99 E SHUTE, Ron .5226 Hank Cf,,Forest Ranch elec sery/sf OVA, , I M-�, WC ** 4 t ,� �r �rttNyjY;,E,�s����iy`�$,t n.t *� - j :♦ 2f': I'rr . � r,��_,�r"�) �{��: 1 �� �. � �.�°r � n -L•� s �+. ' � s .. �. i, \ { . � . � �1�9��� •f � � � _. 4 '[. r nig+ rtnlF--•..Yif�t "loop (� COUNTY OF BUTTE �- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 056— 2 fi OWNER ZONING - 1 BUILDING PERMIT Ron Shute TELEPHONE 343=3; -12 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 328 Forest Ranch 95942 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ Forest Ranch PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME PARCEL MAP 41-90 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF X1 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1-- 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities A Installation El Other ❑ Describe work: Electrical Service Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 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 1 � 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 Main service 200ATO 1000AI 37.50 DWELLING OCCUP.(L\ 3.6asq.ft. NEW CONST.OR ADDNS. \ / ACC. BLDGS. II NEW CONSTR. ULT].OUTLET @ 5.00 NON-RESID BRANCH CIRCUITS) (POWER APPARATUS e) SINGLE OUTLET CIR. p OUTLETS OR FIXTURES 120@79'4—) EX. OCCU FIXED APP LNS, OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 1 -15.0015.00 Permit Fee s 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 of Consent to Self -Insure. �1 J� 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 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 agwi st-sa'd Courtt)�-i consequence of the granting of this permit. ��`^� Date�'�f ��- /--� nature of Applicant — Owner � Contractor E]Agent EJsions Signa— 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 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 48.50 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE i This permit is hereby issued under the applicable provi- { of the Butte County Geode and/or resolutions to do work Indic t a ve'" or which fees have been paid. � �/ /£ TOFOF PUBLIC WORKS By PER E� Date Date Receipt No. n 2,4:,5 wNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I Z COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,- Cal i.for.qia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUME R 056-320-016 ZONING 1 BUILDING PERMIT OWNER Ron Shute TELEPHONE 343=3652 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 328 Forest Ranch 95942 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit tee $ 5996 Hank Ct, Forest Ranch PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 2 NAME PARCEL MAP 41-90 Water piping 7.00 Each pas 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 1 1 @ 15.00 TYPE OF WORKr��ij New ❑ Addition [IRemodel [:]L'J Uti lities Installation[] Other ❑ Describe work: Electrical Service Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR SS 200A OR LESS 18.50 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. /t License No. Classification o�FIXED S 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, 37.50 NEW CONST. / DWELLING OCCUPOR .p� ACDNS. 1 ACC. BLDGS. 3.60sq.ft. NEW ULTI-OUTLET NEW CONSTRNON.RESID BRANCH CIRCITS � 5.00 (POWER APPARATUS e) SINGLE OUTLET CIR. EX. OCCU OUTLETS OR FIXTURES P 20 76 APPLNS, OR EX. QCCUp. OUTLETS IRESID.1 EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 1 -15.00 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 of Consent to Self -Insure. shall not employ any person in any manner so as to become subject J 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 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 a eCo t consequence the granting of this permit. XDate/ sign lure of Applicant — O,of 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 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 48.50 HAz 0FEES IMP FLOOD COF PARCEL PO Ho ISSUE This permit is hereby issued under the sions of the Butte Count ode and/or woaindica v r which fees �/ OF PUBLIC By/ Date — applicable provi- resolutions to do have been paid. WORKS Date/PERES — Receipt No. 3 � S WNITC-D.P.W„ YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT •. °'" COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 3 - OWNER 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. LZ COUNTY OF BUTTE BUILDING DIVISION . DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE q�s 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. Date Inspector REV 10/92 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card In a safe conspicuous place. Do not remove until all required inspections are made and building is ---- nl--- Mo available on iob site. — 056-32-0-016 93-99 E SHUTE, Ron 5226 Hank Ct, Forest Ranch elec sery/sf - Permit No. Expires 9 PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Piers Underground Conduit Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Slab Do Not Install Floor or Slab Until Above Signed Rough Plumbing I I i Rough Mechanical ' Framing Insulation Shower Pan Do Not Cover Until Above Signed Fireplace Footing Fireplace Throat Do Not Continue Fire lace Until Above Signed Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildina or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILEHOME IS APPROVED FOR OCCUPANCY CHICO - 1469 Humboldt Road - 891-2751 OROVILLE - 7 County Center Drive - 538-7541 PARADISE - 747 Elliott Road - 872-6307 REVISED 9/92 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 .` APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 056-320-016 ZONING - BUILDING PERMIT OWNER Ron Shute TELEPHONE 343.3652 ,SQA FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 328 Forrest Ranch 95942 CONTRACTOR'5NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS \ 11 Fireplace CONSTRUCTION LENDER "UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 5226 lank Ct., Fomet Ranch PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME PARCEL MAP 41--90 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [91 1 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile HomeI S I G JW I 1 @ 15.00 TYPE OF WORK New F-1 Addition Remodel❑ Utili les Installation[] Other ❑ Describe work: Electr3.Cai Ce I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 00V OR LESS Main service 200AORLESS 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/POWER 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 ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI 37.50 OCCUP.yA 3.6Q sq.ft. NEW CONST. DWELLING OR ADDNS. ACC. BLDGS. // NEW CONSTRULTI.OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 APPARATUS hI (SINGLE OUTLET CIR. Ex. OCcU 20 76 OccupOUTLETS OR FIXTURES (OUTLETS APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 S• Permit Fee $ I' WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): I ❑ 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. t�1 J , l shall not employ any person in any manner so as to become subject f ` 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 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 consequence of the granting of this permit. X �` -4/- Date / '�� �- �--/ `rContractor❑ Agent ❑ lat Signure of Applicant — Owner An OSHA permit is re required for excavations over 5'0" deep and demolition or construct- ion of structures over}3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ 48.50 HAz 0FEES IMP FLooO coF PARCEL PD HD SUE SI This permit is hereby issued under the applicable provi- y` sions of the Butte Count Code and/or resolutions to do t work indicatiRd ab�e°for which fees have been paid. f s / DIRECTOR OF PUBLIC WORKS By /� �- Date PERMIT EXPIRES Date — /1/- �.y Receipt No. fJ l WNITt:•D. r. W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT LU H m LU z In a ao cc z W a� �o z� o LL. W a -j �m 01) Cl W Z �a Cf) W F.. J IL) 0 c CL = W 0 a0 W.j cri a CL z O CM) Q O N N T COUNTYOF BUTTE - DEPARTMENTOF�D8VE.,L�OPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER o n/ S /7(JO-P, A. P. No. Proposed Building UseT/�-G?RLInspector SJ/GG Rc4oA Building Itor Date S3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ........................................ ............... 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $.......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ..... Pre4ASs echo; r6G 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...................a:...................