HomeMy WebLinkAbout072-170-01172-17-# II
Iris Solis
NIS Oro'Bangor Hwy, app.
• 1 mi.S.of .
Miners Ranch Rd. e �
Permit #k 2 2-78P,E(util'. ,MH)
ELEC.
GAS
-�
SUPP RT STRUCTiRE RYQ. av
COMPACTION TEST REQ.
` ,Zoe loO 72-17-0 II
ermit #k269-78DffiI
Issued
72 -17-4p 1'
Contr: J &'L Transport, Chico
Permit##751-81MHI (exi ing ite)
Issued -
ji
72-17- 92-1965MHI
WHITE, E and
11095 Oro B oor Hwy, Marysville
'Contr: MH Cent
r hi
-0)112-170-011 - 92-2285P,
WHITE, Edward
11095 Oro BAngor� wysville
mh util
ELEC J 0 O
-- - - � � 1/00-//17 ��
E
GAS s�?-J0.
COMPACTION EST REQ O� e,
SUPPORT RUCT REQ nsI2,
cc Moll s
RES�oENrr tI
MGM
svi
WHITE, Ed'eard .
ro
!37tT�ig°HwYMarysville ;
,N
�t I
FAddress OFpIEC Op y
i GAS
✓ Meter gy
1 M to CTRIC D
e r By
Oa te�=
JB F,NO
ALE
S �OateJ
9natUre 77
J=OK
O = Not OK
Not
= Not Readyable ,MOBILE HOMES
Date MOBIL ,HOME UTILITIES (Plans) OK except q's
J-11oning Requirements -Setbacks -Easements
2. Soils pecial MH Support Sketch
Sewer; ocation-Test-Fall-C/O Concrete
ocation-Test-Easement Needed (Sketch)
lectricity; Location-Clearences-Grnd /Amp -Concrete
zz�Pocation-Te p:
�/ /"L"3��
/ t. or/ /"L"ft LPG
ell earance & Disconnect
te-6-ility Clearance
Date 57 -Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBIL OME INSTALLATION (Plans) OK except k's
on' g Requirements -Setbacks Easements
ootings; Size -Spacing -Marriage Line
Gas; Mei Test-Demand-Valve—Connector
4�' ity; MH Test -Crossovers -Breakers -Clearances
rain; MH Test -Fall -Flex Connector
er; MH Test -Regulator -Connector
7 nd Sewer Connected -C/O to Grade -HD Approval
-asap4tZectricity Tagged
x' , Insp.-Sketch
t Cert. of Occupancy
vq 41
Date / -Card B-1 a Card B-1
Date ' Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easement
2. Footings; Soils -Size -Depth -Spacing -Con nectoi_-Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-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 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except N'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 -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK
= Not Applicable
Npt Ready RESIDENTIAL (:
=
Date UNDERFLOOR (Plans) OK exceptg's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftq„ Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Rig., 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. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except a's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
----------- - -- --------------------------
17. Water Pipe: Test & Anchor -Nail Protection
----------------- --------------------------
--------- 18. D_W.V__Test-Fittings & Anchor -Nail Protection
- -------------------
-19. Shower Pan; Test. First Floor -Tub Access ------ -
20. Test -Tub & --Shower,-Second Floor -Tub Access
------------------------------ -----------------
21. Gas Pipe: Size & Anchors
--------------------------------------- -----------------------------------
Date Card B-1 DateCard B-1
---------------------- ------------------------ ------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except a'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!Mech. Fastners-Bond Gas & Water
•-------- - -----------------------------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
------------------------------------------------------
28. Subfeed Wire Sizer r ga. Cu or AI-A.C. Wire Size ! ! ga.
Cu or Al
----------------------------------------------- -----------------------------
29. Range Circ. ! r ga. Cu or AI -Oven Circ. / ! ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
--------- -------------------------------------------------------------------
30. Service -Riser Conductors -& -Ground-Main--Disconnect
------------------------------------- -
31. Equip Clearances Panels-Motors-Mech. Equip.
------- ------- --------------------------------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
--------------------------------- - ----- - ------ --- -
33. Smoke Detector
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
---------------------------------------------------------------------- -----------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except a'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
-------------------------------------- Date Card B-1 Date Card B-1
------------------ ----------------------------------------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except 4'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 Walls (rat proof)
----------------------------------------------------------------
43. Fire Slops: Furred Ceilings -Stairs -Chases -Tub
------------------------------ --------------------------------------------
44. Headers & Beam -Size & Bearing
'ingle & Duplex) ,
Date 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-Landin Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
----------------------- -
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
------------------
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
--------------
-----
----------------------- ------Date Card B-1 Date Card B-1
•----------------------------- -
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except 4's
61. Ext. Steps -Door & Sidelight Protection -Landings
---------------
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. 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-Mech. Protection
-------------------------------------- -
75. Plb.. Elec. & Mech. Equip. Listed for Location
---------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
--------------------------------- -
7-,.- Insulation -Foam -Looked in Attic ❑ Yes
----------------------------------------
--------- ----
78. - Guard Rails & Deck -Const Caps
---------------------- ----
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco: Brown -Finish
-
-------------------------------------- ----
82. A.C. Unit; Disconnect. Electrical, Plumbing
83. Vents Above Roof; Plb A liance-Fire lace. -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
------ ----------- -----------
Date Card B -1
------------------------------
Date Card B-1
------- ---------------------
Date Card B-1
Comments at Final:
Date _ _Card B-1
Date Card B-1
Date Card B-1
COUNTY OF BUTTE
DEPARTMENT OF PUBLJC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
�-County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
ro1z' W ArD u>/- (/, T-, /96,5,
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Mz-c2L-1/A-Z,E0 4D Af
Date 7-,/,7 f �_ Inspector
REV 11/91
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
s-ySlS- fZv / D�
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please conta t this office immediately.
