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HomeMy WebLinkAbout065-110-01565-11-15 JOYCE MILLER Cory Rd., Maga lia Permit #540-86P,;E.(util, MH GAS Q, / i%' SUPPORT.STRUCTUEE REQ, a COMPACTION _TEST_REO._ _ _ — _ 65-11=15 - ce Miller 149 Cory %M;g7laPe ,irmit 777Putil,MH) ELEC . GAS _/ - SUPPORT STRUCT R Q. . COMPACTION TEST REQ. �— -6 _._ 65-11ri5 DAN GOGGIO 'ontr: -Calm -0 er's ..lfIs .. _ _... ._ .. Permit #1 -87MHI (install, MH) ISSUED IF PERMIT NO. I I 77—R7P F.CpJH) PERMIT EXPIRES - OWNER JOYCE MILLER CONTR. OWNER ASSESSOR PARCEL 65-11-15 LOCATION 14954 Cory Rd., Magalia -0 Ila ('jcutwd OFFICE COPY ?.Te n Address GAS Meter eter Te.n ELL C. Met et .4 ,Jemp., Ga's, Service J = OK 0 z Not OK r = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS , , - Date MOBIL ME UTILITIES (K..) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's onl equirements acks-4asamoms 1, Zoning Requirements -Setbacks -Easements oil"ecial MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors ewer; Location-Test-Fal40 oncre 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails waftn- - 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing Iectricity; ion -C aces- *d -bzC0 Amp 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures -.S_ Ga_sl Locatio :/" " "6' "L "L"ft. LPG 6, Carports; Windows -Doors teotility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -81 ( Date 7 Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 0-'2oni Requirements-Setbacks-Easemerhe Date POOLS (Plans) OK except N's 1, Setbacks -Easements ootings; Size -S a -Ma a Llne 2, Soils; Compaction -Structure Stability as; MH -Demand-V for 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining Jrances �ctricity; AI-T-eM-Cr rs-Bradkers�Qe� 4, Elec.: Receptacles and Lighting; Distances-GFI ra1n; MH Test--FlezTA"1'hector S. Elec.: Pool Lighting; 15 volts-GFI &_,ftter est -Re for-CQftwwr6r_ a nd Sewer Connected -C/0 kLArdge-HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater ascend Electricity Tagged B. Elec.: Grounding: Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc losures- Pane lboards-Ins. to Main in Conduit zits; Insp.-Sketch ert. of Occupancy 9, Health Department Approval 10. Plumb; Cir. Test -Water Supply Test j Card B -I FP Date -: Card -BI Date Card -BI Date Card -BI Date _`Card B-1 Date Card -BI Date Card -BI Date Card -BI Date 7a Xo -rte 4.f- Ole 217,0`C"Fe,'C ',t � w Gly 0 d''�,L� z9 kc l(- Gk /-/ _ Svc vf"iv � a Dod 4-3/-> -60> Y y sn-6 L �9f �z 6ko ;e /Y�4 /9J'7 lev OK Not OK = otyelble NRead = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) Zoning requirements-S63acks-Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec, Ornd,- / /" Fig. Depth - 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits - 3. Fig., Garage; Soils -Steel- / - /;.' Fig. Depth 50. Stairs; Width=Headroom-Rise-Run-Landing-Fire Protection 4. Fig., Porches & Decks; SoiJs-Steel.../. •;-/:' Fig. Depth 51. Plywood -oh Roof Overhang -Attic Vents -Rafter Outriggers s - _5.Stemwalls, Main; Sleet-Blockduts-Wrapped-Slabs 52. �- Siding-Nail•rng-Veneer - - - 6. Stemwalls, Garage: _Steel -B lociiouts,-Wrapped-Slab, r 53. Stucco Mesh -Drip Screed-Fdn. Vent§-Underflr- Access - - 7. Piers -Fireplace Ftg.-Steel - -- 54. Glazing Area -Glass Protection -Skylights -Plastic - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test . 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test _Electric; Underground - 12. Plenums & Ducts: Clearance -Material -Support -Ins. - 13. _ Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -81 Date Card -BI Date -__ Card -BI Date Card -BI Date _ - Card -BI Date Card -BI Date Card -81 Oate Card -81 Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except p's _ 56. Ext. Steps -Door & Sidelight Protection -Landings Dale PLUMBING (Permit) OK except p's 57. Smoke Detector 14. Water Ht.: Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - 15. Water Pipe: Test &Anchors -Nail Protection In Garage; Above Floor -Ducts -Meeh. Protection 16. D.W.V_.