HomeMy WebLinkAbout058-170-0365817-36t 3934-89B',P,'E
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Richar Madsen d
3856 Jef f_erq-Pine Lane, Oroli le:
GAS — 1�
SUPPORT STRUCTURE
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MIPACTION TEST REQ. S---3,6ConPR -Superi0.";
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058-170.-036 04-0101
MADSEN, RICHARD & LOIS
3856 JEFFEREY PINE LN, OROVILLE
CONT: PFISTER CONST
VINYL SIDING ,
rlI
COUNTY OF BUTTE - DEPARTMENT OF DOEL6MENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No.
(Rev. 12/96) APPLICATION AND PERMIT 404'01,01
058- 170-036
ZONINGFR-5
BUILDING PERMIT
OWNER
Richard & Lois Madsen
TELEPHONE
532-9118
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
3356 Jeffrey Pine Ln, OLoville 95965.
T 8
CONTRACTOR'S NAME
Pfister Constrikti_on 916
I TELEPHONE
858-2024
CONTRACTORS MAILING ADDRESS
11358 Ama lRan, Wsv A-1 Rancho Cordova, 95670
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS '
Fireplace
Total Valuation $ 10,,980
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
3856 Jeffrey Piiie Ln- Oroville-95965'
Energy Plan Checking Fee $
$
PERMIT FEE $
G j
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
.00
Filing Fee 20.00
USEOFSTRUCTURE
SF ca Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap7.00
Solar or heat um water heater
23.00
Water piping
15.00 `
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 1
Describe Work: Vinyl g;id; fir,
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W I
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service a00v oR LESS
2o0A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in II fo ce and effect.,q
License Class tic. No. 0(, 2-9 0
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
V will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as, provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compen doins ce car ier and policy number are:
Carrier
Policy Number
(The above sections need not bFe completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fort ' h comply with those provisio
_ r G
X Date L i0�
Signature of Appli nt - ❑ Ow er ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO t00oA 46,00NEW
CONST. DWELLING OCCUR so
OR ADDNS. & ACC. BLDS. 3.50FT:
LNpµRESID. MOLT @7
@7,50
POWER APPARATUS
6 SINGLE OUTLET CIR.
Ex. Occu . OUTLET OR FIXTURES eA0 @ 1:w
Ex. Occup. ouTiErs PES1D.OP.A 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirinq 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE TOTAL FEE $
14°:x.00
HAZ•
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISS
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.
By Date
PERMIT EXPIRES OIA)
ate
Receipt No. _9q43g1 $ f4%
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION PERMIT N0.
7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 4•clo i
(Rev.12/96) APPLICATION AND PERMIT
ZONING BUILDING PERMIT
rsSESSORPARCELNUMBER � s 8 • !? O. 0 3 (o F�` - 5
TELEPHONE SO. FT. OCC, BUILDING VALUATION
DWNER Lots acss*-( 53?•9t,,1 r8 � C to 98p
oWNERs MQUNG ADDRESS Pt E LM RI! K EE i'17
.38 �j fo �J EGGR
CONTRACTORS NAME '7 1(O `058
�F1sT� �n.i5t�zucTro� p �
OONTRACTORs MAILING ADDRESS
11358 WA A-/ ^�lct�OQ�CeDDv
CONSTRUCTION LENDER -`
Fireplace
LENDER'S MAILING ADDRESS Total_ Valuation $
uce+sENa Firm Fee $ 20.00
ARCNITECr OR ENGINEER
Permit Fee $
ARCWTECr OR ENGWEERS MAWNG ADORESS Plan Checking Fee
Bu¢,DwG ADDRESS3854. Je� F*r)2EN t'/ LIE LAS iFN KEE }-�7 Energy Plan Chectdng Fee $
$
107 NO. I sUBD=IONT NAME
USEOFSTRUCTURE
SF 8"Duplex ❑ Mobilehome ❑ Other sPECrFr
TYPE OF WORK
INew ❑ Addition ❑ Remodel ❑ U61fies ❑ Installation ❑ Other M__
Describe Work: SID 14e
PERMIT FEE PAID
m,
SHERIFF
OTHER
4
AMOUNT RECEIVED $ 14 -6: -
DATE
`-6
DATE RECEIVED(/�¢
PERMIT FEE
S f'4G
PLUMBING PERMIT
Feng Fee 1 20.00
Each Tr
7.00
Solar or heat water heater
23.00
Water piping
15.00
Each gas water heater vent
15.00
Gas piping syst— 1 - 5 outi
15.00
Building sewer
15.00
Moble Home S G W
20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Feng Fee 20.00
Main ervicezooiL oa LL
23.00
Main Se 'Pe 2M TO IOWA
46.00
NEW eoNST. DWELLING O=uP.
