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071-430-019
t: • 071-430-019 PEW -1I T#94_2247 ANDERSON, JOHN 227 HIDDEN SPRINGS RD., BERR CRE EK CONT; PHIL DECANN MOBILEHOI1E UTILITIES ELECTRI GAS LI COMPA ION TEST REQ SUPPORT STRUCT REQ 071-430-019 PERMITN94-2330 ANDERSON, JOHN 227 HIDDEN SPRINGS RD., BERRY CREEK CONT: AL CARL MOBILEHOME INSTALLATION q w 071-430-019 PERMTIN95-18A ANDERSON, John 227 Hidden Springs Rd., Berry Creek Ag Exempt Hermit—tractor crg &�aPd 4 3 I BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT / I IT � Agricultural building is defined as follows: Agricultural building is a structure designed annstructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure 7, all not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSES R AR NO._ ®1 ZONING OWNEJI, 0ni, ri A J PHONE NO. OWPR',�1. � I � �� LOCATION OF BU IN 1)0 USE O UILDING Gt o CQA C-tQr4 e, C'- ✓l C , SIZE OF STRUCTU E qq.. ' a ' X = �,,��� SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME —X— STEEL CONCRETE OTHER (Specify) TYPE OF SIDMood90 ROOF CO RING FLOOR PE f� r ESTIMATED COST OF ONSTRUCTION $ &®coo AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: ��' - N, /rn^✓ FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occu Date;i�� pa Signature of Owner Pe it ee - $60.00 The above des rib AG Building is exempt from a buildina Dermit. Receipt No. FL-000'PA L P.D. ROOM G ISSU Manager Building Division t/ 2 By Date — White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant nr.+rw.'A�jins'"tta"�%...ae",�i�"►EF'�'�i'►U'#it�YiU►�""'t'4'F►rr'�'c'4'"'1�6i""cr'�;�.+""0`�r'sry.rr�r�".c�'rtyn�.+Y+ryrF+.t,�v"vtw-.s�+Yi�x:'tiYr°iifrl�'+w-iwy..i.?�`y,•,�.:Tw.'t`y+.uarw.�„ �: COUNTYOF BUTTE - DEPARTMENTOF DEV-ELO.PMENTS,ERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 9,5965-fELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A4(' V SP. No. g U m '" lg Proposed BuildinBuilding Inspector Date At time of pp it application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). Pre Inspection iequ� 20. Pre -inspection for required. .. to Building lnapector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ ' 31. Existing violations/expired permits. 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor:. Telephone and hold for pi pat office. " eliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Contractor, designer, owner, was advised of above required data by _ phone _ mail Plans checked by Date Plans approved by _ Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Counter by _ Date Counter by _ Date Date RESIDENTIAL 071-430-019 ' PERMIT#94-2247 ANDERSON- 227 HIDDEN SPRINGS RD., BERRY CREEK CONT; PHIL DECANN MOBILEHOME UTILITIES /9S T i OFFICE COPY Address GAS Meter By Date ELECTR Date Meter B , JOB FINALED (Date) Signature V=OK O = Not OK ' -=Not Applicable Not Ready MOBILE HOMES = Date/Initials MOBWE HOME UTILITIES (Planal OK except #'a MH Support Sketch JlSe r; ation-Teat-Fell-C/O Concrete a ; Location -Test -Easement Needed (Sketch) J�oElgptficity; Location-Clearences-Grnd-/ /Amp -Concrete ans) OK except #'s Easements Line vector ?"Wafer and Sewer Connected -C/O to Grade -HD Approval 1,T Cert. of Occupancy -f � /� 2,2- 3 cJ MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftra: Connectors Shthg -ft.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials 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.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd -/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent-Accese-Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic _Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. -Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT No. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT - OWNER ANDERSON TELEPHONEJOHN S0. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 8846 MANDALAY WAY FIX GROVE, 95624 CONTRACTOR'S NAME I TELEPHONE PHIL DECANN CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 227 HIDDEN SPRINGS RD PERMIT FEE $ BERRY CREEK PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. ) 1 SUBDIVISION'S NAME P P L"/1—/7 / 1 ^ / / Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ElMobilehome CXOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New EIAddition ❑ Remodel O Utilities R Installation 1:1Other O U Describe Work:yQTa R� PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2111V OR ) 200ADAOR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLOS. ) g0, 3.5C Fr. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Co an a is in full forceffect. License No. lassification e a —/ ❑ I, as the owner, 6r my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS 1 8 SINGLE OUTLET CIR. I Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup. FIXED APPINS OR p' OUTL (ETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): This permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. • O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgme ts, costs, and expenses which may in any way accrue against said County ' en f ranting of this permit..Date el gnure of Applicant- EI Owner WContractor O Agent �/ Siat An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HA2. I D. FEES 1, IMP I F 0 C PARCEL PD HD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By p/4 PERMIT EXPIRES ON U (Date) provisions to do work paid. Dat 7 a Receipt No. 167281 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF UEVELpPMENTSERVICES - BUILDING DIVISION ` 7 COUNTY CENTER DRIVE - OROVILLE, CAUFORNI 9 965 -TELEPHONE (916)538-7,54l PERMIT APP ICATION DATA SHEET - L/ OWNER y A. P. No. (% //- LLQ/) Proposed Building Use toy tj 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 BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $.......................................... 1,1. Impact fees as shown on attached schedule. .. ... . ;3 2. California Department of Forestry plan approval/fee �.: 9-1 -7-A _ M` 13. Flood elevation letter (100 year flood) by California Engineer..... . t -14. Sanitation and plot plan approval OA.Q Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ +-18. Contact Land Development about (A) Improvements (B) Drainage. ........... 619. Driveway permit (construction approval required prior to occupancy). ...! ..... 11n,ection req ue t 20. Pre -inspection for required. .. to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............... 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner �. . _ 24. Recorded copy of Agricultural Acknowledgement Statement . ................1 . j 25. Letter of signature authorization. ...................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ................. ....................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. .34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephonei"C4q -7.t., -1 and hold for pickup at Q1i....) office. Deliver with inspector. Other /% Parcel Creation Acreage Applicant��L/�- Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (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 _ mail Counter by_ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou _ Date. Plans checked by Date Plans approved by Date�- .% Sets of plans on hold in File cabinet v AP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance H.H. USE O Plot Plsn Anachaa a: Smt to B.D. T:z_ tit+f �� 6- l�A-�,c� �J rC)1-4 A► e� Owner Location CY-6 Plan Approved for: Sewage Disposal _� Water Supply: Public Clearance for 4�? bedroo mobile lOther 1-q-3--( AP# Private Well Environmental Health 8/92 A 94-035460 '94-035460' 994-035460 94-0354601 Rec Fee I Cash RWorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder I 1:11pm 22-Aug-94 I PUBL 12. 00 12.00 XX 3 1 Return.. AGRICULTURAL STATEMENT OF -ACKNOWLEDGEMENT Building,Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building . permit. AUG 22 1994 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, 94-035460' 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 discomfort 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: Aug. 19, 1994 PROPERTY OWNERS: State of California ) County of Butte ) On 8-19-94 before me, Michelle A. Miller personally appeared John C. Anderson and Alta M. Anderson personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. e - 0 -4 -'to a OFFICIAL SEAL WITNESS my hand and official seal. MICHELLE A. MILLER NOTARY PUBLIC-CAL� A In Sr nature�4/hl& Seal: •ooa•a• om A.P. #'2L T 3 6-0 / ? ti' „ys DESCRIPTION ORDER NO. BU -143484-3 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 19, 1985, IN BOOK 99 OF MAPS, AT PAGE(S) 17. PARCEL II: A NON—EXCLUSIVE RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF LOT 3 IN