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079-380-042
CHARLES MURPHY Oro -Bangor app .3`mi S Grimont, Orovi ; .; ^. r .. n-�?�rs•n•1: - er-•Servrce-_-_r_---•------ Permit #1256-87P, util) ELEC.- q- it j 1 GAS Lp j SUPPORT STRUCTURE REQ. �� 8 COMPACTION TEST REQ. Contr : H MH r-- Permi 404-87MHI I Is d�-' ------------ I 4_4.2:_ 4 5b -'- .2:- 4650 'ORo' Bangor Hwy, Oroville ContR: Jim Fields/���3/8� PErmit#3941-88MHI(ex .sti.ng site) Issued_ f —ej r I , r f 1 I 4; 9 CHARLES MURPHY Oro -Bangor app .3`mi S Grimont, Orovi ; .; ^. r .. n-�?�rs•n•1: - er-•Servrce-_-_r_---•------ Permit #1256-87P, util) ELEC.- q- it j 1 GAS Lp j SUPPORT STRUCTURE REQ. �� 8 COMPACTION TEST REQ. Contr : H MH r-- Permi 404-87MHI I Is d�-' ------------ I 4_4.2:_ 4 5b -'- .2:- 4650 'ORo' Bangor Hwy, Oroville ContR: Jim Fields/���3/8� PErmit#3941-88MHI(ex .sti.ng site) Issued_ f —ej r ------.-�--�-1 �w _ � � ��� '�� PERMIT NO. 3941-88MHI ex i5�6 PERMIT EXPIRES c OWNER CHARLES MURPHY -CONTR. Jim f'ie'lds ASSESSOR PARCEL 36-24-42 LOCA96N' 4650 Oro Bangor Hwy,- Oro Temp. Power I Called PG Temp. Elec. Sc Called PG Temp. Gas Sei Called PG JOB FINALED Signature = OK Card -B1 0 = Not - 06 Vo in s; Size -Spacing -Marriage Line Not ' MOBILE HOMES MOBILE MISCELLANEOUS = Not Ready Gt. Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements r H Test -Fall -Flex Connector 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch er; MH Test -Regulator -Connector 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/0 -Concrete . Wa and Sewer Connected -C/0 to Grade -HD Approval 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) Electricity Tagged 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 4. Elec.; Receptacles and Lighting, Distances-GFI Shthg.-Rfg.-Bracing 6, Gas; Location -Test -Wrap: / P1 ft. 5. Elec.; Pool Lighting; 15 volts-GFI 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ PV ft./ /"LPG 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 7. Elec. 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses Card -131 Date Card -B1 Date 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date Card -131 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOB EHOME INSTALLATION (Plans) OK except #'s (}o'Zo ' g Requirements -Setbacks -Easements Card -B1 Date Card -61 Date Vo in s; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date MH Test -Demand -Valve -Connector I ici y; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s r H Test -Fall -Flex Connector 1. Setbacks -Easements er; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability. . Wa and Sewer Connected -C/0 to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining Electricity Tagged Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI te Cert. of Occupancy 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 Card -131 Date / and -61 Date Card -131 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -61 Date Card -61 Date = OK o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Noy Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Fig., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Fig. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 49, Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date • Card -B1 Date Card -61 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air- Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail' Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 66. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -131 Date 67. Stairs & Rails Card -B1 Date Card -B1 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 22. Fixture & Transformer Clearance -Ins. Protection 71. Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights & Switches at Doors 72. Garage Fire Door; Swing -Landing -Closer 24. Size Boxes & No. of Conductors -Stapled 73. A.C. Duct in Garage -Damper 25. Romex Installed Close to Edge of Studs & C.J. 74• Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 26. Equip. Ground made up w/Meeh. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑Yes 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 81. Stucco; Brown -Finish Card -B1 Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing, Card -Bi Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date Card -B1 Date Card -61 Date Date FRAMING (Plans) OK except #'s Card -61 Date Card -131 Date 39. Sills, Proper Material & Anchors Comments at Final: 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. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N.Year of manufacture '"(Official -Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. 'u"^- ._ •r...-:_r'7r--�•=wy-a-c'C.".�':"'�a�b'"yz-�`z�;',""` ",.,,.�-T ,,,,..rte-�,,,1.,,,..�,y.,,,� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico - Phone: 891-2751 7 County Center Drive, Orovi Ile —Phone: 538-7541 } 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE A routine inspe7lion indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. "* /�— /2 pec ector �'/ Date G' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 - Telephone: APPLICATION AND PERMIT WORKS P RMI NO. 916/538-7541 AS PAR C,b4 NU BER �(;? pfJ- L - N NG �� BUILDING PERMIT OW ESR/ !T / TELEPHONE -5-13-1W,21 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING�(�ADDRESS D C./ t% V" CONTRACTOR'SN E r e�� TELEPHONE S2 CON RACTOR'S AILING ADDRESS 6 r Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ _ Energy Pian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS ,Q6_0 D a ©v' Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeR2/ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK r-� New ❑ Addition [IRemodel ❑ Uti lities ❑ InstallationU Other ❑ Describe work: _ t Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 00V OR LESS 1AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. ������ Classification _. '� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.& , OR ADDNS. ( ACC. SLOGS. 2/20sq ft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCRC ITS H CIPARATUS 2,50 ea POWER APe (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20a50C 9ALe 30 Ex. Occup. OUTLETS PIRESID )RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County in consequence 9f the granting of this permit. X Date _ Sign re of Applicant - Owner ❑ Contractor 0 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �. occu P. CONST.TYPEJ 17 FLOP PARCE PD ND S9UE This permit is hereby issued under sions of the Butte County.Code and/or work indicated above for wh'ch REC R OF BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date— �/ Receipt No. WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT U. OWNER i COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE:dALIFQItWIA 95965 - TELEPHONE: 916/538-7541 \ - PERMIT APPLICATION DATA SHEET ! 1 Permit No. Proposed Building Use At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .......:............................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ......................................... 11. Park fees ?aid .................................................... . f 12. n,12, -,VVI School District fees paid ................. 42 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ..... • Pre-Inspec. request to Building Inspector 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. Date) When you issue the permit, process as follows: Mail to owner. Mail to contractor. &.--'Telephonep ' 'and hold for pickup at �i'.?i _office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date 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: r Contractor, designer, owner, was advised of above required data by_phone---rnail=counter by date Contractor, designer, owner, was advised of above required data by—phone—mall j ount 121--- date Plans checked by Date Plans approved by7__Z Date Z— —6?0 Copy—DPW 01 Sets of plans on hold in File cabinet AP folder f TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance DA - 4�'�j - --� Owner Location Plan Approved for: Sewage Disposal Hold final for: Final clearance O.R. for: clearance for 3 bedroom mobile home. Other AP# Water Supply Water Supply Water Supply Sanitarian Date vGLwM `+�5j^��5�E,$.i4i�^w."��;+" Z i s t'" K•� I� � r r �..,,7� i�+'��F�� � :t+i!`r::. '"•;�.. '.s,4�1" .f .ytl'zp`n.t•;ire .� •7v:K � r+�x'r�tf err ��'-;.. en'r'" 'F'r�sr aJ,_;,;x�s, i .� BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (one Form p,er ,,Bqi lding ) A.P. Number 36 - T Building Department No. School DistrictG, �-' •_ City Q County [/] ' Jurisdiction Property Owner ( @ )AQ,,�„{(�� ) . r Project Location/Address' Subdivision Lot Number T Residential Development: ® 479 Sq. Footage- # of Living MHI Addition (Group R) Units 2f 1 60 Y0 C ercial/Industrial: Sq. Footage New Addition (Including Exterior r Roofed Areas) —++r Building Department Representative ` Date r District r,I'd No. 'Lw•�VAWEE !W-14 W School District certifies that" (Applicant Name) (Phone Number) / A J /L I / (StreetiAddress (City) (State) (Zip Code) has complied with the requirements of 'Resolution No. 0z' by the p pq t of $ /2&,2.. representing ool DYStltict Representative square;feet Date a. PAID BY CHECK NO. ' REMARKS: BANK NO 96- PAID BY CASH ,a t white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88) This s t of plan ana specifica#ionsUST 6e kep on he job at all ti es nd i -I is unlawful to 3� 73 I r n j m e an cha ges r alt rati ns o I some wit out cv I a ►� r lD y ritte ermi Sion rom he D nor� ►�n qf PjIblic. a r -K C' cl S6 I S. fy of But+ . Pay C % rl:m�+nshi Shall Be in NOTE:— All �Iate c / ', Accorda ce with eco ood FIractices Qnd of quoity resc bed for `ied u idesnd • c3 T - 7 Uniform uildi g. N umbi g 8 the National ElecfHcal od LI w { t 9 M Utility rhctionI *1)a I be Fvith t. of the obiilfion e, eigtier di -ectly beh nd o witl in the rei u hal o the r mobile om . BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: f, 2. Installer's Name: ,7i` P r,/ S' 3. Is the site currently under permit? Yes No (If yes, Is the site an furnish permit number existing site? - ) OR No 1-1 Yes F-1 (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes ® No (If no, clarify 5. What is the mobilehome electrical rating? --------------- /,�F 0 Amps 6. What is the mobilehome site service rating? ------------- 2 D O Amps 7. What is the mobilehome site circuit breaker rating? ----- (Y% 0 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 31Y (in.) 10. What is the type of gas service? ------------------- Natural F] LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) MOBILEHOME SUPPORT DATA ` �/ If other than single wide, Mobilehome Mfr. 1crer o) furnish Setup Model No. Year Width—,'2)k_(ft.) Box Length G # (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)F 1. SUPPORTS (check one)©1. SINGLE -WIDE Wood -pressure treated or foundation grade. 2. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations MULTI -WIDE . –Line 1 Line 2 Main Beams incl Lille r__ Main Beams --—.—.—.--- �--- — Line 1 Piers: Size -Min. ------------ "x Spacing -Mux.--------- F7 -an Ends -Max. ------- " Line 2 Piers: Size -Min. ------------ SpacJ.ig-Max. --------- From Eode-Max-------- Line 3 Pinot Loads: Size -Min. ------------ Location (From Front) Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only) Siz•-Min------------- k Size -Min .------------------ x Spa,Jog-Max.--------- „ Spacing -Max .--------------- Prom Eods-Max.------- From Ends -Max.------------- Line_ 5. hoof Loads: Tag or Triple Line 4 Line 1 Line 1 Openings: Other (specify) Size -Min. ------------------ nx a Each Side of Openings With Width Over --------- " Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- x Spicing -Max ---------------- _ From Ends -Max.------------- I_ Size -Mira. --•---------- location (From Front) BUILIDING DEPARTMENT p„ 26„x36), ,02 .,x �b„ „x „x Size -Mira. --•---------- location (From Front) BUILIDING DEPARTMENT 1 ;2/b5/U8 dpi: 15 F LLL 1 WUUL) HUf"lt5 P 1'r WUL) DOUBLE WID4^PUEEjINO WORKSHEET' O- MODEL: �IGa — ASF•ROOF LOAD PLANT' ' \ J $EE PERIMETER PIERING SEE NOTE REQUIREMENTS TABLE SEE MATING LINE PIERING TABLE I i FRONT OF SEE PERIMETER I F UNIT PIERING REQUIREMENTS TABLEOIL , �� NOTE. SEE PIERING PLAN DRAWING IN INSTALLATION MANUAL FOR REQUIFIe/tVSENT$ O'P MAIN RAIL UPPORT. CAPACITY AND FOOTING SIZE. I MATING LINE PIERING TABLE* - -RIDGE SEAM INITIAL POST AST INTERIOR 2NG INTERIOR 3RD INTERIOR 4TH INTERIOR 5TH INTERIOR R6AR WALL;.' j., POST LOCATIONS AT FRONT POST POST POST POST POST .:. POST'"`-` PIER LOAD 31�r1 i 1�:� �3 1 1�i10 iU '3 �. CAPACITY IN ll3S.MINIUM DOTING SIZE H 2 o aH X 3 .fix 4 x a �:o'►o'' 36'8'' ' �� q'�t'' .'�� •�, ���:������_�: NOTE: Footing sizes based on 1 OOOPSF soil bearing value.,If soil conditions differ age tho plarinp plar7.drawlnmw > , or the Home Technical Installation Manual for method of calculation." PERIMETER PIERING REQUIREMENTS TABLE PIERS REQUIRED DOORSiDE WALL" ROADSIDE WALL*: JAMB STUDS AT ` " 17!7°" DOOR OPENINGS a;Gt �'? ANA 1'4-10�� ='Z�� Aad.�$r2.�1 15 .. OVER 24 MASONRY FACED Ir FIREPLACES IN OVERHANG OF FLOOR ` • • V, PORCH POSTS AT RE- CESSED S/WALL WHEN { F'OS'TS EXCEED 42" ''' �.•..; HEAVY APPLIANCES �! IN OVERHANG ,, •. OF FLOOR 'DIMENSIONS ARE FROM FRONT OF UNIT, X•S•122 110.0 PERMIT NO. _ ` PERMIT EXPIRES /O? 4 OWNER CHARLES MURPHY CONTR. FRANK'S DOZER SERVICE ASSESSOR PARCEL •36-24-17 s, LOCATION S/S Oro -Bangor app .3 mi S Grimont, Oroville OFFICE COPY Address GAS /� f�• Meter By Date i ELECTRIC Temp. Power li Meter By M Date / Called PG&E Temp. Elec. Service Called PG&E i Temp. Gas Service Called PG&E v JOB FINALED (Date) �� U Signature OK `t 0 = Not OK Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOB( HOME UTILITIES (Plans) OK except H's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p's - (Zoning Requirements -Setbacks -Easements t, Zoning Requirements -Setbacks -Easements S ' s; Special MH Support -Sketch - 2. Footings; Size -Depth -Spacing -Connectors Ar Location -Test -Fall -C/0 -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Water; Location -T asement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shing.-Rfg.-Bracing Electricity; Local ion-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 8. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"fl./ /"LPG 6. Carports; Windows -Doors PIr Utility Clearance 7. Elec. Card -BI Date . Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date' Card -BI Date Date OBILEHOME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except #'s `. Zoning Requirements -Setbacks -Easements 1, Setbacks -Easements ootings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability I Gas; MH Test -Demand -Valve -Connector j/4!Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI C5. 0 ; MH Test -Fell -Flex Connector S. Elec.: Pool Lighting; 15 volts-GFI - Water; MH Test -Regulator -Connector 6.. Elec.: Enclosures; Conduit Entries -Terminals -Listed ler and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater (�jSas and Electricity Tagged 6. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. its; Insp.-Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date46 Card -BI Date Card -BI Date Card -BI Date Carrdd//B-I Date Card -BI Date Card -BI Date Card -BI Date NJ Ho a2 -,2773f V = 01( 0 = Not OK Not Applicable RESIDENTIAL (Singleand Duplex) k Not Ready Date UNDERFLOOR (Plans) OK except N's 1. Zoning requirements -Setbacks -Easements 2. Fig. -.Main; Soils-Steel-Elec, Grnd.- / /" Ftg. Dept 3. Fig., Garage; Soils -Steel- /- /" Fig. Depth 4. Tlg. -Porches_& Decks; Soils -Steel- / /" Fig. Depth - - 5. SlemwaIIs. Ma -in; Steel-Blockouts-Wrapped-Slab 6. S_temwalls, Garage; Steel -Blockouts-Wrapped-Slab _ 7. Piers -Fireplace Fig. -Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test -___11- _Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -ins. _ 13. • Girders -Sills -Anchor Bolts -Joists -Vents -Cripples FRAMING (Continued) 48. Property Line Firewall & OpenlrtQa_ 49. Ext. Doors -One 3' -Check Garage -3rd stor _ 50. Stairs; Width-Headroom-Rise-R_un-Landing-Fire Protection i 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers.. 52. Siding -Nailing -Veneer - 53. Stucco klesh-Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls: Nailino-Bolts 1,tlru-vl vale _ Gara Card -BI Date Card -81 Date Card -BI Date Card -81 Date Date Date PLUMBING (Permit) OK except rs 14: Water Ht.: Vent -Access -Combustion Air 15. _Water Pipe: Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs &_Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Card -BI _ Date - Card -81 Date Card -81 Daie Card -BI Date Date ELECTRICAL (Permit) OK except #'s 20. Fixture & Transformer Clearance -Ins, Protection_ 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & iNo. of Conductors -Stapled 23. Ro_mex Installed Close to Edge of Studs.& C.J. ' " 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & C_onductor Size 26. Subfeed Wire Size %- /-ga. Cu or AI-A.C. Wire Size / / ga. Cu or A 27. Range Cerc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes No - 28. Service -Riser Conductors &_Ground -Main Disconnect__ 29. Equip. Clearances: Panels-Motors-Mech. Equip, _ 30. t- Clothes Closet Ligh Shower Light Card B -I Dale Card -BI Date _ -- Card B-1 Date Card -BI Date ---- Date MECHANICAL (Permit) OK except p's 31. A.C. Ducts. Insulation &_Support_ 32. Vent Fan: Exhaust above_ Insulation 33. Condensate Drain & Overflow:SizeSo Grade -_ 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform it Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date e FRAMING(Plans) OK except a's 36. Sills, Proper Material & Anchors 37. W;Ills: SurdS-Nailing, Spacing & Bracing -Plates -Sound 38. Re:luny Walls over Girders & Floor Nailing 34. Drall Stop rrr Wills pat proot) 40. Fru Slops Fwred Ce_ilinys-Stairs-Chases-Tub 41 Header & Beam -size & Bear nig •12. H.rnllers-Posl Caps-Anchors-Corini:ClMs •13. Cing. Juisl-Rlr. Tn's-F'w lin-Root Br ac.-TruSS--Shrtmq.-Klug, 4.t. Fuepl.iie la's or Type A Flue-Fueptace Throat 45. Ann Ar less Site & Rome. Protection -Dials Stop -Ins. Baflles 46. li,um, wurJunvs w Euliny Daus-Sill Ilgi. & Urmensruns nate FINAL (Plans) OK exc 56. Ext. Steps -Door & 57. Smoke Detector oe. rUmace: vents -we In Garage; Above FI 59. Bedroom Exiting 60. G.F.I. & Bath Fixtw 61. Elec. Trim I Gard -dl Card -BI Card -81 Date Date Date `- Protection -Landings ,omb. Air -Connector- '- s -Meth. Protection s & Tub Access 1: Breaker Sizes-Lahels vc. -ouJ a nulls 63. Fireplace or Stove: Clearances -Hearth tool. Elec. Outlets at Wood Panel: Int. & Ext. 65. Kit. Fixt. & Appliance: Grnd.-Air Gap -Cooking C 66. Elec. Outlets & Receptacles at Kit. Counter e br. Uarage Fire Door: Swing -Landing -Closer 66. A.C. Duct in Garage -Damper 69. Wir. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage: Above Floor-Mech. Protection 70. Pib., Elec. & Mech. Equip. Listed for Location : - 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !sole Door -Drainage & Wood -Earth Clearance Looked under Floor C Yes 75. Following ins_tid.: Drive (_ I Yes (J No: Walks L Yes C No: Eyes Planters Yes J No 76. Stucco: Brown -Finish 77. A.C. Unit: Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 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 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged: Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI _ Date Card -BI Date Caro -BI --- Date Card -Bl Date -.__.__ Card -Bl- Date Card -BI Date Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE • < --OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome r � Owner's name 14/ • ,�,,-{•y'l,�c = %.1��:1•�+-� .�� � _ - � a Owner's address �// �= Insignia or hud number '+ w, Manufacturer's name ' / . z Serial number of V.I.N. 1--2 36�2 Year of manufacture.75 .7 (Official Approving Installation) T1 IF THE,MOBILEHOME.IS MOVED OR RELOCATED, THE MOBI`LEHOME•INSTALLATION• ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN. HE 5 MOBILEHOME IS INSTALLED_ ON A FOUNDATION SYSTEM. - - -- _ - A �v 5138 WhiteOwner, Yellow Installer; Pink D P W w�..;.•s- _.�..-�_... --,., - %- •. - -- .- — -_. - ... _.,.-.,�.,.�.. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER \ X f--1 IPERMIT A routine inspection indicates thainhe following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this maffnr nr noarl arfrlifinnal avnlanafinn niancn rnntart this nffira immnrfintaly Inspector Date COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 i S _ g21 APPLICATION AND PERMIT ASSEXPARCEL NL, R _/ �"'" BUILDING PERMIT O Wf1E TELEPHONE SQ. FT. OCC. BUILDING VALUATION .-I NER SMA IN ADDR 5S 3 9 73 cl/ CO TRACTO 'S NAME an s �z TELEPHONE 933a���/ CONTRACTOR'S MAI I G ADDRESS tff S' Fireplace CONSTRUCTION LENDERUNKNOWN Total Valuation $ Filing Fee $ "119=90 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15 -- — —ARCHITECT Energy Plan Checking Fee $ ARCHITECTOR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 foci, 2 Each Trap 2.00 6?H Gp I ar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PIPRC�EL MAP U�E � Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home i roxi 10.00 ea TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation❑ Other❑ Describe work: _ 1a2, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 )/1-- Main service EA. ADD'L 100 AMP 2.50 ?.�v 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 F1.I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP..) , OR A.D.S. ACC. BLDGS. / 20sgIt NEW(� CONSTR ULTI.OUTLET NON ESID 2,50 ea BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES EAL930 Ex. Occu zD @30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 i Misc. 6yirin 15.00 g Permit Fee $ �i 5 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou y i Tseqrenee pf the granting of this permit. X Date %i_ a� a �� Signature of Applicant — O ner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuress over 3 stories height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ S OCCUP. CONST.TYPEJ FLOOD PARCEL PD NDy �// 158UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �in Receipt No. WNITC-D.P.W., YELLOW-A38l990R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMEN7'OF.PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA"95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET L - Permit No. OWNER / A. P. No. Proposed Building Use %f% Building Inspector _ Date AL261 At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by prepares of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fee's Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . Letter of signature authorization. . . . . . . . . . . r (� kD�10. Sanitation approval from 4— Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner[] _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for dPre-Inspec. request to Require , Building Inspector (Date) J8� Recorded copy of Agricultural Acknowledgment Statement. A,; 19. Driveway Permit. 20. Plot plan approval from city of 21. t� 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. _Telephone 533 'v2 IgG and hold for pickup ateoffice, Deliver w/inspector. Other Date `i - a 6 - �-j Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---rnail—counter by date Contractor, designer, owner, was advised of above required data by—phone _mall_counter by date Plans checked by Date Plans approved Sets of plans on hold in File cabinet __= _AP folder Copy—DPW e Hours: 10:00 a.m. - 3:00 p.m. TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance 11 DI a rIOS LJn, A u V-1 % Owner Location Y AP# Plan Approved for: Sewage Disposal .Water Supply Hold final for:\ Water Supply Final clearance O.R. for: Water Supply Clearance for �edroo6mome. Other NOTE *** Sanitarian , ate . Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT f _ • r ? N\•- t-_'.'