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Home My WebLink About078-070-014i Henry Henderson roville (0s00 ck Permit#5.2Z§. ELEC. �7 7 g �rn OBia� COMPACTION TEST REQ. ►%/' -cont,,:`Wilso Mobile Homes, v*til Permit �k5 9 t9 M1"ry Issuel � d ,a Permit# X003-80B(new awning/MH) &36--l-00-017 PERMIT#95-0356 HENDERSON, -Henry 6500 Upper P ermo Rd., Oroville Cont; North B to Const. Extend Ele Ser . l� 03fr=37=dim' ERMIT#9.5=0722 ,7 HENDERSON,'-James 6500 Upper Palermo Rd., 0 oville� r,�J CONT: North Butte Const. /� 1 .Relocate. U.til for .MH(BP#9 -.0356Y ELECTRIC /0() . ,/" �✓ r GAS LINE COMPACTION TEST RE SUPPORT STRUCT RE PERMIT#95-07.06,,, HENDERSON James. 6500 Upper Palermo. d., Palermo'. Cont: Al Carl ` MHI a - PERMIT#914r- 1259 HENDERSON, Nexiy pmt 5 6500 Upper Palermo Rd,., Oroville Stairs/MH `, moi/ q%/-3 19 j tr7g-- 0 70 -OIL' 019 RESIDENTIAL 036-300-015 PERMIT#9►rr--1259 HENDERSON, Henry 6500 Upper Palermo Rd., Oroville Stairs/MH JOB FINALED (Date) Signature J=OK O=Not OK Not ApplReady MOBILE HOMES ' Not Ready • Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat, or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEC OVERS, CARPORTS, GARAGES, (Plans)OK except #'s Z 'ng Requirements -Setbacks -Easements Fos; Soils -Size -Depth -Spacing -Connectors -Steel ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Ro hthg-Roofing Ext.; Steps -Doors -Landings Datard B-1 Date Card B-1 Date- Card B- Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable ='Not Ready RESIDENTIAL (Single & Duplex)' Date UNDERFLOOR (Plans) OK except h's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils -Flet. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Ring 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47.•Fire lace Ties or Type ype A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size &Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-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 h'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 Date - - -Card B_1 --_- Date - _____ Card -B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's -------------- 22. Fixture & Transformer Clearance -Ins. Protection --------------------------------------------------- ---------- -- 23.-Elec. Recept-acles Spacing -Lights & Switches at Doors ------------------------------------------------------- 24. Size Boxes & No_ of Conductors -stapled -- --------- ------ ------ ---- 25. Romex Installed Close to Edge of Studs & C.J. ---------------------------------------------------------------------.. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ------------------------------------------------------------ ------------------- 27. --- ---------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------- ---- ------------------------------------------------------------ 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / ga. Cu or Al --------------------------- ------------------------------- 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------ -------------------------------- ------------ 30. Service -Riser Conductors & Ground -Main Disconnect - ------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ---------- _ ------------------------------------------------ 32. Clothes Closet Light -Shower Light -Spa Light ----------------------------------------------------------------- - - -- 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card -B-1 - ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h'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 --- ------------------------------------- -----------I.-------- ------------- .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 h's 39. Sils. Proper Material & Anchors - -- ------------------------------------------------------ --------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------- -------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) -- - --------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing 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 Card B-1 Date Card B-1 Date 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. 1. & 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 -Landing -Closer ------------------------------------ ------------ --------------------------------- 73.--A.C.-Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection --------------------------------------- - 75. Plb__Elec_ & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes --------------------------- ------------- --------- - ----78.-Guard-Rails & Deck Construction -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 ❑ Yes ❑ No-------------------------- ____ 81. Stucco: Brown -Finish --- 82. A.C. Unit: Disconnect. Electrical, Plumbing ------------------------------ 83. ---------------------------83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House .. - -- - .. - -- ----------------------------------- 87. Glass Protection --------------------------------------- 88. Corrections from Previous Inspections ------------------------------------ 89. Gas Test -Meters Tagged: Gas -Electric =--- .-. -. -. - . - -- -------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval _ 91. Energy Compliance Certificate -Other Certificates -------------------------------------------- ---- ---- Date Card B-1 Date Card B-1 --------------------------------------------- -- -------- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75i PERMIT NO. . APPLICATION AND PERMIT 5 �a,2-T ASSESSOR PARCEL NUMBER 036-300-015 ZONING BUILDING PERMIT OWNER ��YYv��li:it HENDERSON TELEPHONE SO. FT. OCC. BUILDING VALUATION 16 112.00 OWNERS MAILING ADDRESS 6500 UPPER PLAERNO RD OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 6500 UPPER PALERMO RD PERMITFEE $ 58.00 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNIS ION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CY Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Add -Rion ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: STAIRS Mobile Home I S I G W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Service000v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Xl I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR so. OR ( 8 ACC. SMS.) 3.5¢ FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL SO Ex. Occup. ouTIF°rsPAE o.�eA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with Fe pro ions. .��% X _ ate4en.�4� Ign' lure I o a ❑ Ag�— An OSHA permit is required for excavations over 5'0" deep and demolition or constructi of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 58.00 HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSU 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. By f �Patete PERMITEXPIRESON D 7 17� (Date) Receipt No. 180202 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O'U'WTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION 7•COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 r � , -PERMIT APPLICATION DATA SHEET OWNER , A.Y. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. .......e ................................ Y h 2. r 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. Mobil home data and manufacturer's installation instructions, 2 sets. ........... X10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flo d) by C lifornia Engineer. . . 14. Sanitation and plot plan approval ny"00 ( Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16_" Plot plan and business license approval from City of Biggs/Gridley. ............. 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)... . . 'Preanspedion requesi 20. Pre -inspection for �: 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) . .......... t 24. Recorded copy of Agricultural Acknowledgement Statement . .............1..... �- 25. Letter of signature authorization . ........................................ x 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 . ................ 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant ate Sr l Copy of Haz-Mat form sent Health Dept. Fire Dept Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). By 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 (Ti 3 ao.,4:s Date (:�_pis Plans approved by Gt /i 3oA.LS Date 3 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES" NO[ ]. �I HAVEC4 HAVE NOT[ ]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: CONTRACTOR'S 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: CONTRACTOR'S LICENSE 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: J PROPERTY OWNER: MIN SOCIAL SECURITY NUMBER: DATE: (o — NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: - An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and'to have a business Iicense from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tar withholding, federal social security taxes, - workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligatioris under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 09L I . 09 1017 1017L OZ L OOV .08 OZ This set of Plans and specifl"tions MUST be kept on the job at all times and Ib is unlawful to 13:93.ke any changes or alteraUcw on 3EM8 -MithOUt writtaf-pum2ission from the Depwt=nt of Pubm Works, County of uDNI Oe�T 'M 01? SE0 Sa OV: M Sjt)f_F, -v\f- 13 ou ONp "S r-vklti i"w /0 'fpcv, oR of R�`R c,ERL1 S TIAS ;kID \3 "Oft 1W ore►Je G.Ood?% 15co- Wvtile ed JOT :O,:cL6 I aocor <,y OZCXS! C, C OTIII 0' a N) 0 R_ np Butte County Envipnmental Health . � I , .Oc M g, ML771t S&W Date 1 E.H. USE ONLY Plot Pon AUR&ed Plow FM Mwhed Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance *Sy 5 CL , W e r d -- r s o v (n 5-6> 0 4o IPA Aal a ,r m - o 0:36 -- Sod - 0 Owner Location AP// Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other :ag o Hold final for: Final clearance O.K. for: NOTE: j- C, To A Axw�� En ' onmental Health Specialist 8/92 Date Al 1091 .Obl' ,OZL ,00I' ,09 ,Ob ,OZ This set of plans and specifications MIIBT be kept on the job at all times and it is unlawful to -� rake any oilan$es or alterations on'3&me without written--prmission from the Department of PubUG Works, Country of Bud's: - -------------- D`uD1N Qu1pMEN �pgE�E ND I �' PND E R OF Pl'� S1DE MAcL D r� P VE a%0CrC "OVA: �D R PRQp�� N SNP��e� O�F�ER� �Qp►DND ear PAP ft. 140 IN ,Ob ,09 � 'A0 - Pv E, ,os ' � Nom'ce nth sdaA AQcopreecs - - r of. a..W avi ors B . e m the tXe 13a a? <P.. Yip -Wo Od?% 407"0& tha SPecii id fos iug' --� /— E' — .% copy { L ,00 L - _ N -- - ,OZL - -� i = 1091 bUTTE COUNTI BUILDING DEPARTM6 ,osL APPROVED, -.- ` I . .OpZ s'6 (� r J./ AP OWNER PERMIT �k 7S D3S~� 7 zz MH UTIL. CLEA NCE DATE INSPECTOR ELECTRIC GAS SupportCompaction Struc. Test Reg. ervice ize Other Load Type Pipe Size Len th YES NO YES NO PO RESIDENTIAL 5=070 :M6-300-015 PERMIT#95-0722 HENDERSON, James ' 6500 Upper Palermo Rd., Oroville CONT: North Butte Const. Relocate Util for MH(BP#95-0356) G OFFICE COPY Address GAS Meter By—.469Date S ic IJ 't'1fie F JOB FINALED (Date) J Signature V=OK O = Not OK' NotApplicable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES Plana OK except #'a Zoning Requirements -Setbacks -Easements „2rbo11s pecial MH Support Sketch ewer; Location -Test -Fall -C/O Concrete 4. ! cation -Test -Easement Needed (Sketch) Electrics ; Location-Clearences-Grnd mp-Concrete 8 s; Location-Teat-Wra / /"Net. or/ P'L"ft./_ "LPG Clearance & Disconnect §-HtlftrClearance s Date/initials M0BIJrHOME INSTALLATION Plana OK except #'a o g Requirements -Setbacks Easements Foo s; Size -Spacing -Marriage Line es � igt-Demand-Valve—Connector 7 I ci ;"MH Test -Crossovers -Breakers -Clearances Dr, ?est -Fall -Flex Connector W r; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval nd-EMc—fN49*—X&qged s; Insp.-Sketch . Cert. of Occupancy lb e^"- 4C r1 MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rally 4. Wood Awn.; Posts-Beams-Rftrs -Connectors Shthg-Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Slls-Anchors-Studs-Rftrs-Truases 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosu res -Panel boards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable RESIDENTIAL = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalis, Main; Steel-Blockouts-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. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, Flrst'Floor-Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'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 to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) Date/Initials 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 -Ina. 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 -ani 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/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. 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 -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -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 ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace :Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Coninwnts at Final: r�''"'�r`�'�1'r'�,-"ri1��tE'diy�� - E, _ ,... , .•�''��' . . Y,�+.r.�:��"�*+3't'ti^�w'+,�'.r�v��,�;rs�,�R�,'?.�'�'�'�irf"'�"'^r MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: �6 _3c�- c�� PERMIT NO.: �, q� -- c 7�� Owners' rr Name: JG�1/VlC' SC//i<le�Sc�� Owners: Upper Address: �j'✓ cc U pp e r 0G I e r' "Ito u � F' (Ot/ • �� Mobilehome f �'- 5C�/" l�� Year of Manufacturer �/'y 1 Manufacture: Serial number / 1 or V.I.N. / oil 6 � 13 � Insignia or / HUD number: 2-1 � v � �/ �" U Official approving installation: Date: If the mobilehome is moved orelocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobile ome is installed on a foundation system. 513B, White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor rt COU". r—'PF BUTTE -°BOILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA"- (910 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE M A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Approved steps and or porches shall be installed within 60 days where indicated by X. Permits are required. Date S g Inspector REV 10/92 BEFORE BEGINNING GROUND ANCHOR INSTALLATION, MAKE SURE THE ANCHOR LOCATIONS WILL NOT .BE CLOSE TO ANY UNDERGROUND ELECTRICAL CABLES, WATER LINES, SEWER LINES OR GAS LINES. FAILURE TO DETERMINE THE LOCATION OF ELECTRICAL CABLES OR GAS LINES MAY RESULT IN SERIOUS INJURY OR DEATH. 