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. .................................................. 33. 34. - - When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. 46eliver 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 permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ 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 6 z PC,/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 3 2 — 1 ZONING BUILDING PERMIT OWNER o AJ u� � TELEPHON ? y% ? ti1"1 SO, FT. OCC. BUILDING VALUATION O ER'S ADDRESS urJV' a 1lft�7 Y'L CONTRACTOR-51SIAME p w sf`i1 TELEPHONE CONTRACTOR'S MAILING ADDRESS F i replace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS A....4 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. Z" SUBDIVISION NAME PA C LC�MAP Water piping 7.00 / e,` Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome❑ Other Building sewer 15.00 Mobile Home S I G I W @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Permit Fee $ Describe work: Contractor ELECTRICALME Filing Fee 15.00 Main service 200A OR ESs OR LESS 18.50 Main service 200ATO137.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): NEW CONST. (OWELLIP.&) 3.3 .50 OR ADDNS. ACC, LII I am licensed under of Chapt. 9, Div. 3 of the Business NEW CONSTR. ULTI.@5.00 NON.RESID BRANCTSprovisions Professions Code and my license is in full force and effect. (POWER S e)and SINGLE R. License No. Classification Ex. Occup(OUTLETS OR FIXTURE S20 @ 760 I, as the owner, or my employees with wages as their sole compen- Ex. Occup. OUTFIXED APPLNS. OR LETS (RESID.) EA.) I 3.00 sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) Temporary service 15.00 El I, as the owner, am exclusively contracting with licensed contract - Mobile Home Facilities 15.00 -ors. (Sec. 7044) Misc. Wiring '15.00 / ❑ I am exempt under Sec. Business and Professions Code for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling I shall not employ any person in any manner so as to become subject Hood to the W. C. laws of California. 6.50 Notice to Applicant: If after making this statement, should you become subject Ventilation to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws Mobile Home Installation Fee S relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. occ I also agree to save, indemnify and keep harmless the County of Butte against CONST TYPE TOTAL FEE $ all liabilities, judgments, costs, and expenses which may in any way accrue against said unt i cons ence of the granting of this permit.. HAz 0FEES IMP FL000 COF PARCEL PD HD ISSUE i X Date/ This permit is hereby issued under the applicable provi- signatur f Applicant — Owner Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Receipt No. _! `�/ By Date WHITE-D.P.W., ELLOW-ASeE»OR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date � J COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916 -538 -7541 - 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 andpaterials for construction of the proposed property improvement (yes or no) r OF 2. I (have/have not)�I_A L/ L` 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 havehired 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 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. q . l ' b I -�. .. rERMIT NO. 3277=76 .B,E PERMIT EXPIRES' / �7/ZZ YOWNER Ronald L, Shute CONTR. owner LOCATION (A.P. 56-32-16 app. 1000' off e/s Hwy. 32 app, 1/2 mi. above Stage Rd., Forest Ranch tif7 fl q r- Temp. Power Pole Called PG&E -Temp. Elec. Serv- �6 Called PG&E! Temp. Gas S ry Called P &E JOB FINA D_ . (Date) ,��" • i (Signature) Motors Stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION REC'ORD s ✓ Mesh BUILDING BUILDING (Cortt'd) - Grd. Fault Prot. PLUMBING Setback Firewall Soil Piping Cooling Forms Parapets 1st Floor Underground Main Bldg. Restroom Finish 2nd Floor Door Closer Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicape Conformance of ex. structure Appliances Gas Piping8 Temp. Gas Test Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL t^ Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Motors Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole _ Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 may/ Telephonec-34-42.41 APPLICATION AND PERMIT d&== - BUILDING Owner N (�� L , SHV i SO. FT. OCC. BUILDING VALUATION Mailing Address �� 0 3© Z 1 Telephone No. Fireplace Contractor Q F—IT%Z-$`3b/ Total Valuation Mai I i ng Address Permit Fee 2 pn PI an Checking Fee &/or Penalty Telephone No. Permit Fee $ Z O� Building Address -' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 9(161 G Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 _ f A. P. No. / Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration arc Ma 60' R/W Impr ovements Lawn sprinkler system 2.00 dg. Plans Rec'd TiA Approval PI s Approvol Permit Fee NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �lry Main service 600V OR LESS 100 AMP OR LESS 5.00 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 1 NEW CONST. DWELLING O�(.�pp OR ADDNS. ACC. BLDG S.gVe) 2¢sq ft �Oc0 VEW CONSTP- MULTI -OUTLET VON -REST D. ( BRANCH CIRCUITS) 2.50ea - NEW CONST. POWER APPARATUS &) NON- R 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 s tyle of: Ex. Occup(OUTLETS OR FIXTURES) @01 109 ( FIXED APPLNS. OR Ex. OccuRESID.) EA) 2.00 P•OUTLETS ( Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ q �vp $ f ®C WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this LPJ 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 information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby a th ' TOTAL PERMIT FEE u onze representatives of the County of Butte to enter upon the above-mentioned er for inspection purposes. TX Date A 54agnature of Pdermitee 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 OFABLIC WORKS By Date B ding permit expires Date v- PERMIT NO. 5890-76P „E It PERMIT EXPIRES �� OWNER Ronald L. Shute -CONTR. owner LOCATION (A.P. 56-32-16 App.1000'off E/S Hwy 32, app. z mi.Above Stage Rd., Forest Ranch Temp. Power Pole_ /Called PG&E Temp. Elec. Serv._ Called PG&E _ Temp. Gas Serv. _ Called PG&E JOB FINALED 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 te:;t ;;hall Bien be made between C.he ,grounding electrode and the chassis of the 111obilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. �a job card signed by -,health Departmeat for water and sanitation? 1.1. If everything okay, sign off card and ta- services. `OBTLLIMML_DATA Manufacturer and/or Namest:yle _ Length ��! Width Z Vehicle Serial No. � ,7191 State Identification No. 733-- _ r'tiondl Infoz-mat-jon or Corrnr.ents: Ah10c2 3 7--1 4 r 9. Electrical ��.. Is service Large en.orrglk to provide adegiUir_e amperage to mobilehome (must equal rating of mobilehome (aitii a. ::;in.h!l.um of 100 amp) and other faciliti-Els on lot, i.e., water pumps, garage, cabana, cc.tc.: Yc:No B, Is ther,-� proper clearances around panels? YeYs No C. Is power supply cord or feeder assembly properly fused? Yesk'No_ 1). Is continuity test satisfactory as per .tile following procedure? Yes No 1. De -energize' electrical wising,, syste:ii of the mobilehome at the ped :stal. 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 l-:�:ad of a test' instrument to the mobilehome grounding conductor and UYiy laic G; ii.i'_Y i.c ad %U caC it ppiy CuCr�iuCtG, Ilii iidlii� Yte�.iLrai 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 te:;t ;;hall Bien be made between C.he ,grounding electrode and the chassis of the 111obilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. �a job card signed by -,health Departmeat for water and sanitation? 1.1. If everything okay, sign off card and ta- services. `OBTLLIMML_DATA Manufacturer and/or Namest:yle _ Length ��! Width Z Vehicle Serial No. � ,7191 State Identification No. 733-- _ r'tiondl Infoz-mat-jon or Corrnr.ents: ti0}3Ti,El10L%II INS'T'ALLATION INSPECTION CHECK LIST 1. Is the. mobilehome located w'.t required sepa.rat•ion from lot lines and buildings and generally conform to plot plan? Yes No_ 2, Does the mobilehome have required clearances above ground? (Sec.5085) Yesy No 3. Are footin,s and supports properly sized, spaced, and braced a- p r approved plans? (Note possible variation at spring shackles.) (Sec, 5082 &-5083) YesNo 