Date -1—f Jf " z- Inspector
REV 11/91
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541
PERMIT N0. 5S 164
Address or location of mobilehome �/y- Qpm �J/'tD'�41�
Owner's name /`' lth8/L1,� L4,y""I
Owner's address c
Insignia or hud number A � G % 7 f1 7 G
Manufacturer's name .51L Viev��OS /
Serial number of„V.I.N. S ✓9( &,a Year of manufacture
A
Offici&Apo'ro'vjfng Installation)
7–
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION;
AM4j!jEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
—"nME IS INSTALLED ON A FOUNDATION SYSTEM.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541
• UpPUCATION AND PERMIT
ASSESSOR PARCEL NUMBER
72-170-011
ZONING'
ARM; 5
BUILDING PERMIT
OWNER
EDWARD WHITE
TELEPHONE
743-7089
SQA FT. OCC.1 BUILDING VALUATIO
OWNER'S MAILING ADDRESS
11095 ORO BNGR HWY MARYSVILLE 95901
CONTRACTOR'S NAME
MOBILE HOME CENTER INC
TELEPHONE
741-3818
CONTRACTOR'S MAILING ADDRESS
1225 B STREET OROVILLE
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 20.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
11095 ORO BANGOR HWY
Permit fee
$ 35.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeE] Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationU Other
Describe work: _
_1,41(-*�j
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
j$,50
Main service 200AT01000A1
37.50
CONTRACTORS LICENSE LAW
I declare penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession ode nd my license is in full force
/and
deeffect.
License .Jo. Classification �_ -�/SL /
��
❑ 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 contrac
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.N
OR ACDNS. ACC. BLDGS.
3.64 sq.ft.
NE w CONSTR MULTI -OUTLET
NON -11 ,D BRANCH CIRC ITS
@ 5•�0
POWER APPARATUS IN
SINGLE OUTLET CIR.
EX. OCCUp�OUTLETS OR FIXTURES
20 76
AL 0
Ex. Occup. OUTLETS ED P(RESID )REA
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00t-
Misc. Wiring
g
'15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�1 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.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
permit Fee
$
Contractor
ion and state that the above information
I certify that I have readin�dhoereby
is correct. I agree to co all Cou ty Ordinances and State Laws relating
to building constructio , aut orize representatives of the Countyot
Butte t er upon above -mention property for inspection purposes.
I so agree to s ind mnify an eep harmless the County of Butte against
II liabilities ' d ent , cost nd expenses which may in any way accrue
against s Cou y n ns ence of the ng of this per it. /
%� Date a ��y
Signa pplicant — Owner Contractor Agent ❑
An OSHA
ion of structures toverr 3 Storiesoln height Ions over 5'0" deep and demolition or construct-
Mobile Home Installation Fee S 70.00
Energy Inspection Fee $
Occ
CONST TYPE
TOTAL FEE $ 105.00
I+Az DFEES IMP
FLOOD
COF
PARCEL
r/
PD
HD
ISS
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do j
work indica ov r which fees have been paid.
I C OF PUBLIC WORKS
BY Date Z O -?L
PERMI E IBES Date �%-lO-q3
Receipt No. 117020
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY. OF BUTTE , ; PARTMENT OF PUBLIC WO BUILDING DIVISION
7 COUNTY CENTER DRIVE-�%U#t0 1LLE, CAFORNIA 95965 -TELEPHONE (916) 538-7541
1
PERMIT APP CATION DATAH
S EET
OWNER 4;;w� 6A/i-11
Proposed Building Use Aff
Building Inspector
/rte
. P. No. 72- -- (70 - o�
Date 2
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. .
KV 2. Plot plans, ®4 sets, signed by preparer of plans . ............ ..........'Q!�-17
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). ....
OK 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
x/10. Fees of$ .........................................
�!w 11. Impact fees as shown on attached schedule...............................C��(6 4
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) 'CPJifQrnia Engineer. .
----- 14. Sanitation and plot plan approval d�'< 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). .. ... .
st
20. Pre -inspection for to Bussing Ins actor
required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
. Certificate of Workmans Compensation Insurance ............................
23. Owner -Builder Verification (Given to owner Mail to owner_) .. .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................Z
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .
Letter of intent on building use . ................. i .. .
28Mob ilehome utility clearance. .. ... .. . �..... 0
... ... .
ceess. / .. " .
- a..,, .... .
30. Documentation of 50% subdivision developTd or ( Road improvements completed
and (B) Parcel meets zonilb area and frontage equlrements. ...............
31. Existing violations/expired p rits. f ........ .......................... .
Plan check list. ......... ...... ...
33.
34. 7 _ -T - /9E Z Go
Whew you issue the permit, process f99I o \ M II to owner. Mail to contractor.
(/ Telephone iyi�� -an t%I for pickup a office. Deliver with inspector.
Other
Parcel Creation 6
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 r' r t mitis nce: C� le a item not checked above .
1. Index permit for above item o.
2. d 'tional items required: E CEJ d a 7o (51.f
A/ i £.
