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072-210-028
\ ` , ( / � 72-21-28TOM & CAROLYN MILLERVS John Mardon Ln,,14QQ,IS Old Olive HYA- 11ELECGASCOMPACTION TEST REQSUPPORT STRUCTURE REQ72-21-28 1743-90P�90p /t--",MEYER, Dawn95 John Marden Ln, Oroville�Contr: Mobile Home Centertc � - - - -Y- - V -- - --� RESIDENTIAL 72-21-28 1678-90MHI MEYER, Dawn 95 John Mard®n Lane, Oroville Contr: Mobile Home Center (installation/MH) JOB Sig i i fib --CJI OFFICE COPY i � Address Y'E GAS Meter By Dat . `� ,U ELECTRIC Met r Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 851-2751' 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 c� ER CORRECTION -NOTICE P '�- - 5�-J 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. 1 Inspector //�''It' C Date MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address or location of mobilehome _ Owner's name Owner's address Insignia or hud number 1 Manufacturer's name LI 1 Serial number of V.I.N. (Official ApprQving Installation PERMIT N0. f Year of manufacture (Date) 0 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. 513B White - Owner, Yellow - Installer, Pink - D.P.W. •-Vn J OK+ OX O=Not OTC Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L"ft. / P'Nat. or/ P'L"ft./ /"LPG 7. Utility Clearance Date Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILEi/9ME INSTALLATION (Plans) OK except #'a ?'Zoning Requirements -Setbacks Easements tiNg; Size -Spacing -Marriage Line as; Test -Demand -Valve --Connector ectr , MH Teat -Crossovers -Breakers -Clearances ram Teat -Fall -Flex Connector 2,W11tatand Sewer Connected -C/O to Grade -HD Approval WlCert. of Occupancy 'J ' MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except ft's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soila-Size-Depth-Spacing-Connectora-Steel 3. Decks: Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Mrs.Connectors Shthg :Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sita-Anchors-Studs-Rftre-Trusses 9. Siding; Nailing-Veneer-Stucco-Meah 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card 8-1 Date Card B-1 Date Card 8-1 Date Card B-1 Date POOLS (Plans) OK except Wa 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-Ina. 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 Da Card B- Date Card 8-1 Date Card B-1 ' Date Card 8.1 Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except ft's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soila-Size-Depth-Spacing-Connectora-Steel 3. Decks: Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Mrs.Connectors Shthg :Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sita-Anchors-Studs-Rftre-Trusses 9. Siding; Nailing-Veneer-Stucco-Meah 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card 8-1 Date Card B-1 Date Card 8-1 Date Card B-1 Date POOLS (Plans) OK except Wa 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-Ina. 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 4 OK O=Not OK - = Not Applicable -]RESIDENTIAL (S = Not Ready Date P b ((I� WND�kQIGP.e4a! OK`exce�t,#'s �� R1tallf�C'J Ra - 1. Zoning-Wgr7Rlie'Easements-Flood-Slope ?a-?gnalN !!is%j4-EIer,,,Grn071 k!ftg.,;tiepth z•___._ ,_,aF{3 FJg, ja .e;tSoils-Steel-Elec,Gind.-tg.,Depth 4 Ftg., PoSpA�Qs,& Decks; Soils -Steal.-/. --./Ftg,,Depth -, Stemwp!Is, Main; Steel -Bl ockoUts4Wrdpped ^R'tr�iD�FI#;Garage; Stbel Blodkouts-Wrapped 6a. Hold Downs and Special Anchors ' 7 Slab Steel -Wrapped 8. Piers-Fireplbbe Ftg:-Steel.: _9 D_W V.; Fall-Fittirig-'Test-2 Way CYO-SewetTest 10 Gas Pipe; Size -Anchors v 11. Water Pipe; Test-Anchor-Regulator-Service'T.'est 12. Electrics Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14:Girders-Sills-Anchor Bdlts-Joists-Vents-Cripples, 16 IrisUlation Wr ` Date _ Card B-1 Date •' - CarcLB-'t Date Card B-1 Tl Date. - Card"B=1 Date PLUMBING (Perrhiil'OK except #'s.: Water Htr.; Vent -Access -Combustion Air -Baffle," --•---- • 17, Water.Pipe;'Test &'Anchor-Nall'Protedtioh7 18. D.W.V,; Test -Fittings B AricKor-Mill Prlltection 19. Shower Pan; Test, First Fldor-tTeb Aooeis`-' �'- 20. Test Tub & Shower, Second Floor=Tub-.Accgss - 21. Gas'Pipe; Size & Anchors _ Date Card B-1 •Date Card 871 Date Card B-1 - 'bate' Date ELECTRICAL (Permit) OK except #'s _ 22. Fixture & Transformer Clearance -Ins. Protection - 23. Elec. Receptacles Spacing -Lights & Switches.at. Doors - 24. Siie Boxes & No. of Conductors -Stapled .25...R6mex Installed Close to.Edge.ot Studs & C.J. 26. Equip. Ground made up w/Meeh. 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 0 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 #'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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing )!n =Y h3 !•:!1 : C 4ngle & Duplex). arr,ot , 1 Date FRAMING (Continued) r , 45. Hang ersrpost.Ceps-Anchors-Conncctgrs 46. Cing. Joist-Rftr. ties-Purlin-root Brac ;Truss-Shihng.-Rfng. 47. Fireplace•Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access,; Size &,Romex Prgtection-Draft Stop -Ins. Baffles 4,9.-Bdrm. Windows or Exiting Qoo(s-Sill Hg;, & Dimensions 50. Garage Fire Protection Franting, 51, Property Line Firewall& Openings _52, Ext. Doors -One T -Check Garage-31rd Story, I Exits 53, Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outrig ers 55. Siding -Nailing Veneer 56:'.btacco Mesh -Drip Scteed-Fd. Vents-Underflr. Access 57;, �)�jttg Area,Cilass,)yroteEtiogySkylights Plastic . S@.'..wear VYa1is; ht8ilirg-dolts '' . c + �t • .j s 59 Insulation=Walls-Ceiling's Y ' 60. Infiltration-W811s-Windows Date Card B-1 Date -' c Card B-1 Qate.. Card B-1 Date "' Gard B-1 Date. "NAI (Plans) OK except'#;s 61. Ext. Steps -Door, & Sideliyht-Arotbbttgh-'Landings- 62. ,$moke Detector e r r _ -„ • 63. Furnace; Vents -Clearance -Comb. AU-Cdh.hactor` In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65• G.F.I. & Bath Fixture's ,.& Tub Access -Spa 66, IEjpo. 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 77. Insulation -Foam -Looked in Attic O Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive O Yes 0 No; Walks O Yes ❑ No; Planters 0 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 14 I 7A -4n� ASSESSOR.PARCEL NUMBER 72-21-28 ZONING AR 21 BUILDING PERMIT OWNER DAWN MEYER (91()331-7059 TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 5 John Marden Lane Oroville CONTRACTOR'SNAME Mobile home Center Inc TELEPHONE 533-4493 CONTRACTOR'S MAILING ADDRESS 1740 Feather River Blvd OrovilleFireplace -i CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS Total Valuation is Filing Fee Permit Fee $ 10.00 $ ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty $ 15.00 $ $ BUILDING ADDRESS 5 John Marden Lane Oroville Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NQS J/ SUBDIVISION NAMEP.9/ CE AP ( Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S 11dw I 10-00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: Existing Site 2 bedroom Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. 251905 Classification C-47 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&` OR ADDNS, ACC. BLDGS. / 2h¢sgft NEW CONSTRESID, RANCH TLET NON -R ESID BRANCH CIRC ITS CIRCUITS) 2.50 ea POWER APPARATUS &) OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 20®SOS DAL®30 FIXED APLNS. Ex. OCCUp- OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 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. 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 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 again said County ' consequence of the granting of this permit. X�, Date Signature of Applica t — Owner ED 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 $ 45,00 Energy Inspection Fee $ ccc CONST TYPE / 70.00 TOTAL FEE $ HAZ CUA PARKsc FLO PA PD HD s This permit is hereby issued under :ions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS p Date Receipt No. 66308 WNITE-D.P.W.. YELLOW -ASSESSOR. PINK-INSP E CTOR. GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTl1i(�Nf OF PUBLIC WORKS - BUILDING DIVISION 0 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICAlibN DATA SHEET i Permit No. / OWNER Ca e A. P. No. - - (�v! Proposed Building UseBuilding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 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. A,ditional items required,: /1o�/%�c�E o �. �i �� 6�..