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HomeMy WebLinkAbout062-210-020�[F I=' 62-21-20 S Kennedy E/SRd. Jat ojRd�app.400 Ba Rock Rd . , Berry ��G-- eke\ L)(� Permit #2709-80P U•t'il ELEC. GAS SUPPOR TRUCTURE REQ. \ ---COM.VrTION TEST REQ. 0 62-21-2-0 a C OLS d, Berry Creek bile Home Cen r / 7-88MHI(exist' g site) 0 62-21-2• 9 a? 4 u ontR: MH Center p, Permit#2831-88B(reinsta 1 awning)MH 22 2 /!-/S Permit#4057-88P(gas pip'ing)MH F -020 , WILLIAM 03-2740 O RD, BERRy CREE & A CONSTNALE LACEMENT -�{ 5 I RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Il 11 111 111 i llil l Illi i it Illi i Illi 11 ie Gb Q1 Qf 7 1 0 1 Recorded Official Rel:ords I RE:C FEE 7.00 I CONFORM 1.00 County Of I BuFFE I CAND [:E J. HR!)BBS I Recorder I ROSEMARY DICKSON I Assistant I Travis 02:?3RM 06 -Feb -2004 I Rage 1 of I SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. WILLIAM MACIEL AND TERESA MACIEL REAL PROPERTY OWNER/LESSOR 3571 GLEN STREET MAILING ADDRESS EUREKA HUMBOLDT CA 95503 CITY COUNTY STATE ZIP 23 JATKO ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT BERRY CREEK BUTTE CA 95916 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME IZ"i ININCIM SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-2740 (530) 538-7541 Er Br' ° G PERMIT NO.P TELEPHONE NUMBER JZ�YlY wl 0 Z Ad 2-5-04 SIOWATURE OF LOCAL AGENCY OFFICIAL DATE D & A CONSTRUCTION DEALER NAME (if not a dealer sale, write "NONE") 1067714 DEALER LICENSE NO. HBOS MANUFACTURING L 2003 OAKWOOD MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMFJNUMBER H-022261 48'x28 ORE -452323/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAA ABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A? # 062-210-020 I .!}E 50uTN 0'r-167 Acam yr 7W F- til0.Z-'r(-f -J-H2W AtZES v r'7?*- FoiJv�a � �i i1 � E Starz (l�cz� F� 0('LLZT - T1 A i PA -,'n0 --j Ly i n[(a 50u t w of' T+4E 62-06 11E.- r3A LZ) POCK C.Q LU Arq '-ROAD A l"A O ZR's Ty F ' iyi€ K-lrg -0,A D A L014b, loci 161 IA e l b, H i OF Ltii Pt�I_ W.AS h 2A &11"2)0 710 INI'Alhnl KIEU W l Q:T" A"06 (1r= R V L M CUW l !Z -it+ OF -Pit `4�1t� sr au r11&TrQ2 DIP -IN1£ Q I A rz;y -COI.J!�5I �p at 061&Ti4 , 'F-AIqhE 5 2=145T M. -D. ­E> "M HCD FORM 433(A) REV. 8/91 �ANARY - HCD PINK - Armlimnt C '[„+cTr" �,,.',=y} ✓ .,�r ilr`_trr-r. ""4y4 t.,,, 4 moi' "a `Y.�t` t `.,,� A` i�.`ii' yir t " • ,:. e' .r'+" n _ Y ' x� r4.... ,5tAF�OU$NDATION SYS�TEIVI %;' �� �CERTTIFIC' 7,.E OF 04CCUPANCY" ;17 n •J BUILDING PERMIT NUMBER: 03-3244 Address or location of unit: 4510 OLIVE HIGHWAY, OROVILLE CA 95966 Legal Description of Real Property: AP # 068-140-069 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: WILLIAM T. ROBINSON AND LESLIE A. ROBINSON Owner's address: 4510 OLIVE HIGHWAY, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: ULI 55148 0/1/2 SERIAL NUMBER OR V.I.N.: C 1 -70-0311 -S-A/B/C MANUFACTURER'S NAME:SKYLINE HOMES INC. YEAR: 2003 OFFICIAL APPROVING INSTALLATION: DATE: 2-3-04 PHONE: (530) 538-7541 H.C.D. 513C ® gFeb. 6. 2004 OI./LVVI I.VV1 1'1\1 Tor vr'; 6AMit�� vD & R vuaConstlulLplon. il�r Homes 5303433332 $TATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND; HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM ' No. 8631 P - 2 0011/001 NUMBER: 8707222 MANUFACTURER CERTIFICATE OF ORIGIN �aG� • ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO, MANUFACTURED HOME OR MWI Tl -UNIT MANUFACTURED HOUSING. LYI .SFO (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING r4UMBER OF TRANSPORTABLE SECTIONS 2 COMMERCIAL -COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER 6IBU8 '1074913. MANUFACTURER ADDRESS: SUGGE51`ED RETAIL PRICE: Street) 400 W EL7: S'T'REET HERIJayl-1'Oh i$ Or7EiiU zi 971338 $70, 307 a MANUFACTURER TRADE NAME;MODEL NAME ANDIUR NUMBER: DATE OF MANUFACTURE: OAKWOOD FIRST E;17TTON 9737 12-10-2003 NAME OF DEALER OR TRANSFER (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR DATE OF TRANSFER: TRANSFEREE DESIGNATION: INTEGRITY HOMES ;&fJA2231067714 12-10-2003 DEALER OR TRANSFEREE ADDRESS:_._ - 1740 FEATHER RIVER SLVE DROVITLE CA 95965 (Street) (City) (State) Llp) INVENTORY CREDITOR NAME.. TEXTRON 'ENTORY ORE DITORADDRESS: 771.1. 'BONHOMME S T E 6.00 s.t. - UI.S_ NO 63105 Slreel 151818) (zip) SECTION MANUFACTURER SERIAL NUMRER 16) HCO INSIGNIA OR HW LABEL NUMBER LENGTH WIDTH WEIGHT (INCHES INCHESI (POUNDS) A., ii-.U222C�I. QRE-452323 576in 158in 23520 1 B H-.022261 ORE 452324 R(i576i 168in0 23520 1 TRANSPORTCR NAME: AMERICAN TRANSPORTER ADDRESS: PO Boa 16.30 PEDM0 ORI: 97756 Street) (Sri)('LIP) DESTINATION FOR UNIT DESCRIBED ABOVE INTEGRITY HOMES 1740 FEA'TFER RIVER BLVD OROVILLE CA 95965. NAMEI (Slreetl ICrty) (State) (zip) I oartttyunder panaly of perjury under IhPldwe of the SIM* of CDR1u - that the anovetel:le walrus and mrraca. ' 12-10-2003 ofHERMISTON UMATII,I,A OREGON '••ecuted 615 (Oma) (Cey) •T (Counry) SIGNATURC OF AUTHOHt•LED AGEN /?.7 i DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREOITOR, UNLESS THERE IS NONE. THEN FORWARD TO'441; PURCWnSER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD TO, TME DEPARTMENT AT.F.O. BOX 1928, SACRAMENTO. CA 95812.1020, WITHIN FIVE 15) DAYS OF RMSASE.. COPY 2 (YELLOW) DELNER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO Ar RCTAINED BY THE MANUFACTURER HCO dBS.O - Side 1 - (7107) E )s M I STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a: Mobilehome Commerical Coach Floating Home Truck Camper Decal (License) No. (s) Trade Name Serial No. (s) I/ We, the undersigned, hereby state that the uniit? described above: GY1 CJ_ �r`r1r1QXLQ_t. `�UI.rLCoY�5'� X'n (:�s9Lc, , �P�A% ora.- ac®-oao 0 Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above- described unit in California, of from issuance of a California certificate of title covering the same. I / We certify under penalty of perjury that the foregoing is true and correct. Executed on at: Oroville ,California (Date) (City) (State) Signature of each affiant Printed name of each affiant (Michelle Freel, Office Manager Address 1740 Feather River Blvd. City Oroville' HCD 476.6 (Rev 11/86) State California F,eb.26. 20044 6:06030 $;D & A ConstrUction N o . 9 2 4 3 P. 24 RECORDING RDQUItSISD BY FnW AMRICAN TTTLE CON PANY AND WHEN MOItDED MAIL TO: MR. & MRS. WILLIAM MACIEL 3571 GLEN STREET EUREKA, CA- 95503 Order No.: ' - . llNffillfllil�I�lI11N�I�UIiI Recorded Official Records County f emm 1. OM20S Recorder MEM DICT M Assistant 152t15PM 11• -dun -?.001 1 TAAX FEE 423 T 35 1 � MO)�HR�N lid 0l8 ! I ! Cindy I Page 1 of 1 Above Thio Lame for Reeordcr'a Uee Only Escrow No.. GRANT DEED THE UN'DYMIGNED GRANTOR(t) DECLARE(s) THAT DOCUMWARY WNSFM TAX IS: COUNTY EX j computM on NU value of property ooazvtyed, or computed on full value less value of liens or ertctltnbrarltxs remaining at time of sale, unincorporated area; [ ) City 0-,—. Ana FOR A VALUABLE CONSIDERATION, Receipt of wbich is hereby acknowledged, ED ECHOLS AND MAW ECHOLS, HUSBAND AND WIFE hereby GRANT(S) (o WILLIAM MACOEL AND TBRESA MACIELr EMBAND AND WE M- AS JOINT TENANTS the following described property in the City of, County of $WTY; . State of California: THE SOUTH ONE ACRE OF THE NORTH THREE ACRES OF THE FOLLOWING DESCRIBED PROPERTY: THAT PORTION LYING SOUTH OF THE OROVILL&BALD ROCK COUNTY ROAD AND EAST OF TH13 PRESENT EXISTING ROAD ALONG WHICH A RIGHT OF WAY WAS GRANTED TO ANTON NEUWiRTH AND BERYL NEUWIRTH OF 'nM NORTHEAST QUARTER OF THE SOLM WBST QUARTER OF SECTION 32, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B.&M. ED CHOLS MARIE ECHOLS Document Date;. May 2. 2001 STATE OF CALIFORNIA J )SS COUNTY OF —o" ) personallyappeared pp of ptoved to me oA the bads of sa dactory evidence) to be ele petsoati) Whose aeme(e) dlfetr: whverihed to the wiftin bUtrUMM and aelmowiedged to me slut bahMthey executed the same in UVhcr/thmr audwriaod capactlyCics) am(15At by w0kerldwir 6(gtto4te(a) go ft iaatmment rite permn(s) or dm entity upon be7falf of ghieb the pereon(e) ectad, exeeumd the inmulueAl. WITN&GS my hand and official seal. Sgaamre �-f �•� (j) CO M #2=57 C) NOTARYPUBLtC-CAUFNIM N ALMiEDA COUNTY Tie ovfdtlsw.to,coos Mall Tax Statem= to: SAME AS ABOVE or Address Noted blow Description: Butte, CA Document -Year DoclD 2009.24757 Page: 9 of 9 Order. wm Comment: NOTES RESIDENTIAL PERMIT NO. 062-210-020 1 03-2740 1 MACIEL, WILLIAM 23 JATKO RD, BERRY CREEK CONT: D & A CONST MHI-REPLACEMENT .s'PCA7) 62--39" THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS 11 ZA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS — SUB -STANDARD HOUSING LETTER JOB FINALED (Date Signature CHECKED BY J=OK 0 = Not OK = Not Ready ble MOBILE HOMES . =Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Elec ' ity; Location-Clearances-Grnd /Amp -Concrete as; Location -Tt-Wrap;-/ P' L17 ' P Nat. or/ °y L "ft,/ /' LPG 7. Well Clearance & Disconne t 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILFv"OME INSTALLATION (Plans) OK except #'s gs; Size -Spacing -Marriage Line Gas H Test -Demand -Valve -Connector eqMH Test -Crossovers -Breakers -Clearances 5 rai ; MH Test -Fall -Flex Connector r; MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged - 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 b�£ ys232y e3 f-f�227�� MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 i Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining { 4. Elec.; Receptacles and Lighting, Distance-GFI f5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. ' Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable • = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access-SDa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION ANDPERMIT ASSESSOR PARCEL NUMBER - 1 062-210-020 ZONING U - BUILDING PERMIT OWNER Y, _ WILLIAM & ES CI70'-441-19491280 TELEPHONE SO, FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 3571 GLEN STREFr, aRWA 95503 R 69 120.00 CONTRACTOR'S NAME TELEPHONE D & A CONSTRUCTION 821-5850 CONTRACTORS MAILING ADDRESS 868 W. QNS= #J CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR.ENGINEERS MAILING ADDRESS Permit Fee $ 252.25 Plan Checking Fee $ 23.00 BUILDING ADDRESS���. 