SECTION 2, TOWNSHIP 20 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE SOUTH 89 DEG. 50' 18" WEST ALONG THE NORTH LINE OF LOT 3 A DISTANCE OF 449.44 FEET TO THE POINT OF BEGINNING OF THE FOLLOWING DESCRIBED CENTERLINE; THENCE FROM SAID POINT OF BEGINNING, SOUTH A DISTANCE OF 522.64 FEET; THENCE NORTH 8.9 DEG. 52' 30" WEST A DISTANCE OF 1797.79 FEET TO THE END OF SAID CENTERLINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A RIGHT OF WAY FOR ROAD AND UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 35, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE SOUTH 00 DEG. 35' 10" WEST, A DISTANCE OF 29.47 FEET'ALONG THE WEST LINE OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SAID SECTION 35 TO A POINT ON THE CENTERLINE OF CANYON CREEK ROAD, ALSO KNOWN AS ROCKEFELLER ROAD; THENCE LEAVING THE WEST LINE OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SAID SECTION 35, AND RUNNING ALONG THE CENTERLINE OF SAID CANYON CREEK ROAD, NORTH 71 DEG. 06' 05" WEST, 52.99 FEET AND NORTH 53 DEG. 19' 05" WEST, 143.94 FEET; THENCE SOUTH 44 DEG. 55' 05" EAST, 30 FEET TO THE TRUE POINT OF BEGINNING FOR THE FOLLOWING DESCRIBED CENTERLINE; THENCE FROM SAID TRUE POINT OF BEGINNING, SOUTH 45 DEG. 04' 55" WEST, 272.58 FEET; THENCE SOUTH AND PARALLEL WITH THE NORTH AND SOUTH CENTERLINE OF SAID SECTION 35, TO A POINT WHICH BEARS NORTH AND PERPENDICULARLY DISTANT 30 FEET FROM THE SOUTHERLY LINE OF SAID SECTION 35; THENCE WESTERLY AND PARALLEL WITH THE SOUTHERLY LINE OF SAID SECTION 35, A DISTANCE OF 980 FEET, MORE OR LESS, TO THE NORTH AND SOUTH CENTERLINE OF SAID SECTION 35 AND THE END OF SAID CENTERLINE. CONTINUED ORDER NO. BU -143484-3 PARCEL IV• A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY PURPOSES OVER PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 18, 1985, IN BOOK 99 OF MAPS, AT PAGE (S) 17. q%. APPR i 0 vl:,c Butte CO 10/7rner, ty !r) rootifi . 9 O O 'tR SD M i3 Lo ke..1u0_1u2a,OE3C.t'al ii_'T :�.: L�:2v': a. •K.?e; to mCa,Qvr.::+y e..yalkJ L`' ii!'° C�.n. ✓'.. .; �:5-:? 1;� ac . S I iii e"lr�» Z ` i u� 4o'2 �iL iiu� t-lw Llv� ta.7'L-yj, i 0 F �i r3iC 1 I NO T& All Acc:o 'dar,ao S1Titth fi,fm,o0'ii'::::c (fiord I'='rt;;0:"3 end •cf a Quautj Pr -7- j3=s."jc,. , ttiio Cp_-cW- ed UZp Bodes and thq 1,7aticnw? B1eVzic_n' Code. ��/) Av Ieu-�A) g� IALL HANGS URES AND SHALL, BE_CLEAR OFFALL EASE,,AENTS. ENT INCLUDING OVIE=RHAIdC� A SET BACK OF ��-Oj FT. FROM THE SIDE AND 3�O IrT. FROM THE RE PROPERTY LINES AND 'p F s . FROM THE ROAD CENTERLINE Si-IALL BE CLEAR O STR, UC'f ORES AND EQUIPMENT EXCEi'Y' FOR A 2 FT. EAVE OVERHANG. b The 9iac�ed Fire reguiremenis rr;ust he corn as specified and approved 10r 9q-1-7 I%fe.�.6-. permit wii9 be r^ �:>.�c! "or fbo install3iion Of � ricrn^ J3 a x_ pPR0VED EnButte County vl on H�It --- - _ l b u REVIEWED BY BUTTE_ O. FIRE DEPT. CALIF. DEPT. of FORESTRY j ❑ approved as submitted C�approved with conditions I per attached sheet.S, i _ J,�L � lb 's S, n �ture L pte 1 Dlt y U AUG � � //N 04 3U LDING DERARTME r APPROVED 4qLf-7 p� AP# O rCDF FIRE SAFE REQUIREMENTS ��- 22� � �-�✓o�so�� �7of�J PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparte-jant-structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. �] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [� 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of ver:i":iA curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of :2.-, 71- 75,�,J AP # PERMIT # NAME [iC] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint.of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. • . [� 1273.10 Turnaround. A turnaround shall be provided at all ' building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01. Setback for Structure Defensible Space. NA 1.. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ull property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local.jurisdiction shall provide for the same practical effect. See Other Requirements below. [�) 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction :pr fi_ral inspection of a building permit. Page.2 of 3 -7l -g3_(2 AP # PERMIT # Other Requirements [ j If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves -•Interior automatic sprinkler system per NFPA 13D Glass area not to exceed i0% of wall area toward property line with insufficient setback -.Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY -OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIklgy965'— TELEPHONE: (916) 538-7541 PERMIT IT NO. `2 oX i' Address or location t, I b'lehome Owner's name Owner's address Insignia or hud number Manufacturer's name 'Serial nurober—of V.I.N. Year of manufacture (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 MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. h— 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville; Californi8 95965 - Telephone (916) 538-7541 PERMIT APPLICATION AND PERMIT _ 1975 S ASSESSOR PARCEL NUMBER 71-430-019 U � ZONING BUILDING PERMIT OWNER JOHN ANDERSON TELEPHONE SO, FT, OCC. BUILDING VALUA OWNER'S MAILING ADDRESS 8846 MANDALAY WAVELK GROVE CONTRACTOR'S NAME ALBERT TELEPHONE 589-0758 CONTRACTOR'S MAILING ADDRESS 50 D Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 927 HIDDEN SPRINGS RT) PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome )] Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New 1:1Addition O Remodel O Utilities ElInstallation Other ❑ Describe Work: 2 BEDROOM PERMIT FEE $ Contractor •�. ELECTRICAL PERMIT Filing Fee 20.00 Main Service'"OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLD,. ) So, 3.5C FT, CONTRACTORS LICENSE LAW declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. /�� '/'// Classification G y7 ❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.000 FIXED APPLNS. OR Ex. Occup. (OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. Jk I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X •'y/ �� Date .lj wc, �� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FE HAZ• I D. FEES I IMP I Fl I CDF PARCEL PO HD ISSU This permit is hereby issued under the applicable provisions of of the Butte County Code and/or Resolutions to do work indicated abo r which fees have been paid. BY Date n_ 7- PERMIT EXPIRES ON 1 `i (Date) Receipt 167643 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,� .w w �.,-y.�...,r.�.�y+,•-.,kyr-.}�},4'.. �,�,Y �. v'u �''7f'7w�+y.a.,.�x T--ex•-r.-. r.raw;7-w�R�r i1"1!'�'g1'R�li'7�'•F`l. COUNTY OF BUTTE - DEPARTMENT O,F�Q'!/ELOP;MENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET #,1 OWNER / �/� �G #f A. P. No. _ Proposed Building Use ow ,Z„/ /,Building Inspector ate At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance DATE RECEIVED BY 1. All items have been submitted. .......... ............................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ........................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ............ ..Fees of $....................................... . 1. Impact fees as shown on attached schedule. .............................. *` 12. California Department of Forestry plan approval/fees. " 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. :. ,B�iltn9 �apeaor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 7. Letter of intent on building use . .......... . ............................. . . Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .......................................... ......... 33. 34. When you issve'the permit, process as follows: Mail to owner. Mail to contractor. t�.--a ephone 6,ZC- Vd hold for pickup at 0, office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date �J Nub iy Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit iss e: cl ew item not checked above). 1. Index permit .for above items No. MY 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved byDate701 �/ Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works AP # 71— IV3 Oj OWNER PERMIT'# 5e-7 M UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test-Req.— estRe .Size Service Size Other Load Pipe Size Length YES NO YES NO �v � //Type COUNTY OF, BUTTE - DEPARTMENT` OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER A. P. #_7/ y �� PROPOSED BUILDING USE. W4 1 DATE e'1'.' SCHOOL DISTRICT FEES Olt- D 0141 (paid at District Office)...,, .......... ...... 2. SHERIFF FEES (paid at Building Department) Residential...... x =$ unit amt. Commercial (sqft) x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at .Building Department) 7. OTHER 8. OTHER REC. # DATE REC Tz0 1C7s9k At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit.' APPLICANT DATE 1111� • .