Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
035-211-002
35-211-2 Leroy Tiedemann 210 ' ��Grove St., lot 17, Oroville P m1P-81B,E(utA- ,MH E E UPPORT UCTURE REQ. / COMPACTION TEST REQ. 35-2J,1-2 Permit #1913-84B.2,EE(found-ation util: 'KII)p��j' - - Permit #2546-81B(new awning/MH) 035-211-002 99-2670 GURLEY, DON 2100 GROVE STREET, ORO f� CONTR: OWNERZ SERVICE UPGRADE •i 141100-F 5; COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California . Administrative Code, Title 25, Chapter 5, under permit number for the following location: a OwnerO Owner's Address V I �1►*U Mobilehome Mfg y '•-�+- �-- V� f- Model � "°� --Year 5� 1 Insignia No. 2 %/%i 7" ` Serial No. -TL99P It is hereby certified for occupancy at the above described location and may be occupied. Director-ofJPublic Works Date Q—/�i r�l gy THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF. BUTTE- DEPARTMENT OF PUBLIC WORKS i, Olean,; er Avenue, Chico - Phone 343-'211. Ext. 70 7 Ccvniy Center Drive, Orovilie - Phone 5-14-4541 Skvv.-ar; an„ Elliott Road, Paradise - Phone,877-3435 ��. C%0DRRECTI®N NCOTICE BUILDING OR PROPERTY ADDRESS r A routine inspection indicates that the following violations of County Ordinande exist at the'above address and should he 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. t Inspect !�_C s a� --- Da"cz--.1 Z7 { - kr m 035-211-002 99-2670 ` GURLEY, { DON 2100 GROVE STREET, ORO CONTR: OWNER a' SERVICE UPGRADE + OFFICE COPY Address GAS Meter By Date ELECTRI // Meter By Date�� COUNTY OF BUTTE - DEPARTMEV.OF'DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 + Telephone (530) 538-7541PERMIT NO. �y (Rev. 12/96) APPLICATION AND PERMIT - - ASSESSOR PARCEL NUMBER 035-211-002 ZONINN BUILDING PERMIT OWNER GURU Y, DON T53H/—WlO J SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6956 ORO BANGRA95966 CONTRACTORS NAME OWM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2100 GROVE S'TREETo OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISON•S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SHOP SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublides ❑ Installation ❑ Other ❑ Describe Work: SERVICE UPGRADE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service ioo�oA�ss 23.00 + 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: ❑ 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. . E 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 Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. 8 ACC. S. s0 3.50FT. T. NON -NEW RESID. RANCHO CIRCUITS 97.50 POWER APPARATUS 6 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES B20 Q I. 0 Ex. Occup. oFuT>Fis PEMSiD )FR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 • • PERMIT FEE _ $9 00 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. ❑ 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 permft is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation �f one hundred dollars ($100) or less.) Com" 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 forthwit comply with those provisions. XJ",l�� .��✓. �..r �r�„t' l�/ Date 'Signature of Applicant = ❑ Owner 0/contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 89,00 HAz. o. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY PERMIT EXPIRES ONITE-D.D.S.-B.D. the applicable provisions Resolutions to do work been paid. Date D,4 rReceiptNo. 2 y /raU / CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVEL&MNUT SERVICES - BUILDING DIVISION a 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 035-211-002 ZONINtN BUILDING PERMIT OWNER GURLEY, DON TELEPHONE 534-8010 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 6956 ORO BANGOR HWY., ORO 5966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2100 GROVE STREET, OROVILLEgy Ener Plan Checking Fee $ g PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SHOP SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: SERVICE UPGRADE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ".A OR LESS 23.00 23.00 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 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 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( a Acc. BLDs. SO 3.5QFT: N"ONRESID. MULTI -OUTLET CIRCUITS @7,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES s20 @ 1.00 UYS Ex. Occup. ounErs R�s,D,°EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23,00 PRE INSPECTION 1 23.00 23.00 PERMIT FEE S 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. ❑ 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET= S Policy Number (Tbp-above sections need not be completed if the permit is for work of a valuation 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 forth ' comply with those provisions. _ Date //=y^T Siature of Ap icant - ❑ Owner TContractor ❑ 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 I $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 89.00 HAZ. D. FEES IMP I FLOOD cDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON P/11,z_ I Da provisions to do work paid. Receipt No. 28 1D 0 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION (Rev. 12/96) 7 County Center Drive Oroville, Califo6nia .55965 - Telephone (530) 538-7541 P NC APPLICATION AND PERMIT AaseswRPAROSL►t I10M - 02 �� BUILDING PERMIT owwl Tats.l,�'go 0 SO. FT. OCC. BUILDING VALUATION aw►el� ryye�o o� OOATTRACTORI kUM T N! t4 0 COMMACTORI YALOZ AOORM Oo1aTNXTW 1 Uowat . L000117 MARA4 ADORER Fireplace AAcwncroAe11o11ee1 Lx:E1ae no. Total Valuation S Firing Fee S 20.00 ARC►frECr OR QIDNEER° rAAtrw A00R� Permit Fee = SUADMAMP11=1 Plan Checkin Fee i Energy Plan Checking Fee i i •1b01Vti10"1N1! PARCEL PERMIT FEE t LOT "M YAP lr� PLUMBING PERMIT Filing Fear -20.00 USEOFSTRUCTURE Each Trap / Solar or heat pump water heater SF O Duplex O Mobllehome O Other Water pipin tPecPr TYPE OF WORK Each as water heater or vent New O Addition O Remodel O Lid"" 0- hstslatfon O Other O Bus i in stem t - 5 outlet* Buildin sower Describe Work: �,� ,� ����(�� Mobile Home S G W PERMIT FEE _ 'Yo9C �Lq 6 ELECTRICAL PERMIT Mein Service eoov OR `° _ 200A OR ULEN Main Service ( 2- ^ To loom 1 7.00 23.00 15.00 15.00 15.00 15.00 @20.001 ng Fee 20.00 23.00 Zai 46.00 3.5C 1141 @7.50 01 6.50 tion PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee b occ COWST.TrPe TOTAL FEES 9% 0'0 NAZ. 0. TEES I EYP 8000 I COP I PAaCEt I o0 1 10 1 ssl.E 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 once PERMIT EXPIRES ON u01 C , A EX. Occup. OUTLET oR wrunEs aAL .SO Ex. OCCU 0VnA'rg o °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 "sc. Wiring 23.00 2-3, C-0 • 2�, Go PERMIT FEE S o� MECHANICAL PERMIT Fling Fee 20.00 Heating 01 6.50 tion PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee b occ COWST.TrPe TOTAL FEES 9% 0'0 NAZ. 0. TEES I EYP 8000 I COP I PAaCEt I o0 1 10 1 ssl.E 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 once PERMIT EXPIRES ON u01 C , A PRE -INSPECTION REPORT OWNER: DATE: Z� LOCATION: 2 ( Dy (� �6Lt1` e- \ N A.P. CONTRACTOR: zi5 ti %� ZONING:_ ,�&/ PRE -INSPETION FOR: DATE TO INSPECTOR: / PERMIT HISTORY:( ) NONE (AlISFOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Electric: Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedNacant Yes No Electric currently On Off Condition of Electric Gas: Natural Propane None Currently On Off_ Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: Inspector: HOLD FOR Date Sketch buildings on reverse and indicate location on property. J 82546-81B PERM O. Q� PERMIT EXPIRES 2 Z?