Loading...
HomeMy WebLinkAbout058-170-0365817-36t 3934-89B',P,'E i Richar Madsen d 3856 Jef f_erq-Pine Lane, Oroli le: GAS — 1� SUPPORT STRUCTURE r i Is•slle' _/�(-es?�i-IRrjE�Q•. MIPACTION TEST REQ. S---3,6ConPR -Superi0."; � ": obi : I 16. ehme,Permit#119]r MHAO , 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 ... I SCHL _ FL 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 �q,r� +he o$s !!__ �<jI, t �%'? � `s r �r�� ' � Y5:a' `�I.�• 'if is t 90 cA on yy � p�rrniss$ivltI:A- (6s''7 wp4.°f<i'i"":s•JYt�i�d�!�YI'6° I � �� V i'9i � �( '. ! I4 3 - @. 1 -,Q . jd \ -- �//� ! �f V I A Wferffs p C� / / �y/) `7 / & 7 Iwori'monship - Shog Be '�-�-�-���;;;_ �aa *I%& COU FR.cco�eianc #' I > A f i vsi�,6o I RG�sar,; fo PEeI } i E*' 'Cd Prestices az of Uniform quays Buiidin prescri�." , Plurhun,. :', � a (vll � e.! f^c= 1:;ee�l use C;od� in.the. apd. the Pll 16flon, Eleatticall 1 de I f I QI�'p �l A i�stallctt%+ ermit will of be req' the uirec! mobil®k for the I JQ 3", s • � , � hl.� TO G b I.1N� . D id vs it sekback property fines of,gft. from and a the setback - of 5Q t. from cent cline the road (shall (be c1 1 aa of sfruc,ures or equipment except ®�� ft. ve !overhang. �e , I � I - I v i PI 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 - FromEnds -Max -------------- _ ®® ®0 ;:. PS'F ROOPL:`L. RIDdt' E�AM' SUPPORT" :_ f LOCATION & CAPACITY, -' MA-NUFACTURER: FniZ WF -S -T tl0mE%,mQc. %nonE�:1c�o X = LOCATION. FROM FRONT OF UNIT Y = 'CONCENTRATED LOAD 24x4s-O 0-11 22-a 30-10 4S -o Z� x d C�-� #'2 O 9 3- a # S//a•-# ��`/ � 't7.�� 3.sJ5.#t' *3 azoal 49.;)7-4:sig . s-vof 3s/s O 1-11 -4-9, ' #S 0 -1-1k 22- $ 30-10 4, (a -k 220 4 'VSa7• . 49 y# 6 -0-it 3'9604- '9604 -9-3i 9- 6i 2:�--p 3"3-G r4`1ya ' :ZS # s//a# &Dq-o# 35j5 -#r �-� o 2k -C7 z �-8ti• # 5//ate 518�� .� "o � 3s/sem -48 0'. 9 -3 214-0 32-i 1-6 20q# 5 /l.2# *gq # _1Z 0 :W 38604 #9 0 1-11 22-13 2--L di - a zap �t 4'8 a 7-* 67/ S if S-3 _25*- 3 9 o X10 O 1-11 22- 8 3 2r2 4-1-6 x2624 4.8l? *11 O Pa 4 519*453 s 39604' O. to --I 25-4- 33 -Ca 4:1-6 1 3 O 1-11 22-8 30-101- Z a U.l 9.2'71' Oicl * 53:?S 4* +09) 4P 1� 0. '1_11 22- 3o -10 1 4.1- ��L0.1.t# 1 O 1-11 2� 30-10 a� oa # X8 7 899 53 as Ug 1 PioIAL MANUFAMN10 On O 3 - (.p. 4c)-0 P STANDA oe , i84 -.g-- 63a5 - #l: 3go0*op O q-3 2.4-0 33-(o -o.. A .20?4 # 6_1/1.4 ,51ST 53 5 3900* -W O 9-3 24 -O33 -(v 4.9-0 449 #+� 5V /.,1.07- 5J gid ,�;3 )54- 3800 4gip . x . � _ .r A a � .. � _ i 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