HomeMy WebLinkAbout065-290-00465-29-4
HARRY TAYLOR . /F72141
14784 Magnolia Drive, Magalic
i Permit#1564-82MHI'existiing site)
6-8-82 too A 5o A' ►s'- s/q `'t_�''�
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t: PERMIT NO. 1564-82MHI ex .site
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PERMIT EXPIRES
4
OWNER HARRY TAYLOR'
CONTR. owner
' ASSESSOR PARCEL
65-29-4
LOCATION 14784 Magnolia Dr, Magalia
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Temp. Power Pole
4 Called PG&E /
• �= T4j�Elec. Service
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{ Called PG&E —o Oo%
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Temp. Ga ,Se
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{ Called PG&E
JOB FINAL D Y ate)
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$ Signature
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COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the CaIggrnia. Administrative Code, Title 25, Chapter 5, under permit
number I for the following location:
u
Owner
Owner's Address
Mobilehome Mfg. ���°�'��''� Model i{ ��� Year
Insignia No. A • '• Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date _.- By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
� I t
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial 'Nay, Chico = Rhone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
f
CORRECTION NOTICE
BUILDING OR PRollERTY ADDRESS
A routine inspection indicates that t1 owing 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
tt r, or need additional explanation, please contact this office immediately.
zxn 01 r n -n I I M— IVY) n // s . '` A
V -A \J
9
Inspector /► Date _ 2_
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Crico -Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTI E
i y -7 V )OArA-0
-411
BUILDING OR PROPERA"JY ADDRESS
A routine inspection indicates that the follo*ing 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
.17 Inspector Date '
t
J SOK' '
0 = 'Not OIC
— = s
Not Applicable MOBILEHOMES MISCELLANEO"C'
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) 01, except b' _
1. Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
4• Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.•-Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card BI
Date Card -BI Date
Card -BI
Date
Zsp
Date Card -BI Date
MOBILEHDUE INSTALLATION (Plans) OK except N's
ing Requireme —Setbacks—Easements
Card -BI
Date
_
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks—Easements
S' pacing Ma9_9_L_P _ ('
2. Soils; Compaction—Structure Stability
Gas; MHT —De —Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
AC"Iflectricity; MH —Crossovers—Breakers—Clearances
_
4. Elec.; Receptacles and Lighting; Distances—GFI
n' H
>!—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
Test—Regulator—Conn r
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
ater and Sewer Connecte C/ de— D Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gand Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
e�
Date /— ]_�rd-BI . Date
Card -BI
Date Card -BI Date
Card B-1
Data and -BI Date
Card -BI
Date Card -BI Date
r �
f,
A f
i0
p �
.0 &"
eGt�-
i
J = OK
0 = Not OK
Not Applicable RESIDENTIAL (Single and Duplex)
= Not Reafly
Date
UNDERFLOOR Plansy OK except N's
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding-Nailing-Vene&r
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-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
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
15. Water Pipe; Test & Anchors -Nail 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.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72•
Insulation -Foam -Looked in Attic ❑Yes
73.
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ED No
75.
Following instld.: Drive El Yes ❑ No; Walks E3 Yes El No;
Planters Dyes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
-
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except N's
31. A.C. Ducts; Insulation & Support
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
_
_
32.-
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI_
-----.
Date -- _ Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
36. Proper Material & Anchors
Comments at Final:
_
37.
38.
39.
_Sills;
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing_
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.Header
42.
43.
44.
45.
& Beam -Size & Bearing _
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthnq.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size &_Romex Protection -Draft Stop -Ins. Baffles
_
_
4_6.
