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HomeMy WebLinkAbout073-130-01873-13-18 Loren Woodworth S/S Oro Forbestown Rd., app.6/10 mi. E.of Upper Black Bart Rd., Forbestow Permit #2315-80P,E(uti1.:,,,M^�- /� ELEC �sSLnc3. / ( J GA s SUPPORT STRUCTURE HQ. ,Vo COMPACTION _TEST_ REQ t - 73-13-18 Le'rmitl-1-4=BOMHI Issued Fit � �MT4T -13-18 Permit##2_9, --isting site) I I i I { i i i 4 i . ie ,� - .,,i! -- - - 41 P- O. 2315-80P,E v ' �" •. PERMITEXPIRES 5�/l3/ill OWNER Loren Woodworth O CONTR. owner 73-13-18 4 FLOCATION (A.P. ) S/S Oro Forbestown Rd., app.6/10 mi.E.of Upper B1"ack Bart Rd., Forbestown 4 z i n/ i rj .t i Temp. Power Pole Called PG&E k em . Elec. Serv.� Called PG&E CD ' Temp: Gas Serv. • Called PG&E .r j JOB t FINALED � (Date) • (Signature) i s Stucco Final Sub ane Mesh MECHANICAL Grd. F It Prot. Scralth Heating/ Servl B n Cooli g T p. Pole F 1sh Duc nder round Infirlor Lath V06tilation Permanent 51�.Or Closer X vinai Winal MOBILEHOMEUTILITIES----------------- Elec- Service Elec. Pedestal Water Pipin o Sewer Gas Piping 5 Z� ME INST LATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 2 Coe-,P-OUY7 ON ..SOS Ld (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY- OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` BUILDING INSPECTION -RECORD BUILDING BUILDING (Cont'd) PLUMBING Set ack ewall So I Piping ForTN JPakipets J JFRestr 1 t Floor Maln Bidg. om Finish 2n Floor Foo •n s Window1k 3rd oor Stem II Sidin To out Slab Roof Sheaking Water Pi i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physicall handica ed V Conformance of ex. A structure Appliances Gas PI Ing & Test Temp. Gas Slab Final Sanitation Patio FI AA Final Footings Footing ECTRIC L - Masonry Walls Throat Rou h— Reinf. Steel Final I Fixtures Bond Bearu( IKI EFk I Motors Stucco Final Sub ane Mesh MECHANICAL Grd. F It Prot. Scralth Heating/ Servl B n Cooli g T p. Pole F 1sh Duc nder round Infirlor Lath V06tilation Permanent 51�.Or Closer X vinai Winal MOBILEHOMEUTILITIES----------------- Elec- Service Elec. Pedestal Water Pipin o Sewer Gas Piping 5 Z� ME INST LATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 2 Coe-,P-OUY7 ON ..SOS Ld (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMNT OFsPUBLIC WORKS ' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT "NNOO. ASSESSORPARCEL NUMBER ' _ „ ZONING M a BUILDING PERMI OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNR'S MAILING ADDRESS / )n .,/jam 7 OrJd "z�'/�T�'c C NTRACTO 'S NAME / TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER ey �� UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRES 5 PLUMBING PERMIT Filing Fee 3.00 2]��� /© << G O ag �.^" Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomerX Other SPECIFY Building sewer laeo ##2.00' Lawn sprinkler system TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [9 Installation❑ Other ❑ Describe work: Permit Fee $ cet5 Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OROR LESS5.00 �6 Main Service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20 sq It CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ElNON-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. y1cense No. Classification Ylr 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 CONSTRMULTI-OUTLET 2.50 ea NON-RESID. BRANCH CIRCUITS) NEW CONSTR. /POWER APPARATUS 6l ISINGLE OUTLET CIR. 1 Ex. Occup(OUTLETS OR FIXTURES 50@ 250 ,5 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 .G) Misc. Wiring 6.25 1%0:1.(7 7 .Oa Permit Fee $ V &S—b Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): n 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 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. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 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. 