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065-173-005
r" 065' 17.-3=005 92=3143`P,E .JOHNS Ray &` haurie'' '• r . , r LN'' Magalia ' ' 6595 Ti u ELEC~ . j GAS . COMPACTION TEST RE SUPPORT STRUCT RE . 065;17-3=0 r. 92-3144MHh' JOHNSON, yJ&.Laurie' t .'6595 Ti er LN, Magalia mhi . 1 dS 6 -3- Orr a i� © AP # �S- = /% S C-,->O� OWNER �� Jf""NA;"Z�J PERMIT�� "7' 7t MH UTIL,CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load Type Pipe Size Length YESI NO YES NO RESIDENTIAL 065-17-3-005 92-3143 P,E JOHNSON, Ray & Laurie 6595 Ti-le&rr LN, Magalia mht OFFICE CO Y 6 �- Address GAS Meter By Datej_� `� { ELECTRIC �!�_c, Meter By Date > �'� JOB FINALED (Date) //5 2 - _ Signature rMATP �[ C�� /�(l 7-Z5 - L3 Gj�f"Z_ 1'.4C_ � r� 1 Date Card B-1 Date Card B-1 J=OK ' O=Not OK Not = N t Ready, MOBILE HOMES MISCELLANEOUS ., ` Date ' IV4OB E HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s +` i a ing Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements >f oils; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Se er; Location -Test -Fall -C/O C cr T 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 7. a ater; Location -Test -Easement Neede(Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors ectricity; Location-Clearences-Gr /Amp- oncre ,or, Shthg.-Rfg.-Bracing Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures - / /"Nat. or/ L"ft./��f'LPG 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric •I 8kdtility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh e 10. Roof; Shthg-Roofing Date Card B -1(',s Date Card B-1 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date MOBI •E HOME INSTALLATION (Plans) OK except #'s ' . Z n ng R uirements-Setbacks Easements Date Card B-1 Date Card B-1 o gs; Size -Spacing -Marriage Line Date Card B-1 Date Card B-1 a ,MFi Test-Demand-Valve—Connector Date POOLS (Plans) OK except #'s EIe ricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements Drainw MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability Test -Regulator -Connector _ 3. Pool Structure; Steel -Connections -Thickness at nd Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining Gas Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI xits; I p: -Sketch 5. Elec.; Pool Lighting; 15 volts-GFI ert. of Occupancy 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed i p 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Date • Card B-1 Date Card B-1 _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 9. Health Department Approval _ 10. Plumb.; Cir. Test -Water Supply Test /1% 77 Date Card B-1 Date Card B-1 7-Z5 - L3 Gj�f"Z_ 1'.4C_ � r� 1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not AppligalJ% RESIDENTIAL (; = Not Ready Date UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. 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-Wra pped 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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 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 ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection --------- ------- ------- ------- --------------- ---- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection --------------------------- -- ------------------- 19. Shower Pan; Test, First Floor -Tub Access ------- 20. Test -Tub & --Shower.---Second Floor -Tub Access ---------------------- ------------------- 21. Gas Pipe: Size & Anchors Date - - - - - Card B_1 --- - Date - Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection --------------------- -------- -------------------------------------- --- 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. Fastners-Bond Gas & Water -------- - ----------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI _ ------------- ------------------------------------ ----------------------- 28. Subteed Wire Size / ga. Cu or AI-A.C. Wire Size / / ga. _ Cu or AI 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 ------------------------- - ----- ------------------------------------------------ DateCard B-1 Date Card -B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except p's 34. A.C. Ducts Insulation & Support 35. Vent Fan Exhaust above insulation -------------------------------------------------------------- - - -- - --- 36. Condensate Drain & Overflow: Size & Grade --I--------------------- ------ -- 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic -Access-&. P.lat-form if Furnance in Attic ---------------------------------------- -------------------------------------- Date ----------------------------------- Date Card B-1 Date Card B -t . --- ---- ---- -- -- -------- -- - -- - - - --- ----- ---- - -- - --------------- ----- - - --- ------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors ------- -------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------- - --- - -------------- -------- 41. ------- ---------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ----- - ---- ---------------------------------------------------- 42. Draft Stop in Walls (rat proof) ------- -------------------- ------------------------------------ 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----- ----- --- ---------------------- -------------------------------------- 44. Headers & Beam -Size & Bearing iiingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-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 -Ceilings. ----------------- 60. Infiltration -Walls -Windows Date _______ ___Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62 Smoke Detector ------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection --------- ---------- 64. Bedroom Exiting -------------- ------------- 65. G F.I & Bath Fixtures & Tub Access -Spa ------------------------------ 66. Elec. Trim & SubP anel: 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 Protection -------------------------------------------- 7;. 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-Fireplace.-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- - ------ ------- 88. Corrections from Previous Inspections - - -- --------------------------- 89. Gas Test -Meters Tagged: Gas -Electric --- ------------------------------------------------ 90. Water & Sewer Connected -C/O to Grade -HD Approval ----------------------------------------- ---- 91. Energy Compliance Certificate -Other Certificates --------------------------------------- ---- - Date Card B -t Date Card B-1 ----------------------------------- -- -- --- Date Card B- t___________Date _ Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION [DEPARTMENT OF DEVELOPMENT SERVICES, 11469 Humboldt Road, Chico, CA - (916) 891-275.1 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE NO. Arcafie&zWec ion indicates that the following violations of Butte County Ordinances exist at Ama6mmaddressand Aould'be corrected. Please notify this office when correction of work "scomr4le2e&UV,�Ihav,eany questions pertaining to this matter, or need additional explanation, ybe c this mffiee immediately. e i Inspector � X COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE So OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Y � � ntv IIfUl MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE ' OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 _ PERMIT N0.2 ' Address or location of mobilehome `�� 1 h� �lr �fT. ' Owner's name rr / Owner's address (a� /� L� 1/ Insignia or hud number 1q r 7d — Manufacturer's name Serial number of V fN. 5- � '% Year of manufacture v v (off7iciaj Approving Installation) (Date) t IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION; ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE. MOBILEHOME IS INSTALL D ON A FOUNDATION SYSTE 0,05- 513B White - Owner, Yellow - Installer, Pink - D.P.W. Tw COUNT" OF BUTTE - DEPARTMENT OF P L C WORKS P RMIT NO. J 7 CSunty Center Drive - Oroville, California 95965 - Tele ne: 916/538-7541 APPLICATION AND -PERMIT ASSESSOR PARCEL NUMBER 065-173-005 ZONING RT 1 A W BUILDING PERMIT �f OWNER RAY & LORIE JOHNSON TELEPHONE 873-2314 SO. FT. OCC. BUILDING VALUAT, N OWNER'S MAILING ADDRESS P.O. BOX 101 MAGALIA 95954 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 20.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUIL4,2 NG A/J TIKKER LANE MAGALIA /J Permit tee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 �73 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 3 7—,f` NAME , FIR HAVEN PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeK] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home JS[G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationki Other ❑ Describe work: )V1.�7r �� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2000AORLESS 18.50 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 as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A, 37.50 NEW CONST. ( DWELLING OCCUP.&\ OR ADDNS. 