4. Is the mobilehome level.? (Sec. 5088) Yes\ No 5. If more than a s' gle unit, are crossover connections properly installed? (Sec. 5088) Yes No - 5 o y.OA. ate r. Is 'lexi_ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No CDTest - Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Backflow -f coach is not State of California approved, does station have backflow device and prey ure relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum per foot slope and is it properly supported? Yes v,No Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. , ach is not State of California approved, does station have required trap and vent? Ye 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 moehome gas line inlet without reductions other than the mobilehome connector. Yes -1 No B. Test OK as per following procedure? ' Yes �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 with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yesy No TO: Building Department FROFI: environmental iiealta R Sewa6e and/or ,dater Clearance OviiER LOCATIVA A.P# Has been approved for: S.EAUS DISPOSA-L ,ATR SUF?LY S95-775 Sanitarian //;z � , I Date ' it .?��. . , � f f'•� . � l � t c ,r; ,t'. �s eg'=t�s'r�.ti: �'r-' :• �,1� COUNTY OF BUTTE DEPAR7,rMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the reqquirements of the C,aljf a dministrative Code, Title 25, Chapter 5, under permit number ((�� for the following location: 194)") /000 [s a �/=} ✓cam, �� z fi o v2 �s i 9'1 h e r �' Owner Kl�c/� Sl�L! % C I Owner's Address 1'fo �'��. �a/ C /y / C 0 Mobilehome Mfg.S%/���L Model Year7�' Insignia No. a` ,7 9 0 7 Serial No. S 73 �- It is hereby certified for occupancy at the above described location and.,. may be occupied. Director of Public Works ate 7 (d $y . CgA� \ THIS CERTIFICATE IS VOID WHEN OBILEHOME IS RELOCATED NONE i�i� � `� ..-��' %� _ �;fi � - ,;�' �' r vim •� :; � =�� 11/2,3176, 0-� OU i — l • .. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTMN RECORD BUILDING BUILDING (Cont'd) PLUMBING Setb@ck Fire II Soil Piping Form Parap is 1st Floor Main Idg. Restroo Finish 2nd Floor Foo 'n s Windows 3rd Floor Stem all Siding To out Slab Roof SheaWng Water Piping • r Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vent Insulation Water Htr. Heaters Slab Carport Footings Prov. for physi Ily handlca edd Conformance of e . structure Appliances Gas Piping &Test — — Temp. Gas Slab Final Sanitation Patio F EPLACE Final C C, C✓ Footings Footing LE TRICAL Masonry Walls Throat Rough 1 3 L7 l Reinf. Steel Final Fixtures Bond Beam FIRE SP•, INKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHA ICAL Grd. Fault P t. Scratch Heating Service Brown Cooling Temp. Pole -, Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final 1 )• 14 % w 13 U NONE i�i� � `� ..-��' %� _ �;fi � - ,;�' �' r vim •� :; � =�� 11/2,3176, 0-� OU i — l • .. d ' s COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS f 7 County Center Drive . - Urovill-e, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT U c �. )u'Iy UI outtc to enter upon me abo;-entioned pr ert or in•�pection purposes. s =' � Date fC —�6 _% noture of P^eerrmitee or Agent Receipt No. /V 0 31 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 44_Z2A, BUILDING Owner22N SQ. FT. OCC. BUILDING VALUATION Mai I ing Address Pe l3ci �el eph n= I j� Fireplace Contractoroa2����/ Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Build'ng Address S k �� O - A)e PLUMBING No. @ FEE PERMIT FILING FEE $3.00 QQ L!% / /_U Each Trap 1.50 G Repair drainage or vent piping 1.50 voifi6citloY Q Water piping 1-500.00 ch gas water heater or vent 1.50 _ C A. P. NO PC. Zan_i J! P arming Gas piping system 1 - 5 outlets 1.50 . 