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Home My WebLink About058-700-0046q Lamm Lyman Moak mi. off NIS .Big .Bend Rd. , @ Big Bend Store, Big Ben Area Permit #700-82E( ec . ge, dryer circ. & c kellM p 5137\ T Big Bend Rd,'Oroville PErmit#3027P,E(util, MH) ELECk aw.4 w� ,g GAS_ L . P. 3/d" sup�2� port str req---RmQ COMPACTION TEST RE 58-10-04 �E�r�'it#30n -87MHI d YM Issu. •- 058-70-0=004 92-4067E MOAK, LaRoe 5229 Big Bend Rd, Oroville elec sery/sf _ _C3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS s r � 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PA C NUMBFes/ ZON G _ -/ BUILDING PERMIT O11JR ,T11LEPHONE ILA M o;a SQ. FT. OCC. BUILDING VALUATION O MAy G RESS O CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS P mit fee $ BUIL G ADORES s ' PLUMBING PERMIT Filin Fee 10.00 9 Eaci Trap 2.00 Rep it drainage or vent piping 5.00 piping LOT NO. SUBDIVISION NAME PARCEL MAP EaC qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTU E SF 2 Duplex❑ Mobilehome❑ Other SPE IFY Bui ding sewer La fn sprinkler system 5.00 TYPE OF WORK New El Addition❑ emodel❑ U ilities . In talla ion❑ Other Describe work: �� S G GV 1 CA Permit Fee $ tractor ECTRICAL PERMIT Filing Fee 10.00 Main ervice 100V OR LESS 100 AMP OR LESS .00 d in service EA. ADD'L 100 AMP 1 2.50 NEW CONST. ( DWELLING OCCUP.81 O DDNS. l ACC. BLDGS. 2¢ sq ft CONTRACTORS LICENSE -L WE I declare under penalty of perjury (check one): I ❑ I am licensed under provisions of C apt. 9, Div. 3 of the Busine and Professions Code and m licen a is in full force and effe y i License No. Class ficati n I, as the owner, or my emplo ees with s as t eir sole compen- sation, will do the work,and th structure ' not i tended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contr ting wi icensed con ract- ors. (Sec. 7044) ❑ I am exempt under Sec. Busine and Professions ode for this reason N CONSTR BI.Ou C LET 2,50 ea ORESID RANCH CIRITS NEw ONSTR POWER APPARATUS 6\ NON ESID. SINGLE OUTLET CIR. 1 Ex. ccu 5AL@1 P�oUTLETS OR FIXTURES BAL@1 IXED APPLNS. OR Ex. CCup.�OUTLETS (RESID.) EA.) 2.00 T p rary service 10.00 obil Home Facilities 15.00 isc. Iyiring 7.50 „�(7 r S� Permit Fee $ -C-52 JM Con tractor MECANICAL PERMIT Fili ng Fee 10.00 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 Butt Building Depart ent a Certificate of Workmen's Compensation Insuran•e or a Certific to of Consent to Self -Insure. 1 shall not employ any person in any manner so as too become subj t to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subjec to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. eating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 County in consequence of the of this perm't. -TT�2 Date Signature of Applicant — Own« Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories/in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 1 I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 OWNER %.o a✓ Proposed Building,;Use. Permit Fee Based Upon PERMIT APPLICATION DATA SHEET r Permit No v A. P. No. 1 i Complete Contract Price DPW Valuation %Other."(Explain) Building Inspector ,�% Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to ownerE]) 15. Improvements may be required. . . . . . . . . . 16, Mobilehome Installatlon,,Data. . . . . :, -`17. Pre -Inspection for/ _ ', \ Required,' �eldi�gAriipp fob ,o ware) 18. Other s. 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 Applicant r ` , ;- Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW 1 rt y. 058-70-0-004 92-4067' MOAK, LaRoe {. 5229 Big BendRd•, Oroville elec s/ery/sfn ` r 'j /ter � �iCA. � • -- • t { OFFICE COPY Address MRS \ Date ] ELECTRIC \ Meter By \ Date .71 A "1 { COUNTY OF BUTTE'- DEW. T.hdF-NT OF PUBLIC WORKS • " �• 7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. T� 1 ASSESSORPARCE NUMBER -5 X'-- --0 OWNER- ZO If; � EL P N , BUILDING PERMIT SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING A D ESS � IAd A;Y an / CON12nTON E EPH N CONTRACTOR'S AILI G ADDRESS Fireplace CONSTR CTION LENDER UNKNOWN Total Valuation $ LEND R S MAILING A15DRESS Filing Fee $ 155,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT-'09RENGI EER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS • Q Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] 0 her Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OOR R LESS18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chap t. 9, Div. 3 of the Bushes$ 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 Main service 200A TO IOOOAI 37.50 NEW CONST. DWELLING OCCUP.9 3.64sq.ft. OR ADDNS. ACC. BLDGS. // NEW CONSTR ULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS t4 SINGLE OUTLET CIR. I Ex. OCCU 20 76 p OUTLETS OR FIXTURES Ex. Occup. FIXED APPLNS. OR OUTLETS (RESID.) EA.7 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-Insure.Cooling I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Hood 6.50 t Ventilation I i P- ermit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said ssaaiid County in consequence of the granting of this permit. X _" " •' Date Signature of Appl cant — Own Contractor ❑ Agent ❑ % An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES , . HAz I DFEES IMP FL000 CDF I PARCEL PD HD ISSUE This permit is hereby issued under the applicable pro (- sions of the Butte County Code and/orf,fesolutions to do 11 work indicated above r which fees Fiave been paid. / �' DIRECTO bF PUB 'IC WORKS < By %././,/ % yi 1 Date/ // PERMIT EXPIRES Date! % / r� ) _ a i, - r l ,7 Receipt No. �= �- ! Z..�. WMITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICrS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916),538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ER -HOCI. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. f j , 10 e—r- Date Z16 3 Inspector REV 1042 COUNTY OF BUTTE - DE-F'ARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 q �,�APPLICAUA AND PERMIT( (� ASSESSOR PARC NUM ER Y0 BUILDING ERMIT OWNER EL Ef P ON SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING A DRESrS , 42 li� CONT TOR N E EPH N CO. ACTOR' MAILING ADDRESS Fireplace CONSTR CTIONLENDER O&JeAILING UNKNOWN Total Valuation $ LEND R S MADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHIT CT OR ENGI ER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Rem del ❑ Utilities ❑ Installation ❑ other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2000V OR 0A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury Iur y (Check One): ' EJI 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 Main service 200A To t000A) 37.50 NEW CONST. / DWELLINGOCCUPM OR ADDNS. l ACC. BLOGS. // 3.64sq.ft. NEW CONSTR. U TI -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS el SINGLE OUTLET CIR. EX. OCCU OUTLETS OR FIXTURES P 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.001,15. i10 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s County in consequence of the granting of this permit X Date Signature of Appl cant — Own Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz 0FEES IMP FLOOD CDF PARCEL D HD ISSUE This permit is hereby issued under the SIOnS Of Butte County Code an work dl ated a which a DIR F PUB By PER I PIR Date applicable provl- Of SOIUiIOrIS t0 d0 ave been paid. ORKS Date( Receipt No. l� Z� WNITC-O.P.W., •ELLOW-ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - D6 artment of Public Works 7 County Center Dri=ie', Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this.information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will'be issued until this verification is received. 1. I personally plan to prov.ide the major labor and materials for construction of the proposed property improvement (yes.or no) 2. I (have/have not) --^'¢ signed an app ication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. .4. I plan to provide portions of this work,.but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some. of the work but I have contracted (hired) the following persons to provide the work indicated: Name - Address . Phone Type of Work Signed: Property Owner Social Securit um e Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Moo k or) -g - POO - 00 `� f PERMIT NO. PERMIT EXPIRES / 1,03 3 OWNER LYMAN Moak CONTR. Owner ASSESSOR PARCEL 58-70-04 LOCATION 5137 Big Bend Rd, 0—vi 1 1 e OFFICE COPY Address K Temp. Power Po, GAS Meter By Date I Called PG&E ELECTR Meter Date — By Temp. Elec. Servl — Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) �v Signature �Li� =OK 0 = Not OK' Not = Not Ready MOBILE MOBILE HOMES MISCELLANEOUS Date M LE HOME UTILITIES Plans OK except #'s bate DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Hing Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Is; Special MH Support -Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel tier; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ter; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing F ctricity; Location-Clearances-Grnd.-/ / Amp -Concrete Gas; -Location -Test -Wrap: / /"L"ft. ///"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors . Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date —,,�'-- Card -131 Date 10. Roof; Shthg-Roofing Card -131 Date Card -61 Date 11. Ext.; Steps -Doors -Landings Date MOJHLEHOME INSTALLATION (Plans) OK except #'s Zo 'ng Requirements -Setbacks -Easements Card -131 Date Card -131 Date tings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date . Gas; MH Test -Demand -Valve -Connector tricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s h; MH Test -Fall -Flex Connector 1. Setbacks -Easements W r; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability e and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness- Dead Men -Lining es and Electricity Tagged E ' , Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI ie—Cert. 