Contr, tor, esigner, owner, was advised of a ove required data by %Z hone _ mail Counter by _ Date -/S = -4
Contr, or, designend)
er was advised of above required data by phone _ mail Counter byt� Date C,/7 Z
Plans checked by� Date �7 Plans approved by Date 7 /O -9L
Sets of plans on hod in File cabinet AP folder
Co Department of Public Works /g✓SO/e 714';,f• 7irtt ®' 61-117-f;
-, Lor/fd ",'' d '`''T C- "A, ��//
TO 1� Buildina Department
COUNTY OF 13urrE
BUILDING DEPT
FROM: Environmental Health JUN y 6 1992
SUBJECT: Sanitation Clearance
. cow/ 6 %� - I � o- ol/
b u4r 7Z -'Owner Location AP#
N6
Plan Approved for:
Mold final for:
7inal clearance K. for:
Clearance for bedroom
NOTE ***
ll
Sanitarian
L�
Sewaae Disposal Water Supply
Other
Water Supply
Water Supply
ate
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 -COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
OWNER C� �G(ll-i'�lf /��/,,d' A.P. NO . - % 0- O`�
PROPOSED BUILDING USE (�� (r DATE%2--
REC. # DATE REC
1. School Distric Fees
(paid at District Office)
2. Sheriff Fees
(paid at Building Department)
Residential X =$ _
unit amt.
Commercial(per sq.ft.) X =$
sq.ft. amt. _
3. Urban Area Fees
(paid at Building Department
Residential (per unit) X =$
# units amt.
Commerical(per sq.ft.) X '4
sq.ft. amt.
4. Recreation District Fees
(paid at District Office)
5. Drainage District Fees
(Contact Land Development)
6. Other
7. Other
At time of permit application, I was advised the above fees are required to be paid prior
to issuance of the -permit.
DATE
COUNTY
1 Of 130DEPTTE
'3u�0q.1492
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orov,llle, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER �'
ZO 1 C� ,�
BUILDING PERMIT
OWNER '
L-OtiJ IW /t�T�
ELEPH/oNE —
SQ. FT. OCC.
BUILDING VALUATION
OWNNE/R*S MM9sLING ADORE
CONTRACTOR'S NAME
TELEPHO/N�E
_
CONTRACTOR'S MAILING ADDRES e /
CONSTRUCTION LENDER UNKNOWN
Firep
Total Valuation
$
LENDER'S MAILING ADDR s
Filing Fee $ 15.00
Permit Fee $
ARCHITECT OR ENGIN ER
LICENSE NO.
Plan Checking Fee s
Energy g Fee
Ener Plan Checking $
ARCHITECT OR EN NEER'S MAILING ADDRESS
Penalty $
BUILDING ADDR SS ! 091 C� /
P/J Y
�✓ O/2
Permit fee $
PLUMBING PERMIT Filing Fee
16.00
Each Trap_ _ _ 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF RUCTI.RE
SF ❑ Duplex❑ Mobilehome Other
/ SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W@ 15.00
TYPE OF WORK
New ❑ Addition ❑ RernodeI ❑ Uti lilies ❑ Installation Other 0
Describe work:l�' � ��/ &AJ _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
�^ ,/ID �/
4M T (
CONTRACTORS LICENSE LAW
I decl re nder penalty of perjury (check one):
L I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions de and��license is in full fore and effect.
License .Jo. Classification e '-
L_] I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended of offered
for sale. (Sec. 7044)
U I, as the owner, am exclusively contracting with licensed contract
ors. (Sec. 7044)
�] I am exempt under Sec. , Business and Professions Code
for this reason
Main service 600V OR LESS
200A OR LESS 18.50
_
Main service 200A TO IOOOA1
_37.50
NEW M CONST. ( DWELLING OCCUP3.64 sq.ft.
OR Ap DNS, ACC. BLDGS. //
NEVI CONSTRMULTI-OUTLET @ 500
NON-gESID. BRANCIi ClgCU1Ts
(POWER APPARATUS e)
SINGLE OUTLET CIR,
Ex. Occup( OUTLETS OR FI%TURES 20 76
Ex. Occup. our LE
Ex. D APPtREJSIO0IREA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. bVirin g 15.00
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I declare under_pe of perjury (check one):
❑ T ermit is for $100.00 (valuation) or less.
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.
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating
Cooling
g
Hood 6.50
_
Ventilation
Permit Fee _ :
Contractor i
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 constructiond ereby authorize representatives of the County of
Butte to enter upon the abov mentioned property for inspection purposes.
I also agree to sa ind nify and keep h�ess the County of Butte against
all liabilities, dgme expe. es which may in any way accrue
against said unt con qu ce oft granting of rmjt.
X Date
Signature of Applicant — Owner ❑ Controctoy� Agent ❑
�� —
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 33 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC CONST
OCC CONST TYPE C
TOTAL FEE $
r1A2
DFEES
IMP
FLOOD
COF
PARCEL
PO
RO
IssUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No. ' / / 0ZO
WNIT[•O. P. W., YfLLO W-Ag8(g gO R, PINK •IN 9P EC TOR. GOLOEN ROD -APPLICANT
COUNTY OF BUTTE BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
BUILDING D€RT
7 County Center Drive, Oroville, CA
J U N. O 9 1992 PHONE: 538-7541
MOBILEHOME INSTALLATION SHEET
1. Owner's Name: A)W/ 7-2,---
2. Installer's Name: ))t73/1c � �� C�ivT�/Z /NC
3. Is the site currently under permit? Yes No
(If yes, furnish permit number 7 OR
Is the site an existing site? Yes No
(If yes, furnish two plot plans.)