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub &Shower 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe: Size &Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Cara -BI Date -- Card -BI Date 65. Kit. Fixt. & Appliance' Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Card -BI Date Card -BI Date 67. Garage Fire Door; Swing -Landing -Closer L Date ELECTRICAL Permit OK except ft's' 68. A.C. Duct in Garage -Damper 20. 21. Fixture,& Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 69'. Wir, Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- in Garage. Above Floor-Mech. Protection 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Romex 1nst�Iled Close to Edge of Studs & C.J. _ 72. 73. Insulation -Foam -Looked In Attic ❑Yes ! . Guard Rails & Deck Construct ion-Post.Caps _23. 24. 25. 26. 27. 28. 29. 30. Equip. Ground made up w%Mech. Fasteners -Bond Gas & Water --- 2 Appliance.CircuitS in KilChen & .Conduclof Size Subfeed-Wire Size % / ga. Cu or AI-A.C. Wire Size / ' /.ga. Cu or At Range Circ. / / ga. Cu or AI-O'ven Circ. / % ga. Cu or At, Insulated Neutral Yes ,No _ _ •. - Service -Riser Conductors &_Ground-Main'Disconnect Equip. Clearances. Panels-Motors-Mech. Equip. -- - Clothes Closet Light -Shower Light 74. g ce Fdn. Vents & Crawl Hole Door -Drains e & Wood- arth Cleara '-Looked under Floor C Yes� 75• Following instld.: Drive [ Yes El No: Walks C Ytts C No; Planters LiYes ❑No 76. Stucco: Brown -Finish --- _77. A.C. Unit; Disconnect-Clrnces-Brkr, & Cond. Size -115 Outlet 78. Vents Above Roof; PID .-Appliance-Firepl.-Clearance o Opn s. 79. Water Well, Disconnect, Electrical, Plumbing - --- --• ------ Card B -I Card B -I - -- --•-- Dale ' Card -GI Date _ -- Date Card -BI- Date 80. _Exterior Elec. Trim: G.F.I. Receptacle -Underground - 81. Ventilation throughout House 82. Glass Protection Dare MECHANICAL (Permit) OK except it's_84. 83. _ Corrections from Previous Inspections Gas.Test-Meters Tagged; Gas -Electric 31. 32. 33. A.C. Ducts. Insulation &Support- - - Vent Pari; Exhaust above Insulation - Condensate Drain & Overflow: Size & Grade 85. Water & Sewer Connected -C/O to Grade -HD Approve 86• -Energy Compliance Certilicate-Other Certificates -- - __ 34. F unace-Vent. Access -Comb. Air -Return Air Vent -115V outlet --'-"--'-' - --- -- 35. Attic Access & Platform if Furnace in Attic Card -BI Card -Bt Date Card -BI Date Dale Card -81 Date Card -Bl ----'-'- Card -BI Card -Bi '-`- ___ Date Card -BI Date -'�-� -- Date Card -BI Date --- Date Card -BI Date Date FRAMING (Plans) OK except It's Comments at Final: _ 36. Sills. Proper Material & Anchors 37. Walls. Studs -Nailing. Spacing & Bracing -Places -Sound 38. Rearmy Wills over Girders & Floor Nailing -- -- 39. Diatl Slop oil Walls (rat proof) - - -- - - --- -- -- - 40. Fire Slops. Furred Ceilings -Stairs -Chases -Tub 41 Header &Beam -Size &Bearing -- - - - - 42. Hailgra S-PuSI Caps- Anchor s-Connec lots_ - J3. Cing. Joist-Fitu. Tres-Purlm-Roof Btac.-Truss-Stilling.-Fillip. 4.1. Fnr-plari- Ties or Type A Flue-Fneplace Throat .15. AuiC ACCOSS Size K Rome', Piolection-Draft Slop -Ins. Balft_es 46. Fidnir. V tmduws or E+iling Doots-Sill Hgi. K Dimensions`-- ... .,.:r A:I • r -.•i• Pr rb.t u0n Ftdm Mrd MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address or location of mobilehome / Owner's name Owner's address Insignia or hud number 1 Manufacturer's name i Serial number of V.I.N. r (Official Approving Installation PERMIT NO. x Year of manufacture (Date) i IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott.Road, Paradise — Phone: 872-2961. Ext. 57 RRECTION 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. ...� r;6X1,.4'6q� Inspector _ Date 16 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 OWNEN 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 nee dditional explanation, please contact this office immediately. Inspector v� Dated. -- -5 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,,E 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. j rC J;- 11"Ir I M Cly Inspect 7' Date_ �/� P -7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California",L15965 - Telephone 916/534-4541 APPLICATION AND PERMIT p PERMIT NO. — ASSESSUMB �- -r 1�90 W�-A—TN ZONING _7�X � A OWN E SQ. FT. OCC. BUILDING VA ATI N OWN S A LIN