47.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N§
Z .74e
ASSW-SOR PJPRCEL NUMBE -
--—
ZONING
BUILDING PERMIT
OWNERPHONE
173 _ 107,
SQ. FT. OCC. BUILDING VALUATION
OWN 'SSMAIILIN AODP.E 5
qI' L 'y
CONTRACTOR'SNAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fe
$ ,3 p
BUILDING ADDRESS r
PLUMBING PERMIT
Filing Fee 10.00
• 4
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each pas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE O STRUCTURE
SF ❑ Duplex❑ Mobilehome �, Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installations Other ❑
Describe work: t;Kl S? tv�cr t^t �
lQ1CsQ'001
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
OR
Main service 100 AMP ORLESS5.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. (DWELLING OCCUP.y\
OR ADDNS. ACC. BLOGS.
/ 20 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElNON
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
2 I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEWCONSTR -OUTLET
NON -RE ID, BRANCH CIRC ITS 2.50 ea
NEW -CONSTR. ( POWER APPARATUS 61
RESID. SINGLE OUTLET CIR, i
so a za¢
Ex. OCcUp OUTLETS OR FIXTURES IBAL@100
FIXED APPLNS. OR
EX. Occup.�OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such'
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X �� /� a- ff - ?Z
Date
Signature of App cant - OW er u 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 $
TOTAL PERMIT FEE '—
OCCUP. GROUP
I TYPE OF CONST,
I
PARCEL PD
N
1550
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO PUBLIC
By
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/ Date 6— 1(���%Z
v —tom/ —t
Receipt NO. (a% / (2
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PEV
RMIT APPLICATION DATA SHEET
Permit No.
OWNER A. P. No. (0
Proposed Building • se ZUL4- 1A
Permit Fee Based Upon: Complete Contract Price DPW Valuation
\ t tj�er (Explain)
Building Inspector. j o jj/ �_A- Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or Issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . . .
Complete plans induplica e./triplicate. . . . . . . . . Z-
4. Complete engineere pans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
0. Sanitation approval from l
Health Dept. . .
:�,Planning approval for (A) Use: • (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data.. . . .
•Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector
18. Other
When you issue the permit, process as follows: 'r Mail to owner. Mail to contractor.
Telephone and hold for pidkup at office. Deliver w/inspector.
Other 1'
Applicant Date�Z-
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above i e f application, circle item.)
1. Index permit for above Items No. lj�
2. Additional items required:
(Contractor, Desiiggn�er,w -) a advised of above requi d y pho Mail _• Other
R�s� Al l By Date
�`11
■4I ..
s
•
Copy—DPW
To: iBuilding Department
i.From: -Environmental Health
Subject: Sani..tatfon Clearance
Aar'"l carr
wner
Plans approved for:
Hold final for:
Location I''i G q���t� AP
Sewage Disposal Water Supply
Water Supply
Final Clearance, O.K. for: Water Supply
1
Clearance for' 2 -bedroom mobile home. Other
Clearance' for addition of
Nota**
Sani.tar f an
Lo �Totllj
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
Attention Property Owner:
OWNER -BUILDER VERIFICATION
An "owner -builder" building permit has been applied for in your name "and bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I•personally plan to provide the major labor and materials for construction
of.the proposed property improvement (yes or no) YES
2. I (have/have not) 11A V4f 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
��.a
Signed: /
Property Owner icy Al.
Social Security number
Date G — 8- 8z.
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
180'
This set of plans aild specifications MUST be
�-
' • ' '- K'O: c:—All Materials & VJorkrnans�ii
kept on the job at all times and `it is un to � . e in l
make any changes or alterations on, with- _ Agc®rdance with Recognized Good-P♦c' tices, end
160 put written permission froeo they DOPi rtment of of a quality prescribed for the_SpeCifieUs,e ld.I'h
PublicVl/s�rlCs, ��fritj Uni#drm Building, Plumbing=&= j ch. t.a�_ ties ;
and the National Electrical Cod.'��
20'
i
20' .40'1-:_1i.;.!�600-ii' 1;!180' 1
.IY7841 MACH041A DA-
1� (04- $ Z
BUTTE COUN fl
AUILDING DEPARTMENT
APPROVED
I i
120'
- , - -, '- • _.__. _ .. .
PROPANE•TANK', i
100,
i
ELCC. WATEii SepriC
v 2
80.