0 0 Each ad ' Tonal outlet .30 ees I W. . Sa i on Fire Dept. Fire Zone Use Permit Building sewer 5.001/0,,0 EQA Parking Parcelrc�f�lfap Pla Declaration 60' R/W Improv ments Lawn sprinkler system 2.00 Bldg. t1ons Recd c pprovaI Plons Approval Permit Fee NEW ❑ ADDITION ❑ UTI LITIESJ�g, OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3, dC) V OR Main service i°o°o AMP ORSLESS 5.00 Q Main service EA. ADD -L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home 3, Others ❑ Main service R 600V 1OOOEAMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 NEW CONST.DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 20sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea 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: - �l0 Ex. OCCUp(OUTLETS OR FIXTURES) BqL@t¢ 09 Ex. OCCU FIXED APPLN5. OR p'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00. Se d License No. Classification Misc. Wiring 6.25 >C-10 I am exempt from the Contractors License Laws of the State of California.._. Permit Fee , 0d 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. KJVI 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.1 @ FEEPERMIT FILING FEE J$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 .I TOTAL PERMIT FEE C U c �. )u'Iy UI outtc to enter upon me abo;-entioned pr ert or in•�pection purposes. s =' � Date fC —�6 _% noture of P^eerrmitee or Agent Receipt No. /V 0 31 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 44_Z2A, OTROVILLE TITLE CMIPAITY AND WHEN RECORDED MAIL TO Nome RO'N-^.LJ L. SITUTE P.O. foX 3121 C:iICO, CALIFORNIA 95927 lat z SJ stale L UROVCi,LE TCT F ��.a �.0e,Z: f L£ --SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO "The undersigned grantor '(s) declare (s) Documentary transfer tax is $_ l Sa, ;e as above *�` rY ' computed on full value of propery conveyed, or computed on full value less value of liens and star. _J encumbrances- remaining at time of sale,. Unincorporated area: .i v f .P.56-32-16 TO 404 CA (9.68)'Joint Tenant.iy V' Y Glut YJ `l. ed D.T.T. S THIS FORM FURNISHED BY TITLE INSURANCE AND TRUST COMPANY O FO 0, A VALUABLE CONSIDERATION, receipt of which is hereby acknortledgea, . D�:V D ALLPEIRS.ON and ELISE AN:iIE PEIRSON, husband and Fife hereby. GRANT(S) to 1,,6P11r'1LD L. SHUTE and PATRICIA A.. SHUTE, husband.and wife AS JOINT TENANTS, the real property in the -County of rTr-TT,Stat of Ifnrnia� cscribed as: ' arce1 2, 2's- shown on that ...ertain Parcel Map of a spar. o>;l the Southwest quarter of the Northwest quarter of Section 28, Township 24 North, Range 3 East, M.D.B. &Vii., which Parcel Map was filed in the. office of the Recorder of the County of Butte, State of California, - May 18, 1972 in Book 1+1 of Parcel Maps, at page 90. TOSLT: LR, WITH A10 RESERVING THEREFROM a nonexclusive easement for road and public utility purposes over a� strip of land 60.0 feet in t•:idth; lying 30.0 feet on each side of the following described road centerline BEGINNING at the Northwest corner of said Lot 3; thence, following aloe the Northerly boundary line thereof, and its Easterly projection therPo , South 880 39' 01I1 East, a distance of 629.90 feet; thence North 520 00' 0011 East, a distance of 388.99 feet to the most Northerly corner of sai Lot 12 and the end of said centerline.' ALSO TOGETHER ZdITH AND RESERVING THEREFROM ..a right of way for road and public utility purposes over the roads shown in the Parcel Map filed in the office of the Recorder of- the County of Butte, State of Californ April 21, 1971 in Book 37 of Parcel Maps, at pages 82, 83 and 84, that lies within the boundaries of Section 28, Township 24 North, Range 3 East, i1.D.B. & M., as described in the Patent recorded July 29, 1896 in Book E of Patents, at page 393, recordsButte Count , aliforni.a. Dated • Eehrll=4 17 , 197C David Allen Peirson STATE OF CALIFORNIA COUNTY OF Bjj'j'I'R }SS f., - ' On Enx1.� 20� before me, the undeY-k_:".C - - _ _64 signed, a Notary Public in and for -said State, y'appeared �• Annie Peirson- personal) F f E S e TV! v�rt al1Pn I�Pi --Son and Elisg Annie Tlr- -trson a. <i r known t0 me !i 5::':."