HomeMy WebLinkAbout073-340-020'73-344 :200 3
MOBILEHOME WITHOUT PERMITS R(Ad E. Hughie -
7/12/91 N/Sh �llenge Cut off, app.2 mi.E.of USE PERMIT
C Jf R'5CJ �(� Wood leafRd . , Forbestown
Permit #521N,78P (uti ,MH) c 073-340-020 7-13-92
E LEC . �FOiP
GAS �� ,. ROD E. HUGHI E
SUPPO T S RUCTURE REQ, y 0
COMPACTION TEST REQ. "Z,_/U®
Permit #6334-78MHI
Issued
n
73-3q - O''� 1'
Permit##1061-=81MHI (replace `5213-
78)
Issued' 3/31/81
073-34-0=02 _ 92-2996 P,E
HUGHIE, Rod
1904# Challenge off Rd, Forbestown
mhu -
GAS ,
COMPACTION TEST REQ
SUPPORT STRUCT REQ �r-��D _ 93
073-340-020
HUGHIE,. Rod
19041 Challe
(mhi),
9.2-2997 MHI-
e Cutoff Rd, Forbestown
l
7
C!
Returrr to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGE = 4 8 2 3 7 9 8 8
FOR RESIDENTIAL DEVELOP.` F -NT
Se(Hibn 7678.1 of the Butte County Code
requi"r"es 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
92-03796 1 Rec Fee 8.00
for
agricultural purposes, and residents
I Check 8.00
of
this property may be subject to incon- t
Recorded I
veniences
or discomfort arising from the
Official Records I
use
of agricultural chemicals, including,
County of I
but
not limited to herbicides, pesticides,
Butte I
and
fertilizers; and from the pursuit
Candace J. Grubbs I
of
agricultural operations including;
Recorder I
but
not limited to cultivation, plowing,
12:52pm 24 -Aug -92 I PUBL XX 2
spraying, pruning, and harvesting which
occasionally 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:
FOR LEGAL DESCRIPTION SEE ATTACHED
Date: AUGUST 24, 1992
PROPERTY OWNERS:
ROD. E. HUG IE
State of CA ) On this the 24TH day of AUGUST , 1992 , before me, the
TTE SS. undersigned Notary Public, personally appeared
County 01P )
ROD E. HUGHIE
ansosassussDowns Nunn o&M®Personally known to me. [JX Proved to me on the basis
DODIE NULTZ LJsatisfa qqa
satisfactory
i NOTARYPUBLIC-CALIFOFI IMto i%e the person(s) whose name(s) Itsevidence.
A Butte County
My. cmmission Expires Feb. 3, t,gu&cribed to the within instrument and acknowledged that
t� 0000ra.�Bootq®00000l�o®®touted the same for the purposes therein contained. IN WITNESS
EOF, I hereunto set my hand and official seal.
Present A.P. No.
- Notary Pub i
^ ,6 .f} .� Computoo on vte cornaw.vun or vwuo ;.a: i,.ob ,n
L 3 MI•
b � t
newra at ant or aM TI nine to - F Ism Nom•
GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledgeC,
ELVIN L. SHEPHERD and JONNE L..SHFPHERD, his wife, sue Joint Tenants
hereby GRANT(S) to
ROD E. FTJGHIE and HELEN E. HUGHIE, his wife, as Joint Tenant•
the reel property In the 70tDkXlOC unincorporated
County of Butte
, State of California, described as
A Portion of Parcel 3, as shown on that certain Parcel May of the Southeast quarter of the
Southeast quarter of Section 11, Township 19 North, Range 6 East, M.D.B. & M., which Parcel
Map was filed in the office of the Recorder of the County of Butte, State of California,
on April 27, 1976, in Book 57 of Parcel Maps, at page 10 being more particularly described
as followat
.Parcel 3, as shown on that certain Parcel Map . • filed in the office of the Recorder of
the County of Butte, State of California on September lk, 19779 in Book 62 of Maps, at page 61.
Dated. October 13, T=
STAT11 OF CALIFORNIA
COUNTY OF IL
Butte
before me, the uox* 4 rted, a Notary hfblio In Mid fp old
Sate, personally appeared Rlyin L. Shenhe� and
..,Tann&-L. She�hwrdeaateeeeeeoeeeeot►eeee•
known to me to be -the person -JL- whoa name ..d_BrL
subscribed to the within Instrument and acknowledW that
---- •- theme— executed thesrne.
wITNFZR. my hand and official
Elvin L. Shepherd
J • . 8h•phord ---- ---
10021)0:6lI ,..
Y` MAIL TAX STATEMENTS AS DIRECTED ABOVE
END OF D® -N-1
e'/ILIAL SIAL
DIXII L. OWENS
I a NOTAR1f PUBLIC • CALIFORNIA
FRUICIVAL OTC[ IN
BUTTE COUNTY
MT OOAAANp10N Man My 19, 1Val
-�
V.�lll
(TAN area for official notarial "at)
1r
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t `"
10021)0:6lI ,..
Y` MAIL TAX STATEMENTS AS DIRECTED ABOVE
END OF D® -N-1
October 29, 1991
Rod E. & Helen E. Hughie
19046 Challenge Cutoff Road
Forbestown, CA 9.5941
RE: Building & Zoning Code Violation A.P. #73--34-20
19041 Challenge Cutoff,Road
Forbestown
Dear Mr. & Mrs. Hughie:
We sent you a warning letter dated August 5, 1991 notifying you that you
are in,violation of the Butte County Code at the above referenced location.
As of this date, the following violations still exist.
Failure to obtain permits, inspections and approvals from this office
for mobilehome .utilities and mobilehome installation in violation of
the Mobilehome Parks Act of Title 25, California Code of Regulations,
adopted by Section 28A-1 of the Butte County Code as follows:
(a) 1018 Permits Required for Mobilehome Utilities
(b),1048 Inspections Required for Mobilehome Utilities
(c) 1324 Permits Required for Mobilehome Installation
(c) 1326 Inspections Required for Mobilehome Installation
Butte County Code Section 24-195 requires a use permit from the Planning
Department for a,second welling unit in U zone.
The above violation shall be corrected or abated by removal of the mobile
from the property or applying for a use permit from the Butte County Planning
Department within thirty (30) days of the date of this letter. If the use
permit is granted, permits will be required from this office to do the work.
Unless the violation(s) is (are) so corrected or abated, a citation shall
be issued to you to appear in court for said violation(s) and for failing
to comply with this notice. Upon conviction of said violation(s) or for
failing to comply with this notice, penalties shall be imposed and a Notice
of Violation recorded in accordance with Section 41-7 of the Butte County
Code .
74�z0 7-0 Mas ,Iv 41V,('1 1 A,0 v" XZ h'A-IZ—
-10
l/ -G 0-rl /
.
iR.
Letter to Rod E. & Helen E. Hughie RE: Building & Zoning Code Violations
(A.P. #73-34-20)
Page 2
October -29,,1991
Should you have any questions concerning this matter, ,please contact Rod
Taylor or Jim Glander of this office at (916).538-7541.
Yours very truly,
William. Chef f
Director of Public Works
jCs.Rd.
JFG:dms J.F. Glandes
Manager, Building Inspection
cc: Building Inspector
Planning Department
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PROOF OF SERVICE BY MAIL
I am over the age of 18 and not a party to this cause.
I am a resident of and employed in the county where the mailin.-
occurred.• My business address is Butte County Department of Public Works
#7 County Center Drive
California. Oroville, CA 9.5965
I served the foregoing 30 -Day Violation Letter
by enclosing a true copy
in a sealed envelope and depositing said envelope in the United
States mail with postage fully prepaid on 29th. of October
19 91 and addressed as follows:
Rod E. & Helen E. Hughie
19046 Challenge Cutoff Road
Forbestown, CA 95941
I declare under penalty of perjury under the laws of
the State of California that the foregoing is true and correct
and that this declaration was executed on 10/29/91
at Oroville California.
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PROOF OF SERVICE BY MAIL
I am over the age of 18 and not a party to this cause.
I am a resident of and employed in the county where the mailin.-
occurred.• My business address is Butte County Department of Public Works
#7 County Center Drive
California. Oroville, CA 9.5965
I served the foregoing 30 -Day Violation Letter
by enclosing a true copy
in a sealed envelope and depositing said envelope in the United
States mail with postage fully prepaid on 29th. of October
19 91 and addressed as follows:
Rod E. & Helen E. Hughie
19046 Challenge Cutoff Road
Forbestown, CA 95941
I declare under penalty of perjury under the laws of
the State of California that the foregoing is true and correct
and that this declaration was executed on 10/29/91
at Oroville California.
August 5, 1991
Rod E. & Helen E. Hughie
19046 Challenge Cutoff Road
Forbestown, CA 95941
RE: Building & Zoning Code Violation A.P. #: 73-34-20
19041 Challenge Cutoff 'Rd, Forbestown
Dear Mr. & Mrs. Hughie:
This is a warning letter to notify you that you are in violation of the
Butte County Code at the above referenced location as follows:
Failure to obtain permits, inspections and approvals for mobilehome
utilities and. mobilehome installation. A second living unit is not
permitted in a U zone without a use permit from the Planning Department.
Since the additional living unit is not permitted in the U zone without.
a Use Permit, the mobile must be removed from the property or the occupancy
and use must cease and desist immediately and the mobile be placed in dead
storage.
i
Please be aware that Butte County has entered into a Code Enforcement
Program that seeks voluntary compliance with the Butte County Code but.
provides an effective means of enforcement if such compliance is not
obtained. If voluntary compliance is not obtained, enforcement will be
pursued through the issuance of citations, fines, and the recording of
a Notice of Violation.
Your cooperation in resolving -this matter would be appreciated. Should
you have any questions concerning this matter, please contact Rod Taylor
r�or Jim Glander of this office.
Yours very truly,
William Cheff
p�b Director of Public Works
M*
JFG:dms J.F. Glander
Manager, Building Inspection
cc: Assessor _
Building Inspector
Planning Department
P-, 4 P -<f
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
r 196 Memorial Way, Chico — Phont;: 891-2351
7 County Center Drive, Oroville — Phone: 538-7541'
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
W�w cgpq/&",f ku�-Ppfn
OWNER / / IPERMIT 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 ional explanation, please contact this office immediately.
Date-""'/-,- 16 Inspector
tea.
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July 9; 1992
Rod E. Hughie
P.O. Box 28 '
Forbestown, CA 95941
CERTIFIED MAIL
Re: Use Permit, AP 073-340-020
Dear Mr. Hughie:
5C.. utte
L A N D O F N A T U R A L W E A L T H A N D B E A U T Y
Department of Development Services
PLANNING DEPARTMENT
7. COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7601
Enclosed is your validated Use Permit No. 92-28 to allow a mobile home as a permanent
2nd dwelling on a 2.54 acre parcel on property zoned "U" located on the north side of
Challenge Cut-off Road, Forbestown.
Should you have any questions regarding this matter, please contact this office between
10:00 a.m. and 3:00 p.m.
Sincerely,
B.' A. Kircher
Director of Planning `
BAK:lr
Enc_ .
cc: Department of Public Works (2)
Environmental Health
Department . of Forestry _
Y.�
USE PERMIT
BUTTE COUNTY PLANNING COMMISSION 'July -9, 1992'
DATE: (Certified Mail Rec.)
92-28
PERMIT NO.
AP 073-340-020
ASSESSOR'S PARCEL NO.
Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the
special conditions set forth below: Rod E. Hughie is hereby granted a Use Permit in
accordance with application filed: March 23, 1992 to allow a mobile home as a
permanent 2nd dwelling on 2.54 acres zoned "U" located on the north side of Challenge
Cut -Off Road, approximately 1400 feet east of Forbestown Road, Forbestown.
1. Failure to comply with the conditions specified herein as the basis for
approval of application and issuance of Permit, constitutes cause for the
revocation of said permit in accordance with the procedures set forth in the
Butte County Zoning Ordinance, including Butte County Code Sec. 24-62.
2. Unless otherwise provided for in a special condition to this use permit, all
conditions must be completed by the Permittee within 12 months of the
delivery of the countersigned permit to the Permittee.
3. If any use for which a use permit has been granted is not established within
one year of the date of receipt of the countersigned permit by the
Permittee, the permit shall become null and void and reapplication and a
new permit shall be required to establish the use.
4. The terms and conditions of this permit shall run with the land and shall be
binding upon and be to the benefit of the heirs, legal representatives, successors,
and assigns of the Permittee.
SPECIAL CONDITIONS:
1. Driveway approach to meet the Butte County standards.
2. Comply with Butte County Fire/CDF standards identified within Public Resources
Code 4290.
3. A development impact fee for Sheriffs Facilities shall be paid pursuant to the
provisions of Chapter 3, Article II of the Butte County Code, prior to issuance of
building permits. Said fee amount will be determined and calculated as of the
date of application for the building permit or Use Permit.
4. Applicant shall obtain necessary permits from the Butte County Building
Department.
5. Obtain the necessary perm;its for the Butte 'County Environmental Health
Department.
6. Pay required fees to appropriate school district.
7. Applicant must also comply with all other applicable State and local statutes,
ordinances, and regulations.
I hereby declare under penalty of perjury that I have read the foregoing
conditions, that they are in fact the conditions which were imposed upon the granting of
this use permit, and that I agree to abide fully by said conditions.
Dated:
Applicant
NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building
and Health Department permits before starting construction, nor does it waive any other
requirements.