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 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -B1/ Date_?7—Card-B1 Date Card -13T Date Card -131 Date 9. Health Department Approval G/ � �77 (� ` t�p2 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -B1 Date Card -81 Date Card -131 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable =riot Really Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -81 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 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 -B1 Date Card -B1 Date Card -131 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 Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. I 32. Clothes Closet Light -Shower Light -Spa Light Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access'& Platform if Furnace in Attic Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Date FRAMING (Continued) 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties- Purl in -Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation -Wal Is-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -Bt Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Pibg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -81 Date Card -131 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) I MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE *DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address or location of mobi lehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. (Official Approving Installation y PERMIT N0. Year of manufacture to 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. 5138 White - Owner, Yellow - Installer, Pink - D.P.W COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 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. Z Inspector Date — �� F� v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT 0. ASSESSO PARCEL NUMBER �! _ _�� ZONING ��'—�� BUILDING PERMIT OWNERTELEPHONE y 3 -� SQ. FT. OCC. BUILDING VALU I OWNER'S MAILIN ADDRESS r 17- 71 CONTRACTOR'SNAME TELEPHONE CONTRAC OR'S MAILING ADDRESS Fireplace CONSTRUCTION LEN F -A UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ �hJ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / � �ry/ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL 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 S G 0.00ea TYPE OF WORK New ❑ Addition[:]Remodel UtilitieW Installation❑ Other ❑ Describe work: �P�IS%Y� - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP S ORLESS 10.00 dam' Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusineSS and Professions Code and my license IS In full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do 06 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.&) '/z¢sgft OR ADDNS. ACC. SLOGS. I NE w CONSTR ULTI-OUTLET 2.50 ea NON -RE BRANCH CIRC ITS /POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occu zo O30 p OUTLETS OR FIXTURES eAL FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EAJ 1 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. ❑ 1 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 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequ nc f the grant' g of this p rmit. X Date Signotur Df Applicant — Owner Contract ❑ Agent ❑ An OSHA permit is required for exca ations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occUP. CO"ST,TYPrJ FPAR ri L P D 1390E This permit is hereby issued under sions he Butte County. Code and/or wor ind Cate ab ve for which E T(;A OF PUBLIC BY PERMIT EXPIRES the applicable provi- resolutions to do fees have been paid. WORKS Date (�X P9 Receipt No.�l? % WHITE-D.P.W., YELLOW-ASBE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Locati n AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other NOTE *** Sanitarian Date TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance I',Vd -5-9 - 20 - ® owner loc ion AP # Driveway permit /V4,,"�Le.he.eyle signatu e has been issued for the above property. date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION Ii --•-� _ 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET / OWNER 1"/ *!(-2A Proposed Building Use Permit No. A. P. No. Building Inspector a�S Date / At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED \ 1. All items have been submitted . . . . . ... . . . . . — �+� 2. Plot plans in duplicate/tripl_ic�te, 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. Fees of $ qlt�! ^� , . , , , , , , 9. Letter of signature authorization. `� /s Sanitation approval from _ Health Dept. 1, 0'P t 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) �1 14, Owner -Builder Verification (Given to owner❑, Mail to ownerE:1 _— .._15. Improvements may be required. . . . . . . . . . . . _16. Mobilehome Installation Data. . . . . . . . . . 17. 8. Pre-Inspec. request to (Date) Pre -Inspection for___ _. _. _ Required. Building Inspect Recorded copy of Agricultural Acknowledgment Statement. Uf�O�7 �9. Driveway Permit. _ 20. Plot plan approval from city of 21. 22. I _ rte` Ii H( .