1 ACC, BLDGS. / 3.6Q sq.ft. NEw CONST R ULTI.OUT LET NO N•RESID BRANCH CIRC ITS @ 5.00 ( POWER APPARATUS 6) \SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 X 764 6L. 4F;J4 FIXED APPLNS.OQ� EX. Occup. OUTLETS (RESID )KEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. o- shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all ounty Ordinances and State Laws relating to building construction, and her authorize representatives of the Countyot Butte to enter upon the above- n Toned property for inspection purposes. I al ag to save, ' e fy and keep harmless the County of Butte against s, I d nt costs, and expenses which may in any way accrue al li2sat' a�ainCou i onsequen a of the granting of this permit Date S tura 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.T Mobile Home Installation Fee S Energy Inspection Fee S 70.00 occ CONST TYPE TOTAL FEE $ 105.00 HAz DFEES IMP Pl000 CDF PARC PD HD S Thi This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees R F PUBLI BY PER IT EXPIRES Date applicable prdvi- � resolutions to do have been paid. WORKS ^� D e (/ Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMF,ff--©F PUBLIC W KS - BUILDING DIVISION 40 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER V O h�i•�-jam �✓ Proposed Building Use M/Y / J,6 R_ Building Inspector A. No. ��— Date Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ......................................... 2. Plot plans, 3/4 sets, signed by_preparer.of plans . .......................... 3. Complete plans, 3/4 sets, signed by prepa df of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ....................... Engineered truss details and layout in duplicate (required prior to plan check). .. . Mobilehome data and manufacturer's installation instructions, 2 sets. ............ -" 0. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . ............. ti............... . 12. California Department of Forestay plan approval/fees. ....... `............... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation,.and plot plan approval Health Department . ............. 15. City of Chico plumbing permit ....... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). Pre.Inspection* request 20. Pre -inspection for required. . to 3ui,ding Inspector (Dale) 21. Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification '(Given to owner , Mail to owner ) ............ 21. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. . Letter of intent on building use . ......................................... 28. Mobilehome utility clearance. .. ........................................ . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets"zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. Whe y issue the permit process as follows: Mail to ow Telephone and hold for pickup at Other Parcel Creation Acreage Applicant Mail to contractor. _ office. ✓`Deliver with inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Othe)� Date By The following data must be submitted p 1. Index permit for above items No. 2. Additional items required: perm(t,Lspuance not checked above). FC C Contractor, designer, er, was advised of above required data by _ p one _ mail Counter by %f Date �C,. S'Z Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter, bb Date Plans checked by Date Plans approved by 6x 7 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �q 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 / l"\ APPLICATION'AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERONIN S- 7 3 - ooS Zgr /1 BUILDING PERMIT O ER - ` O- "4 CLU /� �fc� TELEPHONE 773 23�y SO. FT. OCC. BUILDING VALUATION OPER S�/M/��AILING ADDRESS /J ,/ // /y� `�7Q OPa , KJ /v / 't /�ii L Q / J ! s/ CONTRq;/OR'S NAME Q e. u TELEPHONE CONTRACTOR'S 1 -NG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ -2-0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee A$. $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 35- - PLUMBING PERMIT Filing Fee 15.00 /A l�C J'eii- I -,-j Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. So�rh �f SUBDIVISION NAME L f /L /�/� ✓ 2. PARC EL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[�t— Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel D. Uti lities 6a" Installation Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS _ Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON.RESI. 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. (cense 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) *t/ , 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.&\ 3.60 sq.ft. OR ADDNS. ACC. B NEWCO RES,, U OUTLET @ 5.00 BRANCH CIRC ITS /POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCU 20 76 Occup(OUTLETS OR FIXTURES Ex. Occup. OUTLETS �RESID,IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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. 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 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also ee to save, indemn' and keep harmless the County of Butte against all 'abilitl s, judg nts/ osts, and expenses which may In any way accrue agnst sat Cou in nsequence of the granting of this permit. X Date `� EfrBions Signature Applicant — Owner Contractor El Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures o�erstories in height. 