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Home My WebLink About071-350-025'71-35-2 3305-89P,.E(MH) LEVANG, Dennis 19 Horseshoe Trail, erry Creek/�(� (uti1,: MH) SCJ li(� ELEC. o,?00 dA- `. GAS SUPPORT STRUCTURE REQ.Dun �� f �.5 -25Permit#3306-'89Issued—kq J II s 1� � � LM PERMIT NO. PERMIT EXPIRES /d OWNER .r CONTR. f ASSESSOR PARCEL C ' r. LOCATION - � O 1 - f Y OFFICE COPY Address NI€�er-B� Date f ELECTRIC �� Meter By Date,<= ' Temp. Gas Service 4 f PQ Caile� -AF-�.,�. '.+L.i y_�r[C,.�kfiT'a )4Qli it.iirF t r{;j f JOB FINALED (Date) , 2 e l 1 f� I Signature 7 .s Rb 0 = Not OK - = Not Applicable = Not Ready r . t f M'diLt HOMES MISCELLANEOUS. Date MOBIkE HOME UTIL'ITI S (Plans) OK -except #'s ' Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s o g Requirements=Setbacks-Easements 1. Zoning Requirements -Setbacks -Easements Special MH Support -Sketch 7 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel e er;,Location-Test-Fall-C/O-Concrete 1 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails r; Location -Test -Easement Needed (Sketch) 1 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing lectricity; Location-Clearahces-Grnd.-/ / Amp -Concrete! 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures cation -Test -Wrap: / /"L"ft. ti ` / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors Utility Clearance i 7. Elec. j 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B Dat%/ rd -B1 Date 10. Roof; Shthg-Roofing Card -Bi Date I Card -131 Date 11. Ext.; Steps -Doors -Landings Date MO LEHOME INSTALLATION (Plans) OK except #'s 1 Hing Requirements -se - sements Card -131 Date Card -B1 Date 4�27,00tings; Size-Spacin - Marriage Line + Card -131 Date Card -B1 Date I. Test -Deman ve- onnector } 4. ctricity; MH y -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s .ain; M -Fall -Flex Connector 1 1. Setbacks -Easements r; MH -Regulator-Connector 2. Soils; Compaction -Structure Stability ater and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining El Gjaectricity Tagged ) i ; Insp.-Sketch f 4. Elec.; Receptacles and Lighting, Distances-GFI x6mVd erg. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed t 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -131 Date Card -B1 Date Z/ Jib Card -131 Da�Card-131 Date j2j:;_,a91 9. Health Department Approval 1 / r,5 � ftp �y � i res..� .r �vt •. x%3 S/VTj f, >`" 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -81 Date Card -131 Date Card -131 Date , M N CV u U r = UK o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable ' = Not Ready . . Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors - 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng. _ 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 18. Piers -Fireplace Ftg.-Steel 52, Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Sup prt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts _15. Insulation 59. Insulation-Walls-CIg. 60. Infiltration-Walls-Wndws Card -131 Date Card -Bi Date Card -81 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date _ _ Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 85. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -B1 Date 67. Stairs &Rails Card -131 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth L 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. 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 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. 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 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -61 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Card -81 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -131 Date Card -81 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be, made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Merhbrial Way.'Chico — Phone: 891-2751 7 County Center Drive,7*Orovi Ile — Phone: 538-7541 747 Elliott Road, Oarad I se — Phone: 872-6307 C61&E&10N NOTICE 33 C) C OWNER - PERMIT NO. 5A routine Inspection Indicates that the following violations of County Ordinance I , following exist 'at the Above-ad.dresisand should belcorr'ected. Please notify this offlc'e when correction of work Is completed. If you have any question pertaining to this \matter, or need additional explanation, please contact this office Immediately. ti Inspector Date �- ., -�-...---+rte-:.r"'t7." .`i.'�:r�:.v..-..c.:�-.-, -s. �. ��.•.-�;s.:.,i►:.iY`}'--i"-+%�'�.i 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 2� NER 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: a 52 Date�� %y_T(l Inspector OWN 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 4 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 i matter, 0 eed additional explanation, please contact t.