1. PARTIALLY INSTALL APPROPRIATE GROUND ANCHOR ALLOWING TENSION HEAD TO MAINTAIN APPROXIMATELY 14" TO 16" MINTIMUM GROUND CLEARANCE. 2. USING OVERSIZED HAMMER, VERTICALLY INSTALL STABILIZER PLATE BETWEEN FRAME A.N'D ANCHOR. THE TOP SECTION OF THE STABILIZER PLATE MUST BE DRIVEN FLUSH WITH THE GROUND TO INSURE SURFACE SOIL COMPACTION. 3. FULLY INSTALL GROUND ANCHOR UNTIL TENSION HEAD BOTTOMS OUT AGAINST STABILIZER PLATE. 2) cc^c INSTALLER/CONTRACTOR CERTIFICATION I CERTIFY THAT I HAVE INSTALLED TIM TIE DOWN ENGINEERING ANCHORING SYSTEM AS PER TIE DOWN'S INSTALLATION INSTRUCTIONS AND THAT NO MODIFICATIONS HAVE BEEN MADE TO THE ANCHORING SYSTEM OR BUILDING STRUCTURE. COMPANY NAME: CONTRACTORS /%1`� CONTRACTORS LICENSE, "' DATE: r S� SIGNATURE 4. A- PAGE 9 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, CaliforniR 95965 - Telephone (916) 538-7541 PERMIT NO. 'APPLICATION AND PERMIT-�`�Z`7�C4 ASSESSOR PARCEL NUMBER 036-30-0-01X5 ZONING ARINIH2.5 BUILDING PERMIT OWNER JAMES HENDERSON TELEPHONE 534-9410 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6500 UPPER PALERMO 95966 CONTRACTOR'S NAME AL CARL TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 6500 UP12ER PALERMO RD PERMITFEE $ 43.00 PALERMO PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 IAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome XX Other sPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatiioon' [A Other ❑ Describe Work: (Gl��(rl-ry#95'_p�LZ ) - Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. L�� 7 License Class �' Z/17 Lic. No. yj7 y� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR. ADONS. ( a ACI-. BLDS. ) SO. 3.5¢ FT. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 FIXED (ID)EA) Ex. Occup. ( OUTLETSRES. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ,9* 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation �insurance carrier and policy number are: Carrier S' -r, 5 F,/, J MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with th se provisio l X Date Signa ure of Applicant - ❑ Owner b Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is 100.00 Energy Inspection Fee occ CONST. TYPE FEE $ 143.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE 17 This permit is hereby issued under the of the Butte County Code and/or indicate above for hich fees have By —91—Z PERMITEXPIRESON applicable provisions Resolutions to do work been aid. p ee ,, l^ Date rA' (Date) Receipt No. 175855 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 s COUNTYOF BUTTE - DEPARTMENT.'O'F-PEV,EI,OPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIAb5965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER v . P— O Proposed Building Use K Building Inspector Date �/ 9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted. ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. .......... . ~S 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.'�".I. j�`D f. WFees of $ . .......... .. ......1. Impact fees as shown on attached schedule.5(f tPV C) L' ..6 12 alifornia Department of Forestry plan approval/fees. ............ . ' :Flood elevation letter (100 year flood) by California Engineer ......... ......... nitation and plot plan approval Health Department. .. ......... 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). i° Pre -Inspection requ .20.. Pre -inspection for required. .. to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... + 1 " z -d 2-YOwner-Builder Verification (Given to owner ,Mail to owner �. .......... `rZIN/A 1A 24. Recorded copy of Agricultural Acknowledgement Statement . ............... 25. Letter of signature authorization....................................:Z.{<.. o 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use . ................................. r 28. Mobilehome utility clearance. 29. Documentation of legal access.........`.............:..................� 30. Documentation of 50% subdivision developed or (A) Road improvements completed, t� and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired, permits . ...................................... 32. Plan check list. •................ . When you issue the ermit, process as follows: Mail to owner. Mail to contractor. � ,Telephon*5-`/Y03 and hold for pickup at office. Deliver with inspector. Other .ark — Parcel Creation Acreage ) Applican8qA ate Copy of Hai -Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By_y The following data must be submitted p *o to per it is s nc cle new item not checked above). 1. Index permit for above items No., 2- ` A 2. Additional items required: Co ' ac , designer, owner, was advised of above required data by hone _mail Counter by _ Date L ,Z0 Co rirt actor, designer, owner, was advised of above required data by _phone _mail —Co7r7_DatePlans checked by Date Plans approved by Date y -�-� .�1 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works C, N COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville;_California 95965 - Telephone (916) 538-7541 APPOCATiON AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER f� f �n / —� z y�yCilnIs OWNED. L.� / 1 ✓ c•J �j Epi[/ OWNERS MAI NG ADDRESS �J BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION CONTRACT 'S NAM ^ � _^ L IGI►—.L t_ TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESSPERMITFEE $-UU PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other ` SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation.10-08ther ❑ / 71— I �1 '7 ' 1 I—i Describe Work:M[41 Mobile Home S G . W 920.00 PERMITFEE $ C Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service E00N OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( 6 ACC. BLDS. ) SO. 3.5c FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) zo @ 1.00 BAL FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agentr An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 061 . // Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I COF PARCEL PD MD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date (Date/ Receipt No. / S WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN 800 -APPLICANT w: a� Lm LLLJ 77 _cz C.: :w ;m :LO fCV ktD .LO �D 4 �tYQ d8 AU11Y�a T .10T 6'Zt-Zl � gy-la rlowl 1i2m3ikTm3a Sfi°S6 T�UjclneO 'POO POOM • lOt! �d Jou 60l MOLIYUCWVOO S3140H Nta1S3M �a mLL 0' o o� p)m f'*' - U 'S'lJYi3(i Qf.�' S31.Ok 'Il'ii3A"3J tiU314315.,L5 wouvQI.f103 wwt 3'1Sdf1QO. 33S (t 'JL'1�lO �a7"„ I C12StC.k n41s HOA Sl .I1 uAv'J 2i3ja)vr iia Sjlll (£ 'lvltu (ININ, ; RIG'S 3(mlag! .Oki OQ S iA3l13tif2Sl'"3!ti {Z Zt12i Ut 1S10I' luH i1!()ti� 32t1' $;I, 3iC3btiS:'3lv ([ --3109 �, - Ny d 1p2 n 49-,22 's-, it 0 �0 bl' C =7z "law 1--�� nff97-rolRIDGE BFAM- SUPPORTTIRS �OD>� w �� _� __2� w�� DATE: —13 DAPIA APPROVAL OCT2Z AT JOINTS PLAN LOCATE SUPPORT PIERS FROM REAR OF FLOOR BEW-EN Na'{DEAD I LOAD 8 P.S.F.) 1 1' 4 1 6 - 7 9 10 11 12 UNITS . 1-:2 .3 - -�� -9 W:- I- LOCATION• • C;n'- 4 0 LOAD AT 20 P.S.F. 2425 584 4228 '-!;1071 4(,E;(, 3847 1293 A_ LOAD AT 30 P.S.F. 3S57 Tl77 6,005 41&4 10312 f5Z I B LOAD AT 40 P.S.F. 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G. 720 ` ... t a• xs rw R e .rcwa at a � — a ri..�aa c•ID,tea• tns � a•er cnc rrn yt, :o-,. c-ST�►e5 _ _ s ma o r a w rrp .� �� ra r tsaa mcs 7. r aas r. r aar « ®w C'L. sso w.t tr .r rrr r rr rR �� aaws s nu + �7• s • aav •rs• yaee ao rrr b' � '.Litt ISTiz ye e 5 ' \ a ot°•a •rn m .- r cw.m . nce im.•ea ..+ c rc+r c r •°•a rs an •a..nz was r•e ro .arra.r,ct a a+mr .r rrc .• au au• s . tarrza r . caz t.r• ��I - i�w °a�,aq R waais�ea-•t.•c t. rt FLAN !SfZ A .. -•• ,„ ___ s Qt v .R a ro.ee r r.e r.c rserrs ar ttam.otar •�a®r • • v •r w r-: tQ frslraq. .. • � r_� ; • mese r in a r.or m[.na r+ rr w c m c r e •eeo r. r •an[zo . x «.a...1 a •rr � rw w. 4 I a .rr r s c art ar. • —t >• tet i ri M � L �r,l• .._�.i.' _ acao iae: aua ... c rrua v atara •.ry aat sw .......: r. rata u ra>• .. aa�os a.•••r s..era er. f r: -_ _- -- .. •..we / as a Sy.tt` Irn COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Ortville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PFRMIT`®� ASSESSOR PARCEL NUMBER 036-300-015 Z _ BUILDING PERMIT OWNER JAMES HENDERSON TELEPHONE SO, Fr, OCC. BUILDING VkLUATION OWNERS MAILING ADDRESS 6500 UPPER PALERMO OROVILLE, CONTRACTOR'S NAME NORTH BUTTE CONSTRUCTION TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAULING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 6500 UPPER PALER1\110 PERMITFEE $ npoynu, 99966 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 U}(SEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities W Installation ❑ Other ❑ Describe Work: RELOCATE UTILITIES ( SEE BP#95-0356) Mobile Home % G VKJ 920.00 60.00 PERMITFEE $ 80.00 Contractor ELECTRICAL PERMIT: Filin Fee 2000 Main Service _6 .000V OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license js in full f rce and effect. ✓ License Class/' , - ic. No. '1 C/!! �i E ILDER DECLAR ION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ ],as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. ) SO. 3.50 FT. NEW CONST. / MULTI -OUTLET NON-RESID. \ BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET US Ex. Occup. (OUTLET OR FIXTURES) BAL Q I.50 Ex, Occup. (O(Io�ea) UTLETSRES. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMITFEE $ 40.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hely affirm under penalty,of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the (erformance of the work for which this permit is issued. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number j> A - (The above sectioned not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fortbVith comply with those rovisions. (— X > ' Date ❑Owner ontractor OA gent Sign ture of Applican/-edforexcavatio An OSHA permit is req us over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ X12A 143. HA2. D. FEES LO IMP >111" CDF PARCEL PD ISSU 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. By Date PERMITEXPIRESON [ 2O (�,6 (Date) Receipt No. 175865 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT " CaUNT-YOF BUTTE DEPARTME I`FOF DIEVELOPM NTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOF IAD5g65 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET 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. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. . 14. Sanitation and plot plan approval Orm Ile Department . ............ 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). ... . Preanspection requ-ed- 20. Pre -inspection for 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. ..... 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 . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When,you issue thepermit, process as follows: Mail to owner. Mail to contractor. ✓ Telephone - and hold for pickup at t office. Deliver with inspector. Other Parcel Creation Acreage Applicant 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: 0, Corftractor, 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 ?n7�y Date Plan checked by Date Plans approved by _Date Sets of plans on hold in File cabinet AP folder aWV4 X" y-20 LjS Copy - Department of Public Works .a TO: Building Department ".�� FROM: Environmental Health SUBJECT: Sanitation Clearance R.H. USE ONLY Plot Plan Attacked ✓ Pbw Plan71C y SeaDt to B. h► • �-� V.1"p� �.l° el A',ilzrm d j JAS Owner Location AP# Plan Approved for: Sewage Disposal Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: i Environmental Health Specialist 8/92 Water Supply: Public Private Well Date COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 300-- o I ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN MAILING ADORE S COMME E TELEPHONE CONtRACTOWS 1UNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ __ee-90 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS f _ (Q PERMITFEE $ �� PLUMBING PERMIT Filing Fee 20.00 Each Trap 7,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP ,Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities A Installation ❑ Other ❑ Describe Work: Mobile Home S G 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filinq Fee 20.00 �n_ Main Service ( 200v OR LESS ) 200A OR LESS 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR \ So. OR ADONS. ( & ACC. BUDS. / 3.50 FT. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIA. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL MSO Ex. Occup. ounEEDrs RESID.�Ea ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ ( 3. HA2. 0. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) pheeiight. Receipt No. ��St��J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �t 4 anof 4./-4 ti At -001 This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permisson from the Department of Public Works, County of Butte. NOTE --All Mcterials & Workmanship Shall Be in Accordance wit! Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. 0 will Be mquired for the n of the mobilehome. All utility connections shall be Iota ed within 4 ft. outside the rear thir section of the mobile home o on ti ie left (road) side of the mobile hom . e•f�� o � l � The $lei. satback shad be 5 ft. from tie side proporty line and 5o ft. from the conferlino of fhe road, permitting a maxi- iaurn of a 2 ft. eave overhang but entirely 14 out of all easements. M k P--1.0 Septic system and location of bujki. i to be as per Butte County Health Dept. Re- quirements. 4iewooe do sof _ OLMS COUNTY BUILDING DEPARTMENT APPROVED u J STATE TESTING - MEMPHIS, TENNESSEE CALTFOR ,L,�A�PPO�VED LISTING AGENCY TIE DOWN ENGINEERING CALIFORNIA APPROVED ANCHORING PRODUCTS 4 - MANUFACTURED HOUSING AND COMMERCIAL CO ori INCLUDES SCHEDULES, DIAGRAMS FOR - SINGLE/DOUBLE/TRIPLE/QUADRUPLE WIDE UNITS: 1. PRODUCTS -DESIGNED FOR A. SOIL ---1,000-4,000 AND UP PSF SOILS (CLASSES 14, 200-550 INCH POUNDS AND UP TORQUE VALVE (CLASSES. 1-5, UBC -CALIFORNIA) SOIL CLASSIFICATION Types .1 S.iI B11- Test Probe I 'AST., Tc,aue Value 2 H.'d INA NA GENERAL DESCRIPTION OF SOILS ALLOWABLE PRESSURE * cenn-ed- 'ands. cc -se S -el and .bbi (Pounds Per Square Foci) SOIL TYPE No allowance trade for overburden based 01, the unified pressure, embedment depth. water Classification system table height or settlement prcbiems rock or hard an 4,000 and uo — Sandy Gravel or Gravel 2.000 Sand, Sthy Sand, Clayey Sand, 1.500 Silty Gravel, or Clayey Gravel sandy ""'. _' Clay. Sandy Clay, Silty Clay, or 1.000 Clayey Sit; 24-29 Uncommi�.Ied Fill Special analysis is required. Peat or Orcanic Clays rSpecial analysis is recuire- B. WIND—ZONE 1, 85 MPH EXPOSURE -C' APPROVED -0 NOTED APO,o,n: line, not .tf%or;zc rpp,c%-e ony omission ol cj;t:liGr v! C-pp;icoi-:e St,_.te 1—s and 5,�,tit of C.,,!;forn;o of u.,cj Ccrn,.,iiy De,eic9merst Dlv:c,;();4' Crp iL0f`S STAKrARDS ------- Date.z ------- `!1.,5 Plan Ar,!:1r-)vc:! C. SEISjvjIC—ZONE 4 21.) V. -Y -d- le d'- Standard Wind Zone 1 15 psf Horizontal * cenn-ed- 'ands. cc -se S -el and .bbi Hurricane Zone 11 t39 ps', Horizontal — than p6octlld ilm and clay, 43--�p 550 lb,. Inch . net uplift moss, LN&n (b) C-1, 40..p 550 ib,. inch sandy ""'. _' 350.. S' still .,:, & c!..;, 24-29 549 lbs. mc`, 31-Wh 7 Loos, to medium dense I-. to 'zig cl.y. 200 to 0- -1,A.nn fill 349 ' b,. inch C_- slab T -ft -9 devices for - in Con -l- ;s"l- h.9 be tested Isame e. '..) _d pec -ill -lion, , to PS! -d cuts. finne ,h is. and d, -',ck :h of bi, t�.. " -d kind of shield 0 P- sib*.. M,ninn -1, -i q d- Is, J,.,.fled fron, .67 or end of slab. Is I lru-ci shipped A,h -h d .d. tv etc.. it be ,Fail inc!.de d-.. sb-.. fat T., -, probe is . di Ace 1. ---9 d- 1011tts- --I-- of -oil' to ...... in era ,',. hoicitnt; -,.biU.y of the -Is I +,kh th. ,)- Is placed The tai probe t"' I he'. - ft. Th. -n knTh of tht Iw�vclsl cation Is 10.75 inches: the nvtjo, & - . 1. 1.2.5 inches: h. min. 6 --sl is 0.81 Incle,: ths, Pilch 1.75 irches. The W: be I .il.is" I-T.h for ds,;Ll, list A ...... . of . I- .I- &,,fb...d —nd he 0-h or the - probe. kl B41c_ jjq v1- a professional snT* shottd be consulted or ad-litio-1 tnc: added. Des"on Wind -load Zones:. Standard Wind Zone 1 15 psf Horizontal 9 ps'. uplift' Hurricane Zone 11 t39 ps', Horizontal 27 ps. uplift Hurricane Zone III t:47 psi Horizontal 32 psfuPlift . net uplift Note -- psf: pounds per square foot UTCcousTl 14 SUILDING DON" Reference U, d o iPtion and Safety Standards M3011 �c)(2), latest edition 2. CAPACITY OF ANCHORS -EACH GROUND ANCHOR, WHEN INSTALLED, SHALL BE CAPABLE OF RESISTING AN ALLOWABLE WORKING LOAD AT LEASE EQUAL TO 3,150 POUNDS PLUS A 50 PERCENT OVERLOAD (4,725 POUNDS TOTAL) WITHOUT FAILURE. 3. CAPACITY OF STRAPPING - TIE DOWN ENGINEERING GALVANIZED STEEL STRAP MEETS OR EXCEEDS THE NCSBCS/ANSI 225.1-1994 AND THE ASTM -D 3953-91 SPECIFICATIONS FOR 1-1/4-X.035 (MIN.) TYPE 1, FINISH B, GRADE HOT DIPPED GALVANIZED STRAPPING. CONFORMS TO SB -750 REQUIREMENTS SECTION 1336.3 OF THE CALIFORNIA CODE OF REGULATION TITLE 25, 18613.4 OF THE HEALTH AND SAFETY CODE. PAGE 1 Side Frame Ties Must Be No More Than 2' From Each End Of Unit. Other Ties Spaced Evenly Thoughout The Length Of Unit. Wind - Zone I (85 MPH - Exposure "C") Side Ties Seismic - Zone 4 2' Max. Double Wide Unit Required Number Of Tiedowns For Each Side And Each End Unit Length 20' 30' 40' 50' 56' Tiedown Locations Side End Side End Side End Slde End Side End Single Wide 4 4 4 4 S 4 6 4 7 4 Totnl Nun6er ❑f 16 Tiedo�ns 16 18 20 22 End Ties 60' 62' 6 J 70' Side LEnd Side End Side _End 18]E4 7 4 8 4 r8 4_ 22 24 i— 24— f 24 h: Wind - Zone I (85 MPH - Exposure "C") Side Ties Seismic - Zone 4 2' Max. Double Wide Unit Required Number Of Tiedowns For Each Side And Each End Unit Length 20' 30' 40' 50' 56' Tiedown Locations Side End Side End Side End Slde End Side End Single Wide 4 4 4 4 S 4 6 4 7 4 Totnl Nun6er ❑f 16 Tiedo�ns 16 18 20 22 End Ties 60' 62' 6 J 70' Side LEnd Side End Side _End 18]E4 7 4 8 4 r8 4_ 22 24 i— 24— f 24 Engineering Calculations 85 MPH Wind EXP 4C" 85 MPH Wind EXP "C" Vs. Seismic Zone 4 P LAT=(1.06)(1.3)(17)(1)=25.6 PSF 333 PLF=0.186 1(32.5)( " 0")+1601 Vidth W LAT=(25,6 PSF)(13')=333 PLF ou =50.8'=D 51' Seismic Zone 4 V=0.186(DL) V=0.186 CC10 PSF)C Vey )+('�° +10 Psf)C Wdlh )+(2 WALLS)(8')(10 PSF)J Wind - Zone 1 (85 MPH - Exposure "C") Seismic - Zone 4 Width Length Load /Loud Trans Trans Total Lond (Trans) Total Lond (Long) It Trans T.D. Slde 'n s It Long T.D. End Tles 40 FT. 333/333 13,320 LBS. 4,662 LBS. 5 2 Single Wide 50 FT. 333/333 16,650 LBS, 4,662 LBS. 6 2 To 14' 60 FT. 333/392 19,980 Lbs. 5,488 LBS, 7 2 70 FT. 333/453 23,310 LBS. 6,342 LBS. 8 2 40 FT. 333/333 13,320 LBS. 9,324 LBS. 5 4 Double Wide 50 FT, 333/333 16,650 LBS. 9,324 LBS. 6 4 To 28' 60 FT. 333/392 19,980 Lbs, 10,976 LBS. 7 4 70 FT. 333/453 23,310 LBS. 12,684 LBS. 8 4 40 FT, 333/333 13,320. LBS. 13,986 LBS. 5 6 Triple Wide 50 FT. 333/333 16,650 LBS. 13,986 LBS. 6 6 TO 42' 60 FT, 333/392 19,98.0 Lbs. 16,464 LBS. 7 6 70 FT, 333/453 23,310 LBS. 19,026 LBS. 8 6 40 FT. 333/333 13,320 LBS. 16,650 LBS. 5 8 Quad Wide 50 FT. 333/333 16,650 LBS. 16,650 LBS. 6 8 To 50' 60 FT. 333/392 19,980 Lbs. 19,600 LBS. 7 8 70 FT. 333/453 23,310 LBS. 22,650 LBS, 8 8 TIE DOWN. ENGINEERING INDEPENDENT TESTING RESULTS MODEL NO. DESCRIPTION OF TEST r, TEST DATE TIE DOWN. ENGINEERING INDEPENDENT TESTING RESULTS MODEL NO. DESCRIPTION OF TEST ULTIMATE STRENGTH TEST DATE MI2H VERTICAL'PULL-OUT IN MOIST SILTY CLAY. 6,133 9/15/92 (5/8"&3/4") TEST PROBE TORQUE VALUE BETWEEN (AVG.) 200-349 INCH POUNDS- MI22 VERTICAL PULL-OUT IN SILTY SAND AND GRAVEL. 5,733# 9/15/92 (5/8"&3/4") TEST PROBE TORQUE VALUE 550 INCH POUNDS (AVG.) AND MORE-,-- MRA VERTICAL PULL-OUT IN LABORATORY FIXTURES 5,567# 3/2/93 FOR SIMULATION. UNCONFIRMED ROCK WAS NOT AVAILABLE. MICS2 VERTICAL PULL-OUT IN 2500 PSI CURED 5,200# 3/24/94 CONCRETE. TEST STOPPED AT 5,200 POUNDS. MII2 VERTICAL PULL-OUT IN 2500 PSI CURED 5,2001-1 3/30/94 CONCRETE. TEST STOPPED AT 5,200 POUNDS. MIT2 VERTICAL PULL-OUT IN 2,500 PSI CURED 5,200# 3/30/94 CONCRETE. TEST STOPPED AT 5,200 POUNDS. MI H64 VERTICAL PULL-OUT IN SILTY CLAY. TEST PROBE 5,200# 10/6/93 (59250) TORQUE VALUE BETWEEN 200-340 INCH POUNDS ML 45 DEGREE PULL ON STABILIZER PLATE IN SILTY 6,067# 8/5/92 (59292) CLAY. TEST PROBE TORQUE VALUE BETWEEN (AVG.) 200-349 INCH POUNDS - NOTE: ALL ABOVE TESTS WERE CONDUCTED BY ATEC ASSOCIATES, PRODUCT TESTING, INC. AND GALLET & ASSOCIATES. THE INDIVIDUAL TEST RESULTS WILL BE MADS. AVAILABLE UPON REQUEST. PLEASE FORWARD YOUR REQUEST FOR THIS INFORMATION TO: TIE DOWN ENGINEERING 5901 WHEATON DRIVE ATLANTA, GEORGIA 30336 PAGE 7 TIE DOWN ENGINEERING ANCHORING SYSTEM MI2H (5/8"-3/4") 48" LONG ANCHOR III PAGE 8 NERAL STABILIZER PLATE MI22 (5/8"-3/4") 30" LONG ANCHOR 40' to 50• IX LIA II" SIDE FRAME TIE (MBU) J J J l \- MRA (ROCK ANCHOR) BUCKLE/W STRAP (SIDE FRAME TIE) MLFT (END FRAME TIE) WARNING BEFORE BEGINNING GROUND ANCHOR INSTALLATION, MAKE SURE THE ANCHOR LOCATIONS WILL NOT BE CLOSE TO ANY UNDERGROUND ELECTRICAL CABLES, WATER LINES, SEWER LINES OR GAS LINES. FAILURE TO DETERMINE THE LOCATION OF ELECTRICAL CABLES OR GAS LINES MAY RESULT IN SERIOUS INJURY OR DEATH. 1. PARTIALLY INSTALL APPROPRIATE GROUND ANCHOR ALLOWING TENSION HEAD TO MAINTAIN APPROXIMATELY 14" TO 16" MINIMUM GROUND CLEARANCE. 2. USING OVERSIZED HAMMER, VERTICALLY INSTALL STABILIZER PLATE BETWEEN FRAME A -NTD ANCHOR. THE -TOP SECTION OF THE STABILIZER PLATE MUST BE DRIVEN FLUSH WITH THE GROUND TO INSURE SURFACE SOIL COMPACTION. 3. FULLY INSTALL GROUND ANCHOR UNTIL TENSION HEAD BOTTOMS OUT AGAINST STABILIZER PLATE. 2) I INN, INSTALLER/CONTRACTOR CERTIFICATION I CERTIFY THAT I HAVE INSTALLED THE TIE DOWN ENGINEERING ANCHORING SYSTEM AS PER TIE DOWN'S INSTALLATION INSTRUCTIONS AND THAT NO MODIFICATIONS HAVE BEEN MADE TO THE ANCHORING SYSTEM OR BUILDING STRUCTURE. COMPANY NAME: DATE: CONTRACTORS LICENSE # SIGNATURE PAGE 9 MOBILEHOME SUPPORT DAYA Tf other than single wide, - c+ Year / 5 Mobilehome Mfr. (/ �� furnish Setup Model No. - Width -4� I -/-(ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual'and structurdl setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)1. Concrete block. 1:1 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULT1-NIAE Main Beams Llnr 7. _ — — _ — — — — Main Beams Tag or Tripla Line 1 Pier$• Size -Min. ------------ , �,k<bII Spacing -Max. --------- From Ends -Max -------- Line _2Piers: Size -Min.------------ "^IIx?�11 oq 5 1 1J l Spacing -Max. ------.... From Ends -Max........ ------ G7 n rfjf� 1yinL ) Boo Loads:. Size -Mia. ------------ Location (From ]Front) ne 4 Piers: Size -Min. ------------ ,k II Spacing -Max.--------- ,_ a From finds -Max.--- 1 0 Line 5 Roof Loads: Line 1 OPeninlls: Size -Min. --------- --- ------ ! z IIx ;CII Each Side of Openings $ .. 11 With Width over --- .70 Line 3 Piers! (Under Bearing Well Only) Size -Min. ..------ IIx II Spacing -Mex.--------------- From Ends -Max--------------- ' d.73 % I.x O 11 / IIx G " J O' Ri�ff / . ��I.x �2- jL�11 IJ-� n Size -Min ------ ...... Location (from front) size -Min.--- ----------- Spacing -Max.--------------- /_ n From Ends -Max.•..•....:.--- ,_ BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number Is the site an existing site? (If yes, furnish two plot plans.) Yes No OR 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 El No 0 * 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.) (If no, clarify 5. What is the mobilehome electrical rating? --------------- / r Amps. 6. What is the mobilehome site service rating? ------------- v Amps 7. What is the mobilehome site circuit breaker rating? ------ i 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: Com%= (Load) 'S (Amps) 9. What is the mobilehome site gas pipe size? -------------- � (in.) 10. What is the type of gas service? ------------------- Natural El LPG 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. on natural gas or less than 50 ft. on LPG.) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIYIS ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538- 54y,�.. PERMIT NO. APPLICATI`®N /SID PERMIT `fi ASSESSOR PARCEL NUMBER 036-300-015 ZONING BU ING PERMIT OWNER � r�'Eldit�-I:ENDERSON fl�r-5 TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6500 UPPER PALERMO RD OROVILLE CONTRACTOR'S NAME NORTH BUTTE CONSTRUCTION TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN10VOWN Total Valuation is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. - Pian Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6500 UPPER PALERMO RD PERMITFEE $ OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome X1 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities CX Installation ❑ Other ❑ Describe Work: EXTEND ELEC. SERVICE Mobile Home I S I GI W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service 000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is 'n ful force and effect. License Class Lic. No. /�—/lJ rj 3 OWNER BUILDER -LSA AF�TICEN 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. ) SO. 3.50 FT. -OUTLET NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL so Ex. Occup. ( OUTLETS (RESID.) OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the ,Performance of the work for which this permit is issued. W-1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co do suranc carrier and p licy number are: Carrier Policy Numb -e (The above sections need not bepEompleted if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall ' ,fgrthwit comply with those provisions.-- ------ X _ Date _ Signature of App ant - ❑ O ner ❑ Contractor Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 Z. 1 0. FEES IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ove for which fees have been paid. y Dat PERMITEXPIRESON o2 WN Receipt No.1:25SK% WHITE-D.D.S..C. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT /' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER O.3 I , 3 ©� ^ 0 IS— MINING BUILDING PERMIT OWNER A �5 SHONE SO. FT. OCC. BUILDING VALUATION OW s NG ADDRE'S'S �n I rU M CTO S EI TELEPHONE C NTRACTOWS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UN 0%,N Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS o� a- O PERMITFEE $ PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeOther SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 1� Installation ❑ Other ❑ �J Describe Work: , Q l X�. Mobile Home S G W 920.00 PERMITFEE _ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service000v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION L I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONIS.( 8 ACC. BLOS. s0. 3.5¢ FT. NEW CONST.MUlTI�OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FD(TUREs) L a I.00 BAL 00 50 Ex. Occup. (GUTiEDrs RES D.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 771 F'.,��1�. BUTTE COUNTY SCHOOLS IMPACT FEE CERT41FICATION FORM (One Form Per Building) IF School District 12 A2 d UIV 14S Building Department No. A.P. Number34—�"�Jurisdiction 0 City �ounty Property Owner Property Locatic Subdivison Lot No. Residential Development 0 No. of Living MHI Addition Units \ Commercial/Industrial Sq. Footage 1-73 (Group R) - QEO CC -S S'79s ?k Sq. Footage NPw Additinn . llnrlurlinn FYtarinr If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under. the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wk, (4/94) I . s ^7 Y - PERMIT NO. 6003-80B PERMIT EXPIRES—1 A 42 Henry H. Henderson OWNER owner CONTR. ASSESSOR PARCEL :3r,_3e_}5 LOCATION 2413 Maple Ave., Or ville 00 -be'" 0 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E ,✓ Temp. Gas Service / Cal led PG&Et/ JOB FINAL!ED (Date) Signature = OK = Not OK = No) Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's 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. W od Awn.; Posts- B ams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Alum. Awn.; C mns-Conn ions-SpliV--elg'cqf-..Etf es 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. r� eg /r�i (�22 00001 - Card -BI Date Card -BI Date Card-BIXn DateCcard-BI Date Card -BI Date Card -BI Date Card-BOr Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except k's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10, Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable RESIDENTIAL -(Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK exce t#'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 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 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 N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q'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. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 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 Pertrit OK except q'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. 72. Insulation -Foam -Looked in Attic E3 Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes ❑No 75. Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Pertrit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ 32. Vent Fan; Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Comments at Final: Card -BI Date Card -BI Date Date FRAMING(Plans) 36. 37. OK except q's Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub --41.-Header 42. 43. 44. & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. _Bdrm. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY QF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 /�/5 _1/D APPLICATibN AND PERMIT S� ASSES PARC MBER ,•_ — ZON NG g BUILDING PERMIT OW R `a TELEPHONE SQ. FT.. OCC. BUILDING VALUATION OWNER'S MAI ING A RESS I ^ AV e- IrD C R C NAME D TELEPHONE• CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Flling Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Mgm ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 'O Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 0,6 BUILDING ADDRESS PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Y-0 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOF,sTRUCTURE SF [:1Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK ❑ Utilities ❑ Installation❑ Other New ❑ Addition ❑ ReX&31c Describe work: t k•%'O �1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.0) OR ADDNS. ACC. BLDGS. 22 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. 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. -OUTLET 2,50 ea NON .RESID BRANCH CIRC TS NEW CONSTR. POWER APPARATUS &) NON.RESID. VSINGLE OUTLET CIR. so @ 25¢ OC Ex. CUP OUTLETS OR FIXTURES BAL@1 EX. QCCUp.�FIXED ASP(RESID )REA. 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. 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. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabil'ties, judgments, costs, an expenses which may in any way accrue agai aid County in o feAence If the granting of this permit. / -.$2 Date Signature of plicant — Ownerg Contractor ❑ Agent ❑ An 0 pe it is required for excavations over 5'0" deep and demolition or construct- of structures/,over 3 stories in height.eipt Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCcuP, GROUP �(,� _� TYPE OF ,CON/ST. V— N[ -I PAR , PD ND ISSUE L/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC PEROT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS, DateE-D.P.W., No.� ��-By TELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT L • 5226-78P,E • PERMIT NO. . PERMIT EXPIRES Henry Henderson OWNER CONTR. owner LOCATION (A.P. 3"6-30=15 ) 2413 Maple Ave., Oroville Y Temp. Power Pole Called PG&E a. _Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Ca l l ed. P G& E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS c. BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback F ewall II PI in orms Pa ets ,st Floor Main Bldg. Rest om Finish 2\d Floor Footin s Windo 3r Floor emwalI Siding To out` S'16 Roof SheAhino Water PNng Pie Roofing Sewer GaragesFan. Vents Fixtures Footin& Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Prov. for ph sicall Appliances handica ed Carport Conformance of ex. Gas PIpInq & Test Footings X structure \ Temp. Gas Slab V Final \ Sanitation Patio /#1 DACE Final Footin s xFooting \ ELECTRI AL Masonry Walls Throat Rough Reinf. Steel Final \ Fixtures Bond Beam FIRE SPRINKLE . Motors Framing Test Water Ht( Stucco Final \ Sub an s Mesh MECHANICAL Grd. Ftiult Prot. Scr h HeatA9 Service BrqGn Co ng emp. Pole nlsh D is nder round \ In rior Lath entllation Permanent \ or Closer Inal Final MOBILEHOME UTILIT ES Elec_ Service Elec. Pedestal 16D 7" Water Piping Sewer g Gas Piping L E ME INS A L I N - - - - - - - - Support Elec. Continuity Z Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 27 ? �- (NOTE: An entry must be made on this form each time you visit 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 re uirements of the California Administrative Code, Title 25, Chapter 5, nn�er permit number - f 12'"'—for the following location: -! Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. - Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATEIL White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located witly�equired-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) YesNo 3. Are footings and supports properly sized, spaced, and braced as pee approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes 'v No_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_4e'910 6. Water A. Is flex' le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes B. Test - Does water piping withstand c pressure or 50 lbs. air test? Yes P;"'No_ C: Backflow - If coach is not tate f alifo nia approved, does.station have backflow device and pressure -relief valv . YesN 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes P"' No B. Does it have minimum 4" per foot slope and is it.properly supported? Yes wo_ C. Are any leaks detected in drainage system after runn' 3 -gallons of water through each fixture including washing machine standpipe? Yes VNo_ D. If coacs 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 mobileh a gas line inlet without reductions other than the mobilehome connector. Yes o B. :Test OK as per following procedure? Yes 0 :1. Open all appliance connector vfLlves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"014" water column; or test with slope gauge (minimum ® 6oz.-maximum 8 oz.), calibrated in tenth pound.increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehonle with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes V No _ S7 9.s°=?Q- -,- i— S_,a_u _7 4. f 91' Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 10 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes o B. Is there proper clearances around panels? Yes_ No -1 C. Is power supply cord or feeder assembly properly fused? Yes tl No_ D. Is continuity test satisfactory as per the following procedure? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. S. 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 '3 mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag sdrvices. MOBILEHOME DATA Manufacturer and/or Namestyle Length_ Width Vehicle Serial No. State Identification No.�Sq 7 �n �/ `-f'V ` Additional Information or Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR b. 