2-3 JAWO Rn.. BERRY CRM 959169Y Ener Plan Checking Fee $ 9 3 $ PERMIT FEE $ 295.25 r LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome�X Other ° Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15• 00 SPECIFY Each gas water heater or vent 15.00 TYPE OF WORK J ,0 Gas piping system 1 - 5 outlets ' 15.00 . (� New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation t Other ❑ Building sewer ' 15.00 Describe Work: Zi+1STALl REPLAcEmEn M/H ON EXISTING SITE, . �sllm-ame I S I G W 1 @20.00 OLD MOBILE HOME BEING REMOVED. r PERMIT FEE $ NEW H0326' 8" X 48' 2 BEDROOM ELECTRICAL PERMIT Filing Fee 20.00 Main Service eo.A OR LESS zoOA 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 isI I'I o ce and effect. ( j�✓1"�/ ,f� • License Class 6 Lic. No. �1' �J� �/(�(/�' OWNER -BUILDER DECLARATION I 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, will do the work, and the structure is not intended or offered for sale. Main Service 200A TO 1000A 46,00 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. SO 3.5¢FT. NOWRESID. MULTI.OUTLET 97,50 POWER APPARATUS a SINGLE LET OUTCIR. Ex. Occup. OUTLET OR FDCTURES BAS @' 0 Ex. Occup. OFlxuTiE sR� ) F, 5.00 , Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ❑ 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 PRF— CP PERMIT FEE $ WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 I 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 Heating Cooling Hood 6.50 Yperformance of the work for which this permit is issued., GJ I have and will maintain workers' compensation irisuiance, as'required by Section 3700 of the Labor Code, foa performance of work f6irwhi6h this permit is issued. My workers'^cdnuzltio.�"ns�rtnge�carrier and policy number "are: Ventilation +` PERMIT FEE S r Carrier �� ' I 'ri/r !i./t Policy Number 1:!:J j f — .b Mobile Home Installation Fee $ (The above sections hee�Tbe comple ed ifrm° i a pes 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, IJshall Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 345.25 HAZ. FE IM D. J FLO D CDF / v PARCEL�Xl HD TISSUE, 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. It — ` By Q,�,, Date � / 11/ PERMIT EXPIRES ON q�3C3 �� I forthwith comply with those provisions. V �.� _ /,j 1%,Tx IZ,j/ __Date N��__ Signature of Applicant - ❑ Owner JM Contractor ❑ Agent An OSHA permit is required for excav Ions over 60" deep and demolition or construction ght. of structures over 3 stories in eic?/ ��t Receipt No. 3•Qd / �. -)l/,% �of� r � WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPE *OA GOLDENROD -APPLICANT Dete COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT (Rev. 12/96) APPLICATION AND PERMIT U1 ASSESSOR PARCEL NUMBER 0E OWNER [7TT T TQ OWNERS MAILING ADDRESS 1571 CONTRACTOR'S NAME DR,A CONTRACTORS MAILING ADDRESS RF,R CONSTRUCTION LENDER i1 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS LOT NO. I SUBDNLSIONS NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome)( Other TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublifies ❑ Installation i Other ❑ ZONING 1 TELEPHONE -1141 21 TELEPHONE 21/'A821— /'A r11 JCENSE NO Describe Work: INSTALL REPLACEMENT M/H ON EXISTING SITE OLD MOBILE HOME BEING REMOVED. NEW HOP'S 26'8" X 48'2 BEDROOM 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 Pro and my license is it f Ifessions Code, force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I 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, 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 I 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 My of the Labor Cod r�rfo ce r work for which this permit is issued. My worker '-ecdnp� ti I s r arrier and policy number are: Carrier �_qi Policy ,Number (The above sections ee n be c m le d if the perm' 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 forthwith comply with those provisions. (�� X �� Date `7� Signature of App Icant - ❑Owner Contractor ❑ Agent An OSHA permit is required for excav o s over 60" deep and demolition or construction of structures over 3 stories in height. Receipt No. WHITE-D.D.S.-B.D. BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION Total Valuation $ Filing Fee $ 20.00 Permit Fee $ 252.25 Plan Checking Fee Energy Plan Checking Fee $ $ 23.00 PERMIT FEE $ 295.25 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home JsG W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service e00v OR LESS 200A OR LESS 23.00 Main Service 200A TO 1000A ) 46.00 .50 Ex. Occup. OUTLET OR FMAES @ 1.50 BAL @ .50 EX. Occup. OUTNAETSDA(REESID oEE& 5.00 Temporary Service 23.00 [Mobile Home Facilities 20.00 Misc. Wiring23.00 Cool PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 FEt 6.50 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ C ONST. TYPE T AL FEE $ 345.25 . D. FE IMP FLO_ Op CDF PARC HD SU 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. B Dat3 PERMIT EXPIRES ON 0l3D1#4 BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form rBuilding) School District04 Building Department No. 1A V r--1 city -CountyA.P. Number h U 9- Jurisdiction: (� Property Owner Property Location/Ac Subdivision Lot No. ...................................... ........................................ . ................................. Residential Development Footage No of Living Mqb�ioSq. le Home Addition/ *Supplemental to (Group R) *(No foundation inspection): Units 4� Installation Conversion Permit # .................................................................................................................. Commercial/industrial New Adddion Building Department Relprepenative (Floor Plans reviewed by School District Personnel) District Identification No. 000-65 Sq. Footage (Including Exterior Roofed Areas) Date -T Lz, School District certifies that '(Applicant) 2� � Jzk-k�, �l - • Address) CC (City) has complied with the requirements of Resolution No. representing 'square ffit. District Paid by Check # Remarks: rnL'-?7:h-z -2-V,44- (Phone Number) (State)A (Zip Code) A) by payment of $ IFBi2926 $ IFULL MITIGATION 4. Date r Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEGA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.x1s (10198)dmm ,ftX All T h.y h4 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET /, ) OWNER: ASSESSOR PARCEL NUMBER U ' U Proposed Building Use: 1 v , Tn f r `- Counter Technician: Date: Items required in order to apply f4 a permit. All boxes MUST be checked OR mao NA in order to apply. J" • r1 ,q _ _ Fs.v M COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION >1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance des' and supporting documentation in duplicate. Manufactured homes: ()Vata sheets and installation instructions,,aniage line information,-( C Floor Plan, (I Tib down or foundation plans, all i�dualicate. i� ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. V Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will tie indexed and returned to the plan review line-up when required items are received. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate .................. ❑ 9. Plot plan and business license approval from the City of Biggs ..................... ❑ 10. Letter of intent for non-residential buildings ........................................... 11. Detached Accessory Building Form filled out by the owner ....................... 1 Hazardous ater' Fo ...................................... Other i7Zl. V Date Received By i, Iff M Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 1 Statement of Intent for Non -heated and A/C Buildings ................................... ........ 6. anitation and plot plan approval from the Environmental Health Department in () ❑ City of Chico Plumbing permit.............................................�rcel ... 18. California Department of Forestry plan approval ❑ paid. Sent by:C . � ❑ 19. Planning approval for (A) Use: �_(B)Parking: (C)heck: Oj - j 2 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... . Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to oc up ncy). 2. Pre -Inspection for ) required........�/`� 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement......................./Check : ❑ 28. Manufactured home utility clearance .................................................. ❑ 29. Ex' ting violati and/or expired permits...........�........................ ❑ 30. � rant Deed, C I.H. Title/Statement of Facts,ILeiter from Legal Owner,o H.C.D. $ ❑ 31. tether: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining aabuilding permit. Applicant: Date: ` SIM 1. Index permit application for the above items numbered: Plan Check Letter f 1 2. Additional items 0.,own ` Contractor, designe was advised of the above data by phone, ❑ mail, ❑ counter, by Date: 9—.A Contractor, designer, owner, was advised of the aj data by ❑ phone, ❑ mail, ❑ counter, y Date: , ' Plans reviewed by: 42 & Date: "( J Plans approved by: �i.