/4+ OWNER Leroy Tiedeman owner CONTR. 2$ 35-211-2 ASSESSOR PARCEL 2100 Grove St., Oroville LOCATION i i i i .. _i i 4 Temp. Power Pole Called PG&E Temp. Elec. Service E Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Silmatur ®A® V s OK 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES ` MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's Date DECKS, OVERS, CARPORTS, ETC. ( ns) OK except H's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/0—Concrete 1 ing Requirements—Setbacks—Easements Footings; Size—Depth—Spacing—Connectors 3. De ks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) ood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5, Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date C aetf BI *Dater — Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N'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 5. Drain; MH Test—Fall—Flex Connector 4• Elec.; Receptacles and Lighting; Distances—GFI 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/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes— Enc losures— Pane lboards—Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Contin4ed) 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 -B loc kouts-Wrapped-S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. 8. Piers -Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p'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 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails &Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes E3 No 75. Following instld.: Drive ❑ Yes ❑ No; Walks E] Yes []No; Planters Dyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Claarances; 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 (Permit) OK except k's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. 33. Vent Fan Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - ---- Card -BI Date Card -BI Date Card -BI _ Date _ _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors Comments at Final: 37. 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. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45, Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE--rDEPABT":,AT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 9161534-455Z15" 0 / c APPLICATION AND, PERMIT A SS E�$ ER ZON/G / 'L 3 BUILDING PERMIT OWNLR_ / % 167L)E , / ELEPHONE 47 /q268, USI NOR_ SO. FT. OC BUILDING VALUA ION < OO OW[� / OD LING A/�.iVEO - //Ll.0 (4< COZNTRAC TOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEN DE UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , O0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee _ a v Penalty $ ARCHITECT OR ENGI EER'S MAILING ADDRESS Permit fee $ LIV, (7 BADDRES OVE 5,/ Nob PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each pas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeR__,_0,ther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition�emodel Utilities ❑ Installation❑ Other ❑ Describe work: A A)Pio 606�L) 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.y OR ADDNS. ACC. SLOGS. 22 sq it 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 CONSTIRMULTI-OUTLET 2,50 ea NO N.RESID (BRANCH CIRC TS NEW NON-CONSTRESID. R (POWER OUTLET CIRPOWER APPARATUS .&) . SO @ 2sa Ex. OCCUp OUTLETS OR FIXTURES BAL@1 FIXED APLNS Ex. Occup.(.UTLETS P(RESID )KEA. 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. V• 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. 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 again said County in sequence of the granting of this permit. Date Signature of Applicant — Owner ❑ Contractor ❑ AgenV0 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories inheight. Mobile Home Installation Fee , $ TOTAL PERMIT FEE $ ,Ov OCcuP. GROUP TYPE OFCONST. I PARCEL PD I ND SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR C OR OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7-2—PI :7-4F Receipt No. 5-397:3/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �A 9-!� �/ ��/ sek'f , �o p �yf (/ , Sae, ii 1,'! r\ rt.`�J;�',,,:li:i t;.p FORM 413 0/1/x•3) Tip: Ak is to be comp ieted at tae tine a building per.^.,it is'issu?d for tea i,,',,aI stior, of a mob i1ehone on a foundation system pursuant to Section l ;al of tn, Health and Safety Code. A copy is to be immediately transmitted to the d-2p,:r•tmPr,t with a copy of the b:ilding per.mit and fees in amount of S11 fo eacn transportable section of the nabilehome. See instructions. TO: THE DEPARTMENT OF HOUSING AND CONHUNITY DEVELOPNEIIT Division of Cedes and Standards, Nobilehome Sac.ticn' P.'0. Box 31, S.,cramento, CA 45001 ' (916) 445-3333 tit NO. (Viii) n �A (Parse or lccil a, en y issuing Guilding permit)2uiTding Per^it No _._2 /1 "E" l h Al A I. i . h n/ EIU 1 i E C0UN] Y RECURO$ Y 940 Aq, NO CLARK A.iliet.:a0N CLERK-RECOFtO18R:_ej FE O •(A,iuress_ .(Date Permit issued L,t`y� . �Lounty ?I?) Ie ephore' LFAVF THIS SPAR BLANK q.f}911•+s+l_*}•}•..•+•.Awa}.�a_w1.`..*{t}x}.',+i}w}•.-}i�.+#}f+^t-}"{a+`++i.Lx.�+.+..:f-lf}-1 .�1}a+M}1r}saw}1r A.r,f+i.�9+�F TO'4NERSHIP INFOP.MATION .�- _ �i%/�/�fi 1\1 tKciis.errec Owner'sflame Legal Ovine r's Iiame) 29A, 00C'JM,NT ` r ITiy Pegistered Qwner's Mailing Address LegaI Owner's !failing T dress (City (County State) ZIP) City Stat.i ZIP) �P. Tmr,bilehom' i n Owner s Principal Residence -7) Fore of Consent Accepted? letter, etc. i'w.�.>}�•}*+*}a.}a�.*.fs+}�•}i}a+r.�s..f,►;'�}•►+.•i�.r}r.y*�,r}s';,a,}�.i.•.{,*f►.fray.Y..r_r**+r.*y�...r•+.w.}..fa.as�x�.n.r.*+e+**�..y.,r}fi* f*+*r +OWNERSHIP INFORMATION -_REAL PROPERTY T it e held in the _Nane s o_f? A SESSOR'S P.AP,CEL NUMBER? (Real Property Mailing Address) _ 1st Mortgage Holder's pane 2nd Mortga a Holder ,(V TtT County (ZIP` Address Address Real Property Site? Length X Width or Acres) City —I State) rCity)— 5tate (ZIP (Loan Rateferns Loan Pate Terns} -,Method of Verification? Deed, etc.') - (Legal Description of the Real Property?) ,Ge %5 /7 c�1 rTii� ,/r✓l b�i` /y� w 74 inri/•'11 if i i'f .?/,,,��' � ;r/7' ✓� C� r�r /.�� 7-14 is %�:lf�,5 //Y !/tel- aice) i_ 1'.T�*}:�{.�I+T+7-F'.}••A:F*}*1�A'}*.f*}*.F�.'r*�.:�.r.PJ.*.r.d•}*.}.,}}*.}i.}ffA?t}O.f,1'}�'-r•'M{.R}'.}1F}f1Y.+*x.11*.}*}�}*+Y!}�+•+fF +.f �. •L .'f.+SFT*,�,*Ty4 +IDENTIFICATION INFORMATiON - MOBILEHOi".E ( Baths? vod %^ L � //T #C ii= ' an:rfac.turer s Mame M Date of Manufacture) Model Name/tiumbet NO. (Viii) INS IGIIIA/ LABEL NO. LENGTH X WIDTH DTiV LICENSE/DECAL iiO. ,SERIAL P(From, "A." Unit �-,��—� _�� l.' �`1 � ', J6 X %& the rear of the niobile- "E" `l7 6 X hon" facing c� C.�- to,.a rt. tti: .unit front., the "A" "C" Unit "0" Unit Exterior Wall Covering? V,0 &,p Total No. Roon, s? Builtin Cooktop? P.00f Covering? SN//)1CL,ieS_ Bedroans? Exterior Nall Thickness? Baths? Builtin //T #C ii= Heatirg Type? (�"r� J Dining? refrigeration? (A/C.) h1dN4a I Builtin Dish 'Vasher? Ceiling knight? Utility? a Builtin Oven Unit is the one at your left. Next is etc) /7 To -.4 Bar Pz^rcved? � /=S ' ' Disposal? GJ Axles F�-�`,���? 40thar?L01V5 Other? 1<1,:rr}+iwt-+s.}iT•a.;.a.}d:a}r+►}+r.fa+:.r:.}+...y.,;.�.�*.}r.fs}s.�e.}w}*{.i+,� }+,t}r•.+wi►}a}.i.�.w {...i.