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HomeMy WebLinkAbout066-080-012, 1 a� Xutt4e. OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: M.K. Van Koevering ADDRESS: P.O. Box 4640 CITY & STATE: Chico, CA 95927-4640 IMPORTANT: August 341988 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. (Bldg Permit Appin. #328 - PE, Receipt #00035, dated 10/1/87, A.P. #66-08-12). Owner: Jon Saunders. Building permit fees paid---------------------- $130.75 Retain filing fee ---------------- $10.00 Retain plan checking fee--------- $40.25 Amount retained ------------------------------ 50_25 Refund due -------------------------------------------$80.50 Plumbing permit fees paid ---------------------- $ 22.00 I Retain filing fee ------------------------------$ 10.00 Refunddue ------------------------------------------------ $12.00• Electrical permit fees paid' -=------------------$'36.80 Retain filing fee ------------------------------ $ 10.00 Refund due ------------------------------------------------ $26.80 TOTAL REFUND DUE ----------------------------------------- $119.30 $119. 30 i TOTAL $119.130 I, 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. / Dated this ..�...19 .............................. deY of ... ..............(............ Ce11L' -'�l�' L%r'\ !✓..; Signature of Claimant - I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval[] (Check one) Wr t e 31st Au ust 88 Oroville Calif. Dated this .................................... day of ...........i............... 19....... et ........ ................... ............�uthorize epar meri Dept. 440-002 E=p• 4210500t . Permits Code Code PAYABLE FROM. .................................................................... I ... F U4. DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. ' COUNTY OF BUTTE - DEPARLMENT OF PUBLIC WORKSp RMI o NO 7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PA CE NUMBE / P ZO G BUILDING PE MIT OWNER6 / SQ. FT. OCC. BUILDIN VAL T.10 a Al OWNER'S M . Al1DD 55 (J 72_3�3 CONTRACTOR'S NAME f TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace Q CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ zw Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS vL Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Q`9 Solar or heat pump water heater 20.00 LOT NO. Z10 SUBDIVISION NAME /J C C 1--t-- PARCEL MAP (�-' 0 L9 Water piping / 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installa 'on❑ OtheA Describe work: Permit Fee $ 06 Contractor ELECTRICAL PERMIT Filing Fee 10.00' Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 S+ NEW CONST.(DWELLING OCCUP.CC. BLDGS. , Q A ) h¢sgft NEW CCONSTR.MULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &) -SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES NO!?30 eAL0 FIXED . OR Ex. DCCUp. OUTLETS TS (R(RESESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood '3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 d Date /l` 1r.F% Signature of Applicant - Ownero 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.TYP! FLOG 'PARC P 'K3,9U This permit is hereby issued under sions of the Butte County.Code and/or work indicated above for which DIRECTOR OF PUBLIC BV P M EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 1-27 Receipt No. ego 47 3 s WNIYC-D.P.W., YELLOW-ASBCSSOR, PINK -INSPECTOR, GOLDEN ROO-APPLICANT • .. � : .y. .; .. ... ..f...M .+g vY .�-r. inr z.'y.Vd/'A.bF. ri•h •Y' , - _r-� a_ .- COUNTY OF_BUTTE�DE.P_ARTMENT�-Q �-MJBLIC WORKS - BUILDING DIVISION / . 'jROVILLE, CA4&0I 1�4\1IA 95965 - TELEPHONE: 916/534-4541 e - �,� IT APPLICATION DATA SHEET Permit No. OWNER Proposed Bui'Ming Use A. P. No. _fig lP Building Inspector Date At time of permit application, I was advised the following -data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 14. 