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Home My WebLink About028-240-031I L% I 28-24-31 92-1017P,E BLANEY, Tammy &,Fred hai9 ,.40 Wayne Clem -Way,. Bangor mh ' utilities, ELEC Joe) 6go-InIl jo-wol oo GAS 1_ P(; 3/.y - 60 COMPACTION TEST REQ Alt, q SUPPORT STRUCT REQ - 28 -24-31 92-1078B BLANEY, Tammy & Fred 40 Wayn e Clem Way, Bangor demolish house 28-24-31 92-1083MHI BLANEY, Tammy & Fred 40 Wayne. Clem Way, Bangor cont: Skycrest,Enterpris es —mh' --- -- 028-240-031 PERMIT#97,-0 BLANEY, Tammy 40 Wayne Clem Way, Bango Ex MH On Perm Fnd k ---- 31 TO cc) CD (ORECORDING RMUES7ED BY: - AND WHEN RECORDED .MAIL TO: NAME BUTTE COUNTY BUILDING DIVISION STREET 7 COUNTY CENTER DRIVE ,"ADDRESSOROVILLE, CA 95965 CITY, STATE and ZIP. b7-01'6488 97-:_0 6488e. 497-016488 97-0 1 6484'1' Rec Fee 00 1 Total , 00 Recorded 1 �' Official Records I 'County of I Butte I Candace J. Grubbs I Recorder I A IV:12am 6 -May -97 I )COMS t�^`X}, 2 SPACE ABOVE THIS UNE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOSILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local "agency indicated is iri occordance with_Colifornia Health and Safety Code Section 18551. This document is evidence that such local agency has - issued a certificate of occupancy for installation of the unit described hereon', upon the real property described with certainty below, as of the dote of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. FREDRICK . & TAMP—B REAL PROPERTY OWNERAESSOR P4 BOX 243 MAILING ADDRESS BANGOR, BUTTE CA 95914 CITY COUNTY STATE ZIP 40 WAYNE CLEM WAY INSTALLATION MAILING ADDRESS. IF DIFFERENT BANGOR, BUTTE, CA 95914 CITY COUNTY STATE ZIP SAME _ UNIT OWNER (If also property owner, write "SAME'l BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVIL•LE, BUTTE, `CA 95965 CITY COUNTY STATE ZIP 97-0828 ' (916)538-7541 BUILDING PERMIT TELEPHONE NUMBER s/S 9 SIGNATURE OF LOCAL AGENCY 9WICIAL DATE NONE DEALER NAME (If not a dealer sale, write "NONE'l MAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION SKYLINE HM INC. 11/05/91 OAK MANOR/OKM22005 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 06700385AE/06700385BE 28 X 58 UL1341991/2 SERIAL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED LENGTH X WIDTH ASSESSOR'S PARCEL NUMBER INSIGNIA/LABEL NUMBER(S) 028-240-031 HCD FORM 433(A) Rev. 8/91 WHITE—County Recorder CANARY—HCD PINK—Applicant GOLDENROD—Building Dept. a � � LEGAL DESCRIPTION FOR AP#28-240-031 LOT 5 IN THE TOWN OF BANGOR, BUTTE COUNTY, CALIFORNIA, AS SHOWN ON THAT CERTAIN MAP, WHICH WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 7 OF MAPS, AT PAGE(S) 77. EXCEPTION THEREFROM ANY PORTION, IF ANY, LYING WITHIN THE FOLLOWING DECRIBED PARCEL OF LAND: BEING A CERTAIN UN -NUMBERED LOT OF TRACT, LYING BETWEEN LOTS 4 ANDT OF THE SAID TOWN OF BANGOR, BUTTE COUNTY, CALIFORNIA, AS SHOWN ON THAT CERTAIN MAP, WHICH MAP WAS RECORDED IN THE OFFICE OF THE REOCRDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 7 OF MAPS, AT PAGE(S) 77, MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHWEST CORNER OF LOT 4 OF THE SAID TOWN OF BANGOR, BUTTE COUNTY, CALIFORNIA; THENCE EASTERLY ALONG THE SOUTHERLY BOUNDARY LINE OF SAID LOT 4 132 FEET TO THE SOUTHEAST CORNER OF SAID 4; THENCE SOUTHERLY, PARALLEL TO THE EAST LINE OF THE OLD OROVILLE AND BANGOR COUNTY ROAD, 158 2 FEET; THENCE WESTERLY, PARALLEL TO THE SOUTHERLY LINE OF DAIS LOT 4, 132 FEET TO THE EASTERLY LINE OF SAID ROAD; THENCE NORTHERLY ALONG THE SAID EASTERLY LINE OF SAID ROAD, 158 2 FEET TO THE PLACE OF BEGINNING. 0 BUILDING PERMIT NUMBER: 97-0828 Address or location of unit: 40 WAYNE CLEM WAY, BANGOR Legal Description of Real Property: A.P. #/028-240-031 SEE ATTACHED LEGAL DESCRIPTION. (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation sytem pursuant to Health and Safety Code Section 18551. Owner's name: FREDRICK AND TAMMY BLANEY Owner's address: P O BOX 243, BANGOR, CA .95914 INSIGNIA OR HUD NUMBER: ULI 341991/341992 SERIAL NUMBER OR V.I.N. 06700385AE/06700385BE MANUFACTURER'S NAME: SKYLINE MH INC. YEAR:" 1.991 OFFICIAL APPROVING INSTALLATION: DATE: 5/5/97 PHONE: (916) 538-7541 a H.C.D. 513C ' 916 674 8840 APR -11-1997 11:53 YUBA CITY TRANSAMERICA FINANCUIL SERVICES 916 674 8840 P.01 Transamerica Financial Services x130 Civic Ccnt+er Boulcvard, Suite roo Yuba City, California 95993 Telephone: 9x6 694 8840 April 11, 1997 Mid valley Title 2295 Feather River B1"vd. Oroville, CA 95965. RS: Blaney, Frederick To Whom It May Concern: As legal owner of the Skyline Mobile Home (ID#90002), we consent to the placement of a permanent foundation to said Mobile Home_ If any additional information is needed concerning this matter please do not hesitate to call. Sincerely, Jo Donovan Branch Manager JD/civ 916 224 4817 'APR -02-1997 '12:41 916 224 4817 P.01i01 L7 STATE OF CAL.TFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT TITLE SEARCH - REQUESTED ON 04-07-97 AT 11.:18 BY CDRE:1102 DECAL: LAS6299 MANT)F: SKYL{NE HM INC TRADENAM: OAK MANOR MODEL: OKM2700S MANUFACTURED -ON: 31-05-91 F'TRST SOLD ON: 04-30-92 RATING YR: NONE ORIGINAL PRICE. CLASS: AHN REG EXPIRATION DATE: NONE ILT EXEMPTION: NONE: USE: MH SNGL.F FAMILY TAX TYPE:: LOCAL PROPFRTY SERIAL NUMBERS) LABEL/INSIGNIA NUMBER(S) LENGTH WIDTH 06700385BE ULI341991 672 1.56 06700385AE ULI341992 672 1S6 RECORD COND: 47 NO PARK PURCHASE FUND FXF*MPTION ESTADLI.SHED REGISTERED OWNER: BLANEY FREDRICK M LAST REG CARD: 06-11-92 40 WAYNE: CLEM WY BANGOR CA 95914 LOCATION ADDRESS: 40 WAYNE CLEM WY BANGOR CA 95914 BUTTE COUNTY LEGAL. OWNER SF.0 PAC��A'Yi-BiC--' I -AST TITLE. 06- 17.93 3151 E IMPERIAL HWY BREA CA 92621 LIFN PERFECTED ON: 05-08-92 AT: 12:31.:00 ***** END OF TITLE SEARCH ***** V�j 4 Wu aa N c r 129575-KM 92-35160 Escrow No. '--= Low No. 92-035160 Roc r oe 3.00 I Chock 3.00 Recorded WHEN RECORDED MAIL T0: I Official Records 1 _ Fredrick M Blaney County of 1 - = Tammy Blandy Butt• 1 P.O. Boz 243 Candace J. Grubbs I ''''' Bangor CA 95914 Recorder I 11f13a• 5-Aug-92 I PUBL X 1 MAIL TAX STATEMENTS T0: -0- _ _rT DOCUMENTARY TRANSFER TAX i........... __..._...__....._ Fredrick M Blaney and t«TpAw an the °°'"