60'
A setback of 5 eft. 'from the' ` •
property lines bnd a s�tb6ck
Rl
' M. road - ; ' ' • '
50ft. fr6 ;
!
of
shall be clear.
40'
`centerline
structures or equipmenti except
for a 2 ft; eave overhang;
20'
i
20' .40'1-:_1i.;.!�600-ii' 1;!180' 1
.IY7841 MACH041A DA-
1� (04- $ Z
BUTTE COUN fl
AUILDING DEPARTMENT
APPROVED
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7_County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
? . 0�,�:er's name:
2. Installer's name: JA111
3. Is the site currently under permit? Yes / / No / /, •
(If yes, furnish permit number ) 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?---------------------�fV('J Amps
7. What is the mobilehome site circuit breaker rating? ------------- Amps
8. Is there any other electric load'to be served by the mobilehome
siteservice? --------------------------------------------------- Yes :Z No
(If yes, identify the load and size: (Load) (Amps)
Q What is the mobilehome site gas pipe size? ---------------------- -31,41, (in.)
10. What is the type of gas service. --= Natural /%
11. What is the gas pipe length from meter or tank to the mobilehome? S
12., What is the mobilehome gas demand? ------------------------------
wo
LPG %—
(ft.)
(BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft, on LPG.)
6
MOBILEHOME SUPPORT DATA
Y
A
If other than single wide,
Mobilehome Mfr. flf����14�� furnish Setup Model No. Year
Width /0 (ft.) Box Length 5'0 (ft.) Tagalong or Expando Size ft. 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
1. Wood either
A A
pressure treated or
foundation grade.
( t.) (in: )
x
(in.) ( in. )
2. Other. (specify)
Center support
locat ons*
Center su port
footing izes
Supports (check one)
(in.)
1. Concrete block.
•
Ej •2. Other, (specify)
x
(in (in.)
4 --Tagalong or Expando,'
show support details.
u
(ft.)(in.)
(in.) (in.)
1Z1� so
2x/-
-- Typical Support
(in.) (in.)
Footing Size
(ft;)(in )
(in.) (in.)
a'
-- Max. Pier Spacing
(ft.) (in.)
x
Max. Overhang
(ft. (in.)
(in.) (in.)
IS440
BUTTE CUU•N TV
AUILDING DEPARTMEN'
*If center piers are other than drawn above,
�' " P R. 0 V � D 1/2,
draw in lncatinns_
anacine_ and dimensions.
_._
c .
Return to DPWAGRICULTURAL STATFkENT OF ACKNOWLEDGEMENT OI 10-A--
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1of the Butte County Code requires this acknowledgement �ii?�
be recorded prior to issuance of a building permit. JS1l9 N�';
The property described herein is adjacent to land or included CLERK RE's
P P Y _ J CLERK -RECORDER �
within an area zoned for agricultural purposes, and residents of F, E�
this property may be subject to inconveniences or discomfort arising 1 �� F G'
from the use of agricultural chemicals, including, but not limited to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally 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:
ii
LO'T 9' � AS S%lOGVN VI! -7-//.47- (f'cf.'TA/n/ :4. P C/✓T/7-4F%) .S"/CFf-'A
• �cL !j P� FS?.fi%"ES U✓✓/7 /✓v. c� / G✓N�cf/ /v,,f,0 vv4j" h'EcOfidJc[� /nf Tf/E
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23 /963� /N MAS 00,/< �70/ Ar OA CCS- 2f J A vo Sfy.
Date: Z�_
State of.
SS.
County of��, )
On this the C,� ` 'day of 19 J �,
before me, the undersigned Nota ublic personally
appeared
known to me to be the person(s) whose name(s)
OFFICIAL. SEAL subscribed to the within instrument and acknowledged
J
I.ARLINE OVERSTREET that _3� executed urP Pthe same for the oses
NOTARY -CALIFORNIA (
BUTTE COUNTY ( therein co tained.