-- When you issue the permit, process as follows: Mail to owner; Mail to contractor_ Telephone hold for pickup at0-1)_office, Deliver w/inspector" Other _ Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted pri 1. Index permit for above items No. 2. Additional items required: e;,�(Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone ail c u to by date Contractor, designer, owner, was advised c' above required data by—phone mai nt r by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will. be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) J_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed-, construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner , SocialS rityumber — — — Date 5�Z.— NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. AGRICULTURAL AFFIDAVIT E,IPLOYER Employer. - Phone Employer's Address (Present) /, Name , of ' Owner yid 4 CYK Owner's Address_ .5;Z:2_9 &4 gei-) cy 4 n_�Oyi`/PGno'.9y6_S 04mer's Assessor's Parcel No. S- 0-00 Building/Environmental Health Permit Description and Number Date Issued By Planning Department Approval: Date 9 ZIX67 pone PCZ -\O Dwelling. on J PKI I - - • declare, subjectto the penalty of perjury, that I am the employer of on AP,1 address (present) �.r-- 67 and that I will be employer under Section 24-21.2 for at least t - a to -(g)- thirty-two (32) hours per week for at least sixteen (16) weeks per year on AP#K -tea -obi Signed Dated L AGRICULTURAL AFFIDAVIT E1PLOYEE Employee Phone �� . —'r'/ Employee's Vddress (Present)OR - �2 Name of Owner � 2 C Owner's Address Owner's Assessor's Parcel No.�4i�-^� ' Building/Environmental Health S .%A`'" oiG Ems. Permit Description and Number Date Issued By Planning Department Approval: F Date 4 <� _7 Zone Dwelling on AP# F`70-- 20 I� v ). , do.declare, subject to the penalty f perjury, that -I am the employee of address (present) ✓ on AP#: 61 and that I will be employed under Section 24-21.2-r- for at .least a to g thirty-two (32) hours per week for at least sixteen (16) weeks per year on APS Signed -2Y Dated AP # OWNER.-��%��a j< PERMIT lk, 3 zU6 ` d l MH UT IL . CLEARANCE DATE INSPECTORT�G�YL� ELECTRIC GAS Support Struc. Compaction Test Req. Service Size 'Other Load T e Pipe S'ze Len th YES NO YES NO ",2eo 020 3F . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754 0 _ APPLICATION AND PERMIT t5___ ASSESSOR RCEL NUAa,BER z°N _ BUILDING PERMIT owNE �P1*�/ TEL P oN lo SO. FT. OCC. BUILDING VALUATION OW ;�LI G ADDRESS CONTRALTO 'S E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fiiing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee CC$.. y ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 62 5 7 234;� � 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 F-1Duplex[]Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S FGTWF_+ 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel U Utilities ❑ Installatior,614 Other ❑ Describe work: �✓J��L� �(�� Pertnit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 �� 1 OR L Main service 1000 AMP ORSLESS 10.00 Main service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.ad\ OR ADDNS, ( ACC. BLDG -S.- I yzQsgft NEW CONSTR. ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( FIXTURES 2A3t L@ 900030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 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. Notic 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again aid County in consequence of the gra Ing of Is ermit. sz p �at Q o Si ature of Applicant — Owner El Contractor ❑ Agent- An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TYPC I I FLOOD PARCEL 1 ND I IS3U This permit is hereby issued under sionsthe Butte County. Code and/or wor in ted a ove for which CTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date M�2 Receipt No. 0'94& f WHITE-D.P.W., YELLOW-0SeE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT V u COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING, DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-754 4: PERMIT WLIC005N DATA SHEET Permit No. 0 W N E R A. P. No. Proposed Building Use �T� ��T1 ilding Inspector�� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. .fa Oe 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from _ Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . 13. Contractor's License Information (no., name style, classif.) , 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) `-15. Improvements may be required. 16. Mobllehome Installation Data. . . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for__ -_. _. - Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. _ 22. — -- When you issue the permit, process as follows: Mail to owner, ,?ail to contractor- elephone b-3 � – � a, and hold for pickup at J?e office, Deliver w/ inspector. __ _ Other (Date) Copy of plans sent Health Dept.; Fire Dept., Other Date 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: �c Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised c? above required data by—phone —mai l—counter by date Plans checked by Date Plans approved by Date _'2 3 Copy–DPW Sets of plans on hold in File cabinet AP folder COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,.Oroville., CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will*be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work' but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Se