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Home My WebLink About072-310-051�1 72-31-51 THONY L, PALO BA N nderosa T•7ay, 200' W Lumpkin Rd, Orovil Permit#22 5P,E(util, MH) r ELEC S'aftof aMcP 3 D4 ��► GAS_v '01, 4 SUPPORT STRUCTURE R COMPACTION TEST RE Contr; P 72-31-51 W'il spn-MH, .Oro ((i Perm' 6.13-85MHI.. Is ed— T e , 1 ti r f s f - N - 13 PERMIT NO. —Mg E M i / PERMIT EXPIRES ` OWNER ANTHONY PALONBA CONTR. owner ASSESSOR PARCEL 72-31-51 LOCATION N/S Ponderosa Way, 200' W Lumpkin Rd, Oroville t F ,OFFICE COPY4 r Temp. Power P4,,.,a., Address: I Called PGB, � Temp. Elec. Sere GAS � ,: +'&.r,' ;. ti � 1 .c`• 7 "Meier By ELECTRIC�w�l 'M Called PGB eter Temp. Gas Servl f ` Called PC JOB FINALEI f y Signature . i r .i 11 J'= SOK 0 = Not OK, . <, = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready � i Date MOBI OME UTILITIES (Plans) OK except #'s Zoning Requirements—Setbacks—Easements of ; Special MH Support—Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—.Easements 2. Footings; Size—Depth—Spacing—Connectors S r; Location—Test— -C/ —Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Water; Location—T t—Easement Needed (Sketch) 4. Wood Awn.; Posts— Beams— Rftrs.—Connec.—Shthg.—Rtg.—Bracing lectricity; Location—Clearances—Grnd. —.9249D Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures as; LocatiorrTest—Wrap:/ /"L"ft./ /'Nat. or "L"ft./ L.A"tPG Z,NtI'rty Clearance 6. Carports; Windows—Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s oning Requirements—Setbacks—Easements Date POOLS (Plans) OK except #'s 1, Setbacks—Easements Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability a QMH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 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 )Nater,;,MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed er and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater Gas a d Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulaiing Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9, ts; Insp.—Sketch . Cert. of Occupancy 9. Health Department Approval I• 10. Plumb; Cir. Test—Water Supply Test Card B -I Cln Date Z:-: Card -BI Q,,o Date `7--Z -6 Card -81 Date Card -BI Date Card B -I QA Dat& Card -BI Date Card -81 Date Card -BI Date U bK to J = OK 0 = Not OK - Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING Continued 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 48. 49. 50. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 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. Q.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 55. Shear Walls; Nailing -Bolts 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 Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 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. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 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 E] Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes CJ No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes E) No 28. Service -Riser Conductors & Ground -Main Disconnect 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. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except p's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. 40. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng_.__ 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: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS . 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone:j5344541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 13 - FS- 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. 11 Inspector__ �``)��</�� 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 PERMIT N0. 3(o/3 -9,s- Owner's address % % R f F FSS I J r Insignia or hud number Manufacturer's name //S" n P y Serial number of V.I.N. (03-3 Year of manufacture+C? -7 cial Approving f°p tollation Q!W 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. • MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. %i 18 — 9,57 Address or location of mobi lehome Al I 1�-> -I` erv, rl # Owner's name Y�\,A101rt c n Owner's address EE SR Insignia or hud number .hy�G�J1 i� 17 Manufacturer's name Serial number of V.I.N Year of manufacture f O� ficial Approving I'nrstallation f (Date) 1 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. *3 r. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS —' – 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. s'3 s— ASSESSOR PARCEL NUMBER ZO ING BUILDING PERMIT OWN TE EPHONE SO. FT. OCC. BUILDING ALU ION OWNER'S MAILING AD E S CON RA OR'S NAME 'ATELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ' UNKNOWN Total Valuation Is Filing Fee $ 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 $ BUILDIN DDRES S S Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT. SUBDIVISION NAME - PARCEL MAP Water piping 5.00 Each gas 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 I IK12f 10_00ea TYPE OF WORK , New ❑ Addition ❑ Remodel ❑ Utilities Lq' Installation❑ Other ❑ Describe work: _ Permit Fee $ golop Contractor ELECTRICAL PERMIT Filing Fee 110.00 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 under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, 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.hd , OR ADDNS. ( ACC. BLDGS. vtsgft NEW CONSTR. ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS .&) (SINGLE OUTLET CIR. ) / Ex. Occup(OUTLETS OR FIXTURES eAL Sot eALeso Ex. Occup. OUTLETS FIXED P(RESID )KEA.) 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 f 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 against said County in )consequence of the granting of this permit. X nzia�e_ b "� Date 117 Signature of A plicent — 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 $ TOTAL PERMIT FEE $ Occup. CONST.TYPEJ F VOD PARC PD ND 159U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRECT R OF P ORLIC DIRECTO O By PERMIT EXPIRES Date_' the applicable provi- resolutions to do fees have been paid. WORKS Date -' –�' (_�'1 r7 F1 Receipt No. '-I" �- �..L WNIT!-D.P.W., YELLOW-A38E990R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION BATA SHEET OWNER Proposed Building Use AA U Permit No. ' t A. P. No. Permit Fee Based Upon: Complete Contract Price pPW Valuation Other (Explain) Building Inspector Date 9 —:2 At time of permit application, I wA advised the following data must be submitted prior to permit processing andlor issuance: DATE RECEIVED APPROVED 1 All items have been submitted,_ plans in duplicate:/trir3. Complete Plans in du Iate./ti cate.. . . . . 4. Complete engineered plans and calcs. . . . . . 5. Plans with Energy Design Compliance Statement. 6. State Energy Forms No. 7 Statement of. Intent for Non -Heated and AC Buildings. 8. Fees of $ Letter of signature authorization. . . . . . . . . . .Sanitation approval from �Qn, Health Dept. -25- 11. 611. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.)_ 15. Improvements may be required. . . . . . . . . . . . _ 16. Mobilehome Installation Data. . . . . . . . . 1 --Pre-Ins ection for Re uired.•Pfe'{ ' c P q Buildin ins Recorded .copy of Agricultural Acknowledgment Statement.Xq 30 1`9 Other a -- v,. ate) When you issue the permit, process as follows: Mai 1-16 owner. Mail to contractor., Telephone -and hold for pickup at office. Deliver w./insprector. Other Applicant 4Date Copy of plans sent Health Dept., Fire Dept., Other " r Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by 5WW Date Other: -' Copy—DPW i ng rx-partitient i-11011,: F:nvironnnta-1 flitalth r Mchrari(;e- 1714 Y Cl- ZR —YT,,) za yto —n A17. Pi a n Approved for: Sewage Dispwal—kl Water Supply ic)ld, Fitial fur: VNtOr SIIPPIY Oyi .Kfor: Water SupplyC:i. eara-ce for �bcdrco-. hc;!,::e 0C)b i 1. home r other NO* t (1 6 410 Date CFF1CikL RF CORD ; Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OF BU; TE COUNT Y. CALIFORNIA NOT COMPARED WITHFOR RESIDENTIAL DEG'9LOPNENT V THE REQUEST OF ORIGII` AlOC MM NT y �� RT a— 10,%"M Section 26-8 T o t%e Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 1985 AUG -7 PM 4` 20 The property described herein is adjacent to land or included ELEANOR KBECKER within an area zoned for agricultural purposes, and residents of this CLERK=RECORDER FEE — property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides; 70474%1, 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 That portion of Section 13, Township 19 North, Range 5 East, M.D.S, & M., lying Easterly and Northerly of Powell Ridge Road, as said road existed July 21, 1953. EXCEPTING THEREFROM all that portion described in the deed from June Urban, also known as June B. Urban, formerly June Urban Bennett, the Guardian of t e person and Estate of Alma E. Hogge, an incompetent person, as said Guardian to the State of Calfiornia, dated August 12, 1966 and recorded December 15, 1966, in Book 1453 of official Records, at page 438, records of Butte Count,., California. ALSO EXCEPTING all that portion of Section 13, Township 19 North, Range 5 East, M.D.B. & M., lying Easterly of Oroville Feather Falls County Road Relocation. Date: Amus* 7, 198.9 Anthony Pal ba PROPERTY OWNERS: Ellen Palomba State of California ) On this the 7th day of August , 19s_, before ) SS. me, the undersigned Notary Public, personally appeared County of Butte ) Anthony Palomba and Ellen Palomba--------------------- ------------------------------------------------------ LJ Personally known to me. / / Proved to me on the basis i�■■:aa■®■■a■a®■a■■■■■■■a®� of satisfactory evidence. PAMELA J. EtJYSLER: to be the persons) whose name (s) are subscribed to " the within instrument and acknowledged that PUBLIC -CALIFORNIA they Butte County ■executed the same for the purposes therein contained. my Commission Expires August 9, 1987 ■ IN WITNESS WHEREOF, I hereunto set my hand and official seal. �A otary Public Present A.P. No. -AP # OWNER PERMIT MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test -Req. Service Size Other Load Type Pipe Size Lenah YES NO YES 'NO 0 / f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. - 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIQN.ANDPERMIT ASSESSOR PARCEL NU BER .