&i:-Cicy Cofifractor, designer, owner, was advised of above required data by phone nail Contractor, designer, owner, was advised of above required data by—phone—mall Plans checked by Copy—DPW Date Plans proved by Sets of plans on hold in File cabinet AP folder by-1.4ate 5 �Zy by 032 date Date DATE RECEIVED APPROVED 1. All items have been submitted . .................................... - r 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ ` 3. Complete plans in duplicate/triplicate, signed by preparer. of plans 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. 9. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's irnctalia-+ion O instructions ................................................... 10. Fees of $ ...................`.. 11. Chico Urban Area fees paid ...................................... Park fe paid .. �.' ... . U 13. ✓�Q School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: • (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW . 19. Driveway permit (construction approval required prior to'occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Dile) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. a 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. Wh-ep you issue the hermit, process as follows: -Mail to owner. Mail to contractor. Telephone J -#40-1 ro _ and hold for pickup at✓ office. Deliver w/inspector. Other Appl icant, �\ 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. A,ditional items required,: /1o�/%�c�E o �. �i �� 6�..&i:-Cicy Cofifractor, designer, owner, was advised of above required data by phone nail Contractor, designer, owner, was advised of above required data by—phone—mall Plans checked by Copy—DPW Date Plans proved by Sets of plans on hold in File cabinet AP folder by-1.4ate 5 �Zy by 032 date Date TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance rin Date a U , )�, M Owner Location Ap# Plan Approved for: Sewage Disposal ._ Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for _9 -'bedroom mobile; home. Other rin Date -..-•.-_-- .-.r-_,.,. -_.,�",.'-...� .-�,.4'.'.t"'",y�.-t...�-�r'-`^a�'�s'�r-�sm�i„--�rs� � N. ^..r�r .-7r✓:-..-;-v.— ..-�.�^r -. 5 ..t '�e`wns;'��7-''sM'° . "^`A'c'''�"'T"� 'rfi'. ••a - :y -. .'.'t, . J BUTTE COUNTY SCHOOLS DEVEVO°P'MENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number ,� - Building Department No. School District 1�n® �j'� City County W Jurisdiction Property Owner It J N Y] I C 1 J Project Location/Address ,5— -7�� 4 ?Qlrde 41/1f� Subdivision Lot Number Residential Development: Sq. Footage # of Living `M I Addition (Group R) Units Commercial/Industrial: a New Sq. Footage Addition (Including Exterior Roofed Areas) z;-A'�7 /w? Da e ` (Floor Plans reviewed by School District Personnel).. District Id No. Q�C7 j� Qp a School District certifies that ` 4 i (� (App1icAri "N -acme^) (� (Phone Number) /EZ � (StrVeet/J Address ) �r G (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ representing <- a square feet. School9'&.rict Representative Date PAID BY CHECK NO. REMARKS: w�,n �. . �., r� ,ate r� .. BANK NO PAID BY CASH " white -applicant, yellow -building department,.pink-school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 7;2, s — $ ZON BUILDING PERMIT O WNE D&AWy nn /- 1. !y F1 (a TELEPHONE- VJ 0. S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING AD R SS 95 - L'- CyYLO✓aLCE Cq COTRACTOR'S NAME � FS, — TL 11 ,, TELEPHONE S r O CONTRACT 'S MAILING AD R ,k ,I/G—� _V0 OIZ(3 .0 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,q, Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS toy. oh.ov,a� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. / SUBDIVISION NAME PARCEL MAP I Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W 10.00e TYPE OF WORK New Addition❑ emodeln Utilities nstallationLV Other ❑ Describe work: [r\ _ A Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS I00 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full orce and effect. ?tot �d US 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 oCCUP.& OR ACDNS. ACC. BLDGS. 2/20sgft NEW CONSTR. ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPAAUS e RT SINGLE OUTLET CIR. ) Ex. Occup OUTLETS OR FIXTURES 920@SOQ AL030 Ex. Occup. OUTLETS FIXED (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 agai aid County in consequence of the granting of this permit. T X Date—?7`�V Signature of Applicant — Owner ❑ Contractor ❑ Agent EZ_ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in he fight. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE E TOTAL FEE $ ®,D HAZ CUA PARK SCHL PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ' Receipt No. WHITE-D.P.W.. YELLOW-A5S[SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 26':-0" MASTER BEDROOM 14'- r UNEN LLLLtKITCHEN LLLLLL LLL rLLLLL±VL—LL11 LE U DINING LL`LLL LLLLLLLLLLL SOOR�P77R I LLLLLLLLL RI LLLLLLLLL t •—S' LLLLLLLLLLLLL o0 LL LLLLL LLL LELLLLLLLLLLLL LLLLLLLLLLLLLLLL Opt LLLLLLLLLL LLL . LLLLLLLLLLL (OWER LLLLLLLLLLLLLLLL 0 LLLLLLL um. LIVING ROOM O BEDROOM M "y 3 Bedroom Model SC6 7 2-C, 26' x 60', 1560 Sq. Ft. C ( 66' VA ?0 mAyt*910 Ta 7-w o (02) /SerD .4e� '00 /toof�� BUTTE COUNTY EDWARD OVERHOUSE, JR., R.S. Environmental Health Specialist Division of Environmental Health DEPARTMENT OF PUBLIC HEALTH 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 (916)538-7281 AW6& :2V3 NOTE:—All Materials & Wor!;manship Shall Be in FP 44-V Accordance with Recornized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes AV?. ?bo' and tho National Elect,;cal Ccde. ME GA setback of Aft. from the �V s,.1, o� r � 1 y�s� o' a>�At uAG� MOBILE HOME MUST BEAR H.U.D. LAI'EL9 I� This set of plans and specifications MUST be kept on the job 0 ell times and it is unlawful t make any chances or alterations on same with' - out writtan permission from the Department of Public !Forks, County of Butte, oroperty lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. r � rx� �•✓7f /O •/Z Ac �71w� 114-� 16 /9--90 surrE couNry BUILD)NG DEPARTMENT APPROVED P i�. :) 4 ,ell T N t; s. oleo V, CCC- Z • � t PERMIT NO. _ 1991-83P2E (MH) PERMIT EXPIRES OWNER TOM & CAROLYN MILLER CONTR. owner ASSESSOR PARCEL 72-21-28 LOCATION E/S John Mardon In. 1400'S Old i Olive Hwy, Oroville i C Temp. Power Pole r` Called PG&E Temp. Elec. Service Called PG&E A,I _ Temp. Gas Service Cal led PG& p JOB FINALED (Date) Signature r J OK 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOB4,y OME UTILITIES (Plans) OK except k's . Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements oils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors ,t.3. Sewer; Location—Test—Fall-C/0—Concrete _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails at ; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing lectricity; Loca, ier(—Clearg�es—G d.—/.200' Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures —^ 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows—Doors • _ 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure: Steel—Connections—Thickness—Dead Men—Lining___ 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.: Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V IV = OK t 0 = Not OK = Noteadyable- R = Not Ready RESIDENTIAL (Single and Duplex) • Date UNDERFLOOR (Plans) OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /'' Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground - 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ _17. 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors 62. Stairs & Rails _ _19_. 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper -- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. I tet. Receptacles Spacing -Lights &Switches at Doors 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. _ 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. ---- 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. 73. Insulation -Foam -Looked in Attic EJ Yes Guard Rails &Deck Construction -Post Caps _ - 25. 26. 