4. Will -the mobilehome be located at least 5 ft. away from septic nk and leach
fields and clear of all setbacks and easements? Yes No
(If no, clarify
5.- What is -the mobilehome electrical rating? --------------- %DO Amps
6. What is the mobilehome site service rating? ------------- 02-0 Amps
7. What is the mobilehome site circuit breaker rating? ----- ltB-[) Amps
8. Is there any other electric load to be served by the
mobilehome site service? -------------------------------- Yes No F
(If yes, identify the load and size: �E (Load) J0 (Amps)
9. What is the mobilehome•site gas pipe size? -------------- (in.)
10. What is the type of gas service? ------------------- Natural F I LPG
11. What is the gas pipe length from meter or tank to the
mobilehome?--------------------------------------------- - (ft.)4
12. What is the mobilehome gas demand.?----------------------�
(BTU)
*(This information not required if pipe length less than 6 ft. on
natural gas or less than 50 ft. on LPG.)
BUTTE COUNTY
BUILDING I�I�
A P P
MOBILEHOME SUPPORT DATA
If other than single wide, �
Mob ilehome Mfr. u,/�' �-'l�G furnish Setup Model No. 6wf-Yearl
Width C�( 19 (ft. ) Box Length(ft. ) Tagalong or Expando Size -- ft. XI. ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup heets (if not on file with the County of Butte).
FOOTINGS (check one) 1. ood-pressure treated or foundation grade. 2. Other (specify)
i
SUPPORTS (check one) 1. Concrete block.
1:12. Other (specify)
1
Pier Footing Sizes and Locations
SINGLE -WIDE
Main Beams
Main Beams
— -- — — — — — -- — .Line
Tag or Triple
_ :
MULTI -WIDE
Line 1
Line 2
Line 1 Piers: Line 1 Openings:
Size -Min. ------------ Size -Min. --------=-------
Spacing -Max. --------- , Each Side of Openings
From Ends -Max.------- '_ " With Width Over ---------
,(L'ine 2 "Pieis :
Size -Min. ------------ !/O
Spacing -Max.--------- ' Z
From Ends -Max. ------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min .------------------ k
n
Spacing -Max._______________
From Ends -Max .-------------
SizesMin.------------
/ x36 „ '21jo „ t/ jo „ 3� x3 a' ��x3v' 3U„ „� „ "A
iLocation"(From Front) O - 3 _ /v _ C
Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only) p
Size -Min.------------ Size -Min -------------------
Spacing-Max ----------
------------------Spacing-Max.--------- „ Spacing -Max .---------------
From Ends -Max.------- ,_ „ From Ends -Max.-------------
Line 5 Roof Loads:
Size -Min.------------
_ "x "x 'k "x 'k "x " 'k " "x
Location (From Front)
lig
,:,
;:h :i� _._.i .F,: _..........; .
. �....
'
,.'.
j13
NO : --All Material. & Workmanship Shall Be in
r
'
A co dance with Fiecogliized Good Practices ar:rJ
F
keptn
f
.tans and s{'ec:ifie:aiio;rs p/lt,)S� '-'
of a quality prescribed for the Sperified ust. f: •a
at all tildes rndjt is un!a�rrtui =:.1
1
Uniform Building, -Plumbing & Mechanical i;cici. t,nd
the National F_.lect�ical Code.
Cinake
i,
i
rages or alteration;; on same vvilh�:,�lt
ion from the Department of Public
it
of Butte.
r
r'
t "
w►Il►
V
'
Location • , structures &
equiPmdht shall be as shown
�
& clear of'all easements.
i'
Al ,!
=
-�
�oME 811 �p6
sa p/AL,�
U. '�•.. - ' '
f�
asCu+1rIN6
r
a
.1
1W
E
,
,; _ 1. �_ ..�.
• .
APP ROVED
"
ya,
Butte County
Environrne al Healt
rj r
ate.
Signatvre
COUNTY
.BUTrF-
BUILDING DEPART �o' ff :3CALt .I :' 100....
P P
R 0 v E �c�Gr/l�/ lJ6fi T
rl
Ali Ira —/7—
-.._ ... s; .....,fes?. �1� It�INk►Rb ic�q
c�orrrrt�C�>;JR �► G .' ���qo
NO' --A11 Material & Workmanship Shall Be in
A co dance with Recognized Good Practices ai�c1 Cina)
f tans and spacific jtio�js plit.lS?
' kept o�a quality preseijbed for the Sfrerified usc'. �� • '�,•r n r at all times ;:r.r;d it i;; un!a�,�rtui
Uniform Building, f�lumbiny' & Meclranicai uuci.,v and �, rages or alleeafion on swine with,:,;rtthe National _Electrical Code. i, ion from the Department of Public it of Butte.
k•
Location ' .f: structures &
equipme6l shall be as shown
& clear all easements.07
,
/a ". A9074,!C., qAXW
i
I
•re esAIAG Cur1rML M ' 40Y,%
ob
oe
i
APPROVED
, Butte County
Environme al Healt
at
Signatvre +
Xht .I'' •►100:.. .
.�.... '� �. IYA P -b bA W1111t -----• lam' .._ �_.�:.
►^L4Ctil'12�G 19r� �c
92-26558
92-0265581 Rec Fee 5.00
I Cash 5.00
Recorded I
Official Records 1
County of I
Butte I
Candace J. Grubbs I
Recorder I
' 8:44am 16 -Jun -92 I PUBL XX 1 err
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT,:
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County 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 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:
DESCRIPTION
All that certain real property situate in the County of Butte,
State of California, described as follows:
Parcel 1, as shown on Reversion and Resubdivision via Parcel Map
of a portion of Section 32, Township 19 North, Range 5 East,
M.D.B. & M., which [dap was filed in the office of the Recorder of
the County of Butte, State of California, on February 27, 1987 in
Book 105 of Parcel Maps, at page 100.