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 $ I . • , , , , , . , Letter of signature-authorizatio --(-. Jd Sanitation approval from V`4U" Health Dept. f / 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner 0",--Mail-to owner, —15. Improvements may be required. . . . . . . . . . , , 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 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 office, Deliver w/inspector. i Other Applicant �9`v�� �- -< <-. Date Copy of plans sent Health Dept., " ,Fire Dept., Other Date The following data must be submitted p r permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 14 /' Contractor, designer, ow , was advised of above required data by—phone Contractor, designer, owner, was advised of above required data by—phone Plans checked Sets of plans on hold in Copy—DPW Date ,� Plans approved by File cabinet AP folder M a. 1.aE0unter by date ZQ'Z 4,,5FoVntW by date Date — Flours: 10:00 a.m. - 3:00 p.m. TO Building Department FROM: Environmental Health S13BJECT: SANITATION CLEARANCE OWNER LOCATION AP # Plans approved for: Sewage Disposal_V Water Supply Hold final for: Water Supply Final Clearance O.K. for: Water Supply Clearance for bedroom mobile/home./Other Clea ance for addition of Z '7 No *ti /1 •� IT RIAN DATE -�(o -Yo )&,/I. /(9 Wo v,, ' (/ re F� � I- Am- � RECORDING REOUE—qTED BY AND WHEN RECORDED MAIL TO F Name M Street P G avec �6 �J Address City 8 State f. SPACE ABOVE THIS LINE FOR RECORDER'S USE DURABLE POWER OF ATTORNEY (Special) 'r MOW ALL MEN BY THESE PRESENTS: That. t) ►!%...G...5AO .► .Opl�......of..................... SPACE ABOVE THIS LINE FOR RECORDER'S USE DURABLE POWER OF ATTORNEY (Special) 'r MOW ALL MEN BY THESE PRESENTS: That. t) ►!%...G...5AO .► .Opl�......of..................... City ......... County of ...5"AG—AA-q '177Q ..................I State of California, hereby appoint(s)M.K..�.A.�).Kog.V�-�I l,of................................................................... City of ... Cl4 ti C_'v.................................County of .... U: -r(- ................ State of California, as..b.�... attorney in fact to act in.11'.� ....name with the following powers and no others: e r 1 Granting to said attorney in;fact full power and authority'to do arid' perform all and every act . .and thing whatsoever requisite, necessary, and proper to be done in`the exercise of any of the rights and powers herein granted, as fully to all intent's and purposes as ......... might or could do if personally present, with full power of delegation substitution or revocation, hereby :ratifying and confirming all that said attorney in fact, or his substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers hereinigranted. This power ,of attorney shall not be affected by subsequent disability or incapacity of the principal and shall remain in full force and effect thereafter. Page 1 This document is only a generalformwhich maybe proper for use in simple transactions and in noway acts, or is intended to act, as a substitute for the advice of an. attorney. The printer does not make any warranty, either express or implied, as to the legal validity of any provision or the suitability ofthese forms in any specific transaction. Therigh' s powers, and authority of said attorney in fact to exercise any and all of the rights and powers herein granted shall commence and be in full force and effect on.A0.6USr....... 1.� ............... 19.87., and shall remain in full force and effect until IN..p0--lAl G x'............119......... IN WITNESS WHEREOF, .................... have hereunto signed ..........name this ...... dayof ......................................... 19........... WARNING TO PERSON EXECUTING THIS DOCUMENT This in an important legal document. It creates a durable power of attorney. Before executing this document, you should know these important facts: 1. This document may provide the person you designate as your attorney in fact with broad powers to dispose, sell, convey, and encumber your real and personal property. 2. These powers will exist for an indefinite period of time unless you limit their duration in this document. These powers will continue to exist notwithstanding your subsequent disability b'Y incapacity. 