�+«++. $sA?Es ( _e/o' hasc3 - •c ase r, ,. List tn_ .i tens ar.d ao iar v -~rues of any personal property ite;:s jrrclu.rea in tie purchise price or tine moor enome. EX AM P L Dryer., M13.65) .�e+':.+*.,•+ Tx..:•.}w+.+*+**:•+f .F.+s+a+*+*+•,+++*+►*+*+x+*+*+*+*+.+•+*..}*+*+*+*.}•+•r w.}*}d+*+* a}e+a+a+t.}�+*+++.s +C=RT IFiC::`:P O: OCCUPAtiCY ,nstallation o` the above d�scrihed nobilehorre or the re. pr p,rty particularly descril%ed her;.Qn has been co,.ipletelP,nd is rtificate of occt �ar'.y issued on Cates Out .a igns vire; Loci �: ercy' Builtin Microwave? f Builtin Trash Cc-pactor? #C ii= Builtin VaccuLn? h1dN4a I Builtin Dish 'Vasher? To -.4 Bar Pz^rcved? � /=S ' ' Disposal? GJ Axles F�-�`,���? 40thar?L01V5 Other? 1<1,:rr}+iwt-+s.}iT•a.;.a.}d:a}r+►}+r.fa+:.r:.}+...y.,;.�.�*.}r.fs}s.�e.}w}*{.i+,� }+,t}r•.+wi►}a}.i.�.w {...i.�+«++. $sA?Es ( _e/o' hasc3 - •c ase r, ,. List tn_ .i tens ar.d ao iar v -~rues of any personal property ite;:s jrrclu.rea in tie purchise price or tine moor enome. EX AM P L Dryer., M13.65) .�e+':.+*.,•+ Tx..:•.}w+.+*+**:•+f .F.+s+a+*+*+•,+++*+►*+*+x+*+*+*+*+.+•+*..}*+*+*+*.}•+•r w.}*}d+*+* a}e+a+a+t.}�+*+++.s +C=RT IFiC::`:P O: OCCUPAtiCY ,nstallation o` the above d�scrihed nobilehorre or the re. pr p,rty particularly descril%ed her;.Qn has been co,.ipletelP,nd is rtificate of occt �ar'.y issued on Cates Out .a igns vire; Loci �: ercy' •�uuy,� - STATE OF CALIFORNIA ' a DEPARTMENT OF MOTOR VEHICLES Statement of Facts Date ..-- ..17A'$b------------------ ------ 19...... I/We .. - ..Shasta..Trailer-_Salea-------------- the 'undersigned, hereby state that the vehicle described below: MAKE IDENTIFICATIO14OR ENG111F 110. LICENSE NO. Mt, Home' 3090 A & B is a new mobile home placed on a permanent foundatio. This unit has never been registered, Affiant further agrees to indemnify and save harmless the Director of Motor Vehicles, State of California, and subsequent purchasers of said vehicle, for any loss they may suffer resulting from registra- tion of the above-described vehicle in California, from issuance of a California certificate of'ownership covering the same; or transfer to: I. cerlify under penally of perjury that the foregoing is true and correct.. Executed on 9-4-81 jIt Chico Calif. -PATE CITY STATE Signature?%_ A(1dress SHASTA TRS 114- SALES P. 0. Box 1057 C i Lv, S tate , L ,8I REG. 256 (REV. 9/75) � 1 'S1 1_LA1 i0 f G' AFl ;li'i ;tl'lli`I S ST E" HCC t=0P-11 413 "D" Unit Thi S. f is to be completed At the tine a building permit is issued for 1 thet0FF'IC:A installation of a mobilehome on a foundation system to Section t- 1;;1 of th.-2 Health and Safety Code. A copy is to be immediately transmitted BUTTE 00UPi`i`�`•- ;•c� ,1F to the department -with a copy of the building permit and fees in amount of $11 RECORDS for each transportable section of the mobilehome. See instructions. PUBLIC WORKSTO: Builtin Oven? Ax E5 THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT SEP T Division of Codes and Standards, Nobilehome Section' ' ' P.O. Box 31, Sacramento, CA 95801 (916)14451-3338 CLARK A. NEI -SON FRO" ,> �� 4ifne cieRh-Rcaaal�EE 1`20 Builtin Trash Carpactor? &C/( or local ,gen y issuing building permi I Building Permit No. PEE AI� 04�0_r 81-30408 (/ Aiiress��� Uate Permi.,> Issued Ceiling Height? Utility? !. Builtin Dish Washer? � -- - I EAVE THIS SPACE P1 ku O. ity ounty ZIP Te I 0ftne tQ+#+r+p}•._*+*+*.F*.w*+#+*+*}+�*+e}.*+:r}x}a.,r+A{.R.}A}...#}*+�+.+,+.:a+w:f.r,+*+,:.�..�#}r.}*}*,�a**+*+w}.}#+*+*}#}*tA+R T01•tNERSHIP INFORMATION - MOBiLEH;)!l'F meg i s t ed Owner's Name L eg a 1 OF- ne•'r' s Nane x: �.egistered Dimer s mailing Address Legal Owner's Hailing Address o P11-1 (j All ity) (County) StateCZ-1T7 I—C -1t-y-T 5tat.: TTIP) T}Mob ilehocre w I1 tie Owner s Principal Res ijet7ce TForsn of"Consent Accepted? Letter, etc. L*+*}*+*+*+*+*+A+*+*+*+*}*+*+*+*+*+*+#+*+*+*+*i-* .+. +A+#;.#.f++i.!. t*1*+*++Y4.r+Rtw.rv+Ailr+-+r.+*+*+*+*+#+#+A+*+#t 4- OWNERSHIP INFORMATION -_REAL PROPERTY (Title held in the Nantes of?) A SESSOR'SARCEL NUMBER? (Real Proper.ty-i•lailing Address) 1st Mortgage Holder's Mane 2nd Mortga a Bolder o_ /Y0&�= 1 T Tty County ZIP (Address) Address Real Property Size? Length X 1lidth or Acresl Cityj State ZI�i) (City— State (ZIP _ ���o • ;'fethod of Verifir.ation? Deed, etc.) Loan Rate o 7;erm�— Loan Rate TTernsj`!� Legal Description of the Real Property?,) ,�- .s i7 c� 1��:c�iT�i�v �TiS�-T �L.e 411y 1(1141�iTii� �D 0410 ole /-1 r._ �� ail 1 log/ IIV' i 1.1 ' A//�— r y•` rah LIF. >Al 14 rir N► is <� ��-� < J+*•+*+*+*+*+h.r.!f+*+*+*+*+*+*+*+*+:FlA.}*+*+*+*+*}*+*A*+*+*+*+*+*+*+*+#+*+*+f+++*+*+*+*+ +*+*+*+A'+n+*+*+*T'Y �IDEt1TIFICAT10t1 INFORMATION - MOBILEHI 'bmE ;9'Inufacturer s Name ? (Date ofManufacture) Model Name/Number^ SERIAL NO. (VIN) INSIGNIA/LABEL NO. LENGTH X WIDTH 014V LICENSE/DECAL N0. . A" Unit �/J �� � ��'�`7 •e t�r6 x /a2 ��()0 e (from the rear o. the mobile -hone, facing " X / /7 toward rd th Unit ?,o front, the "A" Unit is the "C " Unit one at your personal propertyitersinclujea in t" purchase price or Lire mobs ehome. EXAMPLE ryes,, j�9.o5— +R+x+*+*+w4.'.+:..F*+*+*+*+>+A+.+:s+.*+*+*tR+*+*+*+*+*.fK+*+*+*+*+*+ *+*+*+#+*.fA+*+*+*+*+*+A A+f+*..*+*+*+*+*+ti +CERTIFICAT.E OF OCCUPANCY Installation of the above described mobilehome on the re. pr party particularly descrihed her n has beep complet nd is rtificate of occupancy issried on � .._.. END OF YEN' Cate (Au t, •'a igna ure; Loc lcer,cy; heft. Next is "D" Unit "B". "C", etc) Exterior Wall Covering? M/^C)DD Total Mo. Rooms? Builtin Cooktop? 7 _ Roof Covering? Bedrooms? �1 Builtin Oven? Ax E5 Exterior Wall Thickness? T Baths? Builtin Microwave? Heating Type? 6A S Di,irg? % Builtin Trash Carpactor? &C/( Refrigeration? (A/C) O + 1Den �/YL Builtin Vaccutm?Go Ceiling Height? Utility? !. Builtin Dish Washer? Tow Bar Removed? � r Disposal? GJ _ Axles R�rovc�I2 i �7 Other? .�.�v%l_ Other? !� +#.{'*+N.*+%Y}#+v.'.i.:Y+*.*.}*+9+T.�x�'.t+.�+*+#.t.'.f.j.R y.#�Q}*+'#+:h+#.}"r+•ley:i+'w}R.�T+'.4.�#.}#+*+#+A+#+#+#+'�.� + o SALES INFOiCiii%TICiR - FOBILEHOME// (J /,'` A# (Ta e of u�rchase? j-jrcn+se rice.''.! List the items and do iar varues or arty personal propertyitersinclujea in t" purchase price or Lire mobs ehome. EXAMPLE ryes,, j�9.o5— +R+x+*+*+w4.'.+:..F*+*+*+*+>+A+.+:s+.*+*+*tR+*+*+*+*+*.fK+*+*+*+*+*+ *+*+*+#+*.fA+*+*+*+*+*+A A+f+*..*+*+*+*+*+ti +CERTIFICAT.E OF OCCUPANCY Installation of the above described mobilehome on the re. pr party particularly descrihed her n has beep complet nd is rtificate of occupancy issried on � .._.. END OF YEN' Cate (Au t, •'a igna ure; Loc lcer,cy; ��sof�6SALES. �ORM IOo-1e 3330 Espianade (P. 0. Box 1067) DMI *--M4&7 PURCHASE ORDER Cal. CC 9203.4 _ _ C: -HbCO, CAUFORNIA 95926.,:, _ QD HOME .:, SOLD TO..; f 'M"��.=�f/�f% / i�'AoF gyp; Ile ADDRESS . /3dit CRoVd L>'.F `t+C�6.t SALESMAN', Sub'ef t to the terms and conditions stated an both sides of this. agreement Seller agrees to sell and the Purchaser agrees to purchase the following described roert : MAKE:. l}�, ti: MODE�a fj 1� C B_R�OOMS . APPR�O�{}X(� STOCK NUMBERS ; z G Sc RIAL NUMBER 1p&R OLOR' �J PROPOSED:- DEIVERY.DATE LIC. NO: . , TAB NO: ' :s«,w Aj 01 7f Z� CUSTOMER MAY CHOOSE PERSON FROM WHICH INSURANCE IS OBTAINED. PRICE OF UNIT $� INSURANCE COVERAGE NUMBER NO COVERAGES EXCEPT AS SHOWN BELOW OF MONTHS $ -- O'! '`" OPTIONAL EQUIPMENT ❑ MOBILE HOMEOWNER'S - 42 — COST OF SETUP PARTS ❑ FIRE AND THEFT - CAC ❑ FIRE AND THEFT - COMPREHENSIVE _ -- SUB -TOTAL 3 7,2 'T _2' ❑ PERSONAL EFFECTS:_: ,.: SALES TAX -_ p- :�-� .: ❑ Other Insurance (Describe) --, v NON-TAXABLE ITEMS�- TOTAL PREMIUM for Insurance coverage& on the commodity if obtained from ars DMV (If cash sale) - - ...� O • ,�••- through sever-- .•_., - - COST OF INSURANCE INCLUDED IN CONTRACT BALANCE (ITEM 4) $ 1 CASH PRICE () -$,32, z 9 �Ptlas rchese.rh.co. pa eropeschecked obore t .� � _ ..YW 3aa-s.,�,F a Orr USED TRADE-IN a'•�Rs kxrr;�� SIGNED;.. ALLOWANCE $ I/We hereby voluntarily choose '" -• `'_:.;,, _ LESS: BAL. DUE_. _,, ' $ ON ABOVE 0 as Agent or Broker to procure the Insurance listed above. The choice of.above Agent or Broker was NET ALLOWANCE not mode a condition precedent to this sale. The name of the Agent or Broker must be filled in by Purchaser INITIAL DOWN A Czo in his own handwriting. •+ PAYMENT RECD CASH AGREED WARMING: UNLESS A CHARGE IS INCLUDED IN THIS AGREEMENT FOR PUBLIC LIABILITY BEFORE DELIVERY OR PROPf)tTY-DAMAGE INSURANCE, PAYMENT FOR SUCH COVERAGE IS NOT PROVIDED (2) LESS BUYER'S DOWN PAYMENT pp v o BY THIS AGREEMENT, Sec. 2984.1 Calif. Civil Code.' : L 3. UNPAID BALANCE OF CASH SALE PRICE: $eta• 7! T� �� Contractor is required by law to be licensed and regulated by the Con- tractors State License • Board. Any question concerning a contractor 4. OTHER CHARGES may be referred to the registrar of the board whose address is 'Con- Foes tractors. State License Board, 1020 "N" St., Sacramento, CA 95814 a, Official (Specify )..:.....$' VSI g CONTRACTOR'S LICENSE NUMBER" ' 061-2asm "' ", b. Insurance on Commodity.....$ c. Credit Life Insurance .......... $ 0" d. Credit Accidentii Health ...... $ --0 _... is. Taxes (Not Incl. above) .......$ _ --- �. ... 5 F C: EcF ..... Ur.e I. License Foos.$ BALANCE CARRIED TO OPTIONAL EQUIPMENT $"''= (Total)" Regisl. Fee&.$ DESCRIPTION OF TRADE-IN 1,, .....a•..:, _ _... < :'•._� r:,_ _ ... :.c.rrlf off: $ Title Fee& ^MAcs^ - __ _ ¢oeoorns 't2 �^� .�W ws:ax s . a: :s'+a zair.... .._ . ~ TOTAIOTHERCNARGESIo+b+e+d+ttQ:'iL'd nns.Na. s¢euc No.ColoA S..UNMID BALANCE -AMOUNT FINANCED (3+4I'�$ 6. FINANCE AMOUNT OWING; TO WNOW AccouNrNo .�:, r_ :. - �::,a,..._• ftotice to the buyer. (1) Da not slgd-tbis.a'greemelrt-betfore yau_read It orit?it.contalns any biaRk spaces to be filled-in.: (2)YdrtmVentitbed to, a.completely- filled -in rCopy, l`El% agreement _'(3)!U*= 7•ANNUAL PERCENTAGE RATE' der the law -you. have the-Aght.lo.pay,: off. due.and.under certain. conditions,. to. obtain--ajartial refund of .-the finance charge:; (4j)&;you default in thri'performance of your oblige-, 8: TOTAL OF PAYMENTS (54-6). ::..:........$ tions.undir' this agreement', tfta-vehl'cle may bil repossessed and'you may Dfi'iabject to'suit'and`bi> T bility for,,ths. unpaid- indebtedness evidenced by -this- agreement Section 2982,44 111Soba Cald,", 9.'TOTALDEFERRED PAYMENT PRICE Civil Codf �A.q, ,.. ; . E T,ysv sy�sh>A r ,._ �, yyr �i .r� •* c �� z ,y L, Payable in monthly installments ol. 3 each and one final Installment of S "'-""' ail payable the like date PARTIES TO THIS TRANSACTION UNDERSTAND THIS FORM IS IN NO . of each successive month commencing "' ; iq WAY Ai CREDIT AGREEMENT AS DEFINED IN REG. L A SECOND INSTRU--•--�- iHRouaH-•- •.•• -. ..- r �.� MENT; .KNOWN AS A,.SECURITY ArR_EF.MENT,_,IS,THE REQUIRED„4_Ea. ? IT Is MIJTUA!LY UNDERSTOOD THAT -THIS' -AGREEMENT -IS- SUBJECT TO _ CALIFORNIA CREDIT AGREEMENT. V- _ NECESSARY 'CORRECTIONS,.AND ADJUSTMENTS INCLUDING CHANGES IN ” NET PAYOFF TO BE MADE AT THE TIME OF'SETTLEMENT. (Z226.6f) '1 ' Purchoserul certify that �a, I iWN have read 'he molter printed on the- bad hereof and agree to it as a• part of this agreement, the some as if it were printed above my -our, signoturer •b- 1 •We• am !are, 21 -years of age or older; or -have been legally emancipated; Ict I IWeI have voluntarily, purchased the above described trailer, mobilehome or vehicle, the optioe 1. equipment and accessories thereon, the insurance as described and have agreed to all the terms of the financing arrangem ents.1 That the property 1 !Wet am lora ,,odinp in Js free from all encumbrances. whatsoever, except as noted above. Purchaser agreeseach'parograph and provision, of this contract is reverablerrH ane portion • thereof Is -Invalid th••rematning.portlon shall; nevertheless, remain in full force and effect. RECEIPT OF A FILLED-IN COPY OF THIS AGREEMENT IS HEREBY. ACKN LPG ED, BY- THE'PU ASER:%� :-; SHASMk-7PtAM01t SALES. - . DEALER Nolvand•Unleu-SlgnedandAcupt•dbranOffcer.a6th•Company,,,,- _ -,�,�.-..SIGNED CHASER y Approved. Subject to.occeplance of financing by-b_ank r finance• company? „",..i, i%-.._:': ,, SIGN -•p PURER " NOTE' ADDITIONAL TERMS REVERSE SIDE FORM 1OOC-3'H`;tier"�t;�oianam.mnretrrgp7nenrl9�s CALIFORNIA REES-LEVERING ACT,! l CUSTOMER'S COPY BAN � KOFAM-EIRICA , Q To; Chi co Main lib ------ gFtA1vCH 400 Broadway ---- AOORESS Chico California 95926 Mobile Home Dealer Escrow Instructions Escrow No. ��2------- JNel ESCROW OFFICER PHONE December 15_1_- t.9 8______- Gentlemenof the : ting as escrow holder herein, it is agreed that Youshall ino case S of your acianparticular evemanneraoreforra►hy other reason the failure of Yexcept nt b In consideration conditions of this escrow or damage caused by the exercise of your discretion not responsible to, YPLY negligence or wilful misconduct with reference to the said escrow, o d an°uagreementbcolntract orr other document filedfhe ew th grassY ascertain the terms or conditions, or to comply with any of the proves' or referred to herein, nor shall you be liable or responsible for forgeries or false personation.` hereto or with any but you may I is further agreed that if any controversy arises, between the parties eterm ne the same or tiake any acrd person tion n hith epremises, to the thlect matter` t ou shall not be required to d of this escrow, its terms or conditions, y ro riate legal proceedings or otherwise as you may require, notwithstanding I wvuait the settlement of any such controversy by final appropriate such event you shall not be liable for interest or damage. ii anything in the following instructions to the contrary, considered compensation f r IN < IS UNDERSTOOD that fees and usual charges agreed upon for Your that the conditions ons of tlhseescrow are not p omptly fulfilled -.1. r IT any;. ordinary services as contemplated by these instructions, and in the event that you render any service hereunder not provided for in the following controinstruversy segs hereunder or that of or that you are made a party to, or inter subject matter of this escrow or modification hereof, or that any co y you shall be reasonably compensated for such extra } vane. in, any litigation pertaining to this escrow or the subject matter thereof; Y controversy or litigation and you shat! have ordinary services and reimbursed for all costs and expenses occasions dime held byby such fyolu�hereunder until such compensation, fees, costs and. rY the right to retain all documents and/or other ohnng of value at any tl and severally promising to pay such sums Upon demand. expenses shall be paid, the undersigned hereby jointly . " _ (Dealer/Seller) The undersigned, ` Shasta Trailer Sales ; Lero Tiedemann and El and`ouise Tiedemann (Buyer) will, hand you or cause to be handed you the following: 500.-00 Cash/Check, herewith through Seller • • • • • • •' . • • " " "' . ' ................ '.. $ 36 797.00 ................................... $ n/a IM Cash/Check, to come ............... .........n/.a ....................... n�a ❑ Cash Equivalent, valued at . • • • • • • • • • • • described as: n/a n a $ I❑ Loan funds from $ n/a — which shall• be applied toward the total purchase price of $7 2� 7 .-0� for the mobilehome and accessory structures described below: Mobiiehome: New ❑ Used MGGa� . Go» ,Ra�G..,A or MARUTAGTURiR�S NAM■ NUN TAG »U MW&A YiAA o . SIZt •IG RV MBtRrS) - .. cop Factory ° CKU Factory � Order.; :. 1981 24 x 56 Factory Order Mountain Home unavailable upon the preparation of these Escrow Instructions, Seller will furnish information prior to close of *If these numbers are P escrow. n/a ,which are included in the purchase price: Accessory Structures totaling $ n/a. ❑ Shed $ n/ a ❑ Deck $ . ❑Awning $ n/a n/a _ ❑ Steps $ n/a' n/a ❑ Patio $ �n�a ❑ Other • O� Cabana � $ - ❑Porch $_ . ❑ Carport $L — - listed above includes n/T Cash value listed above does not include installation. Buyer to actually - n/® Cash value s and physically install above accessory structures. installation. You until thO.accessocy struc sso structures have not been installed by wrmination, the above amounts shall be withheld by If the accessory • . tures are actually installed. r$tq�are not to r Y subject nova! of Buyer. You ib.�'a� n/a _ __; which is included in ahove•rtescribed deposits. In connection with a used unit, seller will hand you a list o. accessor • items, sub ect to app prepare a Bill of Sale on your form, showing a consideration of $ .. - -- - where 8u er will accept delivery Ot swirl mohilehonin ane! I'll/ auCHssOI y strtic tu,es:.? a.4�:�(�ru•uL11r:.,_=Cs��tX-= Location_ of Butte, alifortiia ___ _.. n/ Unit -1s located in a mobile park and,e�ofc'1EoPI'�IkriP'�trylro''deta`11rf transactcun_ Prior t t�errAL yE tion Buyer ,v►1i hand you a statement that Buym- has 391120(! in rlle tern 1NmaL►+EqE tt continued on reverse _ x - nwKRi AME�1CA NTiSA Nf.Y9Ea f0 Prior to termination, Se!ler will furnish you with the name and address of the legal owner of, or on said mobilehome as shown by the certificate of ownership or the manufacturer's certificate of origin, and the signed and acknowledged release of all rights, title or interest in the mobilehome held by either the legal owner or lienholder, whichever is applicable. The release shall be conditioned upon the receipt of payment from the escrow account of the amount set forth therein. You are to comply with all lender's requirements and your receipt of loan funds will evidence buyer's approval of same. Escrow shall be terminated by one of the.following conditions: X= Mobilehome is subject to inspection requirements of Section 18613 of the Health and Safety Code. You shall release all cash and/or cash equivalent to the Seller upon receipt of either a cortificate of occupancy, an inspection report or a statement of installation acceptance showing an approved installation at the site; AND either a statement from the Buyer or Seller that delivery has been made, or a statement from the Seller that delivery has been offered to the Buyer in accordance with their agreement and that Buyer is free to occupy the mobilehome to the exclusion of the Seller. nl] aWobilehome is not subject to inspection requirements of Section 18613 or the Health and Safety Code. You shall release all cash and/or cash equivalent to the Seller upon receipt of one of the following: n/a0 Installed mobilehome: A statement signed by either the Buyer or Seller that delivery has been made, or a statement from the Seller that delivery has been offered to the Buyer in accordance with their agreement and that Buyer is free to occupy the mobilehome to the exclusion of the Seller. nka Uninstalled. mobilehome:.A statement signed by the Buyer that delivery has been received at. the location specified herein, and . that installation is not subject to inspection in accordance. with Section 18613 of the Health and Safety Code... nb Buyer has agreed to actually and physically perform the installation of the mobilehome. Buyer understands that escrow may close and release all cash'and/or cash equivalent to the Seller upon written notice from the Buyer that the mobilehome has been delivered. to the location specified herein and that Buyer has agreed to actually and physically perform the installation_of the mobilehome. Where any accessory structure is included. in the purchase price of the mobilehome, delivery shall be evidenced by one of the following:. A statement from either the Buyer or the Seller that the listed accessory structure(s) has actually been installed in accordance with their agreement, OR upon receipt of a statement of installation acceptance from the public agency responsible for the inspection. Any:amount(s) withheld for the listed accessory structure(s) shall be released to the Seller upon receipt of one of the above required documents evidencing delivery. Notwithstanding any of the above instructions, this escrow is to terminate if Buyer has not receked•delivery of subject mobilehome on or before. April Al. 1981 , which is 120 calendar days from the date Buyer signed conditional sales contract, purchase order, or security agreement; however, the date of termination .may be mutually, extended in writing.for 30 -day, periods.. In the event of such termination, all cash and/or cash equivalent deposited toward the purchase shall be returned to the Buyer. In the eveni a written demand for return of money or instruments.by a party to this escrow is received by you, you may await mutual written instructions or settlement of the controversy as provided herein. i"IC Buyer hands you herewith your usual escrow fee. In the event this escrow is terminated prior to consummation you.will retain $50 ,. as your cancellation fee and refund the balance to the Buyer. XSISeller will pay your usual escrow fee; as it is included in the total consideration set forth in the conditional sales contract. :.. XXX Buyer hands you: herewith a $50 inception fee which shall be refunded to Buyer upon consummation of the escrow. Said. $50 shall be retained by you in the event of cancellation. Dtsbairse proceeds and/or documents to Seller as follows: I= Credit Commercial Account No. at Chico Main #6 - .Branch. .`0 Cashiers Check to address below. x%XNy demand(s)-of lienholder as handed.you. 'XXX Deduct your escrow fee. Dealer requires that all additional funds as indicated above be placed into escrow. prior to.'..'. delivery,of subject mobile home from Dealer's business location. Dealer requires.that Escrow. Instructions signed by all parties be deposited with Escrow Holder prior to delivery'of. subject: mobile. home •from Dealer's business locat.i.on._ In.the event of a lender; you are to provide said lender with a certified copy of;escrow instructions, any amendments. thereto,;and•copies of closing statements and act on their loan instructions. These instructions may be,executed in counterparts, each of which so executed, shall be deemed as original, irrespective of the date of its execution and delivery; and said counterparts together shall constitute one and the same instrument. Seller Shasta Trailer Sales Buyer.. Leroy ltedem= ---- By: _ Buyer Addressp• Oa Ba .,57 _._-.