TOGETHER WITH a non-exclusive easement- for road and
ties over Parcel 2 as shown on said Parcel Map.
public utili-
Date: PROPERTY OWNERS:
k
�w�
State of ) On this the Z day of 19before
SS. me, the undersigned Notary Public, personally appeared
County of (�
C
—ZD i?- X1 ,�4i ,7�
Ll Personally known to me. / Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose names) 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.
( Not#y Public
Present A.P. No. r�!���r'��<'� f I PAUL W. FARRIS
Jd NOTARY PMUi CAIIFORMIA 33
BUTTE COUNTY
i
My cammbsbn E Mardi 15,1995 I
ENO OF DOCUMENT
c
w�
✓ Y�vIJ f -.� wY .� .. �..yy....�-[�'...I.'. `--�.+. i, �i tt.! -- 1�a 1J ��ti Va. "v'..,.-�✓..v o-.�_. r _ .. �"`Y
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District—!/�/ __ ____-___-_____ Building Department No.
A.P. Number -7-2-- 1'70 v /f Jurisdiction (__ _J City = County
Property Owner
Property Location/Address /to /_.5 &f/ clo
Subdivison
pp @Vyelop ment
BUILDING DEPT
J U N 1 6 1952
Commercial/Industrial
LU
�—
No. of Living MHI
Units
Lot No.
0 Sq. Footage /70
Addition (Group R)
0 Sq. Footage
New Addition
Buildinbjepartment Representative --
(Floor Plans reviewed by School District Personnel)
(Including Exterior
Roofed Areas)
(;^1�-rte
Date
District Identification No.
School District certifies that
(Applicant)
(Street Address)
(City)
(State
(Phone Number)
9s�4 s
(Zip Code)
has complied with the requirements of Resolution No. �- %U - (�(0by payment of $ 1)/
representing _ /7k0____- _square feet.
M
School District Representati
6116 9
Date
Paid by Check Number Remarks: ✓1112" l3�
Bank Number
Paid by Cash _ _ _ 6
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
#A7?
ER L✓t��T
PERMIT I L Z — tz-
MH UTIL.CLEARANCE DATE�—
INSPECTOR fir/
ELECTRIC
GAS
Support
Struc.
Compaction
Test eq.
�rvice
ize
Other
Load
Type
Pipe
Size
Length
YES NO
YES NO
166
/
10d
,:
COUNTY OF BUTTE - DEPARTMENT OFiPUZLIC WORKS
7 County Center Drive - Orovlller California 95965�'-O'Telephone: 916/538-7541
APPLICATIMAND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
072-170-011
ZONING
' ARMH 5
BUILDING PERMIT
OWNER
EDWARD WHITE
TELEPHONE
743-7089
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
11095 ORO BANGOR HWY MARYSVILLE 95901
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
11095 ORO BANGOR HWY MARYSVILLE 95901
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeE3 Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home W I
@ 15.00 45, 00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities n Installation❑ Other ❑
Describe work: uFr.00ATE UTILITIES FnR PLAI'FMF.NT OF _
NEE,1 MOBILE
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service R LESS
200A OR LESS
18.50
Main service 200A TO 1000A)
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
NEW CONST. ( DWELLING OCCUPN
OR ADONS. ACC.BLDGS.
_37.50
3.64 sq.ft.
NEW CONSTR ULTI.OUTLET
NON•RESID BRANCH CIRCUITS
@ 5.00
(POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. p OUTLETS OR FIXTURES
zo 760
FIXED APLNS.
Ex. Occup. OUTLETS PRESID )REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00 15.0
Misc. byirin g
'15.00
Permit Fee
$ •00
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑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.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 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
agains said Coun y i co uee f ranting of this permit. q
X v , r 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 3 stories in height.
Mobile Home Installation Fee S
Ener 9Y Inspection Fee $
occ
CONSTTYPE
TOTAL FEE $ 90.00
HAz
I DFEES
IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under the
sions of the Butte C unty Code and/or
workIn icated a4ove for wkriph fees
I T R F P LIC
BY
PE IT EXPIRES Date
applicable provi
resolutions to do
have been paid.
WORKS /r
Date (� : ^
-- 0
Receipt No. ZZ 31
WHITE-O.P.W., YELLOW-AS8I9SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PU,3LIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965., -,'Telephone: 916.538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER r! /O —O[ (
Z> Afr5
BUILDING PERMIT
OWNER PWAif Whi4--ilf
TE 17.7DN€_
11YY 7 �'�J
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADORE
S Dy2 i9�' SUrII �-
590
CONT ACTOR'S y,A AIyl�
TEL PHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS f ,/f �
Permit fee $
PLUMBING PERMIT Filing Fee 1 15.00
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
'Water piping 1 7.00
Each gas water heater or vent 7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome , Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home YS)(GA @ 15.00
TYPE OF t WORD
New Lj Addition /Remodel ❑ Utilities Installatiti+onEll Other ❑
Describe work: L(` cl+y�f Ufy (r fi �C Oi
ltle4-t) /Voo" -
-
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
Main service 20CATO1000A1 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License 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.al 3.64 sq.ft.
OR ADDNS. l ACC. BLDGS. II
NEW CONS R ULTI.OUTLET
@ 5.001
NO N•R ESI TBRANCH CIRC ITS I
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup�OUTLETS OR FIXTURES 20 76d
Ex. OCCup. OUTLETS P(RESID.IREA.) I 3.001.