OR ADOM a ACC. OLDS.
3.SQ
NEW DONUT.
NON�sID
@7.50
PO APPARA7u5
I sPT OUn ET MR.
Ex. Occu . OVrW o
zo @ I.00
BAS @ .so
Ex. Occup.1mErEsiri. R
5.00
Temporary Service
1 1 23.00
I.Ant.Tln L�mm� Corili4ine
20.00
I PERMIT FEE I S
MECHANICAL PERMIT I Firing Fee 1 20.00
6.50
ventilation
Moble Home Installation Fee $ NN
Energy Inspection Fee I $
O= ODNST'-PE TOTAL FEE $ 144.—
MAZ D. FEES IMP I FLOOD I CDF PARCEL PD
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.
By
Date
58-17-36
Z)
Richard Richard Madsen
3856 Jeffery Pine Lane, Oroville
(MHU)
PERMIT EXPIRES 7- 7 / Cj '
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION -�A��,A Uk
OFFICE COPY
Address :*5
A
(
Meter By Date
ELECTRIy
Meter By Dat_
Temp. Power Pole
Called PG&E_
Temp. Elec. Service
Called PG&E
Temp. Gas Service /
Called PG&E
JOB FINALED (Date 8
Signature
�
l
�S
58-17-36
Z)
Richard Richard Madsen
3856 Jeffery Pine Lane, Oroville
(MHU)
PERMIT EXPIRES 7- 7 / Cj '
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION -�A��,A Uk
OFFICE COPY
Address :*5
A
(
Meter By Date
ELECTRIy
Meter By Dat_
Temp. Power Pole
Called PG&E_
Temp. Elec. Service
Called PG&E
Temp. Gas Service /
Called PG&E
JOB FINALED (Date 8
Signature
= OK
-0' Not OK
- = Not Applicable
= Not Ready
Y
{
i
i
MOBILE HOMES
MISCELLANEOUS
Date_.......MOBILE.-HOME.
UTILITIES (Plans)..OK.except #'s._.-... _._.:....
. Date .,..•.
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except
. Zoning Requirements -Setbacks -Easements
Soils; Special MH.Support-Sketch
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
.4 -'.Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
^$-Ods; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ PV ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosure
6. Carports; Windows -Doors
. Utility Clearance ;_
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1 ni "Datey.-3jc) Card -81 Date {
10. Roof; Shthg-Roofing
Card -B.1
Date . . Card -B1 Date j ..
11. Ext.; Steps -Doors -Landings
Date
MOAILEHOME INSTALLATION (Plans) OK except #'s
Zoning Requirements -Setbacks -Easements �_
Card -Bt
Date Card -131 Date
. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card Date
-Demand-Valve-Connector _
-B1
lectricity; MH Test -Crossovers -Breakers -Clearances �_
Date
POOLS (Plans) OK except #'s
rain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
tXrWater; MH Test -Regulator -Connector t
2. Soils; Compaction -Structure Stability
L7- VGater and S, wer acted -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness-
Dead Men -Lining
d Electricity Tagged {
xits; Insp.-Sketch (
4. Elec.; Receptacles and Lighting, Distances-GFI
1 art. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI -
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal
w/5' -Circulating Equip. -Heater
Card -Bi,
Date $ and -B1 Date
8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins.