ADDRESS f;r , CO TR Tf5R-S-NAt&E TEL HONE C'ONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /— / `SJ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 ` Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P RC EL MA Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomelVI Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 0.00 ea TYPE OF WORK (�h New Addition❑ Remo el Utilities Installationn Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1011 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/POWER and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) e9I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a+ , OR ADDNS. ACC. BLDGS. 20sgft NEWCONSTR. U TI -OUTLET NON .RESID BRANCH CIRC ITS 2.50 ea APPARATUS 61 (SINGLE OUTLET CIR. / Ex. Occu 0050: p OUTLETS OR FIXTURES ezAL030 FIXED APLNS Ex. Occup. OUTLETS P(RESID OR EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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 Zf Consent to Self -Insure. 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 County of Butte o enter upon the above-mentioned property for inspection purposes. I al o agree to indemnif and keep harmless the County of Butte against all I• t1gtd expenses which may in any way accrue agy st d ou�ty c equence of the granting of this permit. X ? Date 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE r occu P. cox sr.rrPe F PARC PD H ISSUE r� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT R OF PUBLIC B PE T EXPIRES Date_ the applicable p�ovi- resolutions to do fees have been paid. WORKS Date` 16//'� �b' Receipt No. 7' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMEWT.OE PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. /AJ AJr OWNER 0. N- r A. P. No. (/ 5 — )/ ` Z .- .11. , /� Proposed Building Use 41 A 4 Building Inspect6p)n;Z �2 Date At time of ermit application, I was advised the following data must be submitted prior to permit processing and:/ori* nuance: DATE RECEIVED APPROVED V/ 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. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . .. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to (Date) Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. ,- 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector, Other Applicant aa6 / Copy of plans sent Health Dept., Fire Dept,, Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-nail counter by date Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder no"17i — Flours: 10:00 a.m. - 3:00 p.m. T0; Building Department ' FROM: Environmental Health SUBJECT: SANITATION CLEARANCE OWNER LOCATION AP # Plans approved for Sewage Disposal Water Supply Hold final for: Water Supply Final Clearance O.K. for: Water Supply Clearance for .2— bQm�mTobilge home. Other Clearance for add.i tion of �} ��f??�ji J /z, No4** ** SANITARIAN ,�—)Z O6 DATE 1 / , e t COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION - Attention Property Owner: Phone: 916-534-4541 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) S , 2. I (have/have not) V e signed an application for a building permit for the p4roposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the -work indicated: Name Address Phone Type of Work Signed: Property Owner Social,Security u er _ Date .'3 //// -P<o ti 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. ':urn to JJk'W AGRict)LT URAL STATEMENT ,OF ACKNOWLEDGLmi; i FOR RESIDEIITIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. �!' QORDED IN OFFICIAL RECORDS BUTTE COURTY,CALIFORR1IA AT THE REQUEST OF 86- 7938 186 OR 1 The property described herein is adjacent to land or included 3 P 0 3 within an area zoned for agricultural purposes, and residents of this EVANOR M.BECKER property may be subject to inconveniences or discomfort arising from CLERK -RECORD the use of agricultural chemicals, including, but not limited to herbicides, pestici s,FEE- -- and fertilizers; and from the pursuit of agricultural.operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have.as a 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: 0 IG/ appeared / /4"O/L i^JG d2Sc r1;pr" eof 9 NOT COMPARED WITH CJRIGINAL DOCUMENT Date: PROPERTY OWNERS: State of C�4�. Fc �.J,�1 ) On this the // U� day of, "4'e-e.d 19 pp4 before ,!