3. You have the right to revoke or terminate this durable power of attorney at any time. C % ............. Signature .................................................................. Signature STATE OF CALIFORNIA SS. COUNTY OFL;t'>y I-tav):Lel/tddr. On this......�Y............ . day of... C. l4 0,!j'Gr�..0 ................... in the year.. 0. before me,..: f. ���........................, a Notary Public, State of California, duly commissioned and sworn, personally appeared.arx)....G:�:.. • • • • • • • .. • .. •. • • ............ • • ... • • • • • • • • • • .............. I personally known to me (or proved on the basis of satisfactory evidence) to be the person........ whose name.&e.v ).subscribed to this instrument, r and acknowledged that ............�he.............. executed it. IN WITNESS WHEREOF', I have hereunto set my hand and affixed my official seal on the date set forth above in this certificate. . ^ OFFICIAL SEAL ' a LINDA K. MELLO I //pNOTARY PUBLIC . CALIFORNIA ',�ACRAM�NTOCOUNTV Notary Public, Catali ornia My Comm. Expires lune 7, 1991 My commission expires.. LL,CP.... � .. � �� fl.... . . r . Page 2 This document is only a general form which may proper for use in simple transactions and in no way acts, or is intended to act, as a substitute for the advice of an attorney. The printer does not make any warranty, either express or implied, as to the legal validity of any provision or the suitability of these forms in any specific transaction. PERMIT -NO. RCM14 ��s-/�� PERMIT EXPIRES OWNER MARSHA VAN KOR CONTR. ale Vst}et} ASSESSOR -PARCEL 66- 08-12 LOCATION 13913 lefia ew YU OF J o - /kf- It OFFICE COPY Address GAS Meter B 1.Y Date ELECTRIC Temp. Pow4rMeter'By- iALi F -- Date W I Called PL-- Temp., Elec.Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature. 7;0000r = OK 0=NotQK a = Not Readyable MOBILE HOMES Date MOSWE HOME UTILITIES (Plans),.OKexbept f � r; Location - Am on Clearance Card -B1 yi/. Datel"rc^'O ' `Card -131 Date Card -B1 Dat 47 'Card -131 Date Date MQSILE140ME INSTALLATION (Plans) OK except #'s 47,dning Requirements -Setbacks -Easements otings; Size -Spacing -Marriage Line . MH Test -Demand -Valve -Connector electricity; MH Test -Crossovers -Breakers -Clearances Dr in; MH Test -Fall -Flex Connector do MH Test -Regulator -Connector ter and Sewer Connected -C/O to Grade -HD Apprc s and Electricity Tagged s; Insp.-Sketch Cert. of Occupancv Card -131 Dated / Card -81 Date Card -131 Datey Card -131 Date ..��� 7 Zo ec�J f�.�a c.✓r`�C 1 / L d A G (1f� /�� c✓�it s' %z.�. Ale-17- aza7� vfx MISCELLANEOUS Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- j Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings ,Card -B1 Date Card -B1 Date .Card -B1 Date Card -131 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosu res- Panel boards -I ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test s Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date ,= OIC 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable =.Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits ' 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -81 Date Card -61 Date Card -B1 Date Card -131 Date Card -B1 Date Card Date Date PLUMBING (Permit) OK except #'s -B1 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -81 Date Card -131 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt.'& Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mach. Fasteners -Bond Gas &Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Mach. Protection 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -131 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -131 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -61 Date Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -81 Date Card -131 Date 38. Sills, Proper Material & Anchors Card -81 Date Card -131 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) ( VMOBILEHOME INSTALLATION ACCEPTANCE {_' • COUNTY OF BUTTE ,+s2 DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 f '-"-PERMIT; NOj -- u Address or location �off�mobilehhomme Owner'sname l�i��i1�'-✓��_- -' Owner's address /-11) 1/15 647--, -Cel GAP,.r��l�fli� Insignia or hud number hl/hl6 _ ... r Manufacturer's name // �IIL• _� --, x .Serial number of V.I.N. ? ! / �� �y f X Year of manufacture .Z (Official Approving Installation) `. (Date)/ IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ' ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE ° t MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. a ^' 513B White - Owner, Yellow.