� til • / . �BJVTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ` (One Form Per Building) School District Building Department No. A.P. Number 7t:iy 1 " f/��' Jurisdiction 0 City ©--�County Property Owner --f © i% <a/zoo, Property Location/Address Subdivison P Residential Development Commercial/Industrial �l No. of Living . " MHI Units • 0 New Lot No. Sq. Footagec Addition (Group R) Sq. Footage Addition 4 (Floor Plans reviewed by School District Personnel) District Identification No. u L )Ajt,, _School Dis (Street Address) rr (Including Exterior Roofed Areas) ,., v Dat y i� ertifies'that (Applicant) (Phone Number) (City) V (State) (Zip Code) t R has complied with the req�(uireme++n��ts of Resolution No. }dDID by payment of $ $� represent•114'W1square feet, School istrict Repre n( t' .} Date Paid by Check Number Bank Number Paid by Cash Remarks: 0 14--, s If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fuliv rikoate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkf (4/92) y rl 4 Th'a of of PIUM 8nd spooMeatlona UVBT be ' -t an t- trent on theI ob 9" L ualwfw to on aaxlg '.-*L 011 La�MO'Wlthbi W*'A of Butte. oryw) & WorkmawhIP I shau Be In Aces ffo'M: All M&tArWI3 ed Good Fract and AccbrdancO -tvith Re00e,a-"-' e, -,Ise a C, , crib vi for e __Jlwlity prop iLechanical [orm BuDo"Mro" k-ju.",LUA"t;, in the TT.(Itj Code. Clodea Oad the lftti0iial Rlwtrioa JkLL" STRUCTURES AND; EQUIPMENT INCLUDING OVEAMANGS SHALL BE CLEAR OF ALL P-ASEMENrrS. A SET BAICIK F7-.Proxv, 'Ti-tE'S,DE AND :'F Eilw i O f=F -10P L NES AND ',.I THE LFIOAD C-ENTERLINE SMALL Se CLEA."I 0 8-1 F SIU C-! VURES AND EQUIPMENT tXrgi*T FOR A 2 FT. EAVE OVERHANG. 'SO U ic i< 4 ;410 � ( _\ i3ax //N V i_" BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: a,/'7ay,5m/7 2. Installer's Name: F-1 3. Is the site currently under permit? Yes FT No (If yes, furnish permit number �`�' �17 ) OR Is the site an existing site? Yes F No Ej� (If yes, furnish two plot plans.) 4.- Will the mobilehome-be located at leas -t-5 ft. -away -from septic tank -and leach fields and clear of all setbacks and easements? Yes u No (If no, clarify 1 5. What is the mobilehome electrical rating? --------------- j 0 d Amps 6. What is the mobilehome site service rating? ------------- ��y Amps 7. What is the mobilehome site circuit breaker rating? ----- /00 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes F-1 No (If yes, identify the load and size: (V (Load) Q. (Amps) 9. What is the mobilehome site gas "pipe size? -------------- (in.) ..10.. What_ is. the=ype 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? -------------- ------ *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) NEXT PAGE MUST "BE COMPLETED TO PROCESS PERMIT APPLICATION. (BTU) MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No.�Y3 ('� Year OX Width— _,?L/ (ft.) Box Length 502 (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) 17 1. Wood -pressure treated or foundation grade.a 2. Other (specify) SUPPORTS (check one) FIX Concrete block. El2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Main Beams Dine 2 — — — — : — — — — — Main Beams — — — — �:e:2 Tag or Triple I. t ne 4 .. .. Line 1 Line 1 Piers: Line 1 Openiags: Size -Min- ------------Size-Min- ------------------ ,k Spacing -Max. --------- ,_ „ Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- Line 2 Piers: Size -Min ------------- ------------Spacing-Max. Spacing-Max ---------- From Ends -Max .------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 4 Piers: Size -Min .------------ , Spacing -Max---------- From Ends -Max .------- ._ Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ „ Spacing -Max---------------- From Ends -Max -------------- „ „x „ „ ,Ix , Line *) Piers: kunae r Size -Min .------------------ „x n Spacing -Max.--------------- From Ends -Max .------------- Line 5 Roof Loads: Size -Min .------------ ,.x 1. „x I.„x „ „x ,� „x „ ,yX Location (From Front) -off OR 2-B£OROOM MODEL 643-C 24X56' 1506. SQ. f7: M r- tr JAW mt ur a roar t- ' t � .t+a iF�r R� T- L 1fi V -N %Ar lima 1 .a . !s/it SKS — 1 ~1 R l MAL - :•i om vas R � s ts/tF i7lai OOKL7 • uerWevx sago' or,ney.ss r"AWpICH HOME BMLDE urs t J00x sr. Do'.WIL, " !17D0 "3C 2�X3S 280831 f.! PART iL00R yJW/EIl<CCTF R z u er WLtn�oc� - ; ��r tssra:t vaea R z iK� 7•/� .1<9 , oorX eaa loom av-w iacraw c*s. opo. ra vacs- RI kctk U