Card -131
OQQWAtef-i p Card -B1 Date t
to Main in Conduit
9. Health Department Approval
Card -B1
Card -B1
10. Plumb.; Cir. Test -Water Supply Test
Date Card -B! Date
Date Card -B1 Date
I
)
Or
= VK
0 = NotOK
- =Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
_. ,._- - _-, .-.•_ 1.,Zoning7Setbacks;-Easements-Flood-Slope-- -•-- ---• --- ----
Date _ FRAMING (Continued)
--_-, -----45- Hangers -Post -Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng,-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
• 5. Stemwalls, Main; Steel- Blockouts-Wrapped
49. Bd'rm. Windows or Exiting Doors -Sill Hgt. &Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
_
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
-
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card-B1 Date Card -B1 Date
Card -B1 Date Card -81 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -131 Date Card -131 Date
Card -B1 -- Date Card -81 Date
Date ELECTRICAL (Permit) OK except #'s _
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -B1 Date Card -81 Date
Card -B1 . Date Card -B1 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -B1 Date Card -B1 Date
Card -81 Date Card -81 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Card -131 Date Card -81 Date
Card -B1 Date Card -81 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes:Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth-
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive • ❑ Yes ❑ No; Walks ❑ Yes O No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92. Roofinq Certificate
Card -B1 Date Card -131 Date
Card -B1 Date Card -131 Date
Card -B1 Date Card -131 Date
Comments at Final:
".R•-�'.•Rr'"'-s' •T•;,�Pci�yc..n.• wr�grwraV!3:�-'�i�d#T,c„p�
1.
i COUNTy.bF:BUTTE= 5
DEPARTMENT OF PUBLIC WORKS ~`
196 Memorial Way, Chico — Ohone: 891-2751,
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION +NOTICE
r 1 i� < - v
WNER 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.
S/v/ e- -c- f t, i L- g
�; k.C— !
V�v,/���
.t
a.
t Inspector_ i� Date
i`
� 4
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS '
196 Memorial Way. Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
R
0
:R I T 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
z when correction of work Is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
C)
L ,
T' _ Inspector. Date ell'?
0/
MOBILEHOME INSTALLATION ACCEPTANCE
_ COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
PERMIT N0. Ily'il' q /-)
Address or location of mobilehome 7 '?-:56 ��e� '��� •� t''k'-, )
Owner's name�rL+
. Owner's address S
i Insignia or hud number
sN r y2'(3 76- 5' �- 3 7 (1 6 3
} Manufacturer's name r` -
Serial number of V.I.N. / 1;'3Year Year of manufacture / •f
(Official Approving Installation) / (Date)
/ v•
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
513B White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754
APPLICATION ANDITERMIT
ASSESSOR PARCEL UM E.R ZON G
BUILDING PERMIT
OWNER TELEPHON
v
SO. FT. OCC. BUILDING VALUATION
OWN 'S MAI LIN A DRESS
CO TRA .'V S N- ME
TELEPHONE
CO ACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
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[] Mobilehome� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home VtFG
0.00e
T PE OF WORK
New Addition ❑ emod ❑ Utilities Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
)
C®��
Main service EA. ADD'L 100 AMP
2.50 U
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElNON•RESID
i am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS
and Professions Code and my license IS In full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
[�]( I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OccuP.�
OR ACDNS. ACC. BLDGS.
2/ , z¢sgft
NEW CONSTR ULTI.OUTLET
BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR. /
EX. OccU OUTLETS OR FIXTURES
p
20050¢
eAL03o
FIXED APPLNS.
Ex. Occup. OUTLETS ((RESI 0.)REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00 %
Misc. byirin g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
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
all liabilities, judgments, costs, and expenses which may in any way accrue
a aid C my in onsequence of th granting of this per 't.
Signature of Applicant — Owners Contractor ❑ Agent ❑
An OSHA permit is required for exc///aavvations over 5'0" deep and demolition or construct-
ion of structures ovetr33 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAZ
CUA
PARK
...
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PAR PD
HD Issu
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PER EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date i 2"7-7- 1
/tom ZZ '� V
Receipt No. S Tq od
WRITE-D.P.W., YELLOW-ASSCSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
Ty.', bw::'n�''F'"`lju4r"�'it b.<*..' ..-...•.wTs""'S,+K. .;,,.. �,�•^rl ``^�r'ls.= n � .. '7R' %y Vc.r„• a.. .; o.:�"F ;. .'i�. `>; �"
I y •
.s 1
�� ' •�. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDI (G DIVIISSJON
't_ ti 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 959654 TELEPHONE: 916/538-754•1�
.;s: -�
'i PERMIT APPLICATION DATA SHEET
Permit No.