3 Mobile Home Installation Fee S O Energy Inspection Fee $ DCC CONST TYPE TOTAL FEES 1 U'S HA2 I DFEES IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- I of the Butte County Code and/or resolutions to do work indicated above for which tees have been paid. DIRECTOR OF PUBLIC WORKS By Oate PERMIT EXPIRES Date Receipt No. IN24 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 9167538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) h A tA_Q_-_ 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 o.f 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 Numbdr Date 9 2 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 1983.2 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. COMITY OF 1111111"- I)EPAR'tl•II?tl'I' OF 1'11111.1(; WORKS - Dlllt.l)INI; I)IVISIOp (916)538'15413(916)538'1541CUUNI Y CHITER "ER UR1VE - UIII)VLI.I.I?,, CAI.iF'URIJIA 95965 - 'I'EI.EI'IIUIdE 7 %0 0 z�� A.P. NO. DATE . /�/� � 3 k4 /�- I'RUI'OSED DUII.UING IISc. REC. DATE REQ School DlstrictFees C,x ___ • (paid at District Of ce) ....................... �2... . Sheri ff Fees (paid at Duilding Department) Residential unit am Couwiercia.l(per sq.ft.) x-----_$—�— sq.ft, emt. 3, lirl►an Area Fees (paid at Duilding Department ial (per un i. ttsX- Reside"t—a-m-t uni.-- $---- Commerical(per s(I-ft.)_ X-- $-- s(l . f t. amt . 4. Recreation I)i.strict Fees (paid at District Office) .................• 5, Dral.nage Dl strict Fees •••••..•.. -- (Contact land Development) ................ 6. Other 7, Defer At Lime of permit appl.icaLl.on to issuance of the permit. / APPLICANT I was advised the above fees are required to be paid prior DATE4*'� -`— .o..,�-. .►.:��i' ... .-.,..1 _. ._.—r.w.--�:R�syi�7•�i;r/�--►aney'Gfd�"' -«�g6'H�.s� w - ww�.�;eR••.=rne.. BUTTE COUNTY SCHOOLS IMPACT fEE CERTIFICATION FORM (One Form Per Building) School District S,Q Building Department No A.P. Number C 57 x73 0 of -jurisdiction City O�County Property Owner Aq -I J C>py,4.s C> Property Location/Address / ��- "� /)• Subdivison SOJ r4 /1- '7 ►A nLot No. Residential Development 4 - Sq. Footage /Y151 No. of Living MHI Addition (Group R) Units Commercial/Industrial r 0 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Buildings a artm nt Repr ntative Date (Floor Plans reviewed by School District Personnel) Distri t Id ntification No. �•�� -� ) , ad a�School District certifies that /J (Applicant) (girref Aldygss) (Phone Number) r Q a4a�C Q- (State) has complied with the requirements of Resolution No. representing �.sL��Z. square feet. Representative Paid by Check Number .'} Remarks: Bank Number Paid by Cash (Zip Code)- by ode)by payment;of.$ %� _ Date 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 (CEQA), 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) feeformmkl (4/92) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS JJ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PER O. ASSESSOF' PARCEL NUMBER 065-173-005 ZONING RT 1 A W BUILDING PERMIT OWNER RAY & LAURIE JOHNSON TELEPHONE 873-2314 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 101 MAGALIA 95954 CONTRACTOR'S NAME SAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING A09RES5 46 S TIKKER LANE MAGALIA Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 �N� 3 Solar or heat pump water heater 20.00 LOT NO. SU VISION NAME `' R HAVEN PARCEL MAP p7'% O Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomen Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home d v bw I @ 15-00145. 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities [X Installation ❑ Other ❑ Describe work: Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS18.50 18.50 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. (cense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOODA) 37.50 NEW CONST. DWELLING OCCUP.N\ OR ADDNS. ACG. BLDGS. // 3.6Qsq.ft. NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. Ex. p OUTLETS OR FIXTURES 20 76d Ex. Occup. OU LETS P(RESID,)FIXED APLNS.REA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 1 15.00 15,00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. §hall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and eby authorize representatives of the Countyot Butte to2enter upon the ov entioned property for inspection purposes. I als ao save, de fy and keep harmless the County of Butte against nst ou upon/ all )abjud ent costs, and expenses which may in any way accrue nsequence of he granting of this permit. or / X Date 9� Signature o Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee S Energy Inspection Fee $ OCC k CONST TYPE TOTAL FEE $ 12.8.50 HAz DFEES IMP FLOOD CDFag I This permit is hereby issued under the sions of the Butte County Code and/or work indic d a ov for which fees I R OF PUBLIC By P EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date � Receipt No. '1 4-1C.