� Date: l 'i Structural reviewed by: Date: Structural approved by: Date: ' Note transfer by: Date: r i Yellow: Building Division -f E.H. USE ONLY •�_r K 'N, 'Piot Plan Anacho�— Roos Sian A$sh®d Sent to G.D. TO: Building Department D3-27'10 FROM: Environmental Health SUBJECT: Sanitation Clearance lam/ ✓r%cie, a3 o -oad Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Clearance for / dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Private Well ✓ EW6 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES JJ� OWNER A.P. # UVJ' p�1C� CJa PROPROSED BUILDING USE Y\ DATE �' b.3 RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ �� - `/' "��(�` ✓ U --- Additional Fees Due........... $ '--- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES B(UY I � � q� e3.paid at School District Office) (form available after Plan Chec . SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X # Units Amt. Commercial (Sq. Ftg.).... X = $ _ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES a$ $510.00 (paid at Building Division) 7 SRA FIRE INSPECTION AND PLAN CHECK FEE 89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER Y!'qg-68 rim At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT __Z0 _Q DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Orov1.ille, California 95965 • Telephone (530) 538-7�, t.,v 1.2/96) ' APPLICATION AND PERMIT UJ C2 2 ''^ -q&°' .."ES:°Q..N"E<""Ya�, ^� -- &10 _ C@(, zow"° BUILDING PERMIT Cr.N¢npW 1 ��tom 7`� few �ICI_ckt,1 T� (^� SO. FT. C. B ILDING VALUATION OwNEn LINO AO1OAESS Q �/'� _ , , r '% c a G e` I _ COM MC*OIwS /NYE I TELEP-ONE _ �s R Const-�'uc-tion ��15850 _..- COrrtq.�C1G S LINO �DONE55 6c CONS TAUCTION LENDER p ss "UNG ADDRESS Fireplace I -- Total Valuation Is -- T OR ENGINEER LICENSE NO ( s Filing Fee 20 C-' •% T On ENGINEERS YAAJNC. ADDRESS Permit Fee $ Plan CheckingFee S _� Ic ADQ OREss a3 Energy Plan Checking Fee $ - PERMIT FEE i �t �T SUEONGONs NAYE ►ARGEL YAY PLUMBING PERMIT Filing Feat 20.60 USEOFSTRUCTURE AL Each Trap 7.00; Solar or heat um water heater 23.00i Duplex ❑ Mobilehome ❑ Other • svEc�v Water piping 15.00 TYPE OF WORK - Addition ❑ Remodel ❑ Utilities ❑ Installat`ioln/Q Other ❑ Each gas water heater or vent 15.00" _ Gas piping system 1- 5 outlets 15.001 Buildingsewer I j 15.00. Describe Work: k 1z)Rak1 repic�me - �I}-� �n Mobile Home S I c'1 W 1 I @20.00' �mmd PERMIT FEE I t Dn- ELECTRICAL PERMIT 1 0� 1�JP.seY1 n� b'�f �f mbrn Main ServiceawvoRLEss — ( mon onLEss ) 1 23.00• V (Ic Main Service 200A TO I000A j 46.00Ew : -- OR ADCONS. ( 014Ow SMG IoccSuP. I 3.5CR : ' YU N NLT4 risctA NowaEsla� rs @7.50 vOwER APVARATVS - -- L SNOLE OUTLET CIA 1 I EX. OCCU .OUTLET OR -rune ' i - � �T w / -�*PC T FEE PAlt> �y I/"�/) �/ nxED AYPUb. OR EX. Occup. OUTLETS AE310 EA I 5.00: Temporary Service i 23.00 —5 PLA SHERIFF Mobile Home Facilities ! i -2'0. 0 0 Misc. 1 i4— i 23.00i PE IT FEE s O S MECHANICAL PERMIT Filing Fee 1 20 C7 Heating I s _ Cooling Hood 6.50: _ _.T 14 =' Ventila,ion i AAk6Vt1T RECEZ11lf r _ ']11IIii t PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee $ NuAluak " TO N KIM COAMJM «` SNS* n" TOT L FEE S "Az. .1E . FLOOD CO ov as'! This permit is here y issued under the oppticeble provisions of the Butte County Code end/or Resolutions to do work �,. indicated above for which fees have been paid. By Date _-- PERMIT EX PIRES 6N� IReceiptNo. WHITE -0. o.S.•S. D. CANARY-A13FssnR oiu%e.IuanemmAAAA ..�...... AAAA .�._._ n. IL Building Permit Number: 0*3 - o2--74-0 Owner Name: mac (&( Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note:.We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. , The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. ' Page 2of 2 Building Permit Number: 0 3 -a"L�0 Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 0 Fire sprinklers are required in this structure: The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of � feet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. i l� I 'S NOTE: See the attached Residential C nstructigr] Reguirements z N 2'. Pages 4 N KJ� ,ELECTRICAL".n �ECHANICAI..F AiNID PLUMBING ALL STRUCTURES AND EQUIPMENT INCLWINIQ CON sTRUC.TI N ( NOT PLAN C IECKETDI i OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. ALMPLY, WITH AND CPC RENT EDITION A SET BACK OF 3b FT. FROM THE SIDE AND OF NEC, o . FROM THE REAR PROPERTY LINES AND . FROM THE ROAD CENTERLINE SHALL BE CLEAT" OF STRUCTURES AND EQUIPMENT EXCEP COR A 2 FT. EAVE OVERHANG. I REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of. FORESTRY ❑ approved as submitted %approved with conditions i p r atta n d sl;.,et. !ull 0 Signature u Data p��Zio-rozo �V-� ci rv` c �r�SC,, CtLt A e �� or i 9mcLl sc.c��c yo - I Zo'I yo' loo 8o' CDF FIRE SAFE REQUIREMENTS AP# PERNHT # N Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued - maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than*50 feet and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. [X] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less. than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 2, iJI LL -I6 -vv\ AP# PERMIT# NAME [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [X] 1. Gate entrances shall be at least .two feet wider than the roadway it serves. [X] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space [ ] 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road: 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements on page 3. 14 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 El 2jy-2p AN 03����v PERMIT # Other Requirements i [ ] If Building Setback is 15 to 30 Feet: Class A or B roof and Enclosed Eaves rKi 14CI EL [�%c (—u 4M NAME If Building Setback is Less Than 15 Feet- Class A or B, Roof with Enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on the side toward property line with insufficient setback - Interior automatic fire sprinkler system per NFPA 13D - Glass area not to exceed 10 %* of wall area toward property line with insufficient setback Siding from the following list: ' Stucco — 3 coat Hardi- Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials S �-,j -7� Date Signature Page 3 of 3 ,"MODEL #4828-9737-3-1280 SQ. FT. —n1A—1 ADT a0 N O C, O O CZ S OPT PATIO DOOR 48, WINDOW OPT N MODEL #4328-9738-3 -1280 SQ. FT. - OPT PATIO DOOR WINDOW OPT op " N LIVING ROOM 19'•4" .l 48 09/05/2003 14:00 5303433332 t r � C. N J d d Q 2 1 V. � � z Li O Q Q INTEGRITY HOMES PAGE 01 r- 7 C ►R L CO 3VVd S3WOH 3113'18VW UTT'E COON I AUILDING ®EPARTfV 4 P R �` 0801 99Lb91 097Et EOAZ/90/60 fCD w U a a N f - w I v m H M m m N inw 01 to r - L MOBILEHOME INSTALLATION DATA 1) Owner's Name: I l l aril Q Te jm m C3 G 2) Assessor's Parcel Number. �Q o� – Off, l 0 — 0&0 3) Installer's Name: INTEGRITY HOMES, INC. 4) Is the site currently under permit? Yes [ ] No [}c] Permit No. 5) Is the site an existing site? Yes [-] No[ ] (If yes, furnish two plot plans). 6) What is the electrical rating of the mobilehome? QO Amperes. 7) What is the mobilehome site circuit breaker rating? G.C.JO Amperes. 8) What is the electrical rating of the mobilehome site? ZO y Amperes. 9) Is the main service remote from the mobilehome site? Yes [ ] No [ 1C] If it is, what is the rating? Amperes. 10) Is there any other electrical load to be served by the mobilehome site electric service (ie well, garage, etc.)? Yes [%A] No[ ] If yes, please identify the load and size: a) The mobilehome site: Load-yjp-%k Amperes- c30 b) The main service: Load- Amperes - 11) Type of gas service at mobilehome site: Natural [ ] Propane None[ ] 12) Size of gas pipe at the mobilehome site from the meter or tank: 3/4" . 13) What is the gas pipe length from the meter or tank to the mobilehome? a s cft ) 14) What is the mobilehome gas demand? B.T.U. * *(This information is not required if the pipe length is less than 6 feet on natural gas or less then 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION 6U O r E- COON I 4 V E' i MOBILEHOME SUPPORT DATA Mobile Manufacturer: �Iar Manufacture Year: 21003 If other then �inlgle wide, fumishSetup Model Number. 01"11 � - 3 Width: Length:$� 1 (ft) Tagalong or Expando Size X On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade [ Y] Other: SUPPORTS: Concrete block [ v ] Other: Provide Tie Down Specifications for all Mobilehomes:� L M ' Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line I Line 2 Line 2 Main Beams Line2 ....................................... ... _...................................................... e 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams ............................................................................................. Line 2 Line 1 .................................................dine S Tag or Triple c 4 inc 1 r Line 1 Piers: Size minimum: Spacing maximum: From ends -max: . Line 2 Piers: Size minimum: ' Spacing maximum: From ends -max: Line 3 Roof Loads: Size minimum Location (from rear): Line 5 Roof Loads: Size minimum Location (from rear): Line 1 Openings ]XI I Size minimum: x Each side of openings " with width over: " Line 4 Piers: x o] Size minimum: x Fs o Spacing maximum: " 2' o From ends -max: " a4 V' 30 10 V 30 14 T -)e 30 .-4400 III" y 2 , a " BUTTE COUN E UILDING DEPAPTME 4PPPVF 2"z 2'x S/ 16' STEEL ANGLE DETAIL pA" CHASSIS FRAME (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4"" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2' ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02'.�SCH 40 PIPE STAND WITH TWO 01/2" AD.WSTER HOLES �ABESCO ABS PAD #503 1 1— a;' STEEL FRAME CZ rLA i%u * NUT WASHER COACH 'C" FRAME oui.�, COUNTER BORED FLUSH W TH BOTTOM 2" CHANNEL AT 8" O.C. (8) -REQUIRED moi\ ��.- 1/4' STAND RASE TEK STs ABESCO ASS PAD (2) REQUIRED 1� �5D3 - BASE 1/2" A307.SOLT—/ - (2) REQUIRED - 3/8'x 6'1 6" STEEL PLATE 1/2' A307 BOLT-/ (2) REQUIRED 36" MAX ` TO som — _ ......... -OF•-PAD ... 10.00 LOCK 3' C.R. LOCK PIN WITH 4t/8' BRIDGE o PIN 49/16 HOLE (r&) - STAND BASE { TOP VIEW 4 rte rye;�� COACH 'J" FRAME • cn q14) 1/4" GRIPPER STSPLATEEQUIREDmmN_f 4- GRIPPER m— --- -8� -- --- _ _ LO CJt m A307 BOLT (4) REQUIRED w 00 C—HEM E—BEAM N ATTACHMENT ATTACHMENT m " PLACES y.•;S e g M � A xi- TUF-1 PERMANENT FOUNDATION SYSTEM ABE$CO-GUS GUARD COMPANY 5951 FLORIN – PERMS ROAD SADRAbeUM, CA 95323 PH: (800) 382-8831 FAX: (916) 383-5207 g" 1/2 DIA. HOLE (8) STEEL FRAME TOP VIEW STATE APPROVAL i �a oa g gV � :7 ��P`-• 3�� ill) n Q o� :, o s. E •` t �- rte-. f<" � c C.. a e O Q J m 4 O j dl m O e fa , 'a WAYNE T. POLVADO, P£—LISTING NO. F94249 SKEET I of 3 A D tz m In 0 A GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE 'C' SEISMIC ZONE '4' *SNOW LOAD 100 PSF (SEE NOTE #15) - "' 2. T7115fOUTJDATIOff �YSTE•AI IS UESIGP-0E6-1'O Bir CON57RLJCTE� OiN - A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3.. CHASSIS BEAM SUPPORTS SHALL"BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOHH.E HOME INSTALLATION INSTRUCTIONS'. 4. IN ARIAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR. MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS ARE DESIGNED FOR LOW PSF TOTAL LOAD SOIL PRESSURE, 'AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL FABRICATED ACCORDING TO AISC SPECIFICATION. _.-..__-WELY-9X=RG__M'AWS"3PMnMTMW5.--7EIlCTRQDES=37ff_PL7RES-=xs i A36, BOLTS -SAE GR 5 ---ASTM AA49=ASTM-A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY = AND ASSOCIATES FOR THE FOLLOWING LOADS: 16. FOUNDATION BLOCKS 16"x 16'02" POURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE VIDE COACHES DOUBLE/MULTIPLE COACHES - •- - - •-- - -----..M_ .. f =- 2�._MIN: -`-•g.._1l'AX.- � -_" E =._2`.. MIN:- f -t i-'-- i�tAX:�----• ---- S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. ALLOWABLE LDAW: SORSZONTAL VERTLCAL GUS GUARD TUF-1 2200$ 6000# GUS GUARD MGP PAD 2200# 6000,E GUS GUARD E -Z TIE PAD 2200# 6000# S. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT-.--;:-:,;�.�- 11061LE HOME CHASSIS BEIUAS ARE OF STANDARD SECTION. ... '4x— � o„ (%. -. VARIES 10'-70' (SEE TABLE ON_ SHEET #3) - — E S S— -S ' E� RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER f 1 (TYPICAL) ❑ ❑ 8' NOM. NOTA. 101 PADS IN ANY PAIR MAY BE I STANDARD M.H. FOUNDATION - ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) 9. EXISTING CDACHES MAY BE RETROFT17ED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL fGUvB+4716AJ• •Pt -Ag 1OY THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS VRIERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. i MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS }�' THE SAME AS SHOWN REQUIRED PER EACH UNIT. G)--, / `1 12. SIKtLE-MADE UNITS REQUIRE AODFRONAL RESTRAINT. ' (SEE SHEET #3) _ 13. ALL,METAL COMPONENTS AND ATTACHMENTS ITW SHALL BE PROTECTIVE COATED. `14: WHEN CONCRETE SLAB 1S IN EXISTANCE, PAD IS NOT "'d REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF —1 PERMANENT FOUR (4) 1/2°x 3 1/2" EXPANSION ANCHORS. FOUNDATION SYSTEM •j r .15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN NSTAILE13 ABF -SCO -GUS GUARD COMPANY -`� WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN -PERKINS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95823 ONE BASIS. PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL P'iii�`Ys�Y?. REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF —1 PERMANENT FOUR (4) 1/2°x 3 1/2" EXPANSION ANCHORS. FOUNDATION SYSTEM •j r .15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN NSTAILE13 ABF -SCO -GUS GUARD COMPANY -`� WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN -PERKINS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95823 ONE BASIS. PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL O 1 z < a -c I I 9 l:: g�.- C� 1 C) X� •y OC� O :a Q m y azi 0916.t g vii �`g�O �s3� A 0 soy WAYNE T. POLVADO, PE-LJSTING NO. F94249 SHEET 2 cf 3 0 D 0 m in ` s 1/2'x 3 1/2' EXPANSION ANCHOR (4) REQUIRED CONCRETE PAD INSTALLATION CHASSIS FRAME (2) REQUIRED 1/4' GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED 41 1/2' SCH 40 PIPE RISER WITH - 01/2' ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO - t/2:LADJUSTER HOLES (�J ABE5CO ARS PAD #503 QSTEEL FRAME � G rd < S_ F y �-. i 18 1/2' 1/2'x S' LONG (4) REQUIRED ANCHOR BOLT 3/8" CAD PLATED BOLT, NUT & WASHER (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM 1 AT 8" O.C. 1 (8) REOUIRED 1 ' •' + r tT POURED IN PLACE 16x16x12 CONCRETE FOUNDATION INSTALLATION t. 1 , 1 t rt 36' MAX MM17–wm TOeotr — - - vllni . . _ .. "OF' PITO_.... unucO .... LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION NU11BER OF TUF-1 REQUIRED NUMBER OF TUF-I REQUIRED Se"ME WIDE U167S REQUIRE (4) E -Z TIE PADS. GUS GUMP TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL WERVALS ALcmG EACti FRAW RAL. TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 TATE APPROVAL WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3 r1l; §i c? MODEL #4828-9737-3-1286 SQ. Fl. -minmat nor OPT PATIO DOOR UNMI®""" I io WINUUW UPI MW 48' ainjouB, ENWRONME119AL HEALTH SEP o 5 'a VB avLJ' Tuln% p ou f4unoo 09 7COUNT)f MODEL CENTER DRIVE #WMVft-� — SQ. FT. - OPT PATIO DOOR , WINDOW OPT i 48' i ` z N ° t coot ro , 4SO Q) FS Lt a Pt tl 5- v1 I s �\ r� APPROVED pty F.ir6rirdt®ntal Health C' -s m e r cc, Cvjj�' CCL � SIO _ � A eo 6b: ort9,y%oj PRE -INSPECTION REPORT OwNEF, IV\ LOCATION: �1 CONTR.ACI'O� PRE-INSPETION DATE: ' � 5, G 3 A.P. #-6L 2 r-)-) b, Ga ZONING: DATE TO INSPECTOR:' . PHRMif HISTORY.( )NONE 'N,�.S BUILDING U(SPECTOR'S REPORT Banding D scription: ' CoaunxciaWsaga Resideati" of Units Currently Occupied Abendono&Vacaat Electric: - Gu: Yes No Condition of Ekctric Electric cnrready On. Off Natural Propane None-- Obvious oneObvious Problems: Currently On Off Sanitation: Plumbing Working - WcU Woci;ing Potable Water Obvious SewvageProblems _ ACTION RECOMMENDED: LSSUE: HOLD FOR — Inspector. � G F Date Sketch buildings on reverse and indicate location on proper I Iva 62-21-20 S Kennedy �f E/S Jat Rd., app.400'q5-46-f Bald Rock Rd . , Berry ek Permit #2709-80P V.- it . ,MH) ELEC. GAS SUPPOR TRUCTURE REQ. \ p C TION TEST REQ. 62-21-20 ."'RD ECHOLS G3 Jatko Rd, Berry Creek ContR: mobile Home Cen"r PErmit#1897-88MHI(exist' g site I -e IL 62-21.- �"bntR: MH Center Permit#2831-88B(reinsta 1 awning)MH Permit#4057-88P(9=piping)MH f } j COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-7541 ev 12/96) APPLICATION AND PERMIT PERMIT 0- BUILDING PERMIT Cw NEA LO 6ktOr Owr.EAU_NO ADD RESS `4P_ ` I COM AAC?OALS ^NA`4E `(0��, CO.(T AS MAUNO ADDRESS(�(�q COrISTAVCTION LEND EA LViDEAS wuuNG ADDRESS ARC.•rtECT OR ENGINEER AaCMTECT OR ENGINEERS MA o4 ADORES$ 6t,4pu,0 ADDRESS 'd,25 Nn Lor No. I SUEO1V610NSN/WE � c.��,. • ��.E..�L.0 cIu t �r`r1 tl — u u t' I TELEPHONE ion i�15$S� USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑, Other sPEc*F TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ "'PERMIT FEE PAS b S RA SHERIFF AAk6VW RECE 1 t> *P N NVAM " TO W PVT INTO GOIIMtaM IReceiptNo. WHITE -0.0.11, SO. FT. I OCC. I BUILDING VALUATION ON 4 I I Fireplace I I Total Valuation S Filing Fee Permit Fee Plan Checking Fee I S S S 20 C: '" Energy Plan Checking Fee S . I - p S _ IVlflln ervice ( 20" TO IOWA ) I I 46.00• HEW CONS I. DWa1W0 OCCVP, OR ADONS. E Ar-c.aIDS. I , -"— 3. SCR50. PERMIT FEE S POWER APPARATUS t SNOLE OUTLET CIR ! PLUMBING PERMIT EX. Occup. OUTLET OR FUTURES I Fling Fee 20.G0 Each Trap 5.00: 7.00; Solar or heat pump water heater Mobile Home Facilities ! i 23.00i Water piping I 1 S.00. - Each qas water heater or vent I 1 S.001 Gas piping system I - 5 outlets I ITS --0'01 Building sewer I I 1 S.00' Mobile Home I S I C' W 1 @20.00' PERMIT FEE I S ELECTRICAL PERMIT I I Fling Fee: 20.0 Main, Service-O'R' ( mw LELEss SS � � 23.00 . I - p S _ IVlflln ervice ( 20" TO IOWA ) I I 46.00• HEW CONS I. DWa1W0 OCCVP, OR ADONS. E Ar-c.aIDS. I , -"— 3. SCR50. N Y TEOUTLET NO.FAESID, A•A-H r6CLATS I 1.:7.5501 POWER APPARATUS t SNOLE OUTLET CIR ! I EX. Occup. OUTLET OR FUTURES I so i r oo EX. Occup, nsIEsIoIE,1 5.00: Temporary Service i _ 23.00' Mobile Home Facilities ! i 20.007 Misc. Wirin ! j 23.00 I � PE IT FEE S MECHANICAL PERMIT Filing Fee 1 20 C) Heating 1 Cooling Hood I 6.50 Ventilation 1 I PERMIT FEE S Mobile Home Installation Fee S Energy Inspection Fee S Oc` I CONCT rYPE TOTAL FEE $ j NA Z. 10. ZEES I IMP I FLOOD I COP PARCEL PO ; -0 ; aS'' This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which lees have been paid. By PERMIT EXPIRES 6N Onto V,� -H M/H ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/publicworks/forms.htnl NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Tt Number District APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and hi hwa' s, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. 1. Applicant's Name: 1 a. Company Name: 2. Address: c� 6 3. Phone: 4. Assessor's P ce Nu ber.�� (C>aa 5. Location of Work to be Done a 3 -ACL Q- rfQCil e f --K 6. Applicant's Signature _ 1 7. Date: �' CONTRACTOR'S INFORMATION 8. Contractor's Name 9. Address 10. Phone: 11. Fax: 12. Contractor's License Number: 13. Certificate of Insurance: Yes 'S No: ❑ 14. Contractor's Signature: 14a. Date Signed: n 15. Authorized Agent: r TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. Driveway (List Type):Other: �• i �- 1 . f (:q 18. PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby granted. 19. Conditions V. 01 Underground Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 20.' ❑ All work shall conform to accompanying: Detail ❑ Plans ❑ Special Conditions ❑ 21. Date Issued --T 22. Expiration Date: 23 Surety: Mike Crump, Director of Public Works By: mote. it permus are raxeu to any number besides (530) 538-4356, they can be delayed up to one week. Page 1 of 2 General Conditions - See Page 2 GENERAL CONDITIONS 1. It is understood and agreed that the County has prior right to the use of its rights of way. It is further understood and agreed by the Permittee that the doing of any work under this permit shall constitute an acceptance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit Except as otherwise provided for public agencies and franchise holders, this permit is revocable at anytime. This permit is to be on job at all times while the work is being done. 2. All work shall be done subject to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The Permittee shall, at all times, during the progress of the work, keep the County Highway in as neat and dean a condition as is possible and upon completion of the work granted herein, shall leave the County Highway in a thoroughly neat, dean, and usable condition. 