2 Appliance Circuits in Kitchen & Conductor Size Subieed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes [1 No Service -Riser Conductors & Ground -Main Disconnect 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes 11 No 76. Stucco; Brown -Finish - -- 29. Equip. Clearances; Panels-Motors-Mech. Equip_ 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -_- 30. Clothes Closet Light -Shower Light 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ' Water Well; Disconnect, Electrical, Plumbing ---------- --- Card B -I __Date_ _ Card -BI _ Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. 84. 85. 86, _ Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates A.C. Ducts; Insulation & Support _ 32. Vent Fan; Exhaust above Insulation _ _33. Condensate Drain _& Overilow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI ---- - - - - -- Date -_ Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors Comments at Final: 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing___ Draft Stop in Walls (rat proof) _ _40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing_ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE ,d DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 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 `tte 1 r need additional explanation, please contact this office immediately. rZ Inspector l 7! '� Date • 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 12 9 ASSESSOR PARCEL NI MBER / ONA N ZG � BUILDING PERMIT OWNE `^ Y 1� TELEPHONE SO. FT. OCC, BUILDING VALUA N OWNER'S MAILING ADDRESS CONTRACTOR'S TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER P LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD% G AD RESS PLUMBING PERMIT Filing Fee 10.00 It U Each Trap 2.00 Solar Water Heater 20.00 o Water piping 5.00 LOT NO. SU DIVISION NAMEPAR'CjL 3 �`[ Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome [— Other SPECIFY Building sewer Mobile Home A301,0110 TYPE OF WORK New Addition❑ Remodel❑ Utilities Installation❑ Other❑ Describe work: — Permit Fee $ C Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 00 10.Q11w' Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&` OR ADDNS. ACC. BLDGS. I 2/20sq 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 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 CONSTR. ULTI.OUTLET 2,50 ea NON -RES,., CIRCUITS) NEW CONSTR. / POWER APPARATUS & NON-RESID. %SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES az0®s0a % AL®300 Ex. OCCUp. OUTLETS FIXED APP(RESID.)LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ^,�( Misc. Wiring 15.00 %It 3"00 Permit Fee $ ,S Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 a e to save, indemnify and keep harmless the County of Butte against all H hili s, judgme ,. costs, and expenses which may in any way accrue a nst s 'd County in of granting of thrmit. _ Date 7��,���/ 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 $ TOTAL PERMIT FEE $ OCCUP, GROUP TYPE OF CONST, PARCEL PD ssu This permit is hereby issued under dons of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date6-Z-> —F7 _Z, Receipt No. (�o_ cl 7 z) WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT turn to DPW AGRICULTURAL STATEMENT OF_, ACKNOWLEDGEMENT g;�"�.��b.�3 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement:j''�1j'Y����' be recorded prior ;:to issuance of a building permit. PART( SHOWN A --^,-;pori liav+in is nAiacent to land or included bw 11 within an area zoned for Pu agricultural purposes, and residents of ��•,. g rP � , :•.....� ,,d.� this property may be subject to inconveniences or discomfort arising��� 1d.�4jfrD' from the use of agricultural chemicals, including, but not limited to h iCides9 pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established, agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real:property situate in the County of Butte, State of California, described as follows: Datey % �-3� ���3 PROPERTY OWNERS: State of ) SS. County of E ) Present A.P. NO. On this the �-� day of before me, the undersigned airy Public, personally appeared known to me to be the person(s) whose name(s) subscrib to the within instrument and acknowledged that G E e executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hh9aAd fficial seal. — !" Nota OFFICIAL SEAL JOYCE A. LONG NOTAQY FUBLIC • CALIFORNIA PRiNCIFAL MY COMM:SZ;CN OFFICE IN BUTTE COUNTY EXPIRES MARCH 6, 1985 Present A.P. NO. On