OWNER Q A. /PNO.
Proposed Building UseT/V4/ Building Inspector Date1 — D-
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with�'wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobil ehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
t 12. Park fees paid ....................................................
+ 3. School District fees paid .
4. Sanitation approval from /gem Health Department
10. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of ,
(see City for, other requirements) }
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy) •°
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
` 7A3. Owner -Builder Verification, (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement ..
Letter of ture authorizfation v_ ........,...� __ ...... ..
Gaa � at �'-
27.
When you issue the permit, process as follows:� Mail to owner.
Telephone and hold for pickup at office.
_ _O•ther
biv Iq��p Applica
Copy of plans sent Health Dept., Fire Dept., _
The following data must be submitted prior to'permit iss ale
1. Index permit for above items No.
2. Additional items required:
Mail to contractor.,.
_Deliver w/inspector.
ate / 2?at
Other Date
new item not checked above).
opt 4 It
I If Contractor, designer, owner, wa adv' d of above required data by_phone ail counter by date
Contractor, designer, owner, was advised of above required data by—phone _mail—counter by ri to
Plans checked by
Copy—DPW
Date Plans approved by
Sets of plans on hold in . File cabinet AP folder
rf Date
1 r �
.I
;
TO Building Department
FROM: Environmental Health.
SUBJECT: Sanitation -Clearance
/V� L
Owner Location AP#
Plan Approved for: Sewacge Disposal Water Supply
Hold final -for: Water Supply
Final clearance O.K. for:
Clearance for ia bedroom mobil home.
NOTE
Other
Water Supply
Sanitarian ate
�. �'01TY..:aLIF
ATTORNEY r
Aur, 10
. � 9 28 Ali 1973
KUK
AGREEMENT
OJ?f'i Y f2l.CO�iiii ft �� Vii,, ,
FEE OP. ,
THIS AGREEMENT made this 10thday of July 197311
by and between KATHARINE G. BOLLES (hereinafter called "Bolles"),
PARADISE PARK RECREATION & PARKWAY DISTRICT (hereinafter called :
"District"), and JACK L.. SMITH and JO ANN SMITH, his wife, (hereinafter
called "Smith") .
WHEREP6, Bolles is the onrier of that certain parcel of real
property situate in the County of Butte described in Exhibit "A" hereto; and
WHEREAS, District is the owner of that certain parcel of real
property situate in the County of Butte described in Exhibit "B" hereto; and
WHEREAS, Smith is the owner of that certain parcel of real
property situate in the County of Butte described in Exhibit "C" hereto; and
WHEREAS, by this agreement the parties hereto desire to
establish and grant each to the other an easement 60 feet in width to be
appurtenant to and for the benefit of each of their respective parcels as
hereinbefore mentioned;
NOW, THEREFORE, each of the parties, by. exwmtion hereof,
hereby grants to the other a non exclusive easement for road sr:d. pul.- llc
utility purposes over so much of a strip of land 60 feet in width lying 30 feet
on each side of the following described road centerline as lies within the
property lines of the property of each; said easement to be appurtenant to each
of the properties described in Exhibits "A" , "B" , and "C" , and shall inure
to and be for the benefit of, and may be used by all persons who may hereafter
become the owners of said appurtenant property or any parts or portions thereof.
M , r
EXHIBIT "C"
All that real property situate in the County of Butte,
State of California, described as follows:
The north half of the following described parcel of land:
That portion of the Northwest quarter of the Northeast
quarter of Section 15, Township 22 North, Range 4 East, M. D. B.
& M. , described -as follows:
COMMENCING at the Northeast corner of the Northwest
quarter of the Northeast quarter of said Section and running
Southerly along the Easterly line of said Northwest quarter of
the Northeast quarter, a distance of 1, 320 feet, more or less
to the Southeast corner thereof; thence Westerly along the South
line of said Northwest quarter of the Northeast quarter, a
distance of 132 feet to the true point of beginning; thence continuing
Westerly along said South line 132 feet, thence North, parallel
with the East line of said Northwest quarter of the Northeast
quarter, a distance of 1, 320 feet, more or !ess, to the North line
of said Section; thence Easterly along the North line of said Section,
132 feet; thence Southerly to the true point of beginning, containing
4 acres, more or less.