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 grantin of this permit. _ %_&'o X let, F, 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 $ Land Development Fee $ oo TOTAL PERMIT FEE ` J� OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD 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 IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7(� Receipt No. r J D J O T WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT • � •r n '{ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7-Coy(ty-.Center Drive - OroviIIe, California 95965 - Telephone 916/534-4541 r APPLICATION AND PERMIT 9 1 r . I .011A 4 lqm AS SS R PAR L NUMB R — -7. — % 8 Z NTNG -rZ BUILDING PER IT Q�A/ ',/ /� ER O OIL c V aO � f/V O /v TELEPHONE SQ. FT. OCC. BUILDING VALUATION O�QI NOER'S t�QILI G�DDRE,S S'5R (',A(/// (, CONTRACTOR'S NAME -----]TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDI _.p— UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS � � Permit Fee $ ARCHITECT ORENGI ER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL ING ADD S p ,- / v�W �, �P�+ Is _15n PLUMBING PERMIT Filing Fee 3.00 �1 �%� �l0 /4! l' • -or PPLO ,BLI464- �/ '— ' ' Each Trap 2.00 Repair drainage or vent piping 2.00 irao Water piping LOT NO. SUBDIVISION NAME. PARCEL MAP Each qas water heater or vent 2,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome�Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Rem/ofdel ❑ Utiliilies ❑ InstallationC��Other ❑ Describe work: rd e U 7-14— PCeA4 O 2345_— ffQ - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 500V OR LESS Main service - 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 20 sq ft - CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): . ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. [�/� icense No. Classification , as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULTLOUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. ( POWER APPARATUS 91 NON•R ESID. SINGLE OUTLET CIR, Ex. OCCup(OUTLETS OR FIXTURES 50@� BAL@10Q Ex. OCCU FIXED APPLES, OR P•(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after,making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL- PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation _F 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. 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 F ��'` Date — ur"D 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 $ t �� Land Development Fee $ TOTAL PERMIT FEE OCCUP, GROUP I TYPE OF CONST. PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC F PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �� &P -to 6 "����� Receipt NO. 153Z/ / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. 297118-82MHI exi.s�11_g—sem �( PERMIT EXPIRES /0 OWNER LOREN WOODWORTH ti CONTR. _Qwne r ASSESSOR PARCEL 73-13-18 LOCATION _SIS Forbestown Rd, E Upper Black Bart Rd, Forbestown I f� d t 4 's r s S 't r 7• 1 , Temp. Power Pole Called PG&E Temp. Elec. Service i Called PG&E Teas Service �� 2-- Cal led PG&E JOB FINALED (Date) // lee �� �— Signature i/ = OK O = Not OK — = Not Applicable * .= Not Ready MOBILEHOMES Lr MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) U,, axcept fl . 1, Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.-Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L "ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. i e Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBIL HOME INSTALLATION (Pl*f<OK except N's Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1PIoning Requirements—Setbacks—Easements 1, Setbacks—Easements Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectricity; MH Test—Crossovers—Breakers—Clearances _ 4, Elec.; Receptacles and Lighting; Distances—GFI amain; MH Test—Fall—Flex Connector O. nater; MH Test—Regulator—Connector R --Water and Sewer Connected—C/O to Grade—HD Approval 5. Elec.; Pool Lighting; 15 volts—GFI 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit V-16—its; Insp.—Sketch 1p/Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test C d B -I Date �drd-BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Dale Card -BI Date 71 3 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number /-'2'�?-7`f' V2 -for the following location: Owner Owner's Address Mobilehome Mfg. 'ms`s'"1/�R•� Model I� �' S'� Year Insignia No. Cr / �, < Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director -of Public Works Date THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. J = OK n 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 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. 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-BIockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-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. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65, Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture &Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 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. Insulation -Foam -Looked in Attic E) Yes 73. 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 AI, Insulated Neutral E'Yes El No 75. Following ❑ instld.: Drive Yes No; Walks Yes Planters❑Yes ❑No ❑ 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 Card B -I ----.- Date_ Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection __- Card B -I Date Card -BI Date Date MECHANICAL (Perrr,it) OK except #'s 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 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 ii Furnace in Attic Card -BI Card -BI - Date - _ _ Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) Comments at Final: _ 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shihng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access: Size & Rom_ex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) ,4 COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS PRI Ng. 7 County Center Drive - Oroville, Califoirnig 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PAR EL NU ER �- ZpN1 T BUILDING PERMIT N OR �7'tJ d •) ✓ F�}I ONE E_ SQ. FT, OCC. BUILDING VALUATIO O COWNE 'S MAILING ADDRESS TC CON AtNAM M TELEPHONE CONTRACTOR'S MAILING ADDRESS • Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ klcm Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS • Permit fee § '; BDSGtZ ADpR� 6 �Ylt D PLUMBING PERMIT Filing Fee 10.00 ` �j Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome2�Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK �, New ❑ Addition Remodel ❑ Utilities ❑ Installation R�/ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2:50 NEW OR ADDNST (ACCLBLDGS.LING CCUP &� 20sgft ONTRACTORS LICENSE LAW I declare under p y of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my -,employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ).Ou LET NON.RESID BRA CH CIRC ITS 2.50 ea NEW CONSTR. ( POWER APPARATUS & J NON-RESID. SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES 50 @ 25 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 10VORKMEN'S COMPENSATION INSURANCE I •declare un enalty of. perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Ej I have placed on -file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. �f' LJ shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ 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 may1n any way accrue against said County in consequence of the granting of this permit. r^� `y Date �C- _/_ g'.? Signature of Applicant — Owner ElContractor ❑ Agent F1work 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 $ 46'; TOTAL PERMIT FEE $ 70 "DO OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND 155 This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRE OF PUBLIC By PE T XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat/e/_'y�' q �� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i Sxa0M kne :yo do . tvno �30 � 4 Sxa0M kne :yo do . tvno �30 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: L O R r fY E. 2. Installer's name: \ L OkFN P-443 3. Is the site currently -under permit? Yes / No (If yes, furnish permit number OR Is the site an existing site? Yes No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear ofallsetbacks and easements? Yes / VT No (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- a O O .Amps 7.. What is the mobilehome-,site,circuit,breaker rating? -- ------ y Amps 8. Is there any other electric load.'to=.be served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify, the load and size: felt -"P (Load) 3. 6 (Amps) 9. What is the mobilehome site gas pipe size? -- (in.) 10. What is the type of gas service? ----------------------------- Natural /% LPG_T 11.What is the gas pipe length from meter or tank to the mobilehome? 12. :What is the mobilehome gas demand? ------------------------------ (BTU) .(This information not required if pipe length less than 6 ft. n a 1 gas �p or less than 50 ft. on LPG.) 2978-� z BUTTE- COUNTY BUILDING DEPARTMENT APPROVED MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. ,g0M,�5rj-E furnish, Setup Model No. Year Width. 