�s office immediately. c.) a 4V �1506m� :x " 7 k a • 4 .'n:J a Inspector/ �i Date r' g 51 lu I Ilk 0 U n N C J f « •�. 4CZ W E= a IL � M ') 9 tem 8g 8 »� od � u o v as r Co c a p 6 0 s o � c m o m e o E x a cv o 0 0 3 j «R+`oc CL o m e u o c o a 51 lu I Ilk 0 U n N C MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF4BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMITNO.,. 3306—e�39 Qr // Arirlrocc nr In(,.atinn of mnhi lehnma /% /'f't7%Seo �4, P 777- - 1 /? Owner's name i1 n 1 r,t/e .w t1 Q Owner's address .�Awe Insignia or hud number U4 !lg-�� %.. ,� cp-,wr✓( r� ^� Manufacturer's name A�••� y .r9g ,Y�``� i Serial number of V.I.N. �%��IV �ryCLZ tC � 3 Year of manufacture (Of icial�Approvmg Installation) (D te) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. i I ` 5136. White - Owner Yellow - Installer Pink - D.P.W. .fie„ ... ,. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSP �T 0.� 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 d/ APPLICATION AND P9?MIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT ONER M TELEPHONE —Qg SO. FT. OCC. BUILDING VALUATION OWN R'S M G ADDRESS a� CONTRACTOR• NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 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❑ MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 5.00 Mobile Home S I G I W 0.00e TYPE OF WORK New ❑ Additionn❑ Remodel ❑ Utilities ❑ Installatio* Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 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): E]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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d+ A ) New , h¢sgft OUTLET CONsrR( MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Cp OUTLETS OR FIXTURES Ex.00u 120350C eAI.030 FIXED APLNS Ex. DCCup. OUT ETS P(RESID )REA.) 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 '9" onsent 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 als ree to save, indemnify and keep harmless the County of Butte against all liabi flies, judgmen ts, and expenses which may in any way accrue against d County in o 1 ce of the granting of this permit X S Date O k Signature of Applicant — Owne Contractor ❑ Agent h 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 $ occ CONST TYPE TOTAL FEE $ HAZ �— CUA PARK SCHL FL P-� �, HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PER T EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date7.— 7r7 Receipt No. �� WNITE-D.P.W.. FELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLtE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET {�— LC / Permit No. OWNER ,if/. P No. Proposed Building Use AILL Building Inspector �V Date /O 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 1 Chico Urban Area fees paid ....................................... 2. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of ee City for other requirements) 1 Planning approval for (A) Use: (B) Parking: 8. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 2A4.2 Certificate of Workmans Compensation Insurance .......... ..... . Owner -Builder Verification (Given to own'e.r ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ................................... 26. 27. Date) When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant r S Date 0 2 `` Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior..o�pey(nit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_maiI—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 C�;Zc, Date L: Sets of plans on hold in File cabinet AP folder Copy—DPW r 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 (yes -or no) VEY 2. I (have/have not) AAo 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. J plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name ►� �C" 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 rd Signed: Property Owner � ,1nJiS Lc li-t-) U' Social Secur ty umber Date _/p IL 521 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. ' , I . � I 'OS'E (?G) d44, 44' oire y_449. AW__ • 35 m c C 3 Cr T N gm O 7 -r 0 3 IDD O o - W N 3 i� � n ja. -« co s O N OI 'O : N 3 d N 3 : H d > /714 O.R. W8, 1079 /G$M 0,/?, 14to IeW TO Rf /IE5fRV,60 /N Z /!/73'•89'03"E I L Ly 2G61 83' I I V I •ZGG.83' 1.100 i(l89.04' Z7 -e 533.66' � � N89'•4/'00"'W <�% 533.67' �,..^ 4;7Z. 94' "TOPPE?� ,t/�►•05'ZG"E ('as) a72'. 41", � of 4Q LS ZS�3 l"e5� A �tbaC1, of 5 tt. from lin es and a setback l... property the road - 1z 50 ft. from fear of centerline ,hall be cent exc*A structurtsea e o ornang, /4 for a 2 4c�- D� '�' C4LCULGT/NG 1!