�;:?,�',y, �i?TMT•; ..i !'t r rrla7 to be the person S whose names are subscribed to the within < "t1 —` : ;{' %OTAfY PUcL!C - CALtPO&NIA they cy ,.r'•1 WirCCCU,4TY instrument and acknowledged that executed the same. t My Commieot.n Epirot tuna 2f, IM WITNESS my han and officialseal. C_ innahrre Edith E. Cc-meniind �/ Name (Typed or Printed) U P (This area for official notarial seal) : ` Title Order No. Escrow or Loan No. /I o 7-A>ig1 LER, •CA co Y _ x �;- C) V1 _ c z � � J• i? -F h 1 Ck < > C -moi. �•! �.. -N r m Z=3 3 Q m K '�* O m Z LD z o aCL --t ul O- ' ' ' :lcr moi• '•' ^ cr o CrCD o 7-A>ig1 LER, •CA co Y _ x �;- C) V1 _ c z � � J• i? -F h 1 Ck < > C -moi. �•! �.. -N r m Z=3 3 Q m K '�* O m Z 471 ul O- ' ' ' :lcr moi• '•' ^ cr CrCD . C)p E3 "t \ ro � mss, r 0 0 �vl U� Y- o 7-A>ig1 LER, •CA co Y _ x �;- C) V1 _ c z � � J• i? -F h 1 Ck < > C -moi. �•! �.. -N r m Z=3 3 Q m K '�* O m Z . r• r; :. _ t. ! - 'µms`-- COUNTY OF BUTTE — DEPAR•T!VIENT OF PUBLIC WORKS r " 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541Vf� (/ APPLICATION AND PERMIT above-mentionSl0,property for i96p7ection purposes. R ature ofiPermitee or Agent Date Receipt No. / S /- '�, e' / r 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. v: DIRECTOR Q"UBLIC WORKS BY i lding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION ( Mailing Address Telephone No. Fireplace Contractor Total Valuation r� Mailing Address����� n�� c7 Z /`w' Permit Fee r Plan Checking Fee&/or Penalty P�7 VG/Z" Iepn 9'Q3Z Permit Fee Building Address o /� �` PLUMBING No. @ FEE PERMIT FILING FEE $3.00 5%nqo;�6 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. No.Zoni ng 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe@ Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA IParking Plans ParcelParcel Declaration Ma P 60' R/W Im provement Lawn sprinkler system 2.00 Parcel raval Plan pprovol Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 LL %'�0 A-1 J/Z_ 00"Mr � �d -7 Main service 600v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600v 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DACCLBLDGLING OCCUP. &) 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:. .S ! Ex. Occup(OUTLETS OR FIXTURES) BAL@t¢ Ex Occup.(FIXED APP LNS. OR OUTLETS (RESID.), EA) 2.00 Temporary service 10.00 y� Mobile Home Facilities 15.00 3/0 N•Zv License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 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. .have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. MECHANICAL No. @ FEE - PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00T Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby -30,00 FEE TOTAL PERMIT t �� ^ $ ?—Z) above-mentionSl0,property for i96p7ection purposes. R ature ofiPermitee or Agent Date Receipt No. / S /- '�, e' / r 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. v: DIRECTOR Q"UBLIC WORKS BY i lding permit expires Date MOBILEHOME SUPPORT DATA Mobilehome Mfr.. S k /C C 4 Setup Model No. Year /97(o' .Width f 2- (ft.) Length .•.7.0 (ft.') -Expando`Size ft.x ft. (Draw support details below) . On all mobilehomR.�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 le . = Footings--(check.one) I. Wood:either pressure treated or Center Center -Support fdn:`grade.:: Support Locations Footing Sizes (in.)2:::Concrete pad. :-specify Supports (check one) / 1. Concrete block � x - / / 2. Concrete piers 77 3. Steel piers .. ... ............... . .... .. .................. 4. Other, specify ?. Ell Typical Support Footing Size. � -_. ... ... _ Max.�� Pier'. Spacing .. ... .. _ •.. ... . �3n.) kft All - (in.)(in.) — -- '1. Mme• ©- n_�Overhang *If'center piers are other than drawn above, draw in locations, spacing, and dimensions. 9UTTE COUNTY BUILDING DEPARTMENT" APPROVED a/� I Nil 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 —L (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 service? --------------------------------------------------- ) No / L (If yes, identify the load and size: 5. What is the mobilehome electrical rating? ----------------------- J00 Amps is the mobilehome site gas pipe size? ______________________ ? 10. 6. What is the mobilehome site service rating? _____________________ Natural / / Amps 7. What is the mobilehome site circuit breaker rating? ------------- /QC? Amps 8. Is there any other electric load to be served by ,the mobilehome site service? --------------------------------------------------- Yes / / No / L (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ______________________ (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 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 .,50i ft .' on LPG.)