TOGETHER wirH all water rights pertaining thereto.
Return -to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
Return -,
FOR RESIDENTIAL DEVELOPMENT
Section' -26-8.1 of the Butte County Code
requires' this acknowledgement be recorded
prior to issuance of a building permit.
The property described herein is adjacent
to land or included within an area zoned
for agricultural purposes, and residents
of this property may be subject to incon-
veniences or discomfort arising from the
use of agricultural chemicals, including,
but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit '
of agricultural operations including,
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established agricul.-
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be prepared to accept such inconvenience
or disconform from normal, necessary farm operations.
All that .real property situate in the County of Butte, State of California, described as
follows:
Date: 12-21-89
State of CALIFORNIA
SS.
County of SANTA CL�RA
On
the
PROPERTY OWNERS:
�y
V
this the 21th day of J2F.CRMRP.R 19_ qg , before me,
undersigned Notary Public, personally appeared
**************LOIS JEAN MADSEN AND RICHARD
GEARHEART MADSEN********************
[] Personally known to me. ® Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name s) they
subscribed to the within instrument and acknowledged that
executed the same for the purposes therein contained. IN'W'TNLSS'
WHEREOF, I hereunto set my hand and official seal.
OFFICIAL SEAL
JX IS
B Le04 My..DCOU
RNIA
Notary- •
i
Recorded at the request of
....................
Return to
<. r...7o�iYs!YAP................................ .
.....!!F....L. .
i n
...................
.16990 Baaa*1408 waI
WCORDED AT Tyk XEG?UEST Ol•
,�K e
—page_
Ai Vol 00 g!
OFFICIAL kECORDS OF
BUTTE COUNTY, CALIFORNIA
M' of S n eeo►do►
�� R ONDSIp
GRANT DEED (Joint Tenancy)
For value received JACI L. SMITH and JO ANN SMITH, his wife,
GRANT ............ to, RALPH A. TCWSEND, D. P. TOWNSEIM and L. J. BISHOFBERGER, who
acquired title as L. J. Townsend
as JOINT TENANTS all that real property situate in the
County of Butte , State of California, described as follows:
The South half of the following described parcel of land:
That portion of the Northwest quarter of the Northeast quarter of Section 15,
Township 22 North, Range 4 East, M. D. B. It M., described as follows:
e� 'COMMENCING at the Northeast corner of the Northwest quarter of the Northeast
quarter of said Section arid running Southerly along the Easterly line of said
Northwest quarter of the Northeast quarter, a distance of 1,320 feet, more or
less to the Southeast corner thereof; thence Westerly along the South line of said North-
west quarter of the Northeast quarter, a distance of 132 feet to the true point of begin-
ning; thence continuing Westerly along said South line, 132 feet; thence North, parallel
with. the East line of said Northwest quarter of the Northeast 'quarter, a distance of 1,320
feet,unre or less, to the North line of said Section; thence Easterly along the North line
of said Section, 132 feet; thence Southerly to the true point of beginning; containing 4
acres, more or less.
TOGETHER WITH all water rights pertaining thereto.
TOGETHER WITH an Easement for road and public utility purposes over a strip of land --feet
in width lying Easterly of and adjoining the Northerly extension of the Westerly line of
th'e-aiboee'described parcel of land and extending Northerly to the North tine of said Sectior
15.
�t "r
Dated.................. `............ ................ .......19.....
................. �.G....................
................. .
STA,r1- oF'(7ALIFORNIA
8
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
a 7 County Center Drive - Oroville, California A5965 - telephone 916/534-4541
APPLICATION AND PERMIT
PER
ASSESSOR PARCELN}JMQ'Efj /
()fes — .�
ZO G ..
S
I
BUILDING PERMIT
O 41
��
T/ELEPHONE
�s - g 6�
S0. FT. OCC. BUILDING VALU
WNER'S MAILI ADDRESS
�7 3 7
90-WRACTOR'S NAME
CO RACLQTOP'S MAILING AD ES//S
'� (l f"/ // /�G!
Fireplace
CONSTRUCTION It LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
�^
Permit Fee
$ V
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$'
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ ZS.