My comm. expires NOV' 6, 1984 '. IN WITNESS WHEREOF,' J hereunto set my hand and official
seal.
Notary Pip,
lic
Present A.P. NO. 65 - 2' '/-
COUNTY OF BUTTE - DEPARTMENOF UBLIC WORKS
7 County Center Drive Oroville, California 959 ' - T lephone 916/534-4541
APPLICATION ANn P � mi
PERMIT NO.
ASSESSOR PARCEL NUMBE
OWNER--FTP
ZONING
BUILDING PERMIT
T PHONE
3- toy•
OWN /lS^'5 MAIL IN ADDRE 5 -
Sb, T. OCC. BUILDING VALUATION
coN T R A CqA to I� t--`.—`
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
_
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
110.00
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE No.
Filing Fee
$
Permit Fee
Plan Checking Fee
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESSr
BUILDING ADDRESS
CLS
Permit fe
$
$, O
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each pas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome , Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Ins ation 0th r
Describe work:-,.", S` l ' '
Permit Fee --$
Co
TRICAL PERMIT
Filing Fee 10.00
Main service too AMP ORV OR SLESS
5.00
Main service EA. ADD'L 100 AMP
2,550
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
I. as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
N EN CONST. DWELLING OCCUP.y
OR ADDNS. ( ACC, BLOGS. 22 sq ft
W-Z:ONR BRANCH CIRCITS T 2.50 ea
D
NONEW
CONSTR POWER APPARATUS e\
NON -REST D. (SINGLE OUTLET CIR,J
Ex. Occup OUTLETS OR FIXTURES soea¢
BAL01
IXED APPLNS. OR
Ex. Occup.(ouTLETs (RESID.) Eq. 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith Comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X /, /� �� Date � — 8 - �Z
Signature of App cant — Ow et Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $--
-UP. GROUP
I TYPE OF CONST.
PARCEL PO
NO
s3UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. (1, L/ L� -
WNITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT
Return to DPW AGRICULTURAL STATEMENT 'OF ACKNOWLEDGEMENT 0FFIG-A�
FOR RESIDENTIAL DEVELOPMENT BtJ'i DOUi<'``t '.;,;,;
Section 26-8.1of the Butte County Code requires this acknowledgement ,
be recorded prior to issuance of a building permit.. 29 Ah ..P
ELEANOR property described herein is adjacent to land or included CLERK RECOM. RUE,R
P P y � CLERK - RECORgER
within an area zoned for agricultural purposes, and residents of
this property may be subject to inconveniences or discomfort arising S�`1F7 E� EE
from the use of agricultural chemicals, including, but not limited to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally 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:
/r
L O •T Cl / A-5- SNOkVN VV •7'/`1,, 7- CEATA/n/ MAP SiFFRA
� I��'L ARD ES?.AYES U/v�<� Nom. � � [✓N�fH sv�N�' d�9s' ,�c'ECoR�Ec� /n! THE
OFFICE OF '?Hr �E�Ofa®CiEG.,g= YNE couivr r o�e guru` rrATE OF C'iyC/
J
At/Crv.1'T 23 IV6 3
Date:
o
State of )
SS.
County of���,� )
fin/ mAl-I eooK 3oi Ar PAGC.-
5"7 V81 A.vo ,, 9.
nnnnT.n.nv nT.TxT . no _
On this the C,� day of , 19
before me, the undersigned Notary",/Public personally
appeared IyAte ey
s TR > A- ate d
known to me to be the person(s) whose name(s) Nisi,
OFFICIAL. SEAL subscribed to the within instrument and acknowledged
ARLINE J OVERSTREET c�
m NOTARY PUBLIC - CALIFORNIA that executed the same for the purposes rn
BUTTE COUNTY ( therein co tained.
My comm. expires NOV 6, 1984 '. IN WITNESS WHEREOF, I hereunto set my hand and official 00
seal.
Notary P lic
Present A.P. NO. �°S - 2 q _ END OF DOCUt,4ENX