- Installer, Pink,- D.P.W: a! COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER o�'7 PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 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 OWNER PERMIT NO. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. .;' yle9., %r r Y /' c" Lr/i/� fV£ £c✓ /l� lffi�G �f G % Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS f'. 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 VAN-1i:�o6zur7,QW-,(, OWNER PERMIT P A routine inspection indicates that the following violations of County Ordinance exist at the a ve address and should be corrected. Please.notify this office when corre ion of work is completed. If you have any question pertaining to this matter r need additional explanation, please contact this office immediately. Inspector Date t� v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. n ASSESSORPA CEL NUMBFR C2 �KBUILDING ZONING PERMITEl OWNER T L P ONE SQ. FT. OCC. BUILDING VALIJATION OWNER*PITINGRESS7, AMMME CONTRACTORP NAME CONTRACTOR'S MAILING A SS Fireplace CONSTRUCTION-LEV41DER UNKNOWN Total Valuation is Filing Fee $ 1V.W LENDER'S MAILING ADD4ESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee •10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION A /� PARCEL MAP l� , Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex[] MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S W 10.00ea TYPE OF WORK New❑ Addition [_1 Remodel❑ Utilities JV Installation[] Other❑ Describe work: f - a��'�- Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 10.00 /�•�Q 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 arid my license is in full force and effect. License No. _3P)14-53 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 oR ADDNST ( DWELLIN GSCCUP..\ '/zQsgft / NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS e) SINGLE OUTLET CIR, zo®soe Ex. Occup(OUTLETS OR FIXTURES eAL030 FIXED PR Ex. Occup. OUTLETS (RESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 l Misc. Wiring 15.00 Permit Fee $ S Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 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 nter upon the above-mentioned property for inspection purposes. nify and keep harmless the County of Butte against I al gr- to sav%ens"costs, all abili es, judg and expenses which may in any way accrue nst sa'd CountsegJence of the granting of this ermit. 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 4storiesin height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. JCONST.T7;7J__TFLOo PARCE- �aga HD 990E This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC By EXPIRES Date PER the applicable provi- resolutions to do fees have been paid. WORKS Date Zji Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ,'.�c � � + z ' . S ';'�•t i i �� ► +� � �.ry�f !"" :. .}�.�. < .P € �F'i +e �a *: -' � ' i•1 rr i,,-, �., c ' i >• "t" �`i''`lt�- �?'A'� K. �Y�i`��� -,fig � µ ! .���'�'{.I.t `,,�• .j�,, �.tt,� .�Zy:.��. Yh � 7''��,ir, 1 �.T ���.,(� ... i� �J fY+L y.��y�r _:. �....• - COUNTY OF BUTTE - DEPARTMEVT pfv,,PUBLIC WORKS -!BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 •- -." PERMIT APPLICATION DATA SHEET w Permit No. �M OWNER / / /cI�CC ��i�� ..// G�{/v4%��. A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED .%1 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authoriza,tiro/n/. . . . . . . N . .Sanitation approval from �%t�G'l Health Dept. . . �1 Z� O 7 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[], Mail to owner ❑) _..._15. Improvements may be required.' . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . Pre-Inspec. requej to v 7. Pre -Inspection for__._._.