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
0.0-0 I
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W --T710.00
ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationkI Other ❑
Describe work: —F— US A �1-�-vrQ d
J14 J L MIX , u Q-
L7, O rl�� �s��-. %J� . c7� C� ,89 ,
!
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10ov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. / DWELLING OCCUP.&\
OR ADDNS. C ACC. BLDGS.
I
I 220sgft
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.
'� - I
License No. ?7-�.T1aT_ Classification
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR ( POWER APPARATUS &'
NON-RESID. SINGLE OUTLET CIR.
Ex. Occu / 20050C
P\OUTLETS OR FIXTURES &AL@300
EX. Occup. OUTLETS P(RESID.)FIXED ALNS.REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte 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
against id Couctty in c sequ rice of the granting of this permit.
Date
Signature of Applicant - Owner Contractok�o 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 $ 41 S, 0 v
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
-
PARCE
PD_
1/
HD
f/
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
B
PERM EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.6911:7
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
I
.4K
OWNER
COUNTY OF BUTTE - DEPARTMENT.OF P.UBLlq WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/536-7541
Proposed Building Use
PERMIT APPLICATION DATA SHEET
Permit No,
A. P. No. SS -- / 7 —.96
Building Inspector OA, Date
At time of permit application, I was advised .the following data must be submitted prior to permit processing and/or issuance:
1. All items have been submitted.
2. Plot plans in duplicate/triplicate, signed by preparer of plans.
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Hazardous Material Form.
6. Energy Design Compliance and supporting documentation.
7. Statement of Intent for Non -Heated and AC Buildings.
8. Engineered truss details and layout in duplicate (required prior to plan check).
9. Mobilehome installation data including manufacturer's installation
instructions.
10. Fees of $
11. Chico Urban Area fees paid.
12. Park fees paid.
13. School District fees paid.
14. Sanitation approval from Health Department.
15. City of Chico plumbing permit.
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking:
18. Improvements may be required. Contact Land -Development Section of DPW.
19. Driveway permit (construction approval required prior to occupancy).
20. Pre -Inspection for required.
Contractor's license information (No., Name Style, Classification).
Certificate of Workmans Compensation Insurance.
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑).
AA Recorded copy of Agricultural Acknowledgment Statement.
5. Letter of signature authorization.
26' <1_2� _S': a A— la -
27.
When you issue the permit, process as follows: Mail to owner.
Telephone and hold for pickup at
Other
Applicant
office.
Mail to contractor.
—Deliver w./inspector.
Date
GENERAL INFORMATION
BUILDING DEPARTMENT OFFICES HEALTH DEFARTMENT OFFICES
Chico. . . . 196 Memorial Way Chico. . . . 196 Memorial Way
Phone: 891-2751 Phone: 891-2727
Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m.
Oroville 7 County Center Drive
Phone: 538-7541
Hours: 8:00 a.m. - 5:00 p.m.
Paradise. . . 747 Elliott Road
Phone: 872-6307
Hours: 8:00 a.m. - 12:00 a.m.
Oroville . . . 7 County Center Drive
Phone: 538-7281
Hours: 8:00 a.m.: 10:00 a.m.
Paradise. . . 747 Elliott Road
Phone: 872-6308
Hours: 8:00 a.m. - 9:00 a.m.
PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 538-7601
— Hours: 10:00 a.m. - 3:00 p.m.
Original — Applicant
AP #
OWNER% �2 H
PERMIT
NSI ' UT IL. CLEARANCE DATE �� �✓ d U
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compaction
Test -Req.
Service
Size
Other
Load
T e
Pipe
Size
Length
YES NO
YES NO
200
3a AM►�
—_
�
�
X
;a ♦ �.p...."�I"�'' iqs � if'/"y 'i f1 t} f �3ib S�F�'L�` fix. � 7s�' �►-` Y�l.'aR��i+Fi�.. A' [ �—'we'
COUNTY OF BUTTE - DEPARTMENT OF PUB'D9TOORKS - BUILDING DIVISION,,.-"-"
~' 7 COUNTY CENTER DRIVE - OROVILLE„CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ,.•”'
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER �. l��(s� vt A. P. No. - .S8 - 1-7 --MA
Proposed Building Use Building Inspector Date__`41
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . .....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions........................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid .................................................