Temporary service 1 15.00
Mobile Home Facilities 15.00 S OCD
Misc. 6Yirin g 15.00
Permit Fee $ 1.3 Q
—
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.
Contractor
MECHANICAL PERMIT Filing Fee 1 15.00
Heating
Cooling
g
Hood 6.50
Ventilation
permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
signature of Applicant — Owner[IContractor 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 S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEES v
HAz
I DFEES
IMP
FLOOD
COF
PARCEL
JfP0
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date
PERMIT EXPIRES Date
Receipt No. 11 7z3F
WHITE-D.P.W., YELLOW-ASBE730R. PINK -INSPECTOR. GOLDENROD -APPLICANT
v
• 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 aM-4 t erials for construction of
the proposed property improvement (yes or no)
2. I (have/have not signed an application for a building permit
for the proposed work.
3. I have contracted with the following per.san (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors -License -No.
4. I plan 'to provide portions of this work, but.I have hired the following person
to coordinate, supervise, and provide the major work:
Name .. .
Address City.
Phone Contractors License No. _.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
PERMIT NO. 751-81EMHI
PERMIT EXPIRES
OWNER IRIS SOLIS
CONTR. ,T T. T, Trans nrt.., Chi cin
ASSESSOR PARCEL 72-05,40 17-9
LOCATION SE cor Olive Hwy & Old
Olive Hwy, Oroville
Temp. Power Pole
Called PG&E
Temp. Elec: Service
Called PG&E
Temp. Gas Ser v' ice
7
Called'PG&E
JOB /NALED (Date) "
Signature ��
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California, Administrative Code, Title 25, Chapter 5, under permit
number 5 ' ?33 for the following location: -->I
/�.. iY :/'.moi � Mf�wl���f J[. �%7.•Il J^ /j7 ��i - ., ��w�i. it J
Owner r�. �r ✓
Owner's Address N/y,
Mobilehome Mfg. Model 2 6,0_ Year � 3
r
Insignia No. /rq Z3 Serial No. A /4 !
It is hereby certified for occupancy at the above described location and
may be occupied.
lql
Director offPublicsWorks
Date 7 gy �_ / . ,JJf. D�. ✓1:
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
V = OK
O = Not OK
— = Not Applicable MOBILEHOMES
* = Not Ready
4I
MISCELLANEOUS
Date
MOBILEHOME UTILITIE$ (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETCi (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements _
2. Soils; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/O—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBIL ME INSTALLATION (Plans) OK except N's
. Zo ing Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks—Easements
o tings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
a ; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
lectricity; MH Test—Crossovers—Breakers—Clearances
4. Elec.; Receptacles and Lighting; Distances—GFI
9,2:r in; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
afar; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
#--Water and Sewer Connected—C/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
as and Electricity Tagged A
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
xits; Insp.—Sketch 10z
eg�C of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date and -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Re• I'` - r COUNTY OF BUTTE - DEPARIWENT OF PUBLIC WORKS PERMIT 0.
r 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION ANP PERMIT
ASSES Pr1RCE NUMBER
72-'7''--
ZONIN
5
BUILDING PERMIkJ
OWNER
/R/:5 Z10/T/�
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTR'�%�
L�OPT
U B/
CONTRACTOR'S
ACTOR'S��SS/
Ur9�9T
t ! Q_/%V GO�j
Fireplace01\ry
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee Mgl
$ 0100
Penalty
$
ARCHITECT OR ENG NEER'S MAILING ADDRESS
Permit fee
$ �O(0�
BUIL NG ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
7
Oeo Q^A160� 1JWY Al PP
�vi7/�/�
Each Trap
2.00
Repair drainage or vent piping
5.00
p ' /
�• N%/o S4/. / WO,75 /\ V6G kD• ORO k l�,65—
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF [1Duplex❑ Mobilehome'�Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Des ibe work: C-)OS
2
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.y)
OR ADONS. \ ACC. BLDGS.
20 sq ft
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 ansf license is in full force and effect.
y /
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 CONSTR I.Ou LET
NON-RESID BRA CH CIRC TS
2,50 ea
NEW CONSTR. / POWER APPARATUS D\\
NON-RESID, (SINGLE OUTLET CIR, 1
80 @ �¢
Ex. Occup OUTLETS OR FIXTURES gqL si
Ex. Occup.(OUTLETS IXED PLISIS (RESID IKEA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
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.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
again t said County in c s quence of the granting of this permit. /
XDate �"�' 1
Signature of Ap i ant — Owner ❑ Contractor [9"—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 $ 0.00
TOTAL PERMIT FEE $ 6a 0 L)
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I ND
I ISSUE
s/
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
D ECTO PUBLIC
By q
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date G///
f
Receipt No. O 3
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
MOBILEHOME SUPPORT DATA
/ If.. other than single wide, r 9 73
Mobilehome Mfr. �h. A:wl%J107� furnish Setup Model No. 'fear�;�
Width 1� (ft.) Box Length(ft.) Tagalong or Expando Size ft. x• ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless
otherwise specified. �7 �'
_, IQ r,
,-� L
Footings (check one)
Single; � i!
_'
a 1. Wood either
pressure treated or
foundation grade.
(ft.)(in.)
(in.) (in.)
2. Other: (s ec if )
❑ P Y
Center support
locations*
Center support
footing sizes
'
Supporta (check one)
(in.)
1: Concrete block.
❑ .2: Other. (specify)
(in.) (in.)