-- Addresst.�2,.._Hs�?c.•,2_2�....._.__ Chico, California 95926 Oroville, California CIT`/ STATE ZIP CITY STATE' ZIP 4.2-_8.74.7 3 . 53.G. 118'L • . .. i • - .. � ... .. .. ... , • . • .. . �;:...;:;.-•i:.r; ::, - _ t X22 i 0rtae S -C[ ion Of Cl::: Ich;.:{ S,__ ir.St.ru._i0r.5 U iD: TfIE UEI',1RTi1EttT OF 1!Oi1Sl:i: 1,'IJ COiF1UYlTY DE1'ELOPftEtIT• Oivi.ion of Codes and S:anJard;, Clobfleh;,r,e Section �f / -P.O. Bo:t 3 1 , . Sacramento, CA 95201 (916) 445-:32,18 ' •1 { �(f,� le or 1oca1 a;en�y issuing Lurldin9 perri i;uildrng Permit tip. , r.• s; Gatc ?crriC issued s——j� LFAVE THIS SPACE ELA.N'K (ltty) (( ounty ZiP) ephone —•-- 'G'•f�;E2SHI•' IN: FOZ-3ATION =' 1..LLc�/i egisLer_ U.r::::"r'r Bare f (Leger Owner's idre) �. ,t�h.e•e•i1SCFreG 0•.{n2r•' s i!a r) in.y_ A_ddr2ss _ omega ) Orrner•s `lalling R,dres s -(C t ) lCou:rty5 t a t eTU I ) ZCiLy) s t a u r II?) ttir,bilenoce wil. tfa O,.errs -�—ri ncipal krsiderire?) ;=or•r, of L'orsenr Acceptee? Letter, et_. f.r+•}r.}•.}•}...}•.}t'+*+•+r+•+r+•.}•+r+•+•..}•.}•..•.}f}n+t.}•++w..TiYy„+•+I4.1+-+•+.+1 ir...+R+l+ra•+r+r+r++ C4:i;_i S11IP I;IFORfiATIOit -_REAL PROPERTY .� �iit^e Held �n the liana s of?) S SSO"r:'S—YAP,CEL .iUr15�' ? ('cal Property flailing Address) 1st Mortgage Holder's Name (2nd Mortga a Holder —1L Count' �P (Address) :Address meal Pro;pzrty Size? Length X 1;'dth or :acres) Cityj (Stater—�Zi�i) TCity;—State (ZIP) ;:iettho,' of Ver•ifir.ation? Dee;7, et.c.) Loan Pate :j—�ferr-s► Loan Rate (Terms) (Legal Description of the Real Proparty?.) c1,1 r Z/, 6: �Ci i✓� �'riy,4-� c L �i %11Y A11i71' III �O /74,Ymly jli i� /�:�;' jet' % /�� j// 71! !//i= l;(ff�%/>< i�irr' �f,%�� /moi/ =v /�l r/i ,�/ /yr.;� ,� j- T%r% /ref 7'1-1 �_ r✓r> :) / r: i '/ �'r G /a T Ti �" i 7,-4/� /./'/ .?/ l P /vl �.:.r+:..}•},n+r.}'.�.:.+a+•+e+a.}•+r.}iyr.}n+n•}:++s.}f+a+►+•.}w.�n+•+•+•+�+w+y+r+r+.+r+•+.+a+a+i•+wi•+•+wt•+••+.+•}•+++•� TIDENYIFICATIOU I;iFORM AT10N - MOBILE10i^.E ��-�-•----- ZI- �'c \ TDaLC Of �rlufac.ture (Mod eI Nate/NunbC� ;,�n.r{ turd s tia.a� SERIAL ifO. (VIN) INSIGNIA/LABEL N0. LEifGTH X WIDTH Ot•1V LICENSE;ECdL G0. 'S r �� �, I. '7'% /� .� ��E X /• /%r► H:p:: of the rear "r:" Unit '1/_% / 0. Che n:uhiie- "E" Unit "C" Unit "D" Unit J`77�2 Extericr Nall Covering? 'V _--- Total No. Rotes? r•Af Covering,? _ _. S)Y11'C~•LAS ,..Bedrocns? - E _X / Exterior Wall Thi0wiess?/T Tone. facing Baths? toward the Builtin front, the 'A' . "Y 'Unit is the ♦ '`one at your +,* �-'left. Next is Trash Ca'p3Gtor? etc) Rerrigeration? (A/C) Builtin "C46-1ktop?' 1� VacarCm? Builtin Ov i? G^_fling tt^i:Jnt? � ty Utility., Exterior Wall Thi0wiess?/T Baths? cel Builtin Microwave? „_ /(t•N� H^atirg Type? (Ti -1S Dining? Builtin Trash Ca'p3Gtor? Rerrigeration? (A/C) T�rti l0'n Builtin VacarCm? G^_fling tt^i:Jnt? � ty Utility., � Builtin Dish Vasher? T— _— Tc -.4 Bar ?L^cvrt? Oisposal? :•.<1=.s ic'wev? f� Other?LillI* ---t Other? .►,�}.•R.- ow.r►:+a �.•.+r.•,r.}•+e-�i} *T..r*.i•r•+•.}•r �.�a }•_Sys.}►+ +•.}•+sy.•F•�y }.r�,•.f_}.+s+r+s.}rev+.+••}i�r+•}•a•+)*i�..j•: {.. �.•}.+.►.+� ',ALES Itl:"0:;;!riTBlit - FOBIL;-HO:1E !G' dzll -(il. r. of .'urci•._,C?� r�urcnas^ r rte. List the items ar•d ooiear varus or any —— Gr.^sena I prop'rty ed iu t'r^_ purcn-)se price or tine rrobi eno•,e. EX M Lc 0.rye 9.oi) +CTfFiC;, C: OCL'?:,fisF Ir,stall:rtion of the above descrih•�d nobileho're on the real prop.•rty particulzrly descrlt;-(! hereon has bc-en eu:apleted and a/this eertffic3te of oecuptry issue^. on Ca.`�_� rutr.cr i -:a iig:+s Cure. !uta 1 ayer.:y: ;-," at • Z �' Or Recorded -at he reouest of PCE 1� %?RDED SAT THE REQUEST OF DSC(/-2l9H Return to �� yE "%` min. pasi o'ciock -------------------- L� Oy -F:.__Tiedemann----------------------- M. Voi 6 �S- Gage �. OPFICIAL RECORDS OF 2534 Quincy RoadBUTTE-COUNTY, CALIFORNIA Elp—s L- M. nt � Recorder Oroville, California By-.'� = `' ...................-- .-------------------------------........................... QEE=W-1& REC0RDER Fee r it n t e e b (Joint Tenancy) _ For value.received P. N. TIEDFAIA? N AND AN'N'A V. TIEDEMANN, h. s wife X GRANT ........ to LE ROY F. TIEDEMA''N AND ELOUISE M. TIEDEMANN, his wife as JOINT TENANTS all that real property situate in the County of BUTTE , State of California, described as follows: Lots 17 and 18, according to that certain map entitled, "Map of Paxton Subdivisi on in the S11n/ of Section 20, T. 19 N. , R. 4 E. , M. D.B.&M. , Butte County, California", which map was filed in the office of the -- Recorder -of the County of Butte, State of California, on April 4, 1923 in Volume "5" of Maps, at page 50. EXCEPTING THEREFROM the East 12 inches of said Lot 180 Dated -•---- November 30, ------------------------------------------ 1966 1' ........................... -.......................... .............................. i 1 STATE OF CALIFORNIA Butte ss' Countyof ................................... on__ -_December --1-,---...... i9__ 66.before me, ...... Barbara. _M_ Grimm ......................... a Notary Public, in and for said State, peTsonalZy a P N. Tiedemann and Anna V. Tiedemann. ... __.............. -............. =....... -.............. - ...... -.............. -.............................................. -............... ;; < BARBARA M. GRIAIM ....._...,....._._.......... known to me to be the person S. whose name ... e -__ subscribed Notary Public - CaNfornie to the within instrument, and acknowledged to me that t _heti'_, executed the same. My commission expires 7/26/6-9 f.:_ �- i ....... unty or Myfits Barbara ANotp?i�r`nblic MAIL'TATL STATEMENTS T0: LeRoy F. Tiedemann Name 2534,Quincy Road, Orovil.l e, California Address. Form €l j Zip Code r sr wi 1 'A Y ^S �I r Temp. Power Pole Called PG&E Temp. Elec. Service_ Called PG&E Temp. Gas Service C Cal led PG&E 00, t ± JOBINALED (Date)'��u o / Signature ;..,.... Vii. � PERMIT NO. / Q1913-81 PERMIT EXPIRES OWNER Leroy& Elouise Tiedeman n CONTR. owner ASSESSOR PARCEL 35-211-2 LOCATION 2100 Grove St., Oroville r sr wi 1 'A Y ^S �I r Temp. Power Pole Called PG&E Temp. Elec. Service_ Called PG&E Temp. Gas Service C Cal led PG&E 00, t ± JOBINALED (Date)'��u o / Signature OK •- O Not OK — = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC.. (Plans) OK except #'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. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Locatior>—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. 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 MOBILF_HOME INSTALLATION (P ns) OK except #'s Date POOLS (Plans) OK except #'s o 'ng Requirements—Setbacks—Easements 1. Setbacks—Easements o tings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability G H Test— em —Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining Electricity es Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI _— rain; MH Tes — all—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI §.yftter; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed i.oVVter and Sewer Connected—C/0 to Grade—HD Approval 8. Gas and Electricity Tagged xits; Insp.