`;l;i FOR RESIDENTIAL• DEVELOPMENT ' Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. �"r•"l��nil (`fir AFR 2C �' i 9: ( a The property described herein is adjacent to land or included Cyf'�,1;� Uit�;u{�� within an area zoned for agricultural purposes, and residents of this C► E(?i_.rGCF;Cc,� EU=_ property may be subject to inconveniences or discomfort arising from - the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal," -1 necessary farm operations. t All that real property situate in the County of Butte, State of California, described as follows: PARCEL I: Parcel 2, as shown on that certain Parcel Map entitled, "LYING IN SECTION 25, T.19N., R. 4E.., IN THE UNINCORPORATED AREA OF BUTTE COUNTY, CALIFORNIA", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, December 8, 1986, in Book 105 of Maps, at Page 32. on PARCEL II: A 25 foot driveway easement over Parcel 3 certain Parcel Map entitled, "LYING IN SECTION 25, T 19N °n that IN THE UNINCORPORATED AREA OF BUTTE R.4E., ALNIA, sail Parcel Map was filed in the Office of the RecorderIofRthe"County of Butte, State of California, on December 8, 1986, in Book 105 of Ma s, Page 32. Date: �,�� �, Y PRO R OWNERS : State of On this SS. me, the County of ) -In/ L_�41,e er !c c the _day of j�j 19�, before undersigned Notary Public, personally appeared Personally known to me./ Proved to me on the basis of satisfactory evidence. to be the person(s) whose hame(s) ZZk-L subscribed to the within instrument and acknowledged that executed the same for the purposes therein contain d. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Not y Public Present A.P. No. 3 6 — �/7 r •r c OFFICIAL SEAL DOROTHY A. WISE Notary Pctjllc-Calitomla BUTTE COUNTY My Comm. Exp. Aug, 8, 1988 L_�41,e er !c c the _day of j�j 19�, before undersigned Notary Public, personally appeared Personally known to me./ Proved to me on the basis of satisfactory evidence. to be the person(s) whose hame(s) ZZk-L subscribed to the within instrument and acknowledged that executed the same for the purposes therein contain d. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Not y Public Present A.P. No. 3 6 — �/7 AP # ". ).— 1 - OWNER PERMIT MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS 1,,Support Compaction Struc. Test Re . Service Size Other Load Type Pipe Size Length YES NO S NO vVAT -3� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ER I N .� 7 County Center Drive - Oroville, California.95965 -Telephone: 916/538-7541 U APPLICATION ANQ PERMIT ASSESSOR.E'R L=UM@'�R —` Z NJNG BUILDING PERMIT M0 ER // A TELEPHONE SO. FT. OCC. BUILDING VALUATION O E 'S AI ING AD KESS p� S 73 r / �—W/a CON7F``JJ�CTOR' NAME TI -W ONO ^^VV��YY 3 E(1 / CO TTRACCTj�OR'5 MAILI G ADDRESS Fireplace CONSTRUCTION LENDER UNKNO ..Total Valuation Is Filing Fee $ 10.00 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 $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 r Each Trap 2.00 Solar or heat pump water heater 20.00 LOT SUBDIVISION NAME PjjRCF�L MAP /'t�S ^ -3-2 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeA Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ^ �� 7/ fin h . 001 OR LESS Main service 1 1 00 AMP OR LESS 10.00 Main service EA. ADD•L too AMP 2.50 CONTRACTORS LICENSE LAW I decla�under penalty of perjury (check.one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code d license is in full f an effect. License No. Classificatio ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING 0 CUP.8d\ yzQsgft OR ADDNS, ( ACC. BLDGS. / NEW CONSTR.ULTI.OUTLET N O N•R ESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS e1 SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURESeA @30 \\ Ex. Occup. OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agr a to save, indemnify and keep harmless the County of Butte against all liabil ties, judgments, osts, a expenses which may in any way accrue against s id County in co quenc of the granting of this per it. X Date Signature of Applicant - Owner g pp ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" eep and demolition or construct- ion of structures over 3stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TYP! I Loop PARCEL PD ND ISSUE � This permit is hereby issued under sions of the Butte County. Code and/or ditdbfhih wo'ncaeabove or which r D EC,TOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fhbaid. have been p WORKS Date /-/7R" Q (.� /y /-!/(ma Receipt No. Xu33 � Q WNIT!-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT " �-°�IA.Dia. =�: '�:.x."*- .�-r-...._..� .; r. -.. . - r . '*I:sr ..'-.•..r,,. •.