!k—Tagalong or Expando,
show supportdetails.
(ft.)(in.)
(in.) (in.)
0
-- Typical Support
(in.) (in.)
Footing Size
r
D ` `
(in.) (in.)
-- Max. Pier Spacing
�
Max. Overhang
- (ft.) (in.)
(in.) (in.)
•
/514
BUTTE COUNTY
BUILDING DEPAQTMEN'
APPRO\!1-
*If center piers are other than drawn above,
draw in locations,
spacing,. and dimensions.
_ _ _
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS '
7 Countv Center Drive, Oroville.-CA. i
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name:
2. Installer's name:'
3. Is the site currently under permit? Yes / / No
(If yes, furnish permit number ) OR
Is the site an existing site? Yes No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes 5 No
( If no, clarify )
( )
5. What is the mobilehome electrical rating? ----------------------- Amps
6. What is the mobilehome site service rating? --------------------- 0 0 Amps
7.. What is the mobilehome site circuit breaker rating? ------------- S Amps
8. Is there any other electric load to be served by the mobilehome
siteservice? --------------------------------------------------- Yes No T-1
(If yes, identify the load and size: TArj (Load) (Amps)
9. What is the mobilehome site gas pipe size? ---------------------- � �f (in.)
10. What is the type of gas service?
' Natural LPG %
11. What is the gas pipe length from meter or tank to the mobilehome? (ft.)
12. What is the mobilehome gas demand? ------------------------------ �V_(BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
NOTE-AII' Materials & Workmanship Shah Be in
Accordcnce with Recognized Good Practice and
of a duality prescribed for the Specified use in the
Uniform Building, Plumbing & Mechanical Cade and
tlm National Electriccd Code.
This set of plans and specifications MU T
kept on the job at a!l times and iit is unlaw
ma! e any changes or alterations on same wi t
written permission from the Department o(F�P�
lic Works, County of Butte.
Utility connections shall be
4 ft. of the mobilehome, ei
directly behind or within tl
half of the roadside (left) o
mobilehome.
O
4�=
NdME
P41i 9y"
S , 1-7c'`.
A setback of 5 ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang.
- . I -F1
BUTTE UNTY
LDING DEPA ENT
;APP V E D �,
a
2252-78P,E
PERMIT NO.
PERMIT EXPIRES ���//
Iris Solis
OWNER
CONTR. oWner
LOCATION (A.P. 72-17-9
N/S Oro %ngor Hwy, app. 1 mi.S.of Miners
Ranch Rd.; Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
0.
FINALED
(Date)
(Signature)
COUNTY OF ZUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Set k
Afewall
SAN piping
Forms
Pa ets
1st loor
Main Idg.
Rest om Finish
2nd or
FootAgs
Windo
3rd Flo
Stemw I
Siding
To out
Slab
Roof Shehing
Water Pi in
Piers
Roofing
Sewer
Garage
Fdn. Vents X
Fixtures
Footings
Stemwal I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sica y
handicappedy
Conformance of ex.
structure
A liances
Gas Piping &Test
Temp. as
Slab
Final
Sanitation
Patio
FY(REVLACE
Final
Footings
Footing
E CTRICAL
Masonry Wall,(Throat
Rou h
Reinf. St I
Final
Fixtures
Bond :Elm
FIRE SPRINKL
Motors
Framing
Test
Water Htr.
Stucco
Final
Sub anel
Mes
MECHANICAL
Grd. F It Prot.
Sc tch
HeattAq
Servi
B/own
Co Ing
TAP. Pole
finish
D is
nder round
I terior Lath
entllation
Permanent
oor Closer
Inal
inaI
MOBILEHOME UTILITIES .... - - - - - - - -
- Elec. Service
Elec. Pedestal
Water Piping717377
Sewer
Gas Piping �—
MOBILIEHOME INSTAL ATI N - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping 6 ae/�r
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
Ve K
� �4
(NOTE: An entry must be made on this form each time you visit the job site.)
(:OUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
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.
2—
Inspector Date
` COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-42.11, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
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.
7--� c�
A�-
Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number --?1- 9l/— 7e for the following location: A//S %./).�.%-t
.Y - •� /�....� s �%�: � � : � s-� _ `arils �i r - �. Owner
Owner's
Owner's Address
Mobilehome Mfg. C% Model Year
Insignia No. Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Date
Director of Public Works
Iy
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
46. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 7
Telephone: 534=4541
APPLICATION AND PERMIT
auuwllc 17PICACIIIaU VCS UI lne L'UU111y ul outty to enter Upun ine
above -m ntioned properr inspection purposes.
Datey /_ 7f
or AAnt
Receipt N .
White-D.P.W. — Yellow- ssessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF BLIC WORKS
—m
By Date
permit expires Date
BUILDING
Owner i i S 75e
is
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address (f S'� '_t7
elephone No.
r p
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building AddressPlan
N30-1,n
Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
1 11,1
PERMIT FILING FEE $3.00
Each Trap 1.50
ii~4aing Yfitiflce>ti n(�
Repair drainage or vent piping 1.50
A. P. No. — 1
S
Z n
Water piping 1.50
Each gas water heater or vent 1.50
FPO<
W<Sa
tion
I Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
ParcelEach
Declaration
ace p
60' R/W
Improvements
additional outlet .30
Building sewer 5.00
Bldg. PI' s Recd
� �
�IPolreef A royal
P104s Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
permit Fee $
$ 3
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex Mobil Home Others ❑
Main service EA. ADD'L too AMP 2.50
F1'
FOR MODpIiy.�J��
Main service OVER 600VMINIMUM 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST V ACC. BLDGS.CCUP. h\ 20sq ft
I
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style
y le of:
T
NEW RESID, /BRANCH CIRCUITS
NON.CONST `BRANCH CIRCUITS) 2.50ea
NEWCONSTR. POWER APPARATUS &
NON •RESID. SINGLE OUTLET CIR.