<D WMIrE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE a DEPARTMENT OF- PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538.754" PERMIT APPLICATION DATA SHEET .4-4,4-5k,M OWNER A7 Q .4-4,4-5^� A. P JP.No. /0-5- O b ss Proposed Building Use _ b2 /�! f-/ l� Building Inspector Q- , Date At time of it application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED SY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ........ .......................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ... . 20. Pre -inspection for required. o`iBuilding Ispector 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner_) ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... 33. 34. W. Wheny6u issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 12 77. 41 wand hold for pickup at office.._. Deliver with inspector. Other Parcel Creation t Acreage Applicant` Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date- ie -z Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance Os�ner Location AP# Plan Approved for: Hold final for: k?;nal clearance O.K. for: Clearance for bedroom �lf�fZ Sewage Disposal Water Supply G(catixd /dA- Water Supply . /( , E Aobs1f, AW ifs.. : J eq per✓ Water Supply er ome . Other NOTE *: * AA to Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916:538-7541 APPLICAT,IGN. AND PERMIT ASSESSOR PARCEL NUMBER S`-/73 -o a S ZONING W BUILDING PERMIT ER ..e o '17 vaso s2/ TELEPHONE $�3-.231 SQ. FT. OCC. BUILDING VALUATION OWN 'S MAILING ADDRESS . ©. /3 C-/- /V / a h CONT CTOR'S NAME TELEPHONE Q Q CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee E Zp Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 f1, Solar or heat pump water heater 20.00 LOT NO. sir/3Y'1 SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USEOF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF ❑ Duplex[]Mobilehomej, Other SPECIFY Mobile Home @ 15.00 y� TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Er//Installation❑ Other ❑ Permit Fee $ 6 r� Describe work: _ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 /b -5"'J _ Main service 200A TO 1000AI 37.50 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. Icense No. Classification NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. / NEW CONSTR. MULTI.OUT LET NON.RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR, X. EOCCU p OUTLETS OR FIXTURES 3.54sq.ft. @ 5.00 20 75 I, as the owner, or my employees with wages as their sole compen- Ex. Occup. OUTLETS P(RESID )FIXED APLNS.REAJ 3.00 sation, will do the work,and the structure is not intended or offered esale. (Sec. 7044) as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Temporary service Mobile Home Facilities Misc. Wiring g 15.00 5.00 15.00 [] I am exempt under Sec. , Business and Professions Code for this reason Permit Fee S 3 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling g �l shall not employ any person in any manner so as to become subject Hood 6.50 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. Ventilation Permit Fee Contractor $ I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and here y authorize representatives of the County or Butte t ter upon the above Toned property for inspection purposes. I al o agree t save, indem'ni and keep harmless the County of Butte against all liabilitie judgme a ts, and expenses which may in any way accrue aga nst sa' County t ' quence of the granting of this permi . Energy Inspection Fee $ occ CONST TYPE TOTAL FEES r� HAz DFEES IMP FLOOD CDF PARCEL PD HD/[ISSUE X Date 9 �Z- This permit is hereby issued under the applicable provi- An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Receipt N4 ! %y o By PERMIT EXPIRES Date Date WHITE-D.P.W.. YELLOW-ASSCSSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916,-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement ye' or no) 2. I (!ghave not)(%-� __. signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) -to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired).the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner l o Social Secur'ty err Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification -must be completed and returned to our office before we are per- mitted to issue the permit. Return to DPW AGRICULTURAL STATFAMNT OF ACrIOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 92-40,566 �)C- The property described herein is adjacen2-04056 I - I d 1 d d ' h' d 1 Rec Fee Co an or inc u e wit in an area zone , I Cash for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the Official Records I use of agricultural chemicals, including, County of 1 but not limited to herbicides, pesticides, Butte I and fertilizers; and from the pursuit Candace J. Grubbs I of agricultural operations including, Recorder I but not limited to cultivation plowing 8:47am 10 -Sep -92 I PUBL 5.00 5.00 XX 1 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real :property situate in the County of Butte, State of California, described as follows: �j ac-c��'! /a � .