3. The Permittee agrees by the acceptance of this permit to properly maintain any encroachment placed by the Permittee on any pad of the County Highway and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsibility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require the installation provided herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. 5. No material used for fill or backfill in the construction of the encroachment shall be borrowed or taken from within the County right of way. 6. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shall be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shall be dosed to Gavel by the general public without special permission, in writing, from the Board of Supervisors. 7. The Permittee, by the acceptance of this permit, shall assume full responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit In the event any daim of such liability is made against the County of Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them and each of them harmless for such claim, 8. All excavations shall be backfilled and compacted immediately after work therein has been completed. Trenches shall not be left open farther than 300 feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special Conditions, backfill shall be place and mechanically compacted in such a manner that the relative compaction throughout the entire fill within the County road right of way shall conform to the percentage of compaction as stated below. Permittee shall notify foreman 24 hours before backfilling and/or paving. a The relative compaction from the bottom of excavation to a plane five feet (6) below finish surface grades shall be no less than ninety percent (90%) as determined by Test Method No. Calif. 216-C of the Materials and Research department, State of Cafifomia, Transportation Department, Division of Highways, or other approved test method. b. The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for oompaction tests. c The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. Material for use as trench backfill in any existing or proposed roadway section shall be sand, shall be place in 8" lifts, and be compacted to a relative compaction of not less than 95%. Material for use as backfill in roadside gutter excavations shall be the native material and be compacted to a relative compaction of not less than 90%. Any pavement cutting shall be scored, or saw cut before trenching. Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts. All installations, parallel with roadway, shall be placed as dose to the right-of-way line as possible. No portion of the backfill(s) shall be compacted by ponding or jetting. All pavements, curbs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road facilities impaired by or as a result of construction operations at the construction site(s), or at other ground(s) occupied by materials and/or equipment, shall be restored immediately upon backfilling or the excavation to the original grades and cross sections, and to a condition as good as, or better than, existed prior to the construction. All surfacing materials of roadways and driveway approaches cut or damaged by or as a result of construction operations, shall be replaced within ONE WEEK following the backfilling of excavation, weather permitting, with compacted layers of surfacing materials at least as thick as the existing, and no less than two inches (2') of asphalt concrete over eight inches (8") of aggregate base, according to current Cafiifomia State Specifications. 9. Whenever necessary to secure permission from abutting property owners, such authority must be secured by the Permittee prior to starting work. 10. The future safety and convenience of the traveling public shall be given every consideration in the location and type of construction. Permittee shall cause to be placed, erected, and maintained all warning signals, lights, barricades, signs, and other devices or measures essential to safeguard travel by the general public over and at the site of work authorized herein. 11. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shall notify contractor as to the special conditions and requirements contained herein. Page 2 of 2 National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BMPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: D Title: � $sk. Q:)S Ae7 Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: . Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan nn , Return to DPW A6R1C1JI.T1M1, STATEMEMP 01_ A('KNOWr,T;T)CE:n,,ar FOR RESII)EUEIAL DEV }?T,OP11F NT ----- Section 26-8.1 of the Butte County Code requires this acknowledgement 1>e 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 residcnts of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit_- of agricultural oper;ltions including, but not limited TO cultivation' plowing., spraying;, pruning, and h.:�rvc:stiny wl�i.cli occasionally generate dust, smoke, noise, and odor. Butte County has established ag;r.icultural 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: AP1162-21-20 That portion lying South of the Qroville-Bald Rock County Road and East of the present existing road along which a right of way was granted to Anton Neuwirth and Beryl Neuwirth of the Northwest quarter of the Southwest quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M. a Date: ,Q/E /% PROPERTY OWN 1.,125 Edmund L. Echols State ofo-� ) CSs of �LRI'IED/�l. ) Present A.P. No. On this the _� ° day of - ,10-465— N, 19 00 before me, the undersigned Notary Public, personally appeared E Personally known to roc. �T�� /�/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) lZer subscribed to the within instrument and acknowledged that 7'VqV executed the same for the purposes therein contained. IN WITNESS W1117,14:011, I hcrr.unto set my hand and official. seal. ®enoonaaoaeouaaetnaa>toe��a�enneooaeno;»oe��aroa�t� OFFICIAL SEAL - ^` GEORGE 1. BETTENCOURT ���✓,-� �a NOTARY PLJOLIC • CALIFORNIA ALAMEDA COUNTY My Comm. Expires M-ar. 27, 1991 Not E Publ is ®Y711aClIiBBaaa0110i111aa lila tag 0aaa a If Igul 117111knZ i r N PERMIT NO. dSQ7-28MHI ex site PERMIT EXPIRES OWNER EDWJNOL D ECHS CONTR. Mobile Home Center ASSESSOR PARCEL 62 21 20 LOCATION 23 Jatko Rd, Berry Creek r. Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service 41--1 Called JOB FINAL Signatu =OKE. 0 = Not OK I = Not Readyable MOBILE HOMES I MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. 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.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures �//j / /"Nat. orArL"f ./&"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -81 Date ({ Card -61 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOB EHOME INSTALLATION (Plans) OK except #'s Hing Requirements -Setbacks -Easements Card -B1 Date Card -131. Date . F 'rugs; Size -Spacing -Marriage Line Card -B1 Date Card -131 Date v* -MH Test -Demand -Valve -Connector Alefjpdricity; MH Test -Crossovers -Breakers -Clearances I Date POOLS (Plans) OK except #'s 45,'g'F6in; MH Test -Fall -Flex Connector 1. Setbacks -Easements V)la>'er; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability ater and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining gLt anj_E4ectricity Tagged s; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 0. 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.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -B Date — and -131 Date Card- Dat i Card -131 Date 9. Health Department Approval 7 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -81 Date Card -81 Date Card -131 Date M = OK 0=Not AOK pplicable - =Not Applicable RESIDENTIAL'(Vinglib and -Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-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. Bdrm. 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 -131 Date Card -131 Date Card -131 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 -B1 Date Card -131 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 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 Al. 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 -B1 Date Card -131 Date Card -131 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 -131 Date Card -B1 Date Card -B1 Date Card -61 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 -131 Date Card -131 Date Card -131 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 ❑ 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 Of. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -81 Date Card -81 Date Card -B1 Date Card -131 Date Card -61 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) G MOBILEHOME INSTALLATION ACCEPTANCE -;--COUNTY OF BUTTE— DEPARTMENT OF PUBLIC WORKS,=_7_COUNTY CENTER DRIVE + — OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. ! y Address or location of mobi lehome i Owner's name r Owners address Insignia or hud number ,.Manufacturer's name_ Serial` umber of-V.I.,N. .. ,(Official—Approving Installation) Year of manufacture 'lam (Date) -IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION L� ACCEPTANCE'SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. r ! 513B White - Owner, Yellow - Installer, Pink - D.P.W. - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive'- Oroville, Calif4rpia 95965 - Telephone: APPLICATLONAND PERMIT WORKS 916/538-754r4PERMITNO,,,/ ASSESSOFj�Aft PA CEL N`U BER (/f/� U ZONI G01 - y om BUILDING PERMIT ow G�/yiS �i� TELEPHOyI 77 Y (/,�' SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING 0 A DR ,? 