CC: Department of Public Works (2)
Health Department
Department of Forestry
Butte County Planning Commission Chairman
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RESIDENTIAL
"1.073-34-0-020 92-2996 P,E
_ HUGHIE Rod
1904 Challenge Cutoff Rd, Forbestown
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OFFICE COPY
Address
GAS
Meter By Da
# ELECTRIC
Meter By Date
r
I
i -
I
1 JOB FINA
Signatu
J=OK
r
i
t
O = Not OK
= Not Applicable , V
Not ReadyMOBILE HOMES
'
MISCELLANEOUS
i
Date
MOBI E HOME UTILITIES Plans OK except #'s
] Date
DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
.w1onigg Requirements-Setbacks-Easements
!
1. Zoning Requirements-Setbacks-Easements
oils; Special MH Support Sketch
2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel
Q,egwer; Location-Test-Fall-C/O Concrete
i,
3. Decks; Griders and/or Joists-Decking-Bracing-Stairs-Rails
t_Avre Location-Test-Easement Needed (Sketch)
4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors
5. Electricity; Location-Clearences-Grnd-//Omp-Concrete
Shthg.-Rfg.-Bracing
as; Location-Test-Wrap: , /"L"ft.
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures
or/ /"L"ft( /"LPG
6. Carports; Windows-Doors
�ell & Disconnect
7. Electric
tility Clearance
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing-Veneer-Stucco-Mesh
10. Roof; Shthg-Roofing
Dat —
Card B- Date Card B-1
11. Ext.; Steps-Doors-Landings
Date
Card B-1 Date Card B-1
Date
MOBI ME INSTALLATION (Plans) OK except #'s
Zoni Requirements-Setbacks Easements
Date
Card B-1 Date Card B-1
ootings; Size-Spacing-Marriage Line
Date
Card B-1 Date Card B-1
3efas; MH Test-Demand-Valve—Connector
Date
POOLS (Plans) OK except #'s
lectricity; MH Test-Crossovers-Breakers-Clearances
1. Setbacks-Easements
m; H Test-Fall-Flex Connector
2. Soils; Compaction-Structure Stability
& . ater H Test-Regulator-Connector
3. Pool Structure; Steel-Connections-Thickness
at . and Sewer Connected-C/O to Grade-HD Approval
Dead Men -Lining
a nd Electricity Tagged
4. Elec.; Receptacles and Lighting, Distances-GFI
. Exit ;,Insp.-Sketch -
5. Elec.; Pool Lighting; 15 volts-GFI
ert. of Occupancy
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.
Date
Card B-1 Date ', Card B-1
Boxes-Enclosures-Panel boards-Ins. to Main in Conduit
Date
Card B-1 Date Card B-1
9. Health Department Approval
10. Plumb.; Cir. Test-Water Supply Test
F
Date
Card B-1 Date Card B-1
rr
Date
Card B-1 Date Card B-1
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
' =
Date UNDERFLOOR (Plans) OK except If's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except ti's
-16. Water Htr.: Vent -Access. -Combustion Air -Baffle
---------- ------ -----------------------------
17. Water Pipe: Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
--------------- - --------------
19. Shower Pan; Test. First Floor -Tub Access
20. Test -Tub & Shower. -- Second Floor -Tub Access
---------------------- ----- -----------
21. Gas Pipe: Size & Anchors
------y------------------------------------------------------------- -
Date - - Card B:1 ---- Date - Card B-1
---------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ti's
22. Fixture & Transformer Clearance -Ins. Protection
--------------------- -------- --------- ---- ----- ---------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
---------- ----------------------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
- - ---------------------------------
25. Romex Installed Close -.o Edge of Studs & C.J.
--------------
Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
------------------------------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
---------------------------------------------------------
28. Subfeed Wire Size ! r ga. Cu or AI-A.C. Wire Size ! ! ga.
Cu or Al
---------- ----- ------------------------------------------------------------------
29.
-----------------------
-----------------
29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
-------------------------------------------------- --------------------------------
---- ------
30. Service -Riser Conducicrs & Ground -Main Disconnect
-----------------------------------------------
31. Equip Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
------------ - - - - -- - - -
33.
-Smoke-Detector
--------------------------------------------------------------------- --------
Date Card B-1 Date Card B-1
-
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ti's
34.- A. -C.- Ducts Insulation & Support
--------------------------------------------------------------------------------
35. Vent Fan. Exhaust above insulation
------------------------------------------ - ----- - ---------------------------
36. Condensate Drain & Overflow: Size & Grade
------------ ------------------- - -.._...
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
----------- ------ - -------------------------------------------------
38. Attic Access & Platform if Furnance in Attic
-------------------------------- ---------- ------------------------------------
Date Card B-1 Date Card B-1
- --------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ti's
39. Sils. Proper Material & Anchors
--- ---- ------- --- - -------------------------------- ----------------------------
------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
---------------------------------------------------
41. Beanng Walls over Girders & Floor Nailing
--------- ------ --- ---------------------------------------------------------------
42. Draft Stop in Walls (rat proof)
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
- ------------------------------------------------
44. Headers & Beam -Size & Bearing
jingle & Duplex) `
DateU FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
---- _--- _ 50. Garage Fire Protection Framing
_ 51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
---------------------- --------------
53. - Stairs;-- Width -Headroom -Rise -Run -Landing -Fire Protection
----------------------- -
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
------ -----------------
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
------------------- -
57. Glazing Area -Glass Protection -Skylights- Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
-----------------
Date B-1 Date Card B-1
Date ----------Card Card B-1 Date Card B-1
Date FINAL (Plans) OK except ti's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
------------------------ --
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
----------------------------------
64. Bedroom Exiting
----------------
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
-----------------------------
------------
---------------____________ 67. Stairs & Rails
68. Fireplace or Stove: Clearances -Hearth
69. Elec. Outlets at Wood Panel: Int. & Ext.
70. Kit.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Land ing-Closer
------------------------------------ ----
73. A.C.-Duct in Gara9-Garage
74. Wtr. Htr_Vents-Clearance-Comb. Air-Connector-P.R.V. .
In Garage; Above Floor-Mech. Protection
75. Plb.. Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
7;. Insulation -Foam -Looked in Attic ❑ Yes
-------------------------------------------- ---
78. Guard Rails & Deck -Const ruct ion -Post Caps
79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters--O-Yes IDNo
-------------------- -
81. Stucco: Brown -Finish
-------------------------
82'
--------- ---------82. A_C_Unit: _Disconnect. Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing -
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
- -- - - - -----------------
-----
86. Ventilation Throughout House
.. --- - ------------------
87. Glass Protection
88. Corrections from Previous Inspections T-
------ ---- ------- ------------------------- --------
89. Gas Test -Meters Tagged; Gas -Electric
------ ----- ----- ---------------- --- -----------
90. Water & Sewer Connected -C/O to Grade -HD Approval
-------------- - ------------------------ - --
91. Energy Compliance Certificate -Other Certificates
---------------------- ---------------- --
Date Card B-1 Date Card B-1
-
-------------------------------
------ -- -
Date----- -----------Card-B-1 Date Card B-1
------------------ -
Date Card B-1 Date Card B-1
Comments at Final:
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541
PERMIT NO. '
�J �( c l
Address or location of mobilehome /5e) 7 �,,! � �il� C 7-- ✓�
Owner's name I—tc"G /--Z/
Owner's address (�D
Insignia or.hud number
��Manufacturer's name
Serial numbe.r_of V.I.N. �� zS�6 iz Year of manufacture �3 _
(Official Approving Inst otion) (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.
s
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916.538-7541
APPLICATION AND PERMIT
PERMIT NO.�,
��� �9 9
w
ASSESSOR PARCEL NUMB RONING
073-340-020
Z
U
BUILDING PERMIT
OWNER
ROD E. HUGHIE
TELEPHONE
675-2808
SQ. FT. OCC. BUILDING VALUA
OWNER'S MAILING ADDRESS
P.O. BOX 28 FORBESTOWN 95941
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS -
Fireplace
CONSTRUCTION LENDER
UNKNOWN
1
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Energy Plan Checking.Fee
$
Penalty
$
BUILDING. ADO 4RES
ll� CHALLENGE CUTOFF ROAD " FORBESTOWN 95941
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
I 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
1 7.00
Each qas water heater or vent
1 7.00
USE OF STRUCTURE
SF ❑ Duplex F-1 Mobilehome® Other
' SPECI FY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
15.00
Mob le Home I WO 1 I
@ 15.00 45.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ® Installation❑ Other ❑
Describe work: MH U
Permit Fee
$ 60.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200v OR LESS
0A OR LESS
18.501 18.50
Main service 200A TO IOOOA1 I
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
No. ClassificationAPPLNS.
YI, 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
OCCUP.&)
NEW CONST. DWELLING OR ADONS. ACC. SLOGS. 1
3.6Csq.ft.
NEW CONSTRL ULTI.OUTLET
NO 14-RESI O. BRANCH CIRC ITS
@ 5•00
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. OCCUp�OUTLETS OR FIXTURES
20 76d
A
IXELicense
OR
Ex. Occup. OUTLETS ((RESIDA EA.�
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
L j 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 eCoolin
f Consent to Self -Insure.
CJ ' shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
g
Hood
6.50
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai t said Counj-X in co sequence of the granting of this permit.
X Date , c 2-
$ignature of Applicant — O-Owner'o Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ I CONST TYPE
ITOTAL FEE $ 128.50
HAZ 1 0FEES
I IMP
I FLOOD
I CDF
PARCEL
PD I HD
VA
This permit is hereby issued under the
sions of the Butte County Code and/or
work iodic d bo or which fees
E OF PUBLIC
By �—
PERMIT EXPIRES Date 4c:?- S/-
'
applicable provi-
resolutions to do
have been paid.
WORKS
Date4�ir-?`L
q3
'
Receipt No. 19991 R
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
��t��,�' �7�'�"C""'q!>����M,_'"'R`�*-1+y w��l�ll+r*4'f•'71��`�M"M+iS'�'"n�i^dfY"��ii%`�!'i�`$'�'b't�t�i'riti''" ,V `.
COUNTY OF BUTTE - DEPARTMENT 00 PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT' APPLICATION DATA SHEET
(�7
OWNER Roy j6 r"I IC- A. P. No.73 ' " ZO
Proposed Building Use m H o Building Inspector JW- Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1, All items have been submitted.........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ .
5. Hazardous Material Form . ............................................
6 -.,,,.Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of$ ..........................................
11. Impact fees as shown on attached schedule.
12. California Department of Forestry plan approval/fees. ........................ '
.Flood elevation letter (100 year flood) by California Engineer ...................
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
a'-` lot plan and business license a royal from Cit of Biggs/Gridley.
tanning approval for (A) Use: Zcf�vef(U (B) Par ung: ��� PCY4lT,gZ .2$
18. Contact Land Development about (A) Improvements (B) Drainage. ........ .
19. Driveway permit (construction approval required prior to occupancy). .. ... ....`e -
20. Pre -inspection for to Building
Ins requ�
p required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner Mail to owner )............
24. Recorded copy of Agricultural Acknowledgement Statement . .................. 2'{
25. Letter of signature authorization . .........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............4-
31. Existing violations/expired permits . ......................................
....
32. Plan check list . ..................................................... 110
33.
T_ 34.
Wou issue the ermit process as follows: Mail to owner. Mail to contractor.
Telephone65M05 and hold for pickup at - office. Deliver with inspector.
Other
Parcel Creation / ; y ��
Acreage Applicant yl Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. 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 -mail Counter by _ Date
Plans checked by FW Date f 4(9Z Plans approved by Date y� 1Z_
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO
Building Department
FROM: Environmental.Health
SUBJECT: Sanitation Clearance
4o� u G q
owner
DOgUN D o OF rTE
AIGNG DEPT
4 1992
l � �i�dLrM���-rr ��►�
Location AP#
L/ L�
Plan Approved. for: Sewaqe Disposal Water Supply
Hold final for: Water Supply
^anal clearance o.K.'for: Water Su ply
Clearance for bedroo mobile home. other
Date
4
T0: Building Department COUNTY OFBU7TB
FROM: Encroachment Permit Section BUILDING DEPT
AUG 3 1 1992
RE: Driveway Clearance
P0 '� v 9 _ 5 , P D, Q o� Z�;
� �
owner location AP #
Driveway permitQ7—I D 2-4 has been ad for the above property.
3/- 97_
si ature date
A
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder'' building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest -opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be.issued'until this verification is received.
.1. I.personally plan to provide the major labor and materials for construction -of
the proposed property improvement (yes or no) L �.
2. I (have/have not) A y �__ signed an application for a building permit
for the proposed.work.
3 I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors'License No.
-.
4'- - I. plan -to. provide portions- of . this work, -but I have -hired;-the- following: -person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone - - Contractors-Liceinse No.. _
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated: _
Name Address Phone Type of Work
Signed: �—
Property Owner
Social Security tumber
Date C -L -g
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 73 3 ¢ ' ZO
7 County Center.Drive, Oroville, CA
PHONE: 538-7541
MOBILEHOME INSTALLATION SHEET
1. Owner's Name: RQo E, w 0
2. Installer's Name:-
3.
ame:-
3. Is the site currently under permit? Yes Pl_ No
(If yes,
furnish permit number
) OR
Is the site an
existing site? -
Yes
12
No
F-1
(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 ® No r—]
(If no, clarify
(If yes, identify the load and size: (Load) (Amps)
.3
9. What is the mobilehome site gas pipe size? -------------- (in.)
_ 10. Where is'the'type of _gas_service?------------=------ Natural -LPG
11. What is the gas pipe length from meter or tank to the pFry-u;q � '�—ye'yr� B-7��/,
mobilehome?----------------------------------- (ft.)
Bt� LID-INIG MEPARTNi
12. What is the mobilehome gas demand? ----------------------_ (BTU)
r� h, � f,
*(This information not required if pipe length less --an ft, on
natural gas or less than 50 ft. on LPG.)
NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION.
5.
What is the
mobilehome electrical rating? ---------------
U Amps
6.
What is,the
mobilehome site service rating? -------------
'ZOO
Amps
7.
What is the
mobilehome site circuit breaker rating? ----
g .
- 7�
A
Amps
8.
Is there any
other electric load to be served by the
�
mobilehome
site service? ------------------------------.--
Yes No
(If yes, identify the load and size: (Load) (Amps)
.3
9. What is the mobilehome site gas pipe size? -------------- (in.)
_ 10. Where is'the'type of _gas_service?------------=------ Natural -LPG
11. What is the gas pipe length from meter or tank to the pFry-u;q � '�—ye'yr� B-7��/,
mobilehome?----------------------------------- (ft.)
Bt� LID-INIG MEPARTNi
12. What is the mobilehome gas demand? ----------------------_ (BTU)
r� h, � f,
*(This information not required if pipe length less --an ft, on
natural gas or less than 50 ft. on LPG.)
NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION.
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr._ }/ �� OW le furnish Setup Model No. Year
Width J,12-- (ft.) Box Length (ft.) Tagalong or Expando Size •yv 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)1.Wood-pressure =treated foundation grade. D 2'. Other (specify)
SUPPORTS (check one) ------al. Concrete block., 2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE - MULTI -WIDE
Line 1
Line 2
Main Beams
Main Beams
Zl
r
.+-Line
Tag or Triple
i.ine-4 ...
Line 1. _
Line 1 Piers: Line 1 Openings:
Size-Min.-----------tfl
Size-Min.------------------�
Spacing -Max: '---'"-- Each Side of Openings From Ends -Max. ------ With Width Over ---------
Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only)
Size -Min.------------ j2 „x„ Size -Min -------------------
Spacing-Max ----------
------------------Spacing-Max.--------- Spacing -Max --------------------,_ „
From Ends -Max.------- '_ " From Ends -Max --------------.
Line 3 Roof Loads:
Size -Min.------------
"x "x 'Sc "x "x "x "x 'k
Location (From Front)
--Line 4 Piers: . - - - Line 5 Piers.:_,. (Under- Bearing --Walls Only.).}
Size -Min.------------ Size -Min -------------------
Spacing-Max ----------
------------------Spacing-Max.--------- , „ Spacing -Max .--------------- ._ n
From Ends -Max.------- ._ „ i „ h From Ends -Max .-------------
Line 5 Roof loads:
Size-Min-------------
iix „x „x „ i,x „x „ r,x „ „x „x „
location (From Front)
�k1'."E ,'�4r�'tt, ,ll*,•�Kf�"!iidlti�•�sYV.�"'1c'�tr�"51'irKT='s,ti�i++�r3'1viifNl�"i{-"��sn*��'�:i`�t�S���d'�y"�.wf�i.a^rw;�. T,w,7K�:yi.-+'Yki+�s(ri���+t��4
s
COUNTY I G DEPT OF Marysville Joint Unified School District
CERTIFICATION OF COMPLIANCE
SCHOOL DISTRICT DEVELOPMENT IMPACT FEES
To be completed by applicant and taken to: Marysville Joint Unified School District
1919 B Street, Marysville
Part I
Property Owner's Name: ROD !`"( tJ 6 NI G
Owner's Address: 190 0 Ll (a (J-1 &L6k)& 6_ 6• U T -o f F �„� r 6,010 E-1 T&" Aj
Project Address:
Parcel No: ,Lot No: City or Courity:> C.OuPI'f�,/
Building Dept: Permit,rNo`. �' 4
j fr
TYPE OF CONSTRUCTION:
Residential Coristruction Y Single--0Family Dwelling
Reside Reconstruction ! �f •p ., `Multiple Family Dwelling
Commercial Construction'' No. of Units
Commercial Reconstruction J $1 Mobile Home
Total Number of Habitable Square Feet: (�66
X
THIS CERTIFICATION COVERS ONLY THE AMOUNT OF SQUARE FOOTAGE INDICATED ABOVE. ANY ADDI-
TIONS OR CORRECTIONS TO THE SQUARE FOOTAGE AMR THE PROJECT WILL REQUIRE AN AMENDMENT
TO THE CERTIFICATION OF COMPLIANCE. FALSIFICATION OF, SQUARE FOOTAGE AND/OR TYPE OF CON-
STRUCTION IS CAUSE FOR REVOCATION OF CERTIFICATION OF COMPLIANCE
Applicant's Name: v da Cs J, i P - � < <`r r+w Date-,
Applicant Signature:
i
A '
PP
Part II f TO BE COMPLETED BY B DING DEPARTMENT
Total Number of Habitable Square Feet 6K0 -:City of Marysville
County of Yuba
Signature /�L-'� County of Butte
Part III TO BE COMPLETED BY SCHOOL DISTRICT
Certification of Compliance No. (Receipt No.):
Fees Collected: No. of Square Feet
x's $.27 for Commercial = $
No. of Square Feet x's $1.65, for Residential = $
Exempt from Fees: i/ Reason:
AS THE AUTHORIZED SCHOOL DISTRICT OFFICIAL. I HEREBY CERTIFY THAT THE REQU[REMENTS OF
GOVERNMENT CODE SECTION 65996 HAVE BEEN COMPLIED WITH BY THE ABOVE SIGNED APPLICANT.
i na ur E r1�!e t,...4,4,�s�� gf 1 12.S g t eSandra Davini, Director of Business Services- Date
c•
White: • School District
Yellow: - Applicant SD:co
Pink - Building Dept 792
V a ,
COUNTY OF BUTTE - DiEPARTIVIENT OF PUBLIC
7 &unty Center Drive - Orovllfe, California 95965 - Telephone:
APPLICATION AND PERMIT
WORKS PERMIT NO. `
916,"538-754n Z.
ASSt?SSOR PARCEL NUMBER -
.073-3 —020
ZONING
BUILDING PERMIT
OWNER ROD E. HUGHIE
T LEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. BOX 28 FORBESTOWN 95941
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN -
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ '
Energy Plan Checking Fee $ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 4 CHALLENGE CUTOFF ROAD FORBSTOWN 95941$
Permit fee
35.00
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping 7.00
Each qas water heater or vent 1 7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome® Other
SPECI FY
Gas piping system 1 - 5 outlets 1 5.00
Building sewer 15.00
Mobile Home I S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel Uti lities ❑ installation Other ❑
Describe work: MH I
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AOR00V OR LESS 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
(cense 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
Main service 20CATO 1000A1 37.50
NEW CONST. OR AODNS. l ( DWELLING OCCUPACC. BLDGS. /
M 3.64 sq.ft.
NEW CONSTR ULTI.OUTLET
NON.RESID BRANCH CIRC ITS 5.00
POWER APPARATUS 6
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES RAO 76d
Ex. Occup. OUTFIXELETS tRESID.)REA.) 1 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
9 15.00
El
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
Consent to Self -Insure.
MA,
lA shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating
Cooling
g
Hood 6.50
Ventilation
Permit Fee $
Contractor
1 certify that I have read this application and state that theabove Inf6 ation
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 C un in nsequ nce of the granting of this permit.
X Date
Signature of Applicant — 0 r Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S 70.00
Energy Inspection Fee $
occ coNST TYPE
I TOTAL FEE $ 105.00
HAZ 1 0FEES I IMP
I FLOOD
COF
PARCEL
PD I Ho
I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
r, D CT OF PUBLIC WORKS
ey Date
PE MIT EXP! ES Date
Receipt No. 122918
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT -OP PUBLIC WORKS - BUILDING DIVISION
AMT kill Q -j
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
tvc--
Proposed Building Use �X4 1'1 -� Building Inspector
A. P. No73" 5Z -20
Date - Z ((-,3,Z—
Date
-SZ
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted.........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ................. .
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
Feesof$ ..........................................
Impact fees as shown on attached schedule . .............................. / 2
12. California Department of Forestry plan approval/fees. ........................
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . .............
4 15. City of Chico plumbing permit . ........................................ .
— 16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. .. .
st
20. Pre -inspection for to Building
Inson, re for
p required. . 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 Acknowledgement Statement . ................ .
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
Letter of intent on building use . ............... ..�
i
Mobilehome utility clearance . ...::::::::::::::::::::::::::::::::::::
Documentation of legal access. .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner
Telephone475--ZWO and hold for pickup at
Other
Parcel Creation `
Acreage Applicant
Mail to contractor.
_ office. Deliver with inspector.
Date '0�y AZVG' ->--
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 to
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
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 _ mail Counter by _ Date
Plans checked by N 10 Date _g(gl�2 Plans approved by Ay Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
OWNER Rn D I (V & H A.P. NO. ------------
PROPOSED BUILDING USE ( DATE
REC. # DATE REC
ItIV1. School Distric Fees luctV!4-sy)
(paid at District Office) ................
Sheriff Fees
• (paid at Building Department) Sr fE�
Ld IAOl ile- ( k -s -tl,tese. �rtor To YCCS WefN Cvlbe`+eJ Sem 1 �oM�l���� ,10V
Residential ......... % _$
unit amt.
Commercial(per sq.ft.) X =$
sq.ft. amt.
3. Urban Area Fees
(paid at Building Department
Residential (per unit) R =$
# units amt.
Commerical(per sq.ft.) % =$
sq.ft. amt.
4. Recreation District Fees
(paid at District Office)
5. Drainage District Fees
(Contact Land Development)
6. Other
7. Other
At time of permit application, I was advised the above fees are required to be paid prior
to issuance of the permit.
APPLICANT DATE
COUNTY OF BUTTE : Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this .,information at your earliest opportunity to avoid-.
-unnecessary delay in processing and -issuing yoar building permit. No building permit
will be issued -until -this verification is :received.
1. I personally plan to provide .the major labor and materials for construction of
the proposed property improvement (yes or no) �_
2. I (have/have not). JJ 4, signed an application for a building permit .
for'the proposed work.
3. I have contracted with the following person (firm) to provide the -proposed
construction:
Name
Address City
Phone- -Contractors-License- No.
4. '.1 plan to provide. _portions -of -this - work,-but_I-.have_hired_the_foI lowing person
to coordinate, supervise and provide the major work:
Name
Address - _ City'
Phone '.. - = Contracto-rs_Lic.ense:No..,
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:-
Name
ndicated: Name Address-. Phone Type of Work
Signed:
Property Owner 4777/ 2�Z�
Social Security Number —
Date LL % Z�—
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
"PERMIT NO. 5213-78PIE
• t
PERMIT EXPIRES 9-1 a"7
OWNER Rod E. Hughie
►y ^ '+
� ONTR. owner
73-18-123
`i LOCATION (A.P. )
"{ NIS Challenge Cut off, app.2 mi.E.of
F. Woodleaf Rd., Fabeston
. IE ,
f
J-
. 4
{t
t
-�
Temp. Power Pole
� P
Called PG&E
Temp�'Elec. Serv. b 7 a
Called PG&E OA0 S6
Temp Gas Serv. A<Ar'v
Called PG&E �f
�J�IOB
�Fv
INALED a /
� (Date)
s
t
(Signatur
COUNTY OF BUTTE — DEPARTMtNT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
tback ewall So Piping
F ms - Pa ets 1 Floor
In Bldg. Rest om Finish 2n loor
ootin s Windo 3rd k0or
S mwalI SidingTo out
SI A Roof Shea In Water Pi i
Pierk Roofing Sewer
Garage - -Fdn. Vents fixtures
Footinh Garage Vents Water Htr.
StemwaI Insulation - Heaters
Slab Prov. for physical) 'Appliances
Carport handicaped
Po Conformance of ex. , Gas Piping & Test
Footings structure Temp. Gas
Slab V Final Sanitation
Patio A ,, IREP CE' Final
Footings Footing LECTRIC L
Masonry Walls Throat Rou h
Reinf. Steel Final Fixtures
Bond Beam AIRF SPRINKLE Motors
Fr ming Test Water Htr.
Stucco Final Subpaneli
/rIor
MECHANICAL Grd. F It Prot.
Heatin Servl
C0011 14 T mp. Pole
Duc nder round
h V Illation Permanent
r nal anal
MOBILEHOME UTILITIES Elec_ Service azn.4114 Elec. Pedestal
Water Piping /O P 7Y � Sewer Lp �. (�� Gas Piping 10
E INSTALLATION - - - - - - - • - - - - - - Support Elec. Continuity �]
Water Piping / Drainage Gas Piping
r !
DATE REMARKS REMARKS OR CORRECTIONS
ago vG� �/Qr S �ieo� (.EaeO/�iL sGJ`j� .
MID v7krt Gfe— JAA0 LCV,, 4.1 ?�' 14ArZc/J-
O`�Z�, d)PAO1-'04'- ,GA -s 77e,5q-- vc4LJg
&X5 �sT c" .✓0
SK -k7- ?a aAD ac0 .4 W1410 ?-o M.H. ;VV "id ` ,LP6- At0 :5 Lt Ay o
//A/5-0 —,01w//-"( Or
(NOTE: An entry must be made on this form each time you vislt the job site.)
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 , ermit
number U s7�-7i: for the following location: --77—/S P--•.�
Gt//i1,--,r'.�.�C.✓�r� l_
Owner
Owner's Address A0
Mobilehome Mfg._ Model 'r Year
Insignia No. �- -� a Serial No. ` 197 1
It is hereby certified for occupancy at the above described location and
may be occupied.
Director,of Public Works
7 til l
Date %' �•; / t� f ByTHIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
'N
This tel, of pians and specifilcafic'WIS P!WST b�
{ept on -1he iob al aditirne, 'nd it iss urdzlwful is
mane tiny changes or �fljteraltirns on same without
written permisson from the Departmen, Of PLIblil-
Wo
Countv of
5
Mo c -n P. .4-
:! and I t cation i o n o 114--
I-AICI:1-1 YLI-Ii- IU 1. c) be as per
Buffte County Ilie Ith teat. Re -
-S and
A C C Q. rdla r r, w*,,fh Recocnized Go�,jd P,cicti�-P
'� -'* ' r �-, scr i �� ' ' - *' 'e"- S 'C' '
r, x C. q I �, n' 'ror Pec -N - ed usq in flie
I i0c6anica, CoUes cnd
tile Noflarial Eiecilriccl Cc
q t A z, -renis.
All utility connections sl-iall be
located vii rhiri 4 ft. outside the rear
ffiii-d se. -tion c4 th2 rruobile borne
on i'n.-C 1-2Fi k'roanj) sirde o,themobile
ti (YI a.
A
rn 0 e
T"e 13-e 5 :Ff""r,
"4 e C"I'l
rcr
C'X I -
T
D G I) Q1 — M E N
T.
eave
a -
Pit
A,
MOBILEHLe�:-II°SUYPO 'DATA
If other than single wide, '
home Mfr. L_ • furnish Setup Model No. %l��Pyi4' Year
h ;�1,0 (ft,) Box Length cS -5 (ft.) Tagalong or Expando Size ft, x ft.
(SHOW SUPPORT DETAILS BELOW)
in 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 p
,•��
Single
X. �
(ft.)(in;) (in.) (in.)
Center support Center support
locations' footing sizes
(in.)
D�v
(ft.)(in.) .1 (in.)
(.in.) (in.)
�-I ! z k7>
(in.) (in.)
x -3c
(in.) (in.)
*If center piers are other than drawn above,
draw,in locations, spacing, and dimensions.
X
Footings (check one)
.,Wood either
pressure treated or
foundation grade.
2. Other (specify)
Supports (check one)
-
[&' 1. Concrete.block.
E] 2. Other (specify)
Tagalong or Expa.ndo,
show support details.
-- Typical Support
.) Footing Size
-- Max. Pier Spacing
(ft.)(in.)
-- Max. Overhang
(ft.)(in.)
nl f i
tai n PA , I M APP1 DN
� �
%a-
0
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: �� r
3. Is the site currently under permit? Yes /��/ No
( If yes, furnish permit number 49 71 ) 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 tankand leach fields and
clear of all setbacks and easements? Yes No
(If no, clarify
(This information not required if pipe length less than -6 ft. on natural gas
or less than 50 ft, on LPG.)
��
9.
What
is the
mobilehome site gas pipe size? ------------------------
(in.)
10.
What
is the
5.
What
is the mobilehome
electrical rating? -----------------------
Amps
6.
What
is the mobilehome
site
service rating? ---------------------
Amps
(BTU)
7.
What
is the mobilehome
site
circuit breaker rating? -------------
Amps
8.
Is there any other electric
load to be served by the mobilehome
Yes / / No
site
service? ---------------------------------------------------
(If yes identify
the
load and size: (Load)
(Amps)
(This information not required if pipe length less than -6 ft. on natural gas
or less than 50 ft, on LPG.)
��
9.
What
is the
mobilehome site gas pipe size? ------------------------
(in.)
10.
What
is the
type of gas service? -----------------------------
Natural / / LPG
11.
What
is the
gas pipe length from meter or tank to
the mobilehome? (ft.),
12.
What
is the
mobilehome gas demand? ------------------------------
(BTU)
(This information not required if pipe length less than -6 ft. on natural gas
or less than 50 ft, on LPG.)
9. Electrical
A. Is service large enough to provid-e--adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimum of 1 amp) and other facilities on lot, i.e., water pumps,
garage, cabana,'etc.? Yes No
B. Is there proper clearances around panels? Yes No
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 thati;.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..ya test instrument to the mobilehome grounding conductor and -
apply the other lead to each mobilehome 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 shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of theelectrical 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
Manufacturer and/or Namestyle
Length, 5�z Width J20 -7O
Vehicle Serial No. 171(p
State Identification No. 4
—T'
Additional Information or Comments:
e
r�
n
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located It required 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
3. Are footings and supports properly sized, spaced, and braced as peri pproved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes // No
mobilehome level? (Sec. 5088) eso
4. Is t Y,— —
5. If m"o/re'than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes !% No
6. Water
A. Is !f!lexib,e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes o s
i pressure or 50 lbs. air test? Yes 4
B. Test - Does water piping withstand working No p —
C. Backflow - If ccach is not State of Cal* Iornia 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? Ye:,.ZNo
C. Are any leaks detected in drainage system after running 3 ;191allons of water through each
fixture including washing machine standpipe? Yes— No
D. If coac is not State of California approved, does station have required trap and vent?
Yes—
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—&Xo—
Test OK as per following procedure? Yes No
B. P g P a
:1. Open all appliance connector v�.lves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10".-14" water column or test with slope gauge (minimum
0 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. /No C. Are all appliance vents properly installed? Yes
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK
7 County Center Drive — Oroville, California 95965
�;..,. Telephone: 534-4541 N
f
APPLICATION AND PERMIT
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
XAp Date
Signature of Permitee or A ent
Receipt No.
White-D.P.W. — Yel ow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR PUBLIC WORKS
By 1 ��^ —(///� Dated-
ding permit expires Date :Z --I L- 7
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mailing Address Q
_
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
ration Qnl)�
PERMIT FILING FEE $3.00 ,
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. ---
A—L
Zoning &Planning
Water piping 1.50 10,G0
Each gas water heater or vent 1.50
&2:
ion
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EOA
Parking Parcel
Plans Declaration
P1 60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Pla4,Rev'd
Parce royal
Plans App val
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Permit Fee $
$ �—
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
00V OR LE
Main service 100 AMP ORSLESS 5.00 `';
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER soov 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW OR AODNST % ACCLBLDGS.LING 0 CCUP. S) 20sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le of:
y
NEW CONSTR (MULTI.OUT LET
NON.RESID ` BRANCH CIRCUITS) 12.50ea
NEW CONSTR (POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR,
Ex. Occuo(OUTLETs OR FIXTIIRES g L10
Ex. 0ccU / FIXED APPLNS. OR
p•IOUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 c5
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ c9s$
S
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$ Z
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
XAp Date
Signature of Permitee or A ent
Receipt No.