__ _.. _.. _.. Required. Building Inspecto,,IDatel r 8. Recorded copy of Agricultural Acknbwledgment Statement.Y Driveway Permit. 20. Plot plan approval from city of _ 21. — — 22._— r, you issue the permit proces was follows: Mail t wner _Mail to contractor_ Telephone ���'�� and hold for pickup at Ice, Deliver w/inspector. tt Other Copy of plans sent /1111111WMM Health Dept.; Fire Dept., Other Date 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 __jnail—counter by Contractor, designer, owner, was advised c3 above required data by—phone —ma iI—counter by Plans checked by— Copy—DPW Datee L S:�:—Plans approved by Sets of plans on hold in File cabinet AP folder �A date date 't Dat d�R o T0: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner a location AP # Driveway permit FL ?0015 (f- 1 411 sign re has been issued for the above property. 9-14 date 4 TO: Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE OWNER Plans approved for: Hold final for: Final Clearance O.K. for: t LOCATION Sewage Disposal—I f r • Clearance for _z:,: -.bedroom mobile home. Other Clearance for addition -&fes /V "k!/ /A No to AN 4 1 I --12- . AP # cxal4r-� Water Supply Water Supply Water Supply DATE Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT ?ECORDED BUTTE COUNTY OFFICIAL RECORDS BY StiOW .. '537 AUG; 20 PH 4: 39 CANDACE J. GGRUBBS, --CLERK, RECORD _ -- Section 26-8.1 of the Butte County Code requires this acknowledgement. be recorded prior to issuance of a building permit. 87-30259 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may.be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited .to herbicides, pesticides, and fertilizers; and from the pursuit•of agricultural 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: SEE ATTACHED LEGAL DESCRIPTION Date: August 6, 1987 . f , ' n I PROPERTY OWNERS: ' MARSHA K. VAN KUkVhKMU State of CALIFORNIA ) On this the 6th i day of August , 19 87 , before a+ SS. me, the undersigned Notary Public, personally appeared .County of B0TTE ) MARSHA K. VAN KOEVERING********************************** 65®®°®a°®®ae�osasose°ameo�� 1-7 Personally known to me. Proved to me on the basic ® ° ofYsatiisfactory evidence. ° LeANNE GALLEGOS p ) ) ® to be the person(s) whose name s = are subscribed to NOTARY PUBLIC -CALIFORNIA a• the within .instrument and acknowledged that she My Commission Expires Juty 13.1988 executed the same for the purposes therein contained. ®sae®aaavo■moO°°eo°O°°a°o® IN WITNESS WHEREOF, I hereunto set my hand and'offici_al seal Notary ublic c l LEANNE GALLEGOS Present A.P. No. 4�,r ""tfl3b? �y`,�? r 7 G 1 z M 1 X ✓K�; I a I '� r r r. •,` r i rFct1}L ifg' � r �i+ , M ;� � ti } y ,, i T 1. i c t i .5 ✓ 4 ,���r'L� fs(tt��SIU=7r��Ujy _ � `� •' ,. �.. . 1, r � ;s 4 �r`�S c '-� r �e5 '. t e t.. 4 r. 4 . R y�� 91f�c•� �y:�51�i; tilh. '}R ! , ' E' .�3> e.. 'i �' r '4 4 1 '...{ 1 / y 'ttt+�',.M 7,ar•dJ } DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as follows: D A Df`CI T . Lot 7, as shown on that certain Map entitled, "PARADISE PINES COUNTRY CLUB ESTATES UNIT 1", which Map was recorded in the Office of the -Re- corder of the County of Butte, State of California, on September 14, 1971, in Book 38 of Maps, at pages 57, 5B, 59 and 60. EXCEPTING THEREFROM all minerals,'oil, gas, asphaltum and other hydro- carbon substances, with provision that any and all• mining operations shall be done from orifices outside the surface area of the land de- scribed herein, and that no damage shall be done to surface of said land. PARCEL II.: A non-exclusive easement over Lots A, B, C, D, E, F, G, and H, (the common areas), of said Paradise Pines Country Club Estates Unit No. 1, and the lots designated for common and recreation areas as described in the Declarations of Annexation for Units IV, VI, VIII, X, XI•, XII, XIII, XIV, XV. h DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as follows: D A Df`CI T . Lot 7, as shown on that certain Map entitled, "PARADISE PINES COUNTRY CLUB ESTATES UNIT 1", which Map was recorded in the Office of the -Re- corder of the County of Butte, State of