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 % S� �✓ / e APPLICATION AND PERMIT 6 authorize representatives of the County of Butte to enter upon the abo ntioned property for inspection purposes. q Signature of PdAitee or Agent Receipt No. 29-36-2% 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. I EC 0 OF PUBLIC WORKS QP/ )I0 �),q / ` B Date Building permit expires Date BUILDING OwnerSQ. G ,IE'hJ �)ZSaeV FT. OCC. BUILDING VALUATION Mailing Address aV/ 3 , Telephone No. Contractor �i 1.SvK! /�il.� vn+�S Mailing Address S� �� o .� Vr Fireplace Total Valuation L 1.r Telep one No. d"3� $a� Permit Fee Building Address �y£ Plan Checking Fee&/or Penalty Permit Fee /� C 1L PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trar) 1.50 Repair drainage or vent piping 1.50 A. P. No. 3 `' SCS- / Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s ZI @aoka"n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Pians I ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 B I d ans Recd Parcel Al pprovoNEW Plane Approval Lawn sprinkler system 2.00 ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home 9 Others ❑ Main service EA. ADD'L 100 AMP 2.50 Mii 100 AMP OR LESS 25.00 an service OVER P O Main service EA. AOD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCU P. Y) 20 sq ft 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: • NEW CONSTR. TD BRANCH CIR T NEW CO ID � BRANCH CIRCUITS) 2.50ea NEW CONST R. (POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. Occur) (OUTLETS OR FIXTIIRES 5 L� FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No3.;z , Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I h_Ave placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. 1 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 iNo. @ 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 LG)woplee p,00 $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the abo ntioned property for inspection purposes. q Signature of PdAitee or Agent Receipt No. 29-36-2% 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. I EC 0 OF PUBLIC WORKS QP/ )I0 �),q / ` B Date Building permit expires Date MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. 1 furnish Setup Model No. Year �T 01 Width (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobllehame unless otherwise spe f.fi d. �� Footings (check one) 4 ,Q i . Wood either A/ _ pressure treated a foundation grade. (in.) (in:) T 1 2. Other (specify) Centr support to ations* Qt.)(in.) (ft f;)(in.:) (ft.)(in.) (ft-M(in.) Center support footing sizes (in.) 39§d (in.) (in.) (in.) .(in.) (in.) (in.) x (i .)l(in.) *If center piers are other than drawn above,. draw in -J ocations, spacing, and dimensions. Supports (check one) q000 1i Concrete block. F] 2. Other (specify) - <----Tagalong or Expando, show support details. ��J -- Typical Support .) (in.) Footing Size (ft.)(in.) 0 (ft.)(in.) -- Max. Pier Spacing -- Max. Overhang eurrE C �CDING ��%71' AppROVED�r .k BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive; Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owners name: 2. Installer's name: fid! j I� 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 of all setbacks and easements? Yes / / No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- c9-4YD Amps 7. What is the mobilehome site circuit breaker rating? -------- Amps 8. Is there any other electric load to be served by the mobilehome (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) site service? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) d (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? _ / �Z_(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.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS �. 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 • , APPLICATION ANb PERMIT 444 9 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing a ' Telephone No. Contractor 044 of 0 Mailing Address LIZ Fireplace Total Valuation Telephone No. Permit Fee Building Address /�,_ G�itf-C� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 &9ning Y.9rificetion Onlnl Repair drainage or vent piping 1.50 -� A. P. No. A-5- Zoning &Planning Water piping 1.50 b° Each gas water heater or vent 1.50 F Sa t n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 .� EQA Parking Plans Parcel Declaration Parcel p 60' R/W Improvem is Each additional outlet .30 Building sewer 5.00 d• Bldg. Plans Recd Parce A royal Plan pprovol Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00,Q 00V OR L Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L too AMP 2.50 sm S ��{{ , f1. MINIMUM FOR MOBILES Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. s OR ACDNS. ACC. BLDGS. 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 le of: style 1 NEW CO ID � BRANCH CIRCUITS/ 2.50ea NEW CONSTR. BRANCH CIRCUITS) NEW CONST R. (POWER APPARATUS f4 NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES 50@25Q BAL@1 Ex. OCCU FIXED APPLNS. OR p• 'OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �6 License No. Classification Misc. Wiring 6.25 /,O C&I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 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 Land Development Fee $�. TOTAL PERMIT FEE $ authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. Gi��%D�✓ Date 79' ' S gnature of Permiteejoorr/Agent Receipt No. " "3 White-D.P.W. - YellowAssessor- 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. DIRECTORS PUBLIC WORKS BY Date F-/ 7 wilding permit expires Date 1��J� And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 -a •' 95-014131 Recorded Official Records County of Butte Candace J. Grubbs / Recorder l 26pm 1 -May -95 Rec Fee 6.00 COP 1.50 Cash 7.50 i PUEL XX 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT , r . Section 26-8 of the Butte County Code. requires this acknowledgment to berecorded prior to issuance of a building permit. The property described herein is adjacent to land or included within. an area zoned for agricultural. purposes, and residents of 'this property may be subject to inconveniencesor discomfort. from the use of agricultural, chemicals, including. but not limited to herbicides. pesticides, and fertilizers:. and -from the pursuit of agricultural operations including, but. not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise. and odor. Butte County has established agricultural 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 follo..-s: The Westerly four and thirty five one-hundreths (w.4.35) acres of lot / Seven (7), in Block One Hundred Twelve (112) of Addition to Subdivision No. 1 of Palermo Citrus Tract, as the same is laid dow9jnumbered and designated on the Map there of, filed as of record in the Office of Recorder of County of Butte, State of California on the 23rd day of July 1988. Date: ! PROPERTY 0 RS: State of Califo,' County of BL 71 L On IqO before me, 1 C personally appeared 4)M S t -t • % f (lrlor_5�" aersonall. known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature Seal: _, P # 036-300-015 SA MM BUNK Cwnbkn 0103U 8 Mh CPS) sm. 11.199E V V VVI IN