7 S ;eAe ' e- din©.4/T6_3 CONTRAC OR'S AM 'JA TELEPHONE CONT'RACTOR'S MAILING ADDRESS �77U � Fireplace 4$_ CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,t OV ' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS , Penalty $ BUILDING ADDRESS Permit fee $ Slav PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 'gad Ryck Aell Solar or heat pump water heater 20.00 LOT NO. SU BDI VISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex CV Mobilehome Other SPECT FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mob le Home is 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: - I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar nder email of perjury cecone p y p I yhk ( )' 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 —Ex. ❑ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y , OR ADDNS. ( ACC. BLDGS. /22sgft NEW CONSTR MU '.OUTLET 2,50 ea NON-RESID BRANCH CIRC TS POWER APPARATUS e (SINGLE OUTLET CIR. Occup OUTLETS OR FIXTURES .200030 Ex. OCCup. OUTLETS P(FIXED RESID))R EA.) 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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 Filing Fee 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. 1 also a to save, ' fy and keep harmless the County of Butte against I' Tillie judg nts, co ts,and expenses which may in any way accrue✓ ag Inst sal Cou y n cons uence of the granting of this permit. n XJ �J Date _�3 rS \ �— 5i� t of Applicant Owner E:1 Contractor Agent ❑ An OSHA permit is r uired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. - Mobile Home Installation Fee $ 14 S b -'I> Energy Inspection Fee $ l TOTAL PERMIT FEE $ o� OCCUP, CONST.TYPE JSCH00LJF!;5 JPAACE P -' No 39UEall This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D RECT p OF PUBLIC By / PERMIff EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ate n2�(. C,` Re eipt`'N .0-011 , 1 00 WNITE-D.P.W.. YELLOW-ASBCSSOK, PINK -INSPECTOR GOLD ROD -APPLICANT �.,, ri , .r.F ...- �� 'Z ;•-1 ...Y, ,-'� .aY, ..• r+,'" F.r ..��-� vu .e .+ti r"`ri .'r:-. .-.� .... ,yr'^ ,� ,r-. .'r :a 1 COUNTY OF BUTTE - DEPAR TMENTt;O i PUBLIC,WORKS - BUILDING:IDIVISION / 7 COUNTY CENTER DRIVE - OROV- LLE ZAftIFORNIA 95965 - TELEPHONE: 916/538-7541�_r� / PERMIT APPLICATION DATA SHEET Permit No. OWNER ` i(/) U�v �i�' �Y! l�/ S _ 1' A. P. No. _-4,;2 f O Proposed Building Use��� �r�M`e 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, 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- eated and AC Buildings. 8. Fees of $ 16 . o . . . . . .. r 9. Letter of signature authorization. . . . 10. Sanitation approval from D7QQc (�� 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 Verificationt(Given to owner[], Mail to owner ❑.) _15. Improvements may be required. . . . . . , , , , , X16. Mobi lehome InstallatiorLDa a. . . . . Pre-Inspec. request to 17.. Pre-lnspection fore ` V. E Required, Building Inspec or (Date) 8. Recorded copy of Agricultural Qcknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21.- Engineered trusses'in duplicate (required rior to plan check). 22, y' P56 W ren you issue the permit, ocess as follows: Mail to owner, Mail to contractor. Telephone 33 (� and hold for pickup aiof ice, Deliver w/in pector. Other // Applicant E Date i Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to per uance: ew it m 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--nall—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW f TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance `O.K.. for: Water Supply Clearance for C bedroom mobile home. Ot NOTE ** ihithrian COUNTY OF BUTTE - DEPARTMENT 0 P 7 County Center Drive - Oroville, California 95965 - el APPLICATIMAND PERM tE550 A CEL NU BE N. ZON G TELEPHOv NER'S MAILIN A OR 0 7 �'.�D ,� �i»o,✓T NTRACOR'S AM£ I_ •, _ .. /� JTELEPHONE �ILIC WORKS PERMIT No. ,ne: 916/538-7541 BUILDING PERMIT OCC. I BUILDING VALUATION CONTRACTOR'S MAILING ADDRESS U7 �7yU�I CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER' 10, Fireplace Total Valuation $ Fi,_ Fee Permit Fee LICENSE No. Plan Checking Fee Energy Plan Checking Fe Penalty ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS, Permit fee PLUMBING PERMIT Each Trap : 4 ��S� .ter LOT NOSUBDIVISION NAME PARCEL MAP Solar or heat pump water hea Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex Mobilehome� Other SPECIFY Building sewer TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationEf Other ❑ Describe work:rA )— c Mobile Home IS I G I W Permit Fee Contractor ELECTRICAL PERMIT Main service JOOV OR LESS 00 AMP OR LESS CONTRACTORS LICENSE LAW I declar nder 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. / ,,',C License No. 7a47�� Classification _ I, as the owner, or my employees with wages as t eir sole com en- p 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 EA. AOD'L 100 AMP NEW CONST. DWELLING OCCUP.ai OR ADDNS. ACC. BLOCS. NEW CONSTR. U LOUT LET NON-RESID BRA CH IRC ITS (POWER APPARATUS e1 SINGLE OUTLET CTR. Ex. Occup OUTLETS OR FIXTURES FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA. Temporary service Mobile Home Facilities Misc. Wiring Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 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. I certify that 1 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 a to save, fy and keep harmless the County of Butte against all) ilitie ,judgments, cc is, and expenses which may in any way accrue against sal ou }y In cons uence of the granting of this permit. Contractor MECHANICAL PERMIT Heating Cooling Hood Ventilation Pe^nit Fee Contractor Mobile Home Installation Fee Energy Inspection Fee TOTAL PERMIT FEE oecuP, coNST.,rvE SCHOOL FLOOD P Filing Fee 10.00 2.50 '/2Qsq ft 2.50 ea 2.00 10.00 15.00 15.00 $ 10.00 I V 10.00 10.00 FiIingFee I 10.00 3.00 $ ICEL P HD ISSUE X Date __cv "�-3"� This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Si t of Applicant Owner❑ Contractor, Agent ❑ work indicated above for which fees have been paid. An OSHA permit is r uired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS Receipt No. - ') By Date WNITE•D. P. W., YELLOW-A,DC3S0A, PINK -INSPECTOR GOLD POD -APPLICANT PERMIT FkplPFc n�to _._ I— w • wK.,«C:rv.^w.::_.+�+w-w..»+.d•..:.�:,.•w-....».,w..n,....»........_.q.,.r.....�....«,.-..«,...�.........+..-.....w............... M.......�...»...-.«_..... ��......_.�....r_.. NOTE.—Ail Materials & WorkmanshipShsC B9 d Accordanco with Recognize-' Gcod1 Prn f:ea and of a quality prescri..L:_ fey t.: S '.luse In the Uniform Building, PlurnUng & and fhe National Electrical Code. I .�;t \V\ rs Sha`\ b ethet t nrecN\o eh°me, the tea uta\�'ry Co tn° e a of •N�tr`r °� th a\tec� had{ `erre. cr°b� from the E'` setback etbac ins and a setback proper'• the road of 504'• from clear of centerline shall be ent exCeP�� structures °r equipment 4 Cal . eave over 0 P bang. a� • •, S4 s ecif'ica� n� #`+1 }r :. set of Puns i es oil ns on�some w+pyb�l . ke ,gin th 'a{tieDePartme r make an�erm►5�':,�:t c' 'Om o. y�rit}en pGo�ntV 0 2. I F'� M :9 .P 1 . 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 F-1 No El (If yes, furnish permit number ) OR Is the site an existing site? Yes No �. (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic t and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- /46 Amps 9.. What is the mobilehome site gas pipe size? ------•-------- 6. What is the mobilehome site service rating. ------------- `' mps Natural LPG F] 10. What is the 7. What is the mobilehome site circuit breaker rating? ----- Amps is the 8. Is there any other electric load to be served by the m ; mobilehome? -------------------------------------------- (ft.) mobilehome site service? -------------------------------- Yes mobilehome gas No (BTU) (If yes, identify the load and size: (Load) (Amps) 9.. What is the mobilehome site gas pipe size? ------•-------- (in.) Natural LPG F] 10. What is the type -of gas service? -I���---,-L�-- 11. What is the gas pipe length from meter or t#nk to the m ; mobilehome? -------------------------------------------- (ft.) �e 12. What is the mobilehome gas demand? ---------------------- (BTU) 44 *(This information not required if pipe length less than 6 ft. on '" natural-,gas.or less than 50 ft. on LPG.) MOBILEA0`1 SUPPORT T DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. Yeah- Width /()_(ft. ) lox Lengthy (ft.) Tagalong or Expando Size_ ft. xft. 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) FP] 1. SUPPORTS (check one) ®1. Line 1 Piers: Wood -pressure treated or foundation grade. 1:1 2. Other (specify) Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE ,Line 1 Line 2 __ _ — Line 2 Main— Beams Line 2 — — — — — — — — — — — — — .s—Line 1 Lille F__ a Line 3 Size -Min. ------------ Spacing -Max- --------- Fenn Ends -Max. ------- I.ine 2 Piers: Slxe-M In. -------- — -- Spacing -Max.--------- From Ends -Max .------- IJne 3 Wu,f loads: Size-Mln.------------ Main Beams Tag or Triple — — — —. — — — — I i n P Line 1 Line 1 Openings: Size-Min.------------------� Each Side of Openings With Width Over--------- = Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------------ „ I. Sp.jcing-Max.--------------- „ From Ends -Max .------------- "x "x ..x "x "x.11 "x "x 4- N wc•ation (From FronL) _ _ _ _ _ _ I_ Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only) Size -Min.------------ /1, Size -Min ------------------- x Spa,jog-Max.--------- �' „ Spacing -Max .--------------- Prom Ends -Max.------- O From P.nds-Max.---- -- - " Line 5 Hoof loads: �� __ r Size -Min.------------ F i I/1caLion (Frum Front) K1 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 55965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. SJ j ASS 5 PAR Ey NU E / — ZONI G BUILDING PERMIT oW E H SQ. FT. OCC. BUILDING VALUA ION OWNARIS ALING AD ESS _rr m COr° RAC70R• NAM TELEPHONE CO TRACTOR'S MAILING ADDRESS Fireplace CO S UCTION LENDER © e UNKNOWN_ Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC I ECT 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❑ MobilehomeN Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W I 0.00 ea 1t19 - TYPE OF WORK New ❑ Addition Remode \ Utilities ❑ Installation❑ Other vO Describe work: P 1 10 1 rl Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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 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 CONST. DWELLING OCCUP.a , OR ADDNS. ( ACC. BLDGS. Z¢sgff NEW CONSTR. MU Q-OUTLET2.50 ea NON-RESID BRANCH CIRC TS POWER APPARATUS e\ SINGLE OUTLET CIR. 1 Ex. Occup( OR FIXTURES 20050t SAL@3o FIXED AP Ex. OCCUp. OUTLETS P(RESID.)REA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 FiIq,.,Fee10.00 Heating Cooling Hood . 