California, on September 14, 1971, in Book 38 of Maps, at pages 57, 5B, 59 and 60. EXCEPTING THEREFROM all minerals,'oil, gas, asphaltum and other hydro- carbon substances, with provision that any and all• mining operations shall be done from orifices outside the surface area of the land de- scribed herein, and that no damage shall be done to surface of said land. PARCEL II.: A non-exclusive easement over Lots A, B, C, D, E, F, G, and H, (the common areas), of said Paradise Pines Country Club Estates Unit No. 1, and the lots designated for common and recreation areas as described in the Declarations of Annexation for Units IV, VI, VIII, X, XI•, XII, XIII, XIV, XV. -0specifications Maw¢t ©G I nl'SS esnd • asame �4 r is Se k� .�b a o ti erat►on% art en} Of ire gAcK �cep�n hanq�yr a }he Oep m Sed _ - ma���@rmiss%o jr B. 0 5 baa _ Wr+tc§ V t'� Vic W°rks� _ eIx c ee KO s aSpecification MUST b' Qo� e0 ec J el�oQe'r ,,.� q. �"� ;-'+-set1e f Plan !I d;m s and ik is unlawful is � ..kept n 1 r al§erations on same of PubO m e an hanger artment of Pub itten p rm sio from the Dep . IQz 6 ''� lic wot a I 11 b Within s r e eatlo sha \ ins Utility co . home, a rea! o 4 ft °{ t e�;ndmolb1or ' bin 00 t o0 ,S c n directly Q s-jde - �� Shall Be + half of h,road �.2 Xaa ans�ip d �< il®rials &°rk Good Practices a^ mob+1 NOTE: 1� Recognized use in t�- for the Specified . 6-.+s e• it . &.tMeehanieel C• ' � r � t G�n� ice rescribed o of a q � B ilding, Plumbing ale• Unif \ 4 nd Apermit S+ll tion •rlbrequired rd ob� ehomdi —CA -rrc°�S c�0` L the A L-1^/� 3 Z c7o Pew. No WITH LL Pt's - E - UN DER GROJN0 F-Lf.c.-r$,L 3� t`no gt lL I*orv*% P" � W _ W A,^t T. e.. � N �. �om9'1c 2XA t7�v���Pmi Ulm%P► PL !" w•-r�+ 3 C �+ v �2 Bvl Maas A u�N KdEVtR�N�� J UILDtNGDEEP4''w,eA,pPaf� 4 O � ' � s -`mac, AP # l -off -f2 OWNS CC PERMIT MH UTIL.CLEARANCE DATE INSPECTO .; ELECTRIC. Support °Struc. Compaction Test Re Service Other Pipe ` Size Load Type Size Len th YES NO YES NO Z,4,C4 /,z f" ��l� �� �n • �� was 'ldsa�s b4A/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -� 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. / ASSESSOR P L NUM ER ZON' T BUILDING PERMIT •� OWNER O� T Pf-Io/NES` / 5�' SO. FT. OCC. BUILDING ALU ON O NER S MAJILING ADDRESS _ CONTRACTOR'SNA WHONE_ CONTRACTOR'S M NG ADDRESS 41___?C2 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ UO Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /2 �, (//� Permit fee $ S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer _TSJ 5.00 Mobile Home G W O.00ea TYPE OF WORK New ❑ Additionmodel ❑ Utiliti s [:1Install tiortK Ot r ❑ Describe work: Re I I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SS 1000V OR 0 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the .Business and Professio�iJS�• Code and my license is in full force and effect. J/ ��L%t �,p� 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 NEW CONST. DWELLING CCCUP.a ,hQSQft OR A.D.S. ACC. BLDGS. ) . NEW CONSTR U '.OUTLET2.50 ea NON-RESID .BRA CH CIRC TS POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup OUTLETS OR FIXTURES 5AL03 0 FIXED APLNS. Ex. Occup. OUTLETS PR (RES10 )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin 15.00 9 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 f 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 Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot ,,Butte to enter upon the above-mentioned property for inspection purposes. 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 sai unty in co sequence of he granting of this permit. �--_ X Date Signature pplicant — Owner El Contractor Agent An permit is required for excavations over 5'0" deep and demolition or construct- ion or structures over 3 stories in height. Mobile Home Installation Fee $ 00 Energy Inspection Fee $ TOTAL PERMIT FEE $ (�U OCCUP, CONST.T7P_ZJ [SCHOOLIF PARCEL PD ND 39U This permit is hereby issued under sions of the Butte County Code and/or work Gated above for which E f1OR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date se -8 f SC Ji Receipt No. WHIT!