White-D.P.W. — Yel ow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR PUBLIC WORKS
By 1 ��^ —(///� Dated-
ding permit expires Date :Z --I L- 7
COUNTY OF BUTTE - DEP" NT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO
ASSSOR PARCEL NUMBER
/$ -/2,3
ZONING
f>;2
BUILDING PERMIT
OW ER
/ 00 E.
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
Yyv679/6 /�QKw,s1' ) (/,J� /'
O W t�E RO' S' M . L � NO / �. ADDRESS/9 / �bro svt ox � / �97" /
CONTRACTOR'S NAME IF
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS -
Permit Fee
$
ARCHITECT OR ENGINEWER
LICENSE NO.
Plan Checking Fee -
$
Penalty
$
ARCHITECT OR ENG NEER'S MAILING ADDRESS
Permit fee
$
BUIL ING ADDRESS
Al 06I_ -OPF �22D XfiO.
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeQ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK �,�
New ❑ Addition [:]Remodel ❑ Uti lities Q Installation L� Other ❑
Describe work: rwk Z177L PC -R", 52/,3—W
70 /CC—(11G Gj 334--7�'
Permit Fee
$
Contractor ,
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR001 OR LESS5.00
Main service EA. ADD'L 100 AMP
2:50
NEW CONST. DWELLING OCCUP.y)
OR ADDNS. ACC. BLDGS. _
2¢sgft
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
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
NO N.RESID BRANCH CIRC ITS 2.50 ea
NEW CONSTR. POWER APPARATUS S
NON.RESID, %SINGLE OUTLET CIR. /
EX. Occup OUTLETS OR FIXTURES BAL@1
00
IXED 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
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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
S
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 aid County in consequence f the granting of this permit.
X Date9l�i'
Signature of Applicant — Owner 01 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 $ S0.00
TOTAL PERMIT FEE $ 50,0,0
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I ND
I ISSUE
This permit is hereby issued under
sio f the Butte County Code and/or
w ndic ed above for which
I CT6R OF PUB
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
IC WORKS
to 31
`�
500J 3
Receipt No. �
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
()i) b N.1,(,Ai
This set of plans and specifications MUST be
kept on the job at all times and it is unlawful to ,
make any changes or alters -tions on same without
written permisson from the Department of Pu6lir
Works, County of Butte.
NOTE: --=All Materials & Workmanship
w.Acoocdance with Recognized Good P
i ll�o 27c zDof a quality prescri ford Specific
1 Septic system and I cation of -build Uniform Building, Plumbing & achanicc
s'in stub-ou,to be as per the National Electrical Code.
But a County He Ith Dept. Re -
r
quitements. j
i4i .
r
I
All utility connections shall be
located within 4 ft. outside the rear
third section of the mobile home
on the left (road) side of the mobile
��•
home.
JO.".
A permit Will lie Mgire7 for fgg y
Wallow of the mobilehome. �
z'
3'
�k
TdeS
tback shall be 5 #. Trom f is
ty line and 3@- from the BUTTE C
the road, ermi#ing a maxi -
ft, eave ove hang but entirely lBUILDING D
asements..
APPR(
UNTY
'ARTMEN1
VED
Be in
s and
in the
,s and
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
'7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
(0 335 �j
BUILDING
Owner D,D gUiSiqlE
SQ. FT. OCC. BUILDING VALUATION
Mailing Address P 0, 50)< t
a28ES'7>UJA ���14
Tele
Telephone No.
Contractor 6WA)E 2
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address/UA, c�-1,4�,�J� c 611T p��
Plan Checking Fee&/or Penalty
Permit Fee
_
C. DF JAIOC�(�LE�Ie
PLUMBING No. @ FEE
/�
Foi2ig6SM
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. ?3 "-/g `-' 1-2-3
2
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
W
F1reDept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
PiAs
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. PM/ns Recd
Parcel,oval
Plan pproval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
permit Fee $
$
s'%/qf..[_ 77,* 1 X %/L pn--M tp
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE $3.00
600V OR LE
Main service SS
100 AMP LESS 5.00
Single Family ❑ Duplex Mobil Home Others
❑ � ❑
-L
Main service EA. ADD100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONS. DWELING OOR ADDNST ( ACCLBL GS,CCUP. Y) 20sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
y
TLET
NEW RESID, / BRANCH CIRCUITS
NON.CONS ` BRANCH CIRCUITS) 2.50ea
NEWCONSTR. POWER APPARATUS &
NON . RES I D. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTURES 5 L�
Ex. OccU FIXED APPLNS. OR
P• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
1 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.
rq I certify that in the performance of the work for which this
y"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
La
TOTAL PERMIT FE
E
$a�
$30100
✓
�.uw 4Tc. V1VQ 1LQL1 VC UI L11V %lUU[Ity UI OULLU N CIIIGI UJJUII INV
above-mentioned property for inspection purposes.
X lk Date
Signature of erm%i�te� r Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR P BLIC WORKS
By Date /-'-3 J" %
Building permit expires Date
MOBILEHOME•SUP.PORT DATA
If other than single wide,
M01lehome Mfr. furnish Setup Model No. IF#49 yi4y� Year
Width0"1,0 (ft.) Box Length cS^-5 (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
/ \ / \ t
Q ` Z x
(ft.)(in.) (in.) (in.)
Center support Center support .-
locations* footing sizes
(in.)
i I I X3 -c)
(ft.)(in.) (in.) (in.)
,
(ft.)(in.) (in.) (in.)
` 3
L1 3
(ft.)(in.),,t` (in.Y (in.)
.12-x—I
(ft.)I (in.) (in.) (in.)
*If center piers are other than drawn above,
.draw in locations, spacing, Yand dimensions.
F
Footings (check one)
0-1.—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— x 6 -- Typical Support
in.) (in.) Footing Size
-- Max. Pier Spacing
(ft.)(in.)
-- Max. Overhang
(ft.)(in.)
BUT -1 E COUN I r
BUILDING DEPARTMEN
APPROVED
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oro_v_i_lle, CA.
PHONE: 534-4541
MOBII,EHOME INSTALLATION SHEET
1. Owner's name:
�o /� fVa
2. Installer's name:
3. Is the site currently under permit? Yes No
( If yes, furnish permit numbery�^ � � 7 ff ) 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 / No
( If no, clarify )
5. What is the mobilehome electrical rating? -----------------------
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
Amps
,;Xeg a Amps
C%,�, Amp s
(This information not required if pipe length less tham 6 ft. on natural gas
or less than 50 it. on LPG.)
site
service? ---------------------------------------------------
Yes / / No / /
(If yes, identify the load and size:
(Load) (Amps)
9.
What
is the mobilehome site gas pipe size? ----------------------
��' (in.)
10.
What
is the type of gas service? -----------------------------
Natural / / LPG
11.
What
is the gas pipe length from meter or tank to
the mobilehome? (ft.),
12.
What
is the mobilehome gas demand? ------------------------------
(BTU)
(This information not required if pipe length less tham 6 ft. on natural gas
or less than 50 it. on LPG.)