� ) SS. me, the undersigned Notary Public, personally appeared County of /J u r7--%--- ) OFFICIAL SEAL LEEANNA K WILSON NOTARY PUBLIC — CALIFORNIA BUTTE ICOUNTY My comm. expires SEP 12, 1986 Personally known to me. 4V7 Proved to me on the basis of satisfactory evidence. to be.the person(s) whose names) JS subscribed to the within instrument and acknowledged that Sfl�- executed the same for the purposes therein'contained. IN WITNESS WHEREOF, I hereunto set my hand and official Notary Public Present A.P. No. �'5 - il. )-5- seal. BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET aQN � �` S V ✓`'� � � �1d/Wpm 1. owner's name: D4,V 2. Installer's name: �i�l ®y�fO��' 3. Is the site currently under permit? Yes /1,1,— No (If yes, furnish permit number %%-7% ) OR� Is the site an existing site? Yes'/ / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of. all setbacks.and easements? Yes No (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- dL Amp 7.. What is the mobilehome site circuit breaker rating? ------------- V Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (If,yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? 10. What is the type of gas service? ----------------------------- Natural /% LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? -------- ----- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less thah�50 ft. on LPG.) r MOBILEHOME SUPPORT DATA `/ If other than single wide, Mobilehome Mfr. -Snj a furnish Setup Model No. V a!q 14- Year M 2 Width (ft.) Box Length S (ft.) Tagalong or Expando Size x ft. (SHOW SUPPORT DETAILS BELOW) 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). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single F4--r.—Wood either pressure treated or foundation grade. L 6 J iAx3(---'# 2. Other: (specify) (ft.)(in:) (in.) (in.) Center support Center support locations* footing sizes Supporta (check one) (in.) . Concrete block. E]. -2i Other,. ( specify) x (ft.)(in.) (in.) (in.) 16 (ft.)(in.) (ft.)(in.) 5 (ft.)) (in.) --q i4io (in.) (in.) vC �x� fl (in.) (in.) lAX? o (in.)I (in.) *If center piers are other than drawn above, draw im-locations, spacing,_ and dimensions. 4-----Pagalong or Expando,' show support details. x3v -- Typical Support in. (in.) Footing Size I AI y I -- Max. Pier Spacing (ft.)(in.) Xell -- Max. Overhang (ft.)(in.) BUTTE COUMT -SUILDING DEPARTMEN AP # OWNER QtoeZ PERMIT #1177 -17 - MH UTIL.CLEAP.ANCE DATE (-6J6--Sz INS PECT ;L 0 ELECTRIC GAS NI Support Str-c. Compadtio.n Test- eq. ;ervice Other Pipe YES NO YFS- NO ;ize Load Type Size LenRth loo AA /D0 a V xx r /- 1(7- � Z17 Zl- COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT PE T N l - ASSESSOR 10 CEL NUMBER o ® ._ v-rs ZONIN BUILDING PERMIT OWNER t� o // 1 TEL-E7%PHONE r r ,SQA FT. OCC, BUILDING V TION OWNER'S MAILING_ ADDRSSQ If / di 3 r^7 CO T ACTOR'S ME ITELEPHONE Iq C NTRACTOR'S MAILING AOQRES X0,3 G Joe ­ Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ D Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS {� ^j Permit fee $ - 1010 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome,JNL Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Ilnstallation[I Other ❑ Describe work: ___ S UP �1� t>t �, _ AS/s�!/��� Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 6101 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. �/ 2y Z e.�G�� License No. ef--c-6f-6- d- 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.8i, OR ACDNS. ( ACC. BLDGS. /20Sgft NEW CONSTR U TI.OUTLET NON-RESID BRANCH CIRCUITS2.50 ea (POWER APPARATUS el SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®506 eALO ao Ex. Occup. OUTLETS FIXED P(RESID )LISIS REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department �F 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 iAave 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 construci'i.pn, 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, ji,dgtnents, costs, and expenses which may in any way accrue against aid ounty in, consequence of the granting of this permit. cl %� CDate lam ✓8-7 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TYPE FLo D ARCEL PD Ho Is This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC BY PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ' Date �9—� — Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT _ � 4! r � ,• u i''iF..f �,;r. •.,.u., � : t i:r ur • � .� . .�-t-.Y .. �•_ COUNTY OF BUTTE - DEPARTMENT.OFwPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. J t OWNER DO L D A. P. No. Proposed Building Use �i�� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or is ance: DATE RECEIVED APPROVED 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. CUSD "Fees Paid'' Stamp~on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . , . . , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) . 14. Owner -Builder Verification (Given to owner 0, Mail to owner ❑ ). —15. Improvements may be required. . . . . . . . . , , , 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to wrier, Mail to contractor. Telephone and hold for pickup atice, Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by Contractor, designer, owner, was advised of above required data by—phone —Mai l—counter by Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder date F date _ ..w''� Date — Flours: 10:00 a.m. - 3:00 p.m. ww pWARM top DAYWM MMM of CAL.VOMCEA by 10" COMVPArnk UM C& I I- .ua n• MOUSING CONS RUCI!ON L SAFETY SIANOtp^S OCT 20 1986 � CL. 4 at I SNu1tu_ Q;? th 07 r7 1 alai I W ry s _ u A 1 j3s r{ 0 � M � J � �» ■ s V 1 W ry s _ u A 1 0 � M s V .•:z O� O O Rv O�VIZ111:1 11021112 !�l oYx�I V, ZI .00 L .08 . .09 .Or .OZ Fjr! ........... - _ _._.___.__.._. _ - --�► r NOTE:—All Materials & Workmanship Shall Be in i Accordance with Recognized Good Practices and 1 of a quality :, < 9 y prescribed for the Specified use in the � ` I - Uniform Building, Plumbing & Mechanical the National Electrical Code. Codes and a ► ? ! This set of plans and specifications MUST kept on the iob at all times and it is unlawful b make ao nv changes or alterations on same without ' written permission from the ne.,nr+mPnt of Publir . Works. County of Butte. Utility connections shall .be within 4 ft. of the mobilehome, either '. directly behind or within the rea: > half er4-Fire r-aaig of the ,\ mobilehome. ?' 4 J� E. � r r) I ie5�� za A �» O'. lu _ s I � t will Be Mq0jPe3-* the in allat� of t ®mobilehorii� \r \ ~ rc, ry ,'7 a °$ t� A setback uf* ft. from the property lir 6 and a setback of 50ft. from the road centerline shall be clear of . .OZ .0r .09 .091 BUTTE COUNTY BUILDING DEPARTMEN1081 structures or equipment except APPROVED for a 9 ft. Pave overhang. /1?7-t57 MH • f .00Z ni .98 11042 Jaw' t t6011a}r,lvi 14,N----:3TOi imp t9aila��� i, =oma �9_irto?ca�Si f{ii�r� oarrsi, �oaaA o:(fi ni ezu art, �o� ::�, � �a���y `(;ilt;up InSir.�.la+:1�1.st o.i a ia�1� lormitOVttiO wc3 ! :Ul.i znai}s~a'sTia z inn 2001c! to +92 aitiT no iqn� z lU�tri}iw 'rnrtit 00 �t=oi} ,;9t{o 19 �C,rjnU^lo YrtY fi�?YJT ,!r4liq 10 }r. ,. 3�, .••f.Ei �tlt r, apt no-Q?;fr,,%9q n£'it7w .9"t•$ }a ? sr -Na✓ ,11'iti�;' 9Ci Itr1.' 2.'tG�i�grtriC)3 ��ii�i;l1 r,!Jl 10 ni-{nCf r,Ih,ati!� 3r{1 iG (; hill nbiabeoi 3fii lid 11y3r{ .9mo:Ialidorn �, ii � i 8d'1lW' lirS1'lt]tl ��� i�2fitjOgr. WitiG t::ital?:D4tR, ,19- [v1TgAq .- �i/iiCUIU6i Cl-Vogq.gt\ , t bGOI af't r .r"ll .tit?c 40 ?0 !?urr: °)"i'•^fr,g:) *g9aY.y irygm iUp7 10 231U?.X)t? C ' e"d* of `R :• OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: V O � C " �)' //-s-� ADDRESS: A; 61/ 6G7 /,i, 3 q CITY & STATE: G s� H� l �''y`5 / IMPORTANT: DATE OF CLAIM: r�'SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE I DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DESCRIPTION OF CLAIM (DESCRIBE FULLY TO DELAY) AMOUNT Owner has decided not to do work. (Bldg Permit Appin. #540_#540-86P,E, Receipt #52383, dated 3/11/86, A.P. #65-11-15). Total fees paid -------------------------------- $92.50 Retain plan checking fee --------- $15.00 Retain plumbing filing fee------- $10.00 Retain electrical filing fee----- 110.00 Amount retained--------------------------- $35.00 TOTAL REFUND DUE --------------------------------------- $57.50 $57. 0 TOTAL . 5750 1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. y,>� Dated this..........�...................... day of ....... ........ 19 ..7. et„ cc.(�LtiJ��S7nature ....0 f/..:::;. ...................... of Claimant t, the unaerstgnea, hereby certify that, to the beet of my knowledge, the services or articles specified above he livered and that there is }e, Budget Appropriation ED or Specific Board Approval (Checkone) for th ams. Dated this .................�Q.�ll........ day of .......... F.FioMano.... 19..5.7 at ..... Qr9.Kille.. ,Celli. ..................el � ent Head or Authorized Dept. ----Exp, - - -- Code............................................ Code ................................................PAYABLE FROM ........................................................................ FUND DO NOT WRITE BELOW THIP I tua ettntTnote flee r,.,, - en performed or de - DEPT. 8 SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 9596,5 - Telephone 916/534-4541 APPLICATION AND PERMIT PERU IT N9, ASSES R RCEL UMBE c- —' 1 ZONIN BUILDING PERMI OWNER ` TE I. EPHOKE S0. FT. OCC. BUILDING V7LUATTON OWNER I ING DRESS I ✓� a Aq CONTRACTOR'S NAM T EPHONE CON C OR'S MAILING ADDRESS Fireplace CONST CTION LENDER UNKNOWN Total Valuation Is Filing Fee $g!�js' LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARC I ECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r Permit fee $ \ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME FARCEL MAR,- Water piping 5.00 Each qds water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other Gas piping system 1 - 5 outlets 5.00 Building sewer0!q 91 q4t50SPECIFY Mobile Home S ea / TYPE OF WORK New❑ Addition [_1 R m el[] Utilities Installation[] Other ❑ Describe work: Permit Fee $ C Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 60OV OR LESS 100 AMP OR LESS 10.00 Q Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification i, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.n , New DCONSTR( A 2�z¢sgft ULTCC.BI-OUTLET NO N•RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS a) (SINGLE OUTLET CIR. Ex. Occu 20e50e Occup(OUTLETS OR FIXTURES eALO 30 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag;in said County in consequence of the granting of this permit. X �` �� Date Sir of Applicant — Owner Contractor ❑ Agent An HA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overK3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TYPe I I FL ARCE PD s u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date3 —I J– -3— 1 Receipt No. � WHITE-O.P.W., YELLOW -ASSESSOR, K -INSPECTOR, 60L D ENROD-APPLICANT £�soAv his s Ted S7,4-47~ TZ -11 cf s� y �/) I ply / �.Q,tcl / / IA OWNER COUNTY OF BUTTE - DEPARTMEN A. .PUBLIC WORKS - BUILDING DIVISION 7 (.ni IniTV rGniTGn nDniG _ nDnmni i r- r1AI IC:nMKtiA%coat _ Tci CDHONE916/534-4541 Proposed Building Use, Permit FPP Rased 11nnn PERMIT APPLICATION DATA SHEET A //P Cmmnlete Contract Price -..-.., Permit No. A. P. No. 65 ' �� —8 DPW Valuation Building Inspector Date _ U/ I / o/n 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. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . . j Letter of signature authorizatI"t - - - . -, . anitation approval from ✓Q 5 t°Health Dept. �J / 11. Planning approval for (A),Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License,, I form"atio`n (no., name style, classif.) 14. Owner -Builder Verification Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 1 Pre -Inspection for Required- BuildingPre-InspI . request to (Dote) p q Building Inspector 8• -ecorde8RcP&WfiA� Ir LAcknowledgment Statement .C�""� - - _ Other Ax �(�onstruction approval required prior to occupancy -VATWhen you issue the per �i pr cess as follows: Mail to owner. Mail to contractor. Tele hone n h for Ick.0 at ✓Q office. Deliver w/ins ector. OthepO r�tit p ApplicantG, Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked abovet e of ation, circle item.) 1. Index permit for above Items No. 0 " �' 2. Additional items required: r (Contractor, Designer, Owner) was advised of above required data by Telephone Mail er By Date Plans checked by Date Plans approved by Date Other: Copy—DPW �. . V* > T i