rity�ber — Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT ,RECORDED BUTTE FOR. RESIDENTIAL DEVELOPMENT • OFFICIAL. UTTE COUNT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. ,PAR��SHOWN SEP The property described herein is adjacent to land or included �� P� 30 within an area zoned for agricultural purposes, and residents of this -C "'DAG - E J.GI;U8gS 7 • i property may be subject to inconveniences or discomfort arising from LL Rn the use of agricultural chemicals, including, but not limited to herbicides _ pe'seic'iR 99 —� 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 agricultural zones which have as a j 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 norm, necessary farm operations. al pats' All that real property situate in the County of as follows: 1 �. Date: State of California County of .Butte On - this SS. me, the Butte, State of California, described t PROPERTY OWNERS: the loth day of SePteMber 19 87 , before undersigned Notary Public, personally appeared Lyman L. Moak and La Roe M. Moak / /Personally known to me. /X/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) are subscribed to the within instrument and acknowledged that the executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Not y Publ OFFICIAL SEAL DEBRA J. RAYOME NOTARY PUBLIC — CALIFORNIA BUTTE COUNTY t MY Ommhsmn eaPpes M;y 27. 1989 Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear f the half mobilehome. A permit will be required for the Installation of the mobilehome. A setback of /ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment excepi for a 2 ft. eave overhang. This set'of plans and specifications MUST be kept on the job at all times and it is unlawful to rnctke any changes or alterations on some without WHO" Permission fraim the Department of Public Works, County of Butte. NOTE:—All Materials & Workmanship Shall 9e ir, Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Cady and H,e National Electrical Code. 3� v I BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 �1 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: P 2. Installer's Name: 3. Is the site currently under perm% ? (If yes, furnish permit number Is the site an existing site? Yes � No Yes 1�d� _) OR No F-1 (If yes, furnish two plot plans.) +.` 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? YesNo a 8. Is there any other electric load to be served by the mobilehome site service? -------------------------""""""" Yes p No �Ap� (If yes,'identi:fy the load and size;(Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3 (in.) 10. What is the typejof gas service. -------------- ----- Natural LPG [�' 11. What is the gas pipe length from meter or tank to the mobilehome?----�_ _ — -------------- 12. ------------12. What is the mobilehome gas deman . (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG:) BUTTE COUNTY BUILDING DEPARTMENT. APRROVEU (If no, clarify 5. What is the mobilehome electrical rating? --------------- 160 Amps,r 6. What is the mobilehome site service rating? ------------- Imps 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 p No �Ap� (If yes,'identi:fy the load and size;(Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3 (in.) 10. What is the typejof gas service. -------------- ----- Natural LPG [�' 11. What is the gas pipe length from meter or tank to the mobilehome?----�_ _ — -------------- 12. ------------12. What is the mobilehome gas deman . (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG:) BUTTE COUNTY BUILDING DEPARTMENT. APRROVEU MOBILEROME SUPPORT DATA If other than single wide, Mobilehome Mfr.&,::� :L, alam/ furnish Setup Model NO. --ter--- Year Z2 ai� - Widthi (ft.) Box Length_,. (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. 912. Other (specify) SUPPORTS (check one) 1. Concrete block.�2., Othr (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams inL 2 ine Main Beams Line 1 Piers: Size -Min. ------------ S pac Ing -Max. -----------Spacing-Max.- ------- Iyine 1 Piers: Size -Min. ------------ SpacJog-Max---------- From ---------From lands -Max. ------- L_1ne _i Wwp1. wags: size -Mint----- ------ U>cation (From Front) Tag or Triple I� Line 1 Line 1 Openings: Size -Min. ------------------ nx u Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------------ x Spacing -Max.--------------- „ From Ends -Max.------------- "x Line 5 Piers: (Under Bearing Walls Only) Size -Min .------------------ ox n I Spacing -Max.--------------- From Ends -Max .------------- ' "x Line 4 Piers: ` — S1 z.MS n. ----------- ` Spat i ug -Max ---- s From Enda'�Mex. I_ioc_ ). KootjLoaas:) ?i Stzc-Min.--'_--------- <` 1. iocation (From Front) I.V "x "x "x "x "x "x "x "x 11 1. ' "x Line 4 Piers: ` — S1 z.MS n. ----------- ` Spat i ug -Max ---- s From Enda'�Mex. I_ioc_ ). KootjLoaas:) ?i Stzc-Min.--'_--------- <` 1. iocation (From Front) I.V "x "x "x "x "x "x "x "x