—Sketch 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-IDate Card -81 Date Card -BI Date Card -BI Date C B-1 %Date Card -BI Date Card -BI Date Card -BI Date ti / 72 ���d���=-. = OK O = Not OK - = Not Applicable = Not eady RESIDENTIAI'(Single and Duplex) UND LOOR Plans OK exce tN's Date FRAMING (Continued) Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings tg., Main; Soils-Steel-Elec. Grnd.- / /" Fig. Depth 49. 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. tg., Porches & Decks; Soils -Steel- / /" Ftg. Depth temwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. S emwalls, Garage; Steel-Blockouts-Wrapped-Slab Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54.• Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date 14, Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's Card -BI Date k Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 1%/Gas Pipe; Size & A chors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth rt 4 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. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close. to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails &Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. 75. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes E) No; Planters El Yes El No 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes 0 N 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 Date Card -BI Date MECHANICAL (Permit) OK except q's 82. 83. Glass Protection Corrections from Previous Inspections ' 85. st-Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 31. A.C. Ducts: Insulation & Support _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI _ _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors _ 37. 38. 39. 40. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shlhng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. _Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) n COUNTY OF BUTTE-tEFPATM NT OF PUBLIC WORKS 0 P RMIT NO - 7 County Center Drive - Oroville, Califorpia 959.65 - Telephone 916/534-4541 APPLICATION -AND' PERMIT ASS SSOR PARCEL N MBER g5_2/ / — Z ZONING ! P3 ' BUILDING PER OWNlE-R (� LG�I �1oUIs6 TrEbctia�+M TELEPHONE SIO. FT. OCC. BUILDING VALUATION v 00S. OWNER'S MAILFrNG ADDRESS R7 2 BoX ZS3 3 OROVILL5 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS .. Fireplace CONSTRUCTION LENDER r-'' UNKNOWN Total Valuation Is 00 T. 00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee , p0 � $ ARCHITECT OR ENGINEER - - RtIA4645Rw 2-N�/NES-V/�DCE fls�, LICENSE NO. cE 85(0 Plan Checking Fee $ A CHIECT �D�Vl LIN�ADoRE��s ���' /� �2 RS94 �/ /t/ (/T/- Permit fee i BUILDING ADDRESS Z/ 00 ✓E ST PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping .OU LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1- 5 outlets 57"00 USE OF STRUCTURE SF ❑ Duplex❑ Mobi lehome KK Other FAIT• SPECIFY Building sewer 5.00 Lawn sprinkler system 5.00 TYPE OF WORK New gl� Addition ❑ Remodel ❑ Utilities ❑ Insta11 ti ❑ Other ❑ Describe work:FAID U%7L� �D� /� /�. Permit Fee $ 2 , 0 4 Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 5.00 5,400 . , Main service -EA. ADD'L 100 AMP 2-.50 2,15-0 NEW CONST. ( DWELLING OCCUP.y` OR ADDNS. ACC. SLOGS. 2� 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 ❑ 1, as the owner, or, my employees with wages as their sole compen- sat ion, 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 NEWCONSTNON-RESIT R. BRANCH CIRCMULTI-OUTLETITS 2.50 ea / NEw CONSTR (POWER APPARATUS e1 f NON-RESID. SINGLE OUTLET CIR. / ! 50 0250 Ex. Occup ouTLETs OR FIXTURES BAL@1 Ex. Occup,(ou TLE TS IXEI P(RESID )REA. 2.00 I Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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 $ 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 id ounty in con q ence of the granting of this permit. X Dat Signature of A Plicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height/,g Mobile Home Installation Fee $ TOTAL PERMIT FEE I $ D Occu P. GROUP I TYPE OF CONST. / •r/ PAR L PD jam/ HD ISSUE Ii// This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRETOR OF P BLIC By- Ci(r� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Receipt No. 50 g % Jrj�J?D 3z-ZSDate WHITE-D.P.W.• YELLOW- O© }! SPECTOR, GOLDENROD.APPLICANT .....•-..••w_-T.-�,-,....-----^-•'ta,,,"G"'W'�:g.:,r�,r-:-e�3vw..4r �+�j"y��Y'':/"'�.w-^'w �` .. �T-v--......',-.-'-......r.I'•^....-•-.—"•w. ..1:.:s,..+..- . COUNTY OF,BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION c j 7 COUNTY CENTER DRIVE - OROVILLE, CALFORNIA 95965• - TELEPHONE: 916/534-4541 } V I "PERMIT APPLICATION DATA SHEET _ Permit No.— OWNER o. OWNER LEe0y i ELV t,&_56 7_7C-D67Al A AJ A. P. No. 35 Proposed Building Use �7/TiL Fd AL Permit Fee Fee Based Upon; Complete Contract Price L ----'DPW Valuation .f Other (Explain) Building Inspector Date 5- Z7-92 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. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. T T- 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . • . • ���9. Letter of signature authorization. -( �%'�� Sanitation approval from W13 0 � Health Dept. � I F k4 _kk 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . ..i. J3. Contractor's License Information (no., name ssty�, classif.) Owner -Builder Verification (Given to ownerD, Mail to owner ❑) �o 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . • • • • • • . 17. Pre -Ins ectio for Required •Pre-Inspec. request to p �i Building Inspector t p .r 18. Other � ` Y © �//�, L y AA When u issue the erJm't pr ass follows: Mail to owner. Mail to contractor. Telephone �2-1 and Oor pickup at office. Deliver w/inspector. s h � Q N ���" ✓ Applicant / Dal. X/1 i __77 z Copy of plans sent Health Dept., Fire Dept., Other Date v During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of ap cation; circle item.) 1. Index permit for above Items No. 2. Additional items required: . f (Contractor, Designe ,Owner was advised of above required data Plans checked by. Plans approved by Other: 7 Copy—DPW RV By TeIRDhone Mail Other Date Date Date a , . Telephone • 533-2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION 53-81 BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building Oran Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: Applicant Address - Applicant Phone No.: LeROY-F. & ELOUISE M. TIEDEMANN Rt. 2, Box 2233, Oroville 534-1182 Property Location (S): 2100 Grove street, Oroyi l 1 P Paxton Subdivision, Lot 17 A. P. No. (s): 035-21-1-002-0 41 Fees Paid: SCOR FACILITY CHARGE OF $800.00 DUE & Q o NBPUD CONNECTION FEE OF $250.00 DUE Application for service approved: North Burbank June 2, . 1981 Public Utility District Inspection(s) made and successful test(s) observed: Location: Date: By: North Burbank Public Utility District release to close permit: Date: By: /L PRE -INSPECTION REPORT OWNER: DATE: LOCATION: -L( 60 (� ac�Lt1' e— A.P. #- CONTRACTOR: _ GLS 4) ZONING:_ ,P f1/ PRE-INSPETION FOR: /G Lc_L �� ��_ C r o S4 ` r� DATE TO 24SPECTOR: / PERMIT HISTORY:( ) NONE (-FOLLOWS:��o( Building Descriptions Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedNacant Electric: Yes No Condition of Electric . Gas: BUILDING WSPECTOR'S REPORT Electric currently On Off Natural Propane None Obvious Problems: j Sanitation: In t' V Plumbing Working Well Working Obvious SewageProblems Currently On Off Potable Water Comments: , ACTION RECOMMENDED: ISSUE:—, i HOLD FOR r r. Inspect a-3 - Date Sketch buildings on reverse and indicate location on property. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION /( 7 County Center Drive • Oroville. California 95966 + .T6lephone (530) 538-7541 Rev.12/96j APPLICATIONAND PERMIT PERMIT r` Assassoll°►. — 6 OZ n°""° 4/ BUILDING PERMIT owma Ts�ro� �v SO FT. OCC. BUILDING VALUATION OwNO11 W1�Mq Apg�je � CONTIAMMI MUM M OOMr1MCT0111 WALO O AOOIleie 00 NtT1111Cf 1011 ll/O91 LE/DM" 1AAM ADDAM Fireplace ARCHffcrOft EMOLWM ucu+se NO. Total Valuation Is Firing Fee S 20.0c AACH R= ON °' GINIM1 UQUM ADDAM Permit Fee = suacao AOOIIIEt>f Plan Checkin Fee = -2a 0 a— --itf– Energy Plan Checking Fee— t �rMn eueolve10"p4mg PA11ClL WAP PERMIT FEE IF 0. ►EES IYP 0 I coo, PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each rap 7.00 SF O Duplex O Mlobilehome O � Other Solar or heat PUMP water heater 23.00 . jo Water piping 15.00 e°eenr TYPE OF WORK Each gas water heater or vent 15.00 Now O Addition O Remodel O Utl� ET" Gas piping stem i - 5 outlets 15.00 hstaletion O Other O Building sewer 15.00 Describe Work: /'�/� ����� Mobile Home S G W @20.00 PERMIT FEE S old 6 X O ELECTRICAL PERMIT Filing Fee 20.00 - ......... _—•----.--- Main Service 800v011 s 200Aonutss 23.00 Z_-aC Main Service 200A TO 1000A 49.00 NEW coMs . 0A A00Ms. °Ya AccICC. KaLwo D °• 3.SCR MO1►RE9Cofer. . YULTFOUTLET Gn ffm ) 07.SO EX. OCCU ounFr on i w o Ex. Occu ov ETS MBM1E31io Fk 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mise. W'uin 23.00 2—?, Ex PERMIT FEE S a �� MECHANICAL PERMIT Filing Fee 1 20.00 t I Hood 1 9.50 Ventilation V. zgl6bl PERMIT FEt I S ,�Aobile Home Installation Fee I S Energy Inspection Fee S occ corar rrP£ ETOTALLIFEE _MAZ. 0. ►EES IYP 0 I coo, I PAACQ. I Po MDI 63LE 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 Oa:e PERMIT EXPIRES ON (pare) 35-211-2 ' Leroy Tiedemann 210 Grove t., lot 17, Oroville P m �k14-81B,E(ut ,MH E , UPPORT URUCTURE REQ.__ � COMPACTION TEST REQ. 35-2„i1-2 Permit #191-81B.P,"E(fo undat6 i n ut i1. ppTr VRT-3l llUC-1:: lam+ �' • - OROVILLE, CALIFORNIf GENERAL CLAM CLAIMANT: LeRoy Tiedemann ADDRESS: Rt. 2, Box 2233 CITY & STATE: Oroville, CA. 95965 IMPORTANT: June 4, 1981 SEE .INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) I AMOUNT Refund pursuant to Item #58,.Board'of Supervisors meeting 6/2/81. Plan checking fee (mobilehome utilities) ------------------- $10,.00 Plumbing permit fee -------------- .----------------------------- $40.00 Electrical permit fee ----------------------------------------- $32.50 TnTAI $82.50 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. - ... ......... . Dated this .......................... day of .'J.11tt...k... 1 et,�%(��y� .. ..... gnat re of C im t I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval ® (Checkone) for the same. _ 4th June 81 Oroville . .............................. Dated this ..... day of ............................. 19......, at .............................. . Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code .........:......................................PAYABLE FROM............................................................................................ F ITN D DO ,NOT WRITE BELOW THIS LINE - AUD.ITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD. SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. COUNTY -OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, i aliforn;a 95965 - Telephone 916/534-4541 • APPLICATION A_ND PERMIT PERMIT V ASSESSOR PARCEL N MBER ZONING �� '� Q 3 BUILDING PERMIT O WNE TELEPHONE _CW' 3 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILIN9 ADDRESS �� � O' e_ CONTRACTOR'S AME nn••�� W TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER p�- l.J \ UNKNOWN Total Valuation $ Filing Fee $� LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE•NO. Plan Checking Fee $ OKIO Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping Q, LOT NO. SUBDIVISION NAME PARCEL MAP • Each qas water heater or vent 5.00, Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeR21"'Other SPECIFY 'Building sewer cD, Lawn sprinkler system 5.00 TYPE OF WORK �-, New ❑ Addition ❑ Remodel ❑ Utilities B/ installation❑ Other ❑ Describe work: Permit Fee $ .�D Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 SIM J Main service EA. ADD'L 100 AMP 2.50 tS NEW CONST. ( DWELLING OCCUP.81 OR ADDNS. \ ACC. SLOGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business 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 NON.R ESIC. BRANCH CIRC TS NEW CONSTR.POWER APPARATUS S NON-RESID. (SINGLE OUTLET CIR. sD L 254tand Ex. Occup oUTLE Ts oR FIXTURES BAL�1 TS XED P(RESID.)REA. 2.00 EX. QTLE CCup.� OU 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. Q' 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. I also agree to save, indemnify and keep harmless the County of Butte against all 'liabilities, judgments, costs, and expenses which may in any way accrue against said County in c sequence of the granting of this permit. /rO �%1��� Date �, Signature o pplicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee . $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work-' indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. ��n1-3 .h WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF. BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL9' CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER L1liCJdD A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price �'� DPW Valuation !ttherMExp. Building Inspector. Date _ At time of permit application, I was advised the fo lowing 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. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. •7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorizatioonD. 10. Sanitation approval from �� C C� Health Dept. 1. lanning approval for (A) Used 1f. (B) Parking: 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 (Date) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Appl ica to Jai/C� Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item-) 1. Index permit for above Items No. J0 '1- // 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Plans checked by. Plans approved by Other Copy—DPW Telephone Mail Date Date Date Other COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I planto ovide portions of this work, but I have hired the following person to co rdinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will p ovide some of the work but I have contracted (hired) the following persons to rovide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security nu mber�' Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. .IPC.P A/�/� i. 19N. RAE. M.D.6.aM. MCI F ' �O o /3.5 o---------- /6 O ,3 5�/ v /6 o 5� c 5o O � O 5 O 5 20 o 21 19 1 C \ - �� - ^- -o \ (tl D to N 19 P C 21 1- 12 2.5 24 25 26 L 7 29 2 2 /7 �1 t 2 2 p h 10 133.05 3 Q /35 h 3O /6 b I 50 5 to VIRGINIA /32.08 1 35 I ! 5 N�.JO 1/00 50 1 50 50 XW N 13 14PA t ' i 21 .'O/ /00 99 98 47 96 95 94 93 92 j 9: I � 8 (D Lot A i O SQ 100 ! i I /17.10 h /35 h 0 L5 50 33 5o 32 50 7.3 50 2 2 /00 i 2 i 50 20 60 ly 82 ! P23.87 55 Ul 102 /03 104 of /0.'. rj 106 n /07 I /06 c 109 .//0 /O 1 -Ai zi 1 i 5'O' t 1 i � I PALERMO SOUTHEW4 F IG paC►WWI r �\.I ._ ; i1 c; 0► (�J 1 14 n