13. - School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking:
18. Improvements may be required. Contact Land Development Section DPW
19. --Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required .. Pre-Inspec, request to
Building Inspector (Date)
_�K1. Contractor's license information (No., Name Style, Classification) ...
Certificate of Workmans Compensation Insurance ..........
2 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... .
�
. Recorded copy of Agricultural Acknowledgment Statement .........
25 . Letter of signature authorization ...................................
.26- T _ 'k
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w.
/inspector.
Other
r� 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---nail—counter by W ..date Y }
Contractor, designer, owner, was advised of above required data by—phone—mall counter by date
Plans checked by Date Plans approved by / Date
Sets of plans on hold in File cabinet _APfolder
r
Copy—DPW
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BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
` 7 County -Center Drive, Oroville, CA
+ PHONE: 538-7541.
MOBILEHOME INSTALLATION SHEET
1. Owner's Name:
2. Installer's Name:
3. Is the site currently under permit? Yes No
J \
(If yes, furnish permit number) OR
Is the site an existing site? - Yes F-1 No
(If yes, furnish two plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic ank and leach
fields and clear of all setbacks and easements? Yes No F-1
(If no, clarify
F,
5. What is the mobilehome electrical rating? --------------- Amps
6. What is the mobilehome site service rating? ------------- Amps
7. What is the mobilehome site circuit breaker rating? ----- Amps
8. Is there any other electric load to be served by the
mobilehome site service? -------------------------------- Yes No
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas,pipe size? -------------- (in.)
type g ? -------------------
10. What is the t e of as service. Natural LPG
11. What is the gas pipe length from meter or tank to the
mobilehome?--------------------------------------------- (ft.)
* 12. What is the mobilehome gas demand? ---------------------- (BTU)
*(This information not required if pipe length less than 6 ft. on
natural gas or less than 50 ft. on LPG.)
� l
36
MOBILEHOME SUPPORT DATA
z
If other than single wide,
Mobilehome Mfr. furnish Setup Model No. 6 0 Year ~�
Width(ft.) Box Lengtv��(ft.) Tagalong or Expando Size ft, x ft.
On all mobilehomes manufactured after October 7., 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. a 2. Other (specify)
SUPPORTS (check one) FIX] 1. Concrete block.
1:12. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
� Line 4
r Line 1
Line 1 Piers: Line 1 Openings:
Size -Min. ------------ Size -Min. ------------------ F/d ,x 30..
'k
Spacing -Max. --------- Each Side of Openings
_� .. With Width Over ---' V _ 6
From Enda-Max.------- ' � u
t _
Line 2 Piers:
Size -Min. ------------
Spacing -Max. ---------
From Ends -Max. -------
Line 3 Roof Loads: p ry
Size -Min -------------
Location
------------Location (From Front)
Line 4 Piers:
Size-Min-------------
Spacing-Max ----------
From
------------Spacing-Max.---------
From Ends -Max. -------
e i hoot Loans:
Size -Min. ------------
Location (From Front)
Line 3 Piers: (Under Bearing Wall Only)
Size -Min .------------------ x
Spacing -Max---------------- _
From Ends -Max --------------
,xfa" 1X
.x Lffl .. ..x ..x k
Line 5 Piers: (Under Bearing Walls Only)
Size -Min -------------------
'x
Spacing -Max.--------------- r -
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COUNTY'OF BUTTE —DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541
DATE 11/22/89
Buildin-.Permit Application
Richard Madsen RE:
5737 Birth Terrace for Mobilehome Utilities
Fremont, CA 94538 A.P. # 58-17-36
With reference to the above subject:
Attached is:
Application for permit Mobilehome Utilities Installation Sheet.
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner-Builder'Verification Form List of Codes Enforced
OTHER
X/ We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
X Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
X 7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
,Oroville, for
Completed Owner -Builder Verification form.,
X Recorded copy of deed showing 60' 036 of way access to public road
X Recorded copy of agricultural acknow a gement statement.
OTHER
Should you have any questions concerning the above, please contact
of this office.
JFG/aj
Yours very truly,
William Cheff
Director of Public Works
//J .F. Glander �-
Chief Building Inspector