-D.P.W.. TFLLOW-AOeE,eOR. PINK -INSPECTOR. GOLDENROD -APPLICANT F., "-v .,..�--_ �..,„�. r.;.".w.�,r.Y"w'.,. r *' :4 -t: ... • .: 'a. ���ay..- ry-r ..y : ,..L ...�.' _ fr ,'r R��-:Nt :dk,i'w H. �'h-FrY''^..N ,j... Olt COUNTY OF' BUTTE - DEPARTMENT}9F RUJ31LIC WORKS - BUILDING DIVISION 7 COUNTY. CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET r" Permit No. OWNER ( � L�?i�G � 6kF AP. No. - Proposed Building use%� Building Inspector—40 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid” Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . . . . . . 9. 10. Letter of signature authorization. Sanitation approval from Health Dept. . . Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), Improvements may be required. . . . . . . . . . . . Mobi lehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector 18: Recorded copy of Agricultural Acknowledgment Statement. ./Pox_t;7�,)/)z&J way plan approval from city of -,6� ex, 5r4, -,/Z - 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone 16,3 / and hold for pickup a office, Deliver w/inspector,. Other Applicant (Date) Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior trmit ance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: ontra esigner, owner, was advised of above required data byphone_ mail counter by date actor, designer, owner, was advised of above required data by —phone _maII—counterb ,— date17 A 'Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date '7-1(4 " - Flours: 10:00 a.m. - 3:00 p.m. MOBILEHOME SUPPORT DATA If other than single .wide, Mobilehome Mfr. _5k(1 11 w furnish Setup Model No. Year l Y Width (ft.) Box Length_2_�(ft.) Tagalong or Expando Size ft, x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)p;�T1. SUPPORTS (check one),`1. Wood -pressure treated or foundation grade.❑ 2. Other (specify) Concrete block. F]2. Other (specify) Pier Footing' Sizes and Locations SINGLE -WIDE �Z� MULTI -WIDE Line 1 — Main — — — — — — Beams _Line 1 Line 2 ?„ LinS.2.y.. Bitai. i"[..`JS.. , ine 2 — — — — — — — — — Line 3 — Line 2 — -- �' — — — — — Main Beams e 1--si=-eLOU 2 Line 1 — — -- — — — — — -- — .4 -Line Tag or Triple —' — — — — — — — — — — .— Lina 4 Line 1 ' • Line 1 Piers: .. Size -Min. ------------ Saucing -Max. --------- I N Frao Ends -Max. ------- Line 2 Piers: Size -Mill ------------- "x Spacing -Max.--------- From Ends -Max .------- "t " Line 3 Pwof loads: Slze-Min.------------ Line 1 Openings: Size -Min. ------------------ u x, Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .--------- ------- "x 'Spacing -Max---------------- From Ends -Max.------------- „x G „ Jj r �Z� mm®® Bitai. i"[..`JS.. , Location (From FronL) E. - I1.ne 4 Pie^_s: Line 5 Piers: (Under Bearing Walls On y Size -Min------------- „' „ Size -Min .------------------ x "x Spacing -Max.--------- - Spacing -Max .-- ------------ _ From Ends -Max.------- ._ „ From tix---,;`, Line_ 5 Roof Loads: Slze-Mlu.---'--- 1Au eLion (From Front) mm®® Bitai. i"[..`JS.. , T 1. Owner's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 2. Installer's Name: J Mki 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? . Yes F] No -2 (If yes, furnish two 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? --------------- / G 6) Amps 6. What is the mobilehome site service rating? ------------- a Amps 7. What is the mobilehome site circuit breaker rating? ----- O Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (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?--------------------------------------------- * 12. What is the mobilehome gas demand? ---------------------- 30 (ft.) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG:), (BTU) 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. ma" bor and materials for construction of the proposed property improveme (yes r no) 2. avPe ave not) signed an application for a building permit proposed work. 3. I have contract'ed--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 Y3— 17yy is Signed: Property Owner (� Social Security tuber — Date 2 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.