� ZONING BUILDING PERMIT OW ER � LSS TELEPHONE SO. FT. OCC. BUILDING VALUATIONn OWNER'S MAILING D D a CON CTOR'S NAME` ` TELEPHONE f I ' CO NTR AC O 'S MAIING DRESS - Fireplace CONSTRUCTION LENDER UNKN WN Total Valuation is i 40o Filing Fee $ IU.UQf LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ RCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS o. 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 G W 0.00 ea TYPE OF WORK l ❑ Uti lities ❑ Installatio Other ❑ New ❑ AdditionEl Remodeel� Describe work: �'FX2 li u I_r �s —� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 .�J Main service 100 AMP OROR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.RESID 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) M__1,Mobile 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.hd , �z¢sgft A C. BLOGS. New CCONSTR.( ULTI OUTLET BRANCH CIRCUIT 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES0 eA 0 Ex. OCCUp. OUTLETS FIXED PLNS R RESID,IEA.) 2.00 Temporary service 10.00 Home Facilities 15.00, Misc. lyirin 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. 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. 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 dE'/ - Date ��-�� S" Signature of Appli nt — 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 $ D Energy Inspection Fee $ TOTAL PERMIT FEE $ Q OccuP. CONST.TYPFJ JFLOOOJPARCELJ P11 I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date %F % —f Receipt No. 11, WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C�LIOR►VIA 95965 - TELEPHONE: 916/534;454.1 PERMIT APPLICATION DATA SHEET Permit No, OWNER m—il-k. ON .i // b4a A. P..No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price K77DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have beenrsubmitted. . . . . . . . . . . . 2– Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. ,Sanitation approval from Health Dept. .. . 11. Planning approval .for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑ ) —T 15. Improvements may be required. . . . . . . . . . . . 116. Mobilehome Installation D_ ata. . . . . . . . •Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other DRIVENIAY PERMIT & CONSTRUCTION APPROV.gEQUIRED PRIOR, TO, OCCUPANCY, When you issue the permit, process as follows: Mail to owner. Bail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other Appl icant Date /r� Sr Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Plans approved b,, Other: Copy—DPW Date Date l" 1. Owner's name: BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,'CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 0 2. Installer's name: _-0Gl/ 3. Is the site currently under permit? Yet / 7__T_ No (If yes, furnish permit number 9'�"7L-31 -.�� ) 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 APPROVED clear of all setbacks and easements? Yes � No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- C' d Amps 8. Is there any other electric load to be served by the mobilehome siteservice? =---=---------------------------------------------- Yes No (If yes, identify the load and size: (Load) 3_c) (Amps) 9. What is the mobilehome site gas pipe size? ------- -------------- '3 xin.). 10. What is the type of gas service? -------;---------------------- Natural %-7 LPG /f 77 11. What is the gas pipe length from meter or tank to the mobilehome? (f t.) i m (BTU) 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.) —tl-r 61 43 43 BUTTE COUNTY BUILDING DEPARTMENT APPROVED MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. �� o�-� Year l l Width 1 y (ft.) Box Length(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Single I , ].— x (ft.)(in.) (in.) (in.) Center support Center support locations* footing sizes (in.) (ft.)(in.) (in.) (in.) 1 (ft.)(in.) (in.) (in.) L -x - I (ft.)(in.) (in.) (in.) (ft.) (in.) (in.) (in.) "f I ViiJ0D �TTU8 TI/1��M T 0Aa=� 1 r3G1!(j. ,.U8 *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. . Zx 1.7 Footings (check one) Wood either pressure treated or foundation grade. 2. Other: (specify) Supports•(check one) 1: Concrete block. •2. Other, (specify) Tagalong or Expando,' show support details. I -- Typical Support .) Footing Size -- Max. Pier Spacing (ft.)(in.) 2Ii -- Max. Overhang (ft.)(in.) /Sb.Fai �9 Utility connections shall be within A permit will be required! -tor the 4 ft. of the mobilehome, either inst dation of the mobilehome. directly behind or within the rear l half of the roadside (left) of the i mobilehome. 303 Fo kaz s' c NOTE -,All Materials & Workmanship Shall Be in ACCDrdance with Recognized Good Practices and of c quality prescribed for the Specified use in the UralDrm Building, Plumbing & Mechanical Codes and hhe 14afional Electrical Code. Th s set of plans and specif►crytions MI I_ 16 >t n the iob at all times and it is unkiwf�i1 ke any changes or alferations on same wA,3d-! fte ri permission from the Department of Public Al all County of Bute. A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment 9=0 for a 2 ft. eave overhang. ' 2z 53 00 --BU=TTE COUNTY BUILDING DEPARTMENT APPKnVED