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072-270-042
CEDE VIOLXTIONS gUiLDING ;,.�.,�. 30 DN 'LE ! i' - - _ -�:�', - � ..._ ..at>-.�-,-�. „�."�"��.+."'��,j- • _ SwF _ ; . AP 72-27-42 JAMES X LODGE q6 private Rd., 8001 S. of Forbestown Rd., 2.6 mi. E. of 0 o Quiicy Hwy, __Forbestown___�� Permit# 4301-P 5P util., MH) • ELEC . SUPPORT STRUC T URE REQ. _ AV CMPACTION TEST RBQ. 72-27-42 contr:Curly's Trailer Towing Pro. Permit #3401-76MHI Issued 72-27-4 914-91P,E" HOHENSTEIN, on• 70 Forbestown ircle,..Oroville Cont: Don Blake I 1:�_/ C� (utilities/mh) ELEC 1. 0 3� GAS GD J Mp SOUPPORTIOTRUCT. REQ ~ Permit#9331- A. -27-42 unstallatio mh) , 072-270-042 04-3457 �• HOMENSTEIN, DONALD 70 FORBESTOWN CI ROVIL - Cont: SIERRA M EX MH PER D r r, V M On County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Sierra Mobile ADDRESS: 466 Circle Drive CITY & STATE: Oroville, CA 95965 nATF OF cl Alen• O9/f1�/f15 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT Refund Claim - See attached calculation sheet APN: 072-270-042 Permit No.: 047-3457 PAID RETAINED REFUND Develo ment Services $ 549.90 $ 274.95 $ 274.95 THERM DRNG $ _ $ - $ - SUP $ - $ - $ SHR $ - $ - $ SRA $ - $ TOTAL $ 549.90 $ 274.95 $ 274.95 . . . . ... RE2cL.ri ..... :::::::::::::...... )GES.: .............: ... ily)E ....... . 101001 DVLPMNT SVC 440-001 4210500 $ 274.95 1011822 THERM DRNG 18001 280 $ - ' ::::: 1011430 SMIP 1001 280 $ - 1011811 SHR 1800 280 $ - 101001 SRA 0100 4617240 $ - TOTAL $ 274.95 $ 274.95 i, me unaersignea, aeciare unaer penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this 'r" day of _ 1.�/6� , 2005, at, Calif. _�� Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2005, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE -AUDITOR'S USE ONLY =PT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. I 0-7a-ago-o4-� 9/2/2005 Butte County Department of Development Services www.buttecountv.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING Sierra Mobile Services ATTN: Bill Reid 466 Circle .Drive Oroville, CA 95995 RE: Permit No. 04-3457 APN#072-270-042 Owner: Homenstei.n On 12/7/2004 a deposit was made in the amount of $549.90, of which $274.95 was retained. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $274.95. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-7601. Sincerely, Diane Lewellen Senior Account Clerk Administrative Division enclosure 04- 3457.1tr 0 OTrF0 Butte County Department of Development Services C Building Division O O 0 : 0 7 County Center Drive c0-Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Development Services for payment processing. CLAIMANT'S NAME: f•�...::.:k ...::/'�F:.. .. �_A -% ► :.,: tl11i',t�j t► n.. . (Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may pick them up prior to that time. K:/Forms/Refund Application 082203 REFUND CALCULATION SHEET CLAIMANT: Sierra Mobile 9 466 Circle Drive CITY & STATE: DATE OF CLAIM: Oroville, CA 95965 03/07/05 APN: 072-270-042 RECEIPT INFORMATION NUMBER: 418740 DATE: 12/07/2004 ISSUED TO: Sierra Mobile CHECK #: 18787 AMOUNT: $549.90 PERMIT #: 04-3457 Yes No Yes No Yes No PRIOR REFUNDS: X FEES VERIFIED REFUND BREAKDOWN DETAIL )m:P..lan:Check :::::::.......... <f :: ::..:.:.:.::. : ` ITH Fund Cash PAID RETAIN I REFUND 54.99 54.99 ` $ 549.90 I $ 274.95 I $ 274.95 APPROVAL CHECK: $274.95 Date Reviewed 08/17/2005 DIFFERENCE: $0.00 Scott Rutherford (Should be blank) Chief Building Inspector BUTTE COUNTY DEPARTMENT OF'DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQ UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER -ast Name First Name H�rFNSTE,N Dara�v e. � 4ddress ?o a City State � Zip 9 STG' 6 Phone Fax E-mail In. CONTRACTOR Name Address Yes City C State u` Zip 9Si E Phone Shy DS9 9 Fax E-mail Date Approved: Lic. # y7,3w Class 5 In. ARCHITECT/ENGINEER Name Address Yes City C State Zip Phone ,S-3 q OS6 6 Fax E-mail Date Approved: State License Number In. APPLICANT SIGNATURE X For office use only Zoning APPLICANT NAME Name Address Yes City C L ZP 9.5166 Phone ,S-3 q OS6 6 Fax E-mail Date Approved: APPLICANT SIGNATURE X For office use only Zoning AP# 673- - ;Z7o -- 0--/Z Flood Zone City SRA Yes No :::: Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: kivcr% rurc -,)utslvlI I IAL KLQUIRE MENTS PERMIT NO. BPo434-6 BIN # LOCATION AP# 673- - ;Z7o -- 0--/Z Property Address p n- '? o City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq, Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount 549.9 d Bldg SRA Receipt #: 4-107+0 Sheriff SMIP Date: I :?'7-,o 4- Other 54'9' ef D Total ter' / COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT• APPLICATION DATA SHEET OWNER: 4 N Ekl -TE r J ASSESSOR PARCEL NUMBER Proposed Building Use: EX MH EX 517E Counter Technician:�to ti Date: 1-2 • 7. 04 Items required in order to apply for a permit. All boxes MUST a checked OR marked NA in ordea ply. ' 41�' 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. J i 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (.TJ�Pg dowwlf fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ................................... :....... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:.................... ......... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement. ................................ ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... 36. Deed Restriction .�................................... s��...................g ...................... 37. Grant Deed, .H. Title/S &ea Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: !" ti'y 1. Index permit application for the above items numbered: 2. Additional items required Contrac , designer, owner, was advised of the above data by 25 phone, ❑ mail, ❑ cc Contractor, designer, owner, was advised of the above to y ❑ phone, ❑ mail, ❑ cc Plans reviewed by: ��i�t� Date: Plans approved by: _ Structural reviewed by: Date: Structural approved by: Note transfer by: Date: L , t�/a-- Date: /-z.-Z7 /o Y Plan Check Letter unter, b Date: unter, by Date: Date Date: Yellow: Building Division Butte County Department of Development Services www.buttecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile 15 December 2004 L'optal. ADMINISTRATION * BUILDING * GIS * PLANNING Donald C. and Dorothy M. Hohenstein 70 Forbestown Circle #8 Oroville, CA 95966 RE: Building Code Violation Location: 70 Forbestown Circle #8, Oroville, CA 95966 AP#: 072-270-042 Dear Donald C. and Dorothy M. Hohenstein: This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location, as follows: Failure to obtain the required permits, inspections and approvals from this office for the construction of a covered deck, open deck and carport. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford in this office at the address or telephone number listed above. Sincerely, ,&P - Scott Ruth erfor Chief Building Inspector SR: mj s cc: Assessor Butte County Department of Development Services www.buttecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING 15 December 2004 Donald C. and Dorothy M. Hohenstein 70 Forbestown Circle #8 Oroville, CA 95966 RE: Building Code Violation Location: 70 Forbestown Circle #8, Oroville, CA 95966 AP#: 072-270-042 Dear Donald C. and Dorothy M. Hohenstem: This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location, as follows: Failure to obtain the required permits, inspections and approvals from this office for the construction of a covered deck, open deck and carport. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford in this office at the address or telephone number listed above. Sincerely, Scott Rutherfor Chief Building Inspector SR: mj s cc: Assessor 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, eALIF. - 534-454-F-" 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 95 3- Jk —for the following location: Owner JQAL,1 V'14A/t ./ r _ Owner's Address t��X545 D Mobilehome Mfg. F -L h -7.,%a CD el Model - Year `._— Insignia No. LA L 4 / Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director,of Public Works �f % Date ter? - _ (� �--- By C ,r� THIS�CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. Z4 PERMIT NO. 4301 -75P, -F, P E M 'MH UTIL. ,,PERMIT NO. PERMIT EXPIRES OWNER James Lodge CONTR. LOCATION (A.P. 72-27-42 j30'e 7 2 - SIS private Rd., 8001 S. of Forbestown Rd., 2 2.6 mi'. E. of Oro Quincy Hwy, Forbestown Jt i. Temp. Power Pole Called PG&E T Temp. Elec. Ser e 2, C Temp. Called P* 'E ed Elec. P c G Ser E r Called PG Temp. Gas erv. 61 & Call PG&E JO TT ED ZZ F /ALED-& M)— It A e I (Sign/ure)' S COUNTY OF BUTTE—tDEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback i Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall SidinQ To out Slab Roof Sheathing Water Piping' Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test % Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Z 7C— Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS, Motors Framing Test Water Htr. Stucco Final Subpanels9-17--70 Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service s — Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final. DATE REMARKS OR CORRECTIONS 73 D /rdti✓ C -7 �Zi 5' N6 �+�d" (rim'. s l�i� Ol.� %�Q (<ltiGCe-rcy- Os' 3 erI--Cls e 17 — 11L ?G �9/-e r -s o qt TO: Building Department FROM: Environmental Health RE: Sewage and/or viater Clearance LOCA^1IOjK' A .P# Has been a-pproved for: S�,IAGE DISPOSAL /2 yATER SiPPLi 595 -??5 COUNTY.OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OFOCCUPANCY This mobilehome has been installed in accordance with the reqquirements of the California Administrative Code, Title 25, Chapter 5, and permit number for the following location: 5A ,Y.r c � I, ' �G'•.,� S !� ` /?�YIA.✓� Tdui �l ��( 1- •G `YI /s . r, . • C�r�� /r)ii. r r � � %�✓� �t Owner Owner's Address 0- /3 ra z, 0yI Mobilehome Mfg. �t— rf Gu��S Model Year 4'/ Insignia No. %� Z Serial No. S O It is hereby certified for occupancy at the above described location and' may be occupied. Director of Public Works —7 Date A% " Z' / L By THIS CERTIFICATE IS VOID WHEN MOBILEHOME/IS RELOCATED 34pJ-7� i 430/ - 5 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? .Yesl,�No B. Is there proper clearances around panels? Yes I- C. Is power supply cord or feeder assembly properly fused? Yes_ No D. Is continuity test satisfactory as per the following procedure? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors., including neutral conductor, have'been disconnected. 3. Switch all breakers and switches in the mobilehome to the on position. 4. Connect one lead of a test.instrumeri' to the mobilehome grounding conductor and apply the other lead to each m.obileliume supply conductor, including neutral. 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line), - including fixtures..and 'appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder.assembly conductors. shall be connected to the site service equipment. A further continuity test all then be made between the .grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card 'signed by Health Department for water and sanitation? 11•. If everything okay, sign off card and tag services. MOBILEHOME DATA -- e, Manufacturer and�dr NamestyTZll�e_:J Length �(} Width. / 1) Vehicle Serial No. _5-0 State identif icat ion No. f �Lj• Z Additional.Informati.on or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome located with xequired separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes 4 --No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yeses No k 7- 4. '4. Is the mobilehome level? (Sec. 5088) Yes �No 5. If more than a sing a unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes B: Test - Does water piping withstand working pressure or,50 lbs, air test? Yes "' o C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors ,at each end? Yes 'No B. Does it have minimum 4' per foot slope and is it properly supported? Yes °--No C. Are any leaks detected in drainage system after running 3-Rallons of water through each fixture including washing machine standpipe? Yes No' D. If coach is not State of .California approved, does station have required trap and vent? Yes No ,ri /� /A 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? 'Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes ---No B. Test OK as per following procedure? Yes_ N 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes — No R COUNTY OF BUTTE — M-PARIMENT OF PUBLIC WORKS 7 County Center'Drive - Oroville, California 95965 TelephoO: 534-4541 APPLICATION AND PERMIT X CL-GE� � Date Signature of Permitee or Agent Receipt No. `q9 ®0/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P B IC WORKS BY ilding permit expires Date _--���-- BUILDING Owner ;WQ Ail e z, d SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor v,Y L V's I Leve OLe) i ki Co Total Valuation Mailing Address89T� �7- Permit Fee Plan Checking Fee &/or Penalty ©dOfJeLLIL Telephone No. $1673 p Permit Fee Building AddressPLUMBING S Vil/9iP> d, 8y00 OF No. @ FEE PERMIT FILING FEE $3.00 For 6A %-Ocva Zd, `7. (-44,L.,L E p/= Each Trap 1.50 o�'0 1.1f �C w op'bes7?��.J,c1 A ye A- Repair drainage or vent piping 1.50 WaterPin ip 9 1.50 Each gas water heater or vent 1.50 A. P. No. �. — Z"7 — Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel pproval Plans Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 %(/ %—� ���o ✓ p i. -0V 36 7, OR LES Main service 1000 AMP ORS SLESS 5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 22sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. 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 of: ra, 1-Z Ex. Occup(OUTLETS OR FIXTURES BAL@--1 00 Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 geZ-z;v�n��� Mobile Home Facilities 15.00 License No.��i�� %:33 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. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F1I certify that in the performance of the work for which this permitis 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.1 @ FEE PERMIT FILING FEE J$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 Ordinance and State Laws relatingto building construction, and hereby©C authorize representatives of the County of Butte to enter upon the above-mentinneri nrnnprty fnr inenpntinn --n-This 1✓ s� ,f� io{/ .p TOTAL PERMIT FEE 30 permit is hereby issued under the applicable provisions of X CL-GE� � Date Signature of Permitee or Agent Receipt No. `q9 ®0/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P B IC WORKS BY ilding permit expires Date _--���-- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 ��`� �✓ �� - el ephone: 534-4541 APPLICATION AND PERMIT' \` ec ip No.' din� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Bg permit expires Date — �- BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address s Telephone No. ' Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty ti Telephone No. Permit Fee Building Address PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 .00 Each Trap 1.50 _ ` �� Repair drainage or vent piping 1.50 Water piping 1.50 Q Each gas water heater or vent 1.50 A. P. No. 702 2 / "- 2, oning I g Gas piping system 1 - 5 outlets 1.50 /4,00 Each additional outlet .30 - / Fates W San I Fire Dept. Fire Zone Use Permit Building sewer 5.00 /�9, jd EQA Parking Plans Parcel Declaration Parcel a P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Pa el Approval Plans pproval Permit Fee $� OD ,$ �3 .0, NEW ❑ ADDITION E]UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 - Main service incl. 1 meter QO Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 .57,0(VWater �i Heater or Space Heater 1.00 Light fixtures b a Receps., switches & fix outlets 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 of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump p® Mobil Home Facilities 5.00 Cie Temp. Power Pole 5.00 License No. Classification Misc. wiring XW 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 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 $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date n ig lure of Permitee or Agent l! � .� �--„ .n l TOTAL PERMIT FEE $ b G 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 U LIC WORKS -- BY Date �-� Z — ec ip No.' din� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Bg permit expires Date — �- 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: li' Gf /TA /G- 3. Is the site currently under permit? Yes --5U No —L ( If yes, furnish permit number tl 5 `` ) 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 N-7 No / / (If no, clarify ) 5. What is the-mobilehome electrical rating?• ----------------------- 60 Amps 6. What is the mobilehome site service rating? --------------------- 7. What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- (If yes, identify the load and size: W/{iE.Q'PUMP (Load) 0 a Amps / DD Amps Yes / / 'x-< No / / (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 3�� (in_) 10. What is the type of gas service? ----------------------------- Natural T_/ LPG / 11.% What~is the'gas pipe length from meter or tank to the mobilehome? >9 (ft.) 12: ':What is the mobilehome gas demand? ------------ (BTU) j(This-information not required if pipe length less .than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA Mobilehome Mfr.. GREO" LAKSS Setup Model No. Year N (p L Width 10 (ft.) Length 7 -TO (ft:) -Expando Size ft.x ft. (Draw 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). S.in le . -� Footings -(check.one) 0�4_ 1:. Wood :either . pressure treated or Center Center Support�� fdn `grade.: Support Footing Sizes 44 Locations (in.) ....... 2. -:Concrete pad. x��. ` / : / 3 . :. Other, :specify in. in. in. Supports (check one) 1. Concrete block r--�ALI 1_72. Concrete piers 3. Steel piers ' Other, specify d ................... „ Typical Support Footing 'Size f -f_-) in. x 4..CC Max. Pier. (�� Spacing ft.) (in - (in.) (in.) - 0 • Overhang BCOUN 1 T in. BUILDING DEPARTMENT APPROVED i ^If center piers are other than drawn above, draw in locations, spacing, and dimensions. o 15 F Iia t,-'\ a RCA/I LLC I 2 12.'Z r� Vlei NIT Mi -P iiaCra M/#+0 iit, I'Vrz NC)'�,-yjj rhe Sidg.- Setback shall ba 5 ft. from the side property line and 50 ft, from the centerline of the road, permittin ... a maximum of a 2 ft. eave overhang. .SEPTIC TAN �Q,k%os`I. 0 ��,,�1 eQ�1 t �`op e as e, V. ko VP 6- r�. s9 e) 1pe T_;0010a��\el' �,N ,N�\\ ire . P a�\ok\°� °§ rhit set of . plant c MUST be Xe pt on the fob at all times and it is unlawful to make any changes or alt*rations .on same without written permisson from the Departme-nt of Public Works, County of Butte. All utility/connections shall be located within 4 k, -outside the rear third sect of the mobile home on th t (road) side of the mobile e. '`.. UrtLI Ty ARP A GEU PAC -LF 2- r-0 f.�, �o CT'AI L, BUTTE COUNTY NOTE:—ATI Materials & Workmanship- Shall Be in Accorrinrr a with Reco,ni7Ad ..Good Prar+ices cin-'3UILDING DEPARTMENT Of a ats7°! t•I for the Specified use in the Uniform BLJ;Ji;nq, PlumUinq & Machanical Codes and Alp p O V E D the National Electrical- Code. Coi�.Ntvjj , OF SE-o,'n0i/ tS" Iv0 500,t„r.: ,.� SW Y4 SF -C 15 T I�� N.SS DRIB N 24-AU6 7 S- -'RAC—ie — RAC-ie / Z5r 16011 > CJD 3 Z -0 m 0 0 m (-) 0 .< �! c M. 7C z 'Zzl m z 3 ---------- 7C 'Zzl 3 ---------- 7C 72-27-42 914-9U: , , E JOB FINALE Signature HOHENSTEIN, Don 70 Forbestown Circle, Oroville Cont: Don Blake (utilities/mh) OFFICE COPY. I 7d Address nn GAS Da Meter By ELECTRIC I Meter By Date d=OK - O = Not OK Not Not Readyabler MOBILE HOMES Date MOBILE HOME UTILITIES Plans OK exce t #'s nin uirements-Setbacks-Easements oils; Spe MH Support Sketch er ation-Test-Fall-C/O Concrete ater; ation-Test-Easement Needed (Sketch) ectri ity; Location-Clearences-Grnd-/ mp-Concrete as; Location -Test-Wrap: "L"ft. / �*at. orf /"L"ft.LP r tility Clearance Date ,':) -7,-'-__7/ Card 8-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MO HOME INSTALLATION Plans OK exce t #'s Zoning Requirements -Setbacks Easements ooti s; Size -Spacing -Marriage Line Gas; MH Test-Demand-Valve—Connector ectricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector ate_r.vfd Sewer Connected -C/O to Grade -HD Approval as and Electricity Tagged zits; Insp.-Sketch Cert. of Occupancy Dat / / Card B-1 Date Card B-1 Date Card B4 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors 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 #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances -GF] 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 V OK O=Not OK - = Not Applicable ' = Not Ready RESIDENTIAL (Single. & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope _ 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Block outs -Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes O No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DE9ARTMENT 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 Manufacturer's name Serial number of V.I.N. (Official Approving Installation PERMIT N0. Year of manufacture (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS f' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ZJ'Df/CXjS TC /N qletl—' Y1 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. L L. n< / Ts M /34t- iT L`t' w X 'j -2/n i 3e, /- . Date -..5 — ate 5— -- � Inspector /11,, ' COUNTY OF BUTTE - DEPARTMENT OR PUBLIC WORKS "RMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/688-7541 - APPLICATION AND PERMIT ASSESSOR PARCEL NZONING _ 72=27=42 -- � M -R HUIL0ING PERMIT OWNER .-Don__Hohens.tein - TELEPHONE SO. FT. OCC. BUILDING VALUATION -- -- - - - - OWNER'S MAI NO ADDRESS 70 orbestown Circle Oroville 95966 CONTRAC TOR• S NAM Don Blake TELEPHONE 534-8336 CONTRACTOR'S MAILING ADDRESS 2175 Feather River Blvd., Oroville 95965 Fireplace CONSTRUCTION LENDER Nonp UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Nnnp LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 70 Forbestown Circle, Oroville Permit tee $ 45.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Pot 57--1 L Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome®K Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G-17 b 10-00ea 30.00 TYPE OF WORK ❑ New AdditionRemodel❑ Utilities Installation[] Other[] Describe work: MHU-replace old mobile with new mobile Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar rider 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. ����% —�FIXED ❑ 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) El 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.Od OR ADDNS. ACC. BLDGS. , 20sq ft NEW CONSTR.U T"OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES 200802 eALe 30 PREA.� Ex. Occup. A3(RESIDI 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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. 1 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 1 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 I' ilities, judgments, costs, and expenses which may in y ay accrue Inst s 'd County in n uence of the granting of this p r t. r _ / e 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL F E $ 9C 00 HA . cu P scO ./ F cD PA I H 0, E, This permit is hereby issued unser sions of the Butte County. Code and/or work indicated a ve for which fees 6I TOR O LIC By. PERMIT EXPIRES ate -5 y the applicable 3rovi- resolutions to do have been paid. WORKS / Date �- 88277/90.00 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance oft) c)- —c)-7 —7�-- '� "—Avner Location 119AP# L� Plan Approved for: Sewage Disposal Water Supply Bold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other NOTE Dat nitarian �C� r .J* :y�xr '� : i - - .'"'. >f.f4M: ,.«:a• !. :war;,,. ..r % .^tt;'`fW.y„t �+^,T� yy..r-.,,•.rs--r.ti.-c-„rf�.i+oo' ., COUNTY OF BUTTE - DE PARTMENTI OF,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVAIzIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. ,.OWNER ' Proposed Building Use U Building Inspector ``` Date "3n C At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: , DATE RECEIVED APPROVED” 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation .......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... F 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department Ty-� 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) :.� 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................... 26. 27. Wheny6u issue the permit, process as follows: `. Mail to owner. Mail to contractor. Telephone and hold for pickup ate, ti office. Deliver w/inspector. Other 3 "� Applicant 4JV(y/1o..., &� Datey Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date PJaZns approved by Date Sets of plans on hold in File cabinet V AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB R/� ^ _ L ZONING 44`2 BUILDING PERMIT OWN a. /1 )� ��� ��� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S M/A11V/INC AODR SS W� D�0 lo; CONTRACTOR'S NAME hJ 13 Ake TELEPHONE C ONTRACTOi*S MILILING 9�0 nr 6'A 55 jor S Fireplace CONSTRUCTION LENDER VcPAJ UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O{� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 70 �or6s f w��'• 00t O/` � Permit fee $ S PERMIT Filing Fee 10.00 6>�PLUMBING 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❑ Mobilehomee Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 0.00 ea ,. TYPE OF WORK New ❑ Additioon�❑ Remodel ❑ Uti}l�itiieesz Installation[] Other ❑ Describe work: � " r o-1- 4) leCP O`er e. old MaAl' ,r W- N+et.IJ Mo,6ile Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV 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): ❑ 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 OCCUP.ai\ OR AODNS. l ACC, BLOGS. / Yz2sgft NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea _ POWER APPARATUS .&) SINGLE OUTLET CIR. ( EX. OCCUp\OUTLETS OR FIXTURES 200301 eALO 30 FIxEo APPLNS. OR EX. OCCUp. OUTLETS (RESID.I EA.) 1 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 FiIingFee 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 against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct- ion of structures aver 3 stDries fight. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ r E HAL CUA PARK SCHL FLD PAR PD j HD• /SUE This permit is hereby issued unser sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions tc do fees have been paid. WORKS Date �in Receipt No. 69? '/ 6 WHITE-O.P.W., YELLOW-ASSESSOR,/PINK-INSPECTOR. GOLD ENROO-AP►LI CANT PARCEL CHECK LIST AND REQUIRUOM 1. Parcel _creation Map Book P/1 "50 Z. Page I Legal Parcel Creation date 60' R/W Certificate of Compliance Other 2. Parcel created by subdivisioneci map prior to July 1, j949 Parcel size is less than 5 acres Parcel exempt from items 3 & 4 below 3. Legal Access Parcel fronts on publicly maintained road Parcel does not front on public maintained road Documentation on legal access submitted (must be by Title Co. or licensed engineer or surveyor) 4. Road Improvement Standazds A. Parcel fronts a publicly maintained road Frontage Improvements not required Frontage Improvements are required -==: Frontage Improvement plans approved and improvements must be installed prior to building occupied B. Parcel not fronting publicly maintained road 1. Parcel Frontage Frontage improvements not required Frontage improvements are required Frontage improvement plans approved and improvements must.be installed prior to building occupied 2. Parcel access. to publicly maintained road Access improvements not required Access improvements are required Access plans approved and access improvements required prior to building occupied DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENTfl FOR RESIDENTIAL DEVELOPMENT . i i (3 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: c:0 Date: 91-012889 Rec Fee Cash Recorded Official Records ; County of Butte ; Candace J. Grubbs ; Recorder 2:19pm 4 -Apr -91 ; PROPERTY OWNERS: u 7.00 7.00 X 2 State of t ) On this the day of AVY1, ► 1- , 1951 , before SS. me, the undersigned Notary Public, personally appeared' County ofu'7�� T&jN s- / / Personally known to me. LK/ Proved to me on the basis ;�a®®®u®s®a®■®®em®ma®eoo®ta�! of satisfactory evidence. ® to be the person(s) whose hame(s)' IS subscribed to DANIEL F. HUNT® the within instrument and acknowledged that tic - 0 NOTARY PUBLIC -CALIFORNIA c`.• executed the same for the pur ses therglA co in 3 Butte County ea i My commission Expires Oct. 1, 1994 a IN WITNESS WHEREOF, I hereun o set my an a d of ic•al seal. Notary Publ Present A.P. No.-�.?%"�� i , 9I-}ZB89 � �r�u �� 558857 21572 The land referred to in this Policy is described as: All that certain real property situate in the county of Butte, State of California, described as follows: Parcel 2, as shown on that certain Parcel Map of a portion of. the Southwest quarter of Section 15, 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, on December 109 1974 in Book 52 of Parcel Maps, at page 11. TOGETHER .WITH a 60 foot non-exclusive easement.'for road and public utility purposes as shown on said Parcel Map. AP;>No. 072-27-0-042-0; CA 91-20 CLTA Standard Coverage Policy -1971 Page 4 q pp EN® Off' DOCUMENT i e885 I - v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Ceoter Drive - Orovlller California 05905 - Telephone: 910/539.7541 APPLICATION AND PERMIT /_1-1, r ASSESSOR C _ ZONING BUILDING PERMIT OWNER 4 Don Hnhpnqtpin TELEPHONE SO, FT. OCC. BUILDING VALUATION ` OWNER'S MAILING ADDRESS CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDE'S MAILING ADDRESS R Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHI CT 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[] Mobilehomej® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ InstallationU Other ❑ Describe work: MHI— replace old mobile with new mobile — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.03 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare pder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code an my license is in full for a 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e OR ADDNS. ACC. BLDGS. , /2 Osq ft NEW CONSTR.ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 20®501 eALa30 Ex. OCCUp. OUTTS P(RESIDFIXED IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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 onsent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.0) 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. I also agree to save, indemnify and keep harmless the County of Butte against all Iia lities, judgments, costs, and expenses which may in y , y accruea nst s Cou ty i co q c f the granting of this per It.—rmit 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 eiighht.- Mobile Home Installation Fee $ Energy Inspection Fee $ ONSTTYPE TO L FEE $ 70.00 F.A�,.FCUA PARK sc FLD cDF PAR PD ) HD. IUB is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. 7DEErOR OF PUBLIC WORKS 2_Q BY ✓ � .r7�Da%te% PERMIT EXPIRES date Receipt No, V l&J_ WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF` PUBLIC '.WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILLE, 6ALIFORNIA 95985 - TELEPHONE: 918/538-7541 0 PERMIT APPLICATION DATA SHEET Permit No. OWNER V�IJ I -I O�1�NS�e/ !� A. P. No. Proposed Building Use /���� Building Inspector two Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome i;Wop on data including manufacturer's installation instructions. 10. Fees of $ ........................................ 11. Chico Urban Area fees paid ....................................... 12. Park fees aid 13. 4:7School District fees paid .............. —u l 14. anitation 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 21. Contractor''s license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. (?_o ate) 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 7jiax, 2 Recorded copy'of Agricultural Acknowledgment Statement ......... y Letter of sign ture uthorization:.................................. R �1 6=6,f r J 7. When y issue the per it, pr cess as follows: Mail owner. Mail to contractor. Telephone D I ok and hold for pickup at office. Deliver w/inspector. Other • I i c a n tz", _/ Z"_47-414 J �/ D -��' — JI— Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item,not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mail —counter by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_,f,ountgr by date Plans checked by Date Plans approved by__c Sets of plans on hold in File, cabinet ' • AP folder Copy—DPW Date .!7' .�. .�.' '•i y^.(y..7+,.YVj- t 'r'r dR—w..-r- 'r _T F.''Swf'Kr'tY`;'*t•+is.•',T"it �i�"•^,-i �7 •1 '�'•'" \�."'e='-'r�:.-r+ ^'.T�.r err .r. .ti• �-+•, ••t, rl". 1 _ i BUTTE COUNTY SCAOOLS DEVELOPMENT FEE CERTIFICATION FORM 0'z .470„ 1 Z( One Form per Building) 09/r A.P. Number. // 2~ ��� 11Z,• Building Department No. C/ % School rDistrict �Ie4 =��' City Q 4County V5 Jurisdiction Property Owner �N �-iph�,�Ji+► Project Location/Address / 0Qc- N �� 2 , (� (( o c'A Subdivision Lot Number Residential Development: Sq. Footage ke4,4()ve_ "72-00 # of Living MHI Addition (Group R) Units JQIPPIACe t 3 26P. 96 Commercial/Industrial: a O Sq. Footage New Addition (Including Exterior Roofed Areas) Building Departmen Representative Date ******************************************************************* (Floor Plans reviewed b School District Personnel) + ,•Di ict Id No. 10 1 (ZA-6y4L TISchool District certifies that (Applicant Nape(Phone Number) (Street Address) (City) (State) (Zip Code) has complied with the requirements Xepr4senting f Rolutio No. ©— by the yment of $ quare feet. /57 School istr• t Representative Date PAID BY CHECK NO. RE KS: �- BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school dis-tri,•t i SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB R�% / ?