/f SEC. /90X UNL ESS 6711AM/S6 NOTED CN AlZZ 36 FD. LS CN. A itnes and a setba . � C �p . trore�`dl be clear o oR.n��-il and 1 q 1 �n„�Ta1ment expOP� sic echang ora 2 tt. eaVe ov ` 3 IIF�rtooms, a bAfti pROpose 1,000 lkloa SE- p-fi� f w,`I-� l,eACA P,T NOTE: AN AFFDAv/T THE BOARD OF COIV CUR A?eAJ TL Y BUTTE COUNTY Ri COUNTY SURI/EYOR'S _ CE1I7/F/C,JTE %N 4N/J T<J/S Md p 'comm?MS W/1X/ we RL'QU/?EMENTS OF me SU9 - ?W4 46. DIV/5/ON "1417 .00T .dA10 LOC4Z O1 -FOIA ONCE. caoss /a18S 81JILIx Ol'f.OU?ES O4 TEO. 'RMAMR THE 1V0N-E7fGLUS/VE PUBLIC- eASE"NENTS 0 eD AP OF.4PP- FOR DEDICATION NkFAEON71413 -rlklm. ou ry suRvE OR tZo2 J� ME G DEPARTMENT 'ROVE -D �� - ?/d L N° M a` BUTTE COUNTY DEPARTMENT OF PUBLIC .WORDS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: S L EJAJc__ 2. Installer's Name: �A' L-�r 3. Is the site currently under permit? Yes FNo (If yes, furnish permit number ) OR Is the site an existing site? Yes F-1 No (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? --------------- �.� a Amps 6. What is the mobilehome site service rating? ------------- Z Amps 7. What is the mobilehome site circuit breakerrating? Amps 8. Is there any other electric load to be served by the mobilehome site service? ----------------------=--------- Yes No M (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 F-1 LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) "'c76 y t *(This information not required .if pipe length less than 6 fqn natural gas or less than 50 ft. on LPG.) �� T MOBILEHOME SUPPORT DATA / / If other than single wide, Mobilehome Mfr. �, I Mon -c— furnish Setup Model No. Year--i—L-7, Width (ft.) Box Length & 0 (ft.) Tagalong or Expando Size ft. x £t. 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). Wood -pressure treated or foundation grade. 2. Other (specify) 2 / SUPPORTS (check one) � Concrete block. F2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE _ L1Il@ L Main Beams Lie .2 Line I —• — — Line 2 Main Beams -- -- ---- �--_ — • .ane Line 1 L — -- — — — — — — ne Tag or Trip Le —• — — — — — — — — — TA n- G Line i Piers: Size -Min. =----------- SPacinS-Max--------- - From Ends -Max. ------- Line 2 Piers: Size-Min.------------ -----------Spacing-Max. Spacing-Max -_________ From Ends -Max .------- Line 7 Roof Loads:/ y Size -Min ------------- Location (From Front) Line 4 Piers: Size -Min .------------ �k Spacing -Max._________ . From Ends -Max. ------- Line 5 Roof bade: Size -Min. ------------ Location (Prom Front) H Line 1 Openings: Size -Min- -------------------- Each ----------------Each Side of Openings With Width Over --------- s �� Line 3 Piers:, (Under Bearing Wall only) Size -Min- ------------------ Spacing-Max ---------------- From ----------------- Spacing-Max---------------- From Ends -Max .------------- n "x "A "x "x "x "x " - - " e -*) Piers: (unoer Bearing Walls JiLyl Size -Min .------------------ Spacing -Max.--------------- _ From Ends -Max -------------- - " - AP # Z/ OWNER PERMIT-# MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Compaction Pipe Struc. lTest.Req. Type Size Length YES NOI YES NO Service Other Load �JSize // . _/_� — ci?� 7 COUNTY OF BUTTE - OEPAFi'TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califor is 95965 - Telephone: 916/538-7541 APPLICATION ND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER -.. ZONI BUILDING PERMIT OWNE � TEL F / 86 S SQ. FT. OCC. BUILDING VA T N OWNER'S MAIINDDR ESS &%?_Syq CON R CTO RNA /'S TELEPHONE CONTRA(CJ,TOR MAI LI NGIADDRESS 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 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ jaw i PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 10110 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAn f M Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [:1 Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00e TYPE OF WORK ►�y New ❑ Addition ❑ Remod I [:]UtilitieSl�J Installation[] Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 �O CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 Of the Busines3 and Professions Code and my license is in full force and effect. Icense No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d NEA EONS. A S. 2,h2sgft ULTB OD NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCU p(OUTLETS OR FIXTURES 2 950Q30 eA0 L0 FIXED Ex. Occup. OUTLETS (PRESID )REA.)\ 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 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 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 ilities, judgments osts, and expenses which may in any way accrue against aid County i c equence of the granting of this permit. O ,� Date 42 Z Signature of Applicant — Owe K� contractor ❑ Agent ❑ t 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 $ occ CONST TYPE j - TOTAL FEE $ E HAz CUA PARK SCHL PAR PD ISS This permit is hereby issued under sions of the Butte County. Code and/or work indicated abo a for which fees DI C OR OF PURLIC By I PERMIT EXPIRES Date `+ the applicable provi- resolutions to do have been paid. WORKS Date Receipt No.�� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMEN,, OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE4 00r)VIE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. / OWNER �` . P No. Proposed Building Use�Building Inspecto 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) _ 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... L—A 13. School District fees paid .............. Sanitation approval from _�L�c oHealth Department LD lD 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20 Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance .................. wner-Builder Verification (Given to owner ❑, Mail to owner ❑) ..... ecorded copy of Agricultural Acknowledgment Statement ......... o &5�Letter of signature authorization ................................... t` 26. 27. r When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. D liver w/inspector. Other Applicant : 4 -"Date In7 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submittal pri to per it i uance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by .date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by A91 Date 10 1,q'm Sets of plans on hold in . File cabinet AP folder Copy—DPW -TO Buildina Department FROM: Environmental Health ,SUBJECT: Sanitation Clearance _ v d Owner Location AP# :Plan. Approved for: Sewage Disposal ��! Water Supply Hold final for: Water Supply .Final clearance O.R. for: Water Supply Clearance for bedroo mobil home. Other 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 (yes or no) 2. I (have/have not) f{+Llel 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: I I Name f'V 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 IM_ Signed: Property Owners ass Social Security N mber Date lD Z ; —I—� 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. I Return to. DPW AGRIC17,TURAL STATEMENT OF ACKNOWLEDGEMENT A'FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte" unty Code requires this acknowledgement be recorded prior to issuance of a building permit. 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 incon- veniences 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 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: PA�Rce I y PCs slowJ1 Ort P2cEl MA . � � P FI cED 1a TKE Go(JoT,y of au mj swe cr utt jr, TA.A 1'f) 118:5 is Book 4 S mF mys Cm,oetX t,4 Art TKE V01ZTA6As T Ge2AER. (#F f4l"" H secrioN 3s, S ekst /N.ZIm Tg"CE soKTK Oce 63 iq 0 k DISTh4LE i Sou TN LtNIr A P;sTRJcC OF a7(c'7. Lfa' ?'o A po,01 ON T e NoRSEr/Z*i L POND,-rgei4G6- f(EAD(N(r tiOR-'th 01 00.� 56 Ind F TKEniG� }LE'Ha rn1G• Elrs t F/u�:yJ S,4iA �o)�T o� bg.Q 8 PO)ar' Date: October 11, 1989 State of Calif. ) ). SS. County of Del North t••oeo•oowoo•0000-0000000•o� OFFICIAL SEAL ? ROSE S. WILSON j NOTARY PUBLIC -CALIFORNIA Vrinelpgi otlioe In Det Norte CounPj_ oo••oso•o•000000•o♦•o�es� OM c e OF THE R2'cO"EfL7 A -r eP j F SIP. Tmwa:ti rp 0%, /V0&i41R0arwa- )F *l6aJ +46' GE�.TE2 [, i,J E o1F 4)! S wrli•d ce O F o1a • S�� .back lb, i; fAati P OPERTY OWNER On this the 11th day of October 19 89 , before me, the undersigned Notary Public, personally appeared Dennis Levang ►�`] Personally known to me. ® Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No.�J�-a �� Notary Public :6� 41523 69-041523' 89-041523 ; r I ❑ Complaint -Date ❑ Other -Date Owner: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING A. P. # %/- Address: -:I*- ��-ekr��--�,�-�� ✓i t7/9,j4;4 /Up,Sa �'�gkgL_�% Date of Inspectionsg L Tenant: Inspector Building Location: �O✓Sdo 5 Ile �✓�. Type of Inspection requested: 1. Housing / / 2. Financing / / 3. Change of Occupancy to 4. Work W/0 Permit / /5. Other (specify-) Present use of building: _2iZ 0-L-101 /-S A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7: Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10.' Infestation of insects,Lvermin, or rodents: 11.' Connection to sewage disposal: ' 12: 'Connection to water supply: 13: Rubbish and garbage facilities: ! 14. Stairs:(Rise, Run, headroom, 1HR, Tolerance$,Handrails)' 15. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: IM E. F. 1 Plumbing 1. Fixtures connected and vented: 2. Gas water heater: - 3. Gas he vents: _ 4. Comments: Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or viilation ( iv omp etedescr' t'on): n�/ r Ew. /.1 ..�di11 �,M ; . .- i7 .Y ,n r n .0 _ 11 I . ( i �' .. 11� C� "-%4 .,.; nye' n6Y— W17,14 n n...., r..: 2. What action tak n five complete escription): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. T7 c. / / D. Write letter. Other: