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
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11021112
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oYx�I
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.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\
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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