--z -�� ZONING M_Je BUILDING PERMIT OWNER O , f4 'ems f, J SQ, FT. OCC, BUILDING VALUATION n /T�ELEPPHHOONNEE OWNER'S MAILING ADORE.S((�'�/\\SF DUJ, t N (,• CONTRACTOR'S NAME N. 5M&d_ N `i �� R31%. CONTRACTOR'S MAILING ADDRESS 'O'F replace CONSTRUCTION LENDERA)OMP UNKNO N Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ . o Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /��o � � permit fee $ PLUMBING PERMIT Filing Fee 10.00 [[J 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❑ MobilehomeK Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W O.00ea TYPE OF WORK New ❑ Addition Remodel ❑ - Utilities ❑ Ins allatior/ Other ❑ Describe work: to PlAee Q /�}i 0,6, a �.✓' NeIIA.1 mobi fe Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6100' OR LESS 100 OR OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW of p y (check one): I declare under penaltyperjury ❑ 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. El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.61i\ OR ADONS. ACC. BLDGS. I I/zQsgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS a �~ (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eL9 30 2AL930 FIXED PR Ex. OCCUp. OUTLETS (RESID 1EA.) 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. E]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 PERMITFiling Fee 10.CO Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct- ion of structures over stories in eight. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE `- TOTAL FEE $ ��//�� f�/� HAZ. CUA PARK SGML FLo coF PAR PD i Ho, IssuE This permit is hereby issued unaer 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. v 3 1745 0-0- WHITE-D.P.W.. YELLOW-ASSESSOR/PINK-INSPECTOR, GOLDENROD -APPLICANT AP # :2 L Z7—'!4Z_ OWNER W-7) 6�I sT L l hJ ► 1J &f—I PERMIT'#,�l MH UT IL . CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other. Load Type Pipe Size Length YES NO YESI NO 56 A- This set of plans and specifications MUST be kept on the job at all times and it is unlawful to' make any changes or alterations on same with. out written permission from the Department of Public Works, County of Butte. NOTEo.-M Materials & Workmanship Shall Be ih ' Accordance with Recognized. Oood Practices and of a qualify prescribed for the Sppeecified use in the otiforrm Building, Plumbing & Mechani cal Code at Ad National Elecfiiaal Coda, \ ` 10' A setback of • ft. from the i property lines and a setback of l 50 ft. from the road centerline shall be clear of strUotutures or equipment except far a 2 ft. eave overhang. ' C 6AZ OF Ate. , \ Penni wl Be r/ 1519 JV .w+A1 Of the �1�BUTjTlE—'VOMI' 'MNkTJY Uit nNVG DEPARTMEN' �I0 500 -SQ. Fr. MINIMUM FOR. MOBILES M ��B� . CO - 0000 0-14 A)R - A)RO ;Z -'FF /m 14 uotT-O No �V? Mtt UAV vev� 2�,� ��� Ott f►�:�is�r�€�a�f►!c � �ni,fr�+�f5 ,�,ibiiw� i�L4 �YTO3SITur *. lf+ r�rsit 3tb:%tea bnis zmfslq 10 toa Vis` Zi ti brew t6 doi Grit 110 ton -,4 €fidaw m c� arIO(S-is*fs 10 vgngrb YMO ONSVt moll nolulcl•ttst} �s tiitw 3Satr gtrsuca' ,#zoVN . ;ldA bsci wit moil.)) Or to mato od lisde foi oina:N o . ;+ ;vevo apt c 13 t; 4 TRW L WMN .,,=.tom<i>+:rt-� An# des ����.. •�,.�. hAWAI W I M -n 23NIOM SC MOBILEHOME SUPPORT DATA _ w ,. /` > If other than single wide, Mob i1ehodie Mfr. 6&i -pg -Hlg ?jggS2' furnish Setup Model No. 6,0J_&_2 -1W Year/27/ Width 5 q (ft.) Box Length S;�J (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) Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 211. Concrete block. F] 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line 1 Piers: Size -Min. ------------ Spacing-Max:, i .- -----------Spacing-Max:,i.- ' ----- From Ends -Max. ------- (� Line 2 Piers: Size -Min .------------ 'x " Spacing -Max.--------- From Ends -Max.------- _ Line 3 Roof Loads: ,. Size -Min ------------- Location (From Front) %e Line 4 Piers: Size -Min.------------ ,k n Spacing -Max.--------- , From Ends -Max.------- Line 5 Roof Loads: Size -Min .----------- „x „ „x ,k Location (From Front) - -I t--, .,- Line 1 Oceninae: Size -Min. ------------------ Each --------- ------Each Side of Openings With Width Over --------- Line Line 3 Piers: (Under Bearing Wall Only) Size-Min------------------- Spacing-Max ---------------- From Ends -Max -------------- g ,) Piers: kumer nearing Wn116 uniy) Size -Min ------------------- „x „ Spacing -Max---------------- From Ends -Max -------------- �_ n BUTTE COUNTY .WUMING IDERAWMENT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville., CA PHONE: 538-7541. 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 Fk] No F1 (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 FY -1 No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- -&—r1p Amps 6. What is the mobilehome site service rating? -------------- L,�� Amps 7. What is the mobilehome site circuit breaker rating? ----- f'Gr% Amps 8. Is'there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No ?/-V" P (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 F-1 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- •s (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) 4-Y6-