this the �-� day of before me, the undersigned airy Public, personally appeared known to me to be the person(s) whose name(s) subscrib to the within instrument and acknowledged that G E e executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hh9aAd fficial seal. — !" Nota SCHEDULE 'C The land referred to herein is described as follows: All that certain real property situate in the County*of Butte, State of California, described as follows: PARCEL A: Parcel 3, as shown on that certain map entitled, "PARCEL MAP -FOR DONALD R. MANN, a portion of the Northwest quarter of Section 20, Township 19 North, Range 5 East, M.D.B. & M.", which map was filed in the office of the Recorder, of the County of Butte, State of California, in Book 44 of Parcel Maps; at page 98. PARCEL B: A nonexclusive easement for road purposes and public utility purposes, over a strip of land, 60.00 feet in width,in the Northwest quarter of Section 20, Township 19 North, Range 5 East, M.D.B. & M., lying 30.00 feet on each side of a line, described as follows: COMMENCING at the Southeast corner of said Northwest quarter of Section 20; thence along the East line thereof, North 00 20' 41" West, 370.00 feet; thence,leaving said East line, South 890 59' 15" West, 1200.00 feet to the true point of beginning for the centerline herein described; thence from said true point of beginning, North•100 44' 06" West, 344.89 .feet to the beginning of a 100.00 foot radius curve to the right; -thence along the arc of said curve, through a central angle of 131 42' 46", an arc distance o.f 23.93 feet; thence North 20 58' 40" East, 387.60 -feet to the beginning of . a 200.00 foot radius curve to the left; thence along the arc of said curve, through a central angle of 36° 21' 23", an arc distance of 126.90 feet; thence North 33° 22' 43" West, 64.40 feet to the beginning of a 200.00 foot radius curve to the right; thence along the arc of said curve, through a central angle of 40° 22' 32", an ar,c distance of 140.94 feet; thence North 60 59' 49" East, 64,84 feet to Old Olive Highway. pi4&C'EL 03NOTE:—All Materials & Workmanship Shall Be in A;,cordanc:e with Recognized Good Practices and actuality prescribed for the Specified use in the ,;niform Building, Plumbing & Mechanical Codes qPP•,soo and the National Electrical Code. I A permit will installation of N� O� M IFA be re uired or the A setback of 5 ft. from t t e obilehome. property !fines and a setl of 50ft. from the road centerline shall be clear -trur.tures or equipment PeF 2 ft.. eave overhani 6: AS T Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the mobilehome. This set of plans and specifications .MUST be kept on the iob at ill times and it is unlawful t1- make 1make any changes or alterations on same with- out wrin-n permission from the Department of nubiic Works, County of Butte - /a " 4-- T N BUTTE COUNTY BUILDING DEPARTMENT APPROVED .1,. t Ii S � s COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATWN AND PERMIT PERMIT NO. (^, ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE C SQ. FT. OCC. BUILDING VALUATION OWNER'S MAIL NG ADDRESS LAI,0 E CON RACTOR•S NAME TELEPHONE 33 WY03 CONTRACTOR'S MAILING AD -RE N L YlC ,,• Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 101 W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ��Ac. Ll114 E 7�)RC?Allt� �X15� IY1Q_ 2SQV-- gw— S �" Permit Fee $ 4.7 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 600 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): �I-am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 24.01 qhs ClassificationEx. ❑ 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.� OR ADDNS. ACC. SLOGS. , 2h¢sgft NEW CONSTR. ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Occ Up(OUTLETS OR FIXTURES 200 DOC .20 ALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. n'I have placed on file with the County of Butte Building Department 4� a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 again said County . consequence of the granting of this permit. X Date 5. 