Ex. OCCUD{OUTLETS OR FIXTIIRES 5 L�
E x. OCCU FIXED APP LNS. OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $-9 L 10$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$ �� Q
TOTAL PERMIT FEE
$
auuwllc 17PICACIIIaU VCS UI lne L'UU111y ul outty to enter Upun ine
above -m ntioned properr inspection purposes.
Datey /_ 7f
or AAnt
Receipt N .
White-D.P.W. — Yellow- ssessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF BLIC WORKS
—m
By Date
permit expires Date
NOTE --j!,'! t<••'� -•�� p, ��io•.!.n,r,, s'�i;� Shry!l Be in
�,:•corcl�^: c �, T' ..,c ,�� ,��d Prr!�tices and
Of a r•'.i 7i:i r . :fir .}112 r: e^!'nd Ldse in the
Unifcrr�i Buirdf!-r, �'!':!*!' :nr, Mechanical Codes and
the National Electrical Code.
l his set of plans and spccitications MUST be
+sept on the jot) at all tim.is :ind it is unlawful to
make any clan-�s or a!a�rations on same without
written permisson from the Department of Pu lie
Works, County of Butte.
N,
Septic system and location -
ito be as per
Butte County Health Dept. Re-
quirements.
(� !� l i,:tFtir' =i it�l3ivnS all be
the rear
Cx
i mobile home
Cii7 f:le n
)Cut (road) side of the mobile
r
home.
S3-z�/
L9�
�r�s SoG�s
Theme. SoIhac:: sh:al! bo 5 ft. from the
properiy !ine ar.%i 50 ft. from th
cenier1:re Of tl,e rood, perimiliing a maxi
mull; of a 2 ft. ea ve overhang but entire)
out of all easements. AlV
r.
7
eo
I I
CA
A.vJ
� • � G l
A.=y 'fill be re• uired for the l
install i of the rrnobilehome. 1
A-? 4 -2 -t-7- (?
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
40 7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 -;7p
APPLICATION AND PERMIT
aurnurize representatives of the county of butte to enter upon the
above-mentioned property for ins cti purposes.
X r Date 52����
Signature of Permitee or Agent
Receipt No. 1-7 IS If'
White-D.P.W. — Yeflow-Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above which fees have been paid.
5+CT�. E_OF PJlJ-f LIC WORKS
BUILD
NG
OwnerI l.s
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
1 e ephone No.
Orbvte_
Contractor
Mailing Address
Fireplace
`
Total Valuation
Telephone No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
$ rS
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
vt V t 9,
Repair drainage or vent piping 1.50
A. P. N0.
Zoning &Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking Parcel
lan Declaration
Parcel Ma P
60' R/W
Improvements
P
Each additional outlet .30
Building sewer 5.00
Bld ac'
Parcel royal
PI s pproval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP LESS 5.00
SinSingle Family Duplex Mobil Home Others
9 Y ❑ P ❑ ❑
-L
Main service EA. ADD100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( DWELING
OR ADONS. ACCLBLOGSCCUP. S� 20sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le of:
Y
NEW CONSTR BRANCH CIRCUITS)
NON-RESID. � BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS 8
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUO(OUTLETS OR FIXTIIRES 1 5 L12
Ex. Occu FIXED APPLNS. OR
p•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
YN permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
@
MECHANICAL No. FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee
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
e
s 3 o 1
TOTAL PERMIT FEE
aurnurize representatives of the county of butte to enter upon the
above-mentioned property for ins cti purposes.
X r Date 52����
Signature of Permitee or Agent
Receipt No. 1-7 IS If'
White-D.P.W. — Yeflow-Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above which fees have been paid.
5+CT�. E_OF PJlJ-f LIC WORKS
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name:
2. Installer's name:�� p�
3. Is,the site currently under permit? Yes /i7 No
(If yes, furnish permit number _'2 L 7� �) OR s
Is the site an existing site? Yes / / No
(If yes, furnish two (2) plot plans.) .
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes / / No
( If no, clarify )
5. What is the mobilehome electrical rating? ----------------------- Amps
6. What is the mobilehome site service rating? --------------------- Amps
7. What is the mobilehome site circuit breaker rating? ------------- �� 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?---------
--- 3 (in.)
10.
What
is the type of gas service?
Natural / / LPG
11.
What
is the gas pipe length from meter or tank to
the mobilehome? (ft.)
12.
What
is the mobilehome gas demand? ------------------------------
(BTU)
(This information not required if pipe length
less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
0
BUTTE COUNTY
BUILDING DEPARTMEN'i.
APP-ROVPD
,
MOBILEHOME SUPPORT DATA
If other than single wide, 6
Mobilehome Mfr.—1 furnish Setup Model No. Year
Width`-%) 2 (ft.) Box Length _(ft.) Tagalong or Expando Size ft. x - — ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
Ceni
11
Single
*If center piers are other than drawn above,
draw in --locations, spacing, and dimensions.
Footings (check one)
Wood either
pressure treated or
foundation grade.
F1 2. Other (specify)
Supports (check one)
Concrete block.
2. Other (specify)
¢—Tagalong or Expando,
show support details.
Lcal Support
:ing Size
Pier,Spacing
Overhang