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 expe ses which may in any way accrue against said Cou ty in con aenc f th .granting of this permi . X�IZ-�—c' '' /L / r�� Date Signature of Applicant — Owners Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" de emolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE Occup. CONST.TYPE ISC1100LIFLOODIPARC1.1.1 P HD ISSUE This permit is hereby issued under sions of in Butte County Code and/or work i ca d above for which DIRE PUB y MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS Dae oho Receipt No. �©D WHITE-D.P.W.. YELLOW-A3aessOR, PINK-INSPER. co IEA COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Phone: 916-538-7541 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 O e)('2. I (have/have not) 1,Q U � 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 , a S Gl S Address 2 U a N -e a�i_c City C C o - Phone ch 3elL )'3 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 Security Number `/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. 1897-88 PERMIT NO. 2831-88B PERMIT EXPIRES OWNER EDWARD ECHOLS CONTR. Mobile Home Center ASSESSOR PARCEL 62-21-20 LOCATION 23 Jatko Rd, Berry Creek Temp.. Pow Called Temp. Elec Called Temp. Gas Called JOB FINAL SlgnatL._ = OK 0 = Not OK = Not Readyiable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P' ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -B1 Date Card -B-1 Date Card -B1 Date Card -B1 Date i MISCELLANEOUS 19 Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances -GA 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.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test ICard -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 4. = OK 0 = Not OK p. RESIDENTIAL (Single and Duplex) - =Not Applicable � 9 = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De _ 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei 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 -81 Date Card -B1 Date Card -131 Date Card -131 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 -131 Date Card -131 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 Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. I 32. Clothes Closet Liqht-Shower Light -Spa Liqht Card -131 Date Card -61 Date Card -B1 Date Card -61 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 -131 Date Card -131 Date Card -131 Date Card -B1 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 Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -81 Date Card -61 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 ❑ 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. Roofing Certificate Card -81 Date Card -131 Date Card -B1 Date Card -61 Date Card -61 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE �• DEPARTMENT OF PUEJLIC WORKS n 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 ~_ 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 when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date r,; c+:+r=.:.�"�a.r..�:.a--'a: F..�t....�rH_.-�i-+.s.+o-*'Y+w.r�3-..._--s..v.sw-•r:.++.^+�'+-�^+H...----•--n-�v-si..-....�. ,�-rr: ti4 COUNTY OF BUTTE • : DEPARTMENT OF PUBLIC WORKS a 196 Memorial Way, Chico — Phone: 891-2751 'r 7 County Center Drive, Oroville —Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. L'V A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office ,r when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �J ("Y A /ZZ tl I fi ; {i S L' •� 1 S i Inspector Date / �? Y COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS fq 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 AMER— PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector. All Date 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 0 NE PERMIT NO. A routine inspection indicates that the following violations of County Ordinance a 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 /matte'ri, or need additional explanation, please contact this office immediately. Inspector 0 Date C v r C COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872.-6307 CORRECTION NOTICE 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. . 1L_ I I - - -Z_ /I , Inspector Date_ -✓�/� ilk AA -)(4 7 1 r Inspector Date_ -✓�/� 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 RRECTION NOTICE OWNER A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. Inspector Date COUNTY OF BUTTE • DEPARTMENT OF PUBLIC WOjiKS ` 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 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matte!�y need additional explanation, please contact this office Immediately. Inspector- Date—7 ^� �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �PERVIT. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-75 APPLICAT16N AN: D`PERMIT ASSESSOR PARCEL NUMBER — ZONI BUILDI PERMIT OWNER T LEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER' AIL G ADDRESS CO TRACTO 'S NAME T,07 T LEPHON 3 CONTRACTOR'S MAIL NG ADDRESS Fireplace ONSR CTI IN L R UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRE e--2� Permit fee $ S O 5 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 STRUCTU` SF [IDuplex[] Mob ilehome Other r SPEC Fv Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationV Other ❑ Describe work: QF'iw�C����l� 2� �i iAJp ��� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6OOV OR LESS t00 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): IA I am licensed under provisions of Chapt. 9, DIV. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. 614;1 / 15?t0S__ Classification l — / F1 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 Occ UP.a` OR ADDNS. ACC. BLDGS. / , h2sgft NEW CONSTR.TI-OUTLET NON.RESID BRA CH CIRCUITS) 2.50 ea / POWER APPARATUS e) (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES .200590 FIXED Ex. OCCUp. OUTLETS P(RESID )LNS 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 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 enter upon th ab ve-mentioned property for inspection purposes. I so Yee o s e, in nify and keep harmless the County of Butte against I iliti s, dgm s,. costs, and expenses which may in any ay crus a nst sa' C n In consequence of the granting of this permit. Date Signature of Applicant — Owner❑ Contracto(,N 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 $ e 5 OCCUP. CONST.TYPC JSCNOOLJFLOO&rZCEL[N,D ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PER XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. lI WHITE-D.P.W., YELLOW -ASD L SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT k".� M vM G i+ ♦tz •+w...{. -..r+ .w's r sMaitii ?G'y"ix1 T' r. vW �"F.:IW. _ _ r COUNTY OF BUTTE - DEPARTMENT_OF5Pgl5L1.0 WORKS - BUILDING -DIVISION 7 COUNTY CENTER DRIVE - OROVI�LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 j ,PERMIT 1APPLICATION DATA SHEET Permit No. / OWNER (��a-o 1- A. P. No. [O- a C� Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items.have been submitted . . . . . .. . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. �3. Complete plans ' du lica /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. J Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ ' , zz. 9. Letter of signature authorization. . . . . . . . . 1 Sanitation approval from Health Dept. . . g 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 owner 0•) . _15. Improvements may be required. . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . ` 17. Pre -Inspection for Pre-Inspec. request to (Dote) Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the per t process as follows: -Mail to owner, -Mail to contractor. _Telephone 2> and hold for pickup a� i p f Office, Deliver w/ins ectdr. Other ��� • / App Date Ircant X _ 1 � Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted rior to permit issuance: (Circle new item not checked above). 1. Index permit for above items NO0 2. Additional items required: ontracto , designer, owner, was advised of above required databy— phone--mail_counter by 1 to Contractor, designer, owner, was advised of above required data by—phone—mall counter by dates Plans checked by Date Plans approved Date Sets of plans on hold in File cabinet AP folder Copy_ DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe Disposal _ Water Supply Hold final for:. Final clearance O.K. for: Clearance for _ bedroom mobile home. NOTE * * * Water Supply Water Supply Other _ �k 2-n. 0 ti VA -�--�- J- S anitariail Date NOTE:—Ail Materials & Workmanship She'll Be Tn Aceordanco wiih Gred C -n i'cos and of a quality presc-.'i- ., fir i. use Int e Uniform Building, Fluml.' :-g « I-Ae. ,. A. .1"I codes and f6 National Electrical Code. rs s est < < 1 cNko OmvI a tea •\�\t,� cor e �cb\ 0, q� NN \\L t�o� thgN-f mo from the A setback of 5 ft. ropertY lines and a setback p from the road of 50ft. all be clear of centerlines eQvipme.nt e%ceP' structures ^ oVer�ngg. ev f d F i • eay..2a.5�i7� 1 d sP'c'ftca�o� n1n,N.ju1 }r . , sef c{ Pians � ''�.s.es n;,d �t i5ume wikhou+ th�on {4�r , LeratD "�oern nt ke all �1-- `� m tine wr. Mzn pErmis 'aukfe. �N®eke, Dourkl BUTTE COUNTY BUILDING DEPARTMENT IN o ti � W z oQ �� U-1 �Z CLC D� co Q 5 CQ ti � W _ � � �64F i .r • _a-ERMIt NO. 2709-80P,E r PERMIT EXPIRES OWNER Sharon Kennedy owner CONTR. r 62-21-20 LOCATION (A.P. ) t ' E/S Jatko Rd., app.400'S.ofBald Rock Rd., Berry Creek E j y T/pPower Pole_ alled PG&E _ !T Te Elec. Serv._ ^ Called PG&E » - - Temp. Gas Serv. Called PG&E JOB FINALED • (Date) (Signature) �i i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION 'RECORD BUILDING BUILDING (Cont'd) PLUMBING Set ck Fir all S'ckl Piping For Para is 1 Floor Mai Bldg. Restro Finish 2nd 11 or Fo ins Windows 3rd Nor Stem all Siding To out Slab Roof Sheath\ng Water PI i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents g Water Htr. Stemwa I I Insulation Heaters Slab r physical ' Appliances handica Carport Conformance of ex. Gas Piping & Test - Footings y structure Temp. Gas Slab Final X I Sanitation Patio FI ACE Final Footings Footing ELVCTkICANk- MasonryWalls Throat Rough Reinf. Stee Final Fixtures Bond BeaA 16RE SPRINKLE Motors Framina Test Water Htr. Stucco Final Subpanels/ Mesh MECHANICAL Grd. Faupi Prot. Scralch Heatin Servic B n, cool i g Te p. Pole nlsh Du s der round In rior Lath V tllation ' enoanent oor Closer '14nal Incl MOBILEHOME UTILITIES ------ Elec. Service%�% C� Elec. Pedestal Water Piping Sewer Gas Piping ' MOBI6EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS L.00LL l�ICIST ® i �i2Doto �DtTiQ ���-%LvICGS l (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT PERMI N9,, O ASSE O PAR L NUMBER — ZONI BUILDING PERMIT owN J l n pm� �x IJU/�J-�c% ls`feo,< T��PHONE SO. FT. OCC. BUILDING V LU ADDRESS ,ONEOR C% �57gs"G7 Z 2Z CONTRACTORSNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEE LICENSE -NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI G ADDRE S _ _0 5 �� ,k/ F D 4 P 460 's. PLUMBING PERMIT Filing Fee 3.00 �7 QJ GCJCx Ok Q,*&h ,�p„QJ � � Each Trap 2.00 Repair drainage or vent piping 2.00 645eloy Ce,4505i- Water piping Q LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets 'Op USE OF SF ❑ ❑ DuplexMobilehome SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORV OR LESS5.00 -dam Main service EA. ADD'L 100 AMP 2, O 2.50NEW CONST. DWELING OR ADDNS. ACCLBLDGS.CCUP,&) 22 sq it 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. ClassificationIOUTLETS 2�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 MULTI -OUT LET NON-RESID. BRANCH CIRCUITS2.50 ea NEW CONSTR / POWER APPARATUS &\ NON-RESID. \SINGLE OUTLET CIR. I Ex. Occu 50@ 250 P(ouTLErs OR FIXTURES BAL@10Q Ex. Occup./FIXED , OR (RESID.) EA,) 2.00 TS (RES Temporary service 10.00 Mobile Home Facilities 15.00 , do Misc. Wiring 6.25 I/f � — 71POCA Permit Fee $ ,S Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 FiIingFee 3.00 Heating Cooling Hood 2.00 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 against s County in consequence of the granting of this permit. v Date �z�?L a D Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ S QCT TOTAL PERMIT FEE $ g 5 OCCUP. GROUP I TYPE of CONST.P CEL Jt/ PD HD 5Su/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date //6-I,z- Pb Receipt No. 397-1-3 -1-3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1• -COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 County Center Drive — 0roville, California 95965 —-elephone 534-4541 • L i' ef+ tiY _ PERMIT APPLICATION DATA SHEET' �+ Permit No. _ (/ OWNER ��%�/V j/U�D� A.P. No. Z/- Z/7 Proposed Building Use 9 44 N 61 Permit fee fee based upon: Complete Contract Price c./DPW Valuation her (explain) Building Inspector LDate 5- S/ — go 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 & AC Buildings .................. 8. Fees of $.................................................. ���� ,� ��9.. Letter of signature authorization............................................................. 51 10..•, Sanitation approval from t%O Health Dep-,.... t) 11� Planning approval for ............. 12. Certificate 6f oren's Compensation Insurance ....................... _041.3. �iip�s_iiformation (no., name style, classification) . .............. :......... _.... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)............................................................................................ 15. Pre -inspection for 'Pirequest to � � 16. Other 0.1itmiL��CtOf .— 6 r date When you issue the permit, process as follows: _` Mail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection. Other Applicant. air ism cx-s� �,r �i Date Copy of plans sent Health Dept., Fire Dept., ether Date During the plan checking process, the following data must be submitted prior to,permit issuance: c,,,. (For required items not checked above at time of ap1pliqationc_itcle it --m.) 1. • Index permit for above Items No. — / 2. Additional items required: (Contractor, Designer . Qwas advised of above required data by Telephone ✓ISA a i I --:�S,9120 Other By Date Plans checked by Date Plans approved by Date OTHER: Rj Copy/DPW To.- Building Department From o Environmental E{ealth Subject Sanitation- Clearance ICU / Owneration AF Sears a 'Disposal Supply Water :�a�r2s approved for.— g ..,..•....v F Hold final for: slater Supply Final Clearance O.K. for.- viater Supply Clearance for 4 bedroom mobile home. Other _%.e...:.. _. _ Clea: anoe for addition of Note'*k Bate i r COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 • OWNER -BUILDER VERIF ICAT ION 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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) e5 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 / 49N e-, 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 "Al e -.- Signed: Property Owne Social Security number Date ed' -O 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 permitted to issue the permit. DECLARATION REGARDING ACCESS applicant for aG� permit from the County of Butte for the parcel of land identified as Assessor's Parcel No. gt/,o2 0%,/- - Q� O , declarethat said parcel was created on 19 �� , by deed recorded in Book ///O of Official Records at Page a 3 in the office of the County Recorder of the County of Butte, and that I first purchased an interest in said parcel on or about (/Q , 19-, and that at that time I was not aware of any facts that would cause me to suspect that said parcel may have been created without the access thereto required by law. I declare under penalty of perjury that the foregoing is true and correct. Executed this t6l 'day of U h , 19 - at ���/�_ , California. Signed 1 11 For value tt•crivrd iGRANT . to VA J.® m . OARED At fK2 MKMW w ��pp �cd6t - -•- Q•-" '��• - —«oma ----- OFFICIAL RECORDS OJ: BUTTE COUNTY, CAUFORMA ETNEL At ESTES, Cernpr Reewdw aFee , A D[eutr ptGOtteip l:R:�XT 1)W) (Joint rcnamy-► I his 9:p -irate ; roierty -M and _7:A J. , ..:;;I n, his wife I as JOINT TF.%.%.%T5 An that real Iwo1wrt) situate in the County n( State nl California. ck-* rilwnl as fiA s, The 5,)Lt!1 t-• ::orth throe acres rf the fo.:cwinr •Jescri+ed pm-3.-ty.: 711.1t portico ','•r .;euth f :•') Cr-.1III i- II RV --C 11—=' 'J .1d + iest of the r: -i ..1 r.- which a r! -"-t of ra; was rantod to ..rtcn -%•t Iryl ..•euu!-th the rt%,.),t puirtar of the 3outhw2ot ic,-tor of erection 34, Tc-nship 21 harth, R,n-e i said ,ortirn cont.•,*:..^,r nr1ruxirataly--6 oe!gs of 1►nd. z . r ; m f� 1).t44 April t i 'i STATi t6 CALIrUeIIIA- �� oft Aoril 18 tt61.K•'•Virgin Lindpty .....,►..rte. -.. t'..-n..it.,.. r.....a...r•.•d ei111A a. :,Levin , 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. 95965 Sharon Kennedy P.O. Box 222 Meridian, CA: 95957 Dear Ms. Kennedy: With reference to the above subject: /XX]t Attached is: Application for permit Building Plans Engr. Calcs Labor Code Information OTHER •Access Declaration PHONE: 916-534-4541 DATE May 30, 1980 RE: MOBILEHOME UTILITIES PERMIT APPLICATION NO. 2709-80 A.P. # 62-21-20 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced /XU 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. Contractors License Law information or check exemption statement. Letter authorizing signature of Complete plans in including plot plans. Plot plans in Structural details in Complete plans in prepared by registered civil engineer or architect. Engr. calcs. sets of plans in accordance with the changes marked in red. XXX Sanitation approval from Butte County Health Department at: 695 Oleander Ave., Chico XXX 7 County Center Dr.,'Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, .Oroville, for Copy of recorded parcel declaration. XXX .Recorded copy of deed showing 60 ft. right of way to a public road. OTHER It appears your parcel was created in April 1961 at a time when Butte Count required a 60 ft. right of way for division of property. If you do not have 6Q ft. right of way, Tease fill out and return the attached access declaration. Should you have any questions concerning the above, please contact this office. Yours very truly, JFG:dd Attachment Clay Castleberry Director of Publi Works Glan dier Chief Building Inspector. Utility connections shall be within 4 ft. of the mobilehome; either . directly behind or within the rear half of the roadside (left) of the r_Fobilehome. . I. for the A pernit `"ilo¢ th m°b;teh°►rteo iosto'dssteon i NOTE:—All Materials & Workmanship Shall Be in Ac cordance with Recognized Good Practices and of a quality prescriber) for the Specified use in the Us iform Building, Plumbing & Machanical Codes and +h National Electrical Code. seiflcations MUST be' This set Of plans and sp t on the job es all timet ons o it ikeps Without map changes or c�ltthe mcxk., any written permission fro+Y' the ®apartment of Pubic wr Works, County of Butte. I r BUTTE COUNTY � BUILDING DEPARTMENT APPROVED Il A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of _ structures or equipment except for a 2 ft, save overhav, i 0` x r BUTTE COUNTY � BUILDING DEPARTMENT APPROVED Il NO I E:— All Materials & Workmanship Shall Be in Ac t rdance with Recognized Goad Practices and. of a quality prescribed for +he Snecified use in the Uni orm Building, Plumbing & Machanical Codes and the National. Electrical Code. i tans and spec►{;cations MAST be This set of p kept on the job at all times and it is a without r,r,a!de any rmerations or changes s �on fromtthe Department of Public workms, permission Butte. n t A setback of 5 ft. from the property -lines and a setback Of 50ft. from the road centerline shall be clear of stnictures or equipment except f,Dr a 2 ft. eave overhang. e r