1,9— (ft.) Box Length 4tj( (ft.) Tagalong or Expando Size £t. k 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. f� Footinns (check one) - :) Single 1. Wood either pressure treated or foundation grade. ❑ 2. Other (specify) x Cin.) (i .) Center suppo t locations* Center upport footin sizes u orts (check one) 1: Concrete block: (-j L --J x 2: Other (specify) (in ) (in.) .. F ----Tagalong or Expando,' show support -details. (ft.)(in.) 'n.) (in.) -- Typical Support (in.) (in.) Footing Size le (ft.)(in.) (in.) (in.) Max. Pier Spacing (ft.)(in.) �9 ;. 3 . x -- Max. Overhang (ft.) in.) (in.) (i •) (ft.)(in.) *If center piers are other than drawn above, _.__draw_ in locations, spacing, and dimensions. a OFFIC'.AL RE:a?Np.5 Return -to DPW , AGRICULTURAL STATEMENT OF'ACKNOWLEDGEMENT BUTTE COUNTY-GA' F FOR RESIDENTIAL 2crORDS REQUESTED 8Y DEVELOPMENT p � Section 26-8:1 of the Butte County Code requires this acknowledgementOCT 28 3 07 PHi982 be recorded prior to issuance of a building permit. ELfAFF:OR Fi: BCRER CLERK= RECDRDER The property described herein is adjacent to land or included FEE. 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 occa- sionally generate dust, smoke, noise, and odor. Butte County has established.agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that'real property situate in the County of Butte, State of California, described as follows: Date: /e"v���O PROPERTY OWNERS: —_ ` State of , ) On this the day of 19 o ` , SS. before me, the undersigned Notary Public, personally County of r:L7-Ci ) appeared L OR -e iv �- , �� o'e"� © l --i- � REBECCA A. N1MZ • . known to me to be the person(s) whose name(s) c' o -m NOTARY PUBLIC subscrib d to the within instrument and acknowledged ` Butte County . that > . executed the same for the purposes State of California p Co therein contained. �y Commission Expires Nov, 25, 1983��c IN WITNESS WHEREOF, I hereunto set my hand and official 'R'.Mi's"'P'as'Oi"�0'°P�✓i'OrPi +J✓d i iORO�+rJs'J�i'.!�6�y: C7 seal. rn Notary Public Present A.P. N0. OM DESCRIPTIONs All that certain real property situate in the Caanty of Butte, State of California, described as follows: PARCEL, ONE s Being a portion of the Southeast quarter of the Southwest Quarter of Section 17, Township 19 North, Range 6 East, M.D.B. A M., and more particularly described as follows: CObEiCING at the Southeast corner of said Southwest quarter of Section 17; thence along the SODU line thereof North 89. 47' 50" West 561.01 feet to the true point of beginning for the parcel herein described; thence from said true point of be- ginning continuing along said South line North 89. 47' 50" West 257.00 feet; thence North 0. 16' 17" West 772.07 feet to the South line of the Ororville-Forbestown County Road; thence along said South line, along the are of a 270.00 foot radius curve to the right, whose tangent at this point bears South 82. 33.' 48" Fest through a central angle of 41. 04' 120, an aro distance of 193.54 feet; thence South 410 27' 36" East 136.93 feet to a point which bears North 0. 16' 17" West from the true point of beginning; thence South 0. 16' 17" East 581.42 feet to the true point of beginnin8• EXCEPTING 1EEREPROM that portion deeded to County of Butte by instrument recorded December 30, 1971, in Book 1724, of Official Records, at page 472. PARCEL TWO: Being a portico of the Southeast quarter of the Southwest quarter of Section 17, Township 19 North, Range 6 East, M.D.B. R Me, and more particularly described as follows: CcmKM1NG at the Southeast corner of said Southwest quarter terfof Section the true nonce thence along the South line thereof, North 89 479 50 west 81 of beginning for the parcel herein described; thence from said true point of ae- ginning, continuing North 89. 47' 50" West 236.54 feet; thence North 0. 16' 17" West 720.13 feet to the South line of the Oroville-Forbestown County Road; thence along said South line North 71. 08' 44" East 120.40 feet to the beginning of a 270..-0 foot radius curve to the r' -&'l thence along the aro of said curve, through a central angle of 26. 19. 28" an are distance of 124.05 feet to a point which bears North 0. 16' 17" West from the true point of beginningi thence leaving said line, South 0. 16' 17" East 772.07 feet to the true point of beginning. EXCEPTING gyp{ that portion deeded to County of Butte by inatunment recorded December 30. 1971, in Book 1724, of Official Records, at page 472. cr G N O :JO