�o T �3-�/7 � tet. /��'�. ✓��.�c�Oeu.��co� 3 3.0 Date: `�,- d"- 9/'� P ER Ot S: State of�� �2,vi.4) On this the qday of�, 19��,-before me, the SS. undersi Notary Public, personally appeared County of &72f ) T� •+••••••S ,0•••• Q.M Q J0�`c�M� V --Personally 0,00 � es • known to me. 1:1 'roved to me on the basis of satisfactory evidence. �q• N0� a 10 *0 subscribed to be the person(s) whose name(s)G0,001 the in ® .m %M ®•®•e ececutedetheosame forhthe1purposestthereinkconta�ned.oed thIN WITNESS 0 •�••••••• WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Public EN® OF DOCUMENT o°' NOTE:—All Materials & Workmanship Shall Be in s� Accordance with Recognized Good Practices and a APPROVED r Butte County of a quality scribed for the Specified use in the ENVIRONMENTAL HEALTH Unif m ilding, Plumbing & Mechanical Codes and Environment I health th nal Electrical Code. J U L 2 8 1992Z� PARADISE, CALIFORNIA Dat This set of plans s ec'RGE kept on the job at a!i times and i make any changes V alteration: written permission Mom the Dep Works, County of B tte. I y o I� y f -w I PRI' 0 165>' _4„ocaaa�P-ef sfres-&• is unlaw4ul to equipment shall be as show on sameSrERT(' I C PLANS & clear of all easements. �rtment of Public + TIiiQCER LANE jj �,•�•- �Ji.c/itit�/� S���i`� THE SOUTH 1 l2 OF LOT 1' ' • ' NWTE 54 /1 GI �iC 347 OF THE I R HAVEN ' NCH L I NESS • . ' s" 'SidE y SUBDIVISION PLAN *2 A TI SCAL2@I, POVER 50 IF, WAY t UA LIN ' . �f�' • • : � �: ••S A,� ' � S`e+ �+ f <r� 7- _ww i I e • • ' /y" er t –400 OR MOBILES 1 MOBILE HOM. 5 MUST SE*A!�l H.Q.D. U121—TE - A, oA P P VC S i 540FT PSA CUT FROA 2 ' TO 0 ' �>�J1Ck j I. SCALE ENVIRONMENTAL HEALTH I JUN - 9 1992 , 2.5- PARADISE, CALIFORNIA } APPROVED i Butte Countv Environmental Heaf tip . Date • 11'1'4 5 ZJJJJ20 -- 24 • --- Front 11 ' 6 or SEDROOA BATH .I N MASTER 5 '4 " LAUNDRY 5• J ROOA 11 '3 2'3- 5.3- A 4. 2 ' 11 " 11 *3'* 2'8 KITCHEN LIVING RODA '6"� ' 4= 11 4 Front 11 ' 6 or O 2 •g- •6 BATH I 5• J A Fl"�,_BEDROOA fiRODgg� LL 2'__4 �-- 1 1 ' H= 15 ss -7 1000 GALLON SEPTIC > TANK 57. E3 L4 .....BUIL UOGJ,�. �P .T ENT DECK APR :VED A Q 9 PAD r'I IT �F-PnM Z6618 0 d3S ldW Eftmin9 acne do uNnoo 4/ y BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1 . Owner's Name: ok 4a-& ri.Q �o � ti t0lq/ 2. Installer's Name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number 272 � Ll �4�-4 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 tank and ach fields and clear of all setbacks and easements? Yes ( No (If no, clarify 5. What is the mobilehome electrical rating? ----------------- / (V Q Amps 6. What is the mobilehome site service rating? --------=---- 1062 Amps '. What is the mobilehome site circuit breaker rating? ----- / O C) Amps 8. Is the°re any other electric load to be served by the -------------------------------- n mobilehome site service. Yes L No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ----------- - YV (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) s -; 12.- What is the mobilehome gas demand? ---------------------- �� ``,(BTU) �O *(This information not required if pipe length less ,t -N* ft��b�i natural gas or less than 50 ft. on LPG.) ,bpi O , OG �® �Q MOBILEHOME SUPPORT DATA // If.other than single wide, c� 1,11obilehome Mfr. furnish Setup Model No. Year O" / Width (ft.) Box Length G/ F_ (ft.) Tagalong or Expando Size f ft. x Aft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and.structural settio sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. F—I2. Other (specify) SUPPORTS (check one) Zi- Concrete block.a 2. Other (specify) Pier Footing Sizes. and Locations SINGLE -WIDE MULTI -WIDE in Line 1 Line 2 t Lire 2- _ _ _ — — — — — — _ x Main Beams �-Line 2 — — — — — — — -- _ tine 2 Line 2 Main Beams — — — — — — — — Line 2 o.. Line 1 Tag or Triple Line 1 Piers: Size-Min.------------ Spacing-Max - ----------- Spacing-Max. --------- From Ends -Max- ------- Line 2 Piers: 3� Size -Min .------------ Spacing -Max.--------- From Ends -Max .------- Line 3 Roof Loads: Size -Min.------------/ „ G „x � Location (From Front) 2 n_ Line 4 Piers: Size -Min.------------ Spacing -Max. -------- S�,x'tL�„ From Ends -Max .------- „ Line 5 Roof Loads: Line 1 Ooeninge: Size -Min. ----------=------- x Each Side of Openings With Width Over--------- Ir Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ Spacing-Max---------------- „ From Ends -Max .------------- _ x 9:-x_16 x E'x" '''e 5 Piers: (Under Bearing Walls On y) cam' �- s0 ;=e Mie. -- -- ---- -- . x Spacing -Max ---------------- _ From Ends -Max .------------- Size-Min.------------� — 'x Location (From Front) S Z„ �„ 15.-