—^-Ye ,!: x"'a �.;.;p; Nt • T .7 ^eu^ COUNTY OF BUTTE - DEPARTMENT .OF. PUkIC-eRlORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE -14541 tA�LIFORNIA 95965 - TELEPHONE: 916/534, 541 PERMIT APPLICATION DATA SHEET Permit No, OWNER Gh'CI14 %' A. P. No.2w —,2 �— Proposed Building Use %%y Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/ issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector _ 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, _ Telephone and hold for pickup aft office, Other Copy of plans sent Applicant Health Dept., Fire Dept., Other The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: Mail to contractor. _Deliver w/inspector. ate ! Date (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_mall—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II counter by date Plans checked by Copy—DPW Date Plans approved Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. (Date) ri A 1. Owner's Name: 2. Installer's Nam BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS, 7 County Center Drive, Oroville, CA , PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes No U (If yes, furnish permit number lv ) OR Is the site an existing site? Yes F No F-1 (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic. tank and leach fields and clear of all setbacks and easements? Yes F)j< No [—] (If no, clarify E, 5. .What is the mobilehome electrical rating? -------------161" J-. Amps 6. What is the mobilehome site service rating? -------------- -- Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the - mobilehome site service? ------------------ ------------ Yes ® No �© (Amps) ) (If yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size.? -------------- � 9 (in.) 10. What is the type of gas service? --=---------------- Natural LPG '® 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- —�. (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe .length less. than 6 ,c,pn __J77 .natural gas or less than ,50 ft. on LPG. ) ;- BUTT COUNTY BUILDING DEPARTMENT APPROVED MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. C4 furnish Setup Model No. Year Width / (ft.) Box Length j�(ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)© 1. Wood -pressure treated or foundation grade. ❑ 2. Other (specify) SUPPORTS (check one)W1. Concrete block. 1-1 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Size-Min------------- Spacing-Max - -----------Spacing-Max- -----7--- From Ends -Max .------- Line 2 Piers: Size -Min ------------- Spacing-Max ---------- From ------------Spacing-Max.--------- From Ends -Max. ------- Line 3 Roof Loader Size -Min. -----------,- Location (From Front) — _ — I-- tine 4 Line 1 Line 1 OoeninRe• Size -Min- ------------------ nx n Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min------------------- ,ix o Spacing -Max ________________ From Endo -Max -------------- e 4 Piers: Line 5 Piers: (Under Bearing Walls only) Size -Min.------------ Size -Min ------------------- Spacing-Max ---------- ------------------SpacinB'Max---------- _« Spacing -Max.------- ,_ n -------- From Ends -Max.------- ,_ „ From Ends -Max .------------- Line 5 Roof Loads: —" Size -Min. ------------ „x nx a „x a ux n ,k a nx n nx n nx u Location (From Front) Tlhis set of plans an7 spec�icaions MUS� 6e kept 'on the job atlall tines and i is u �lawflyl to m e an cha ges br alt�rat►i�ns on same wit out ri;lte �ermi Sion From 'he D nqr men of P. hii.c s, � of I Buffe. rkm � nshi Shall -Be in NOTE.—All Wlater p Ac orda ce with eco �od Rracfimes and of quality rest bed i .d use ' in he Uni orm uildi g, P umbi g odes nd rrhe Nati nal lectr`cal od a y tv�4 cifb Rat ce- i P, X36'' � � _ / l /3J3 f ML, LM l` IWg MOB LES. U ity Twh dib- tha9I be with . of the r tobi-I hon fie, ei her dr ect) behind o within the reg o ha++If of her adsiJe (I ft) o the rnbbilefiome. L a' ,ernsr... quir d fo the LL AJ �I �etkack c� .fro the )perty Limes a I d a setback 50 t. from th road nte�line hall a clear o vct res or eq ipmMUN pnt e ceps r a aft. ave verhang. l DING pEbq TMENT P1 Z i 4 h ' • �� � �. v:. tj fir _ _d i s •, i