3 ���_ Signature of Applica t — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct-REC�ORCUBLIC ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ALSCH � d AZ CUA PARK FLD PAR PD HD ISSUE Th's permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees By PERMIT EXPIRES ate the applicable provi- resolutions to do have been paid. WORKS �y Date9 3v v Receipt No. �� ? S �� * f��0�4 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/536-7541 APPLICATIOWAND PERMIT PERMIT NO. f '7 q3-9© ASSESSOR PARCEL NUMBER ZONING _ � BUILDING PERMIT OWNER ` TELEPHONE �t •ww , SQ. FT. OCC. BUILDING VALUATION OWNER'S MAICTNG ADDRESS/ `r �'!�i 0 `Ir, , o g0 f Wim. —CONTRACTOR'S CTOR'S NAM TELEPHONE s-3 0 3 CONTRACTOR'S MAILING ADDRE Q N _ -jam vut� Fireplace CONSTRUCTIO LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee A$ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S W 10.00e l "� TYPE OF WORK New ❑ Addition❑ Remodel ElUtilities [:1Installation❑ Other [JPermit // Describe work: l,-1, AJ E: 0?6NE �X►S�iY1Q_ isIte f Fee $ cw Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): Qum 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. Lfli6S Classification CY ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&` OR AODNS. ( ACC. BLDGS. I 2/2csgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETs OR FIXTURES 20@50¢ eAL@30 FIXED Ex. OCCUp. OUTLETS P(R ESID IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. n'I have placed on file with the County of Butte Building Department LLQ' a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 again said County consequence of the granting of this permit. x X Date 6 Signature of Applica t — Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 sr`tories in hreiight.`` Mobile Home Installation Fee $ Energy Inspection Fee $ Dcc CONST TYPE TOTAL FEE $ HAz CUA PARK SCHL FLD PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees EC OR?F PUBLIC By PERMIT EXPIRES ate the applicable provi- resolutions to do have been paid. WORK$ r x Dat v Y Receipt No. U✓1� 4 i'/� ZS WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT MOBILEHOME SUPPORT DATA If other than single wide, D AMohi'lehome Mfr. &.i,09ie)A) furnish Setup Model No. &7Z e- Year Width(ft.) Box Length t0 V (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) ��/rl� �1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)lConcrete block.�2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line 1 Piers: kine 1 Openings: Size -Min. ------------ „ Size -Min.------------------ , ,x ,! Spacing -Max- --------- Each Side of Openings From Ends -Max. ------- With Width Over --------- Line 2 Piers: Size -Min. ------------ Spacing -Max. --------- , u From Ends -Max .------- line 3 Roof Loads: Size -Mia. -----X-30 ' •, ,Y� x Location (From Front) /Q '_� ��'_r d ! ge V " Line 4 Piers: Size -Min.--------- Spacing -Max.--- ----- , From Ends -Max.------- e 5 Roof Loads: Size -Min.---- ---- ---- ._"x „x „ Location (From Front) _ Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ ux v , Spacing -Max---------------- From Ends -Max .------------- ,,,gip„�_,.x3o„� ;_fes 4rc_4^i, rev -•r) e 5 Piers: (Under Bearing Walie uniy), Size -Min .--•--------------- „x „ Spacing -Max---------------- From Ends -Max.------------- - ILD� ut:rt%n o MLA APPRuvED 212 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS Al 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: i IATA/A l /Vt (SV/-. a- 2. Installer's Name: /t/t.6 tst LC gQML6 AJ��,n-� 3. Is the site currently under permit? Yes F I No 2 (If yes, furnish permit number ) 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 tank and leach fields and clear of all setbacks and easements? Yes Ej� No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- / O 0 Amps 6. What is the mobilehome site service rating? ------------- ;i0 Amps 7. What is the mobilehome site circuit breaker rating? ----- o U Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes a No (If yes, identify the load and size: (Load) 2-6 (Amps) 9. What is the mobilehome site gas pipe size? --------------- (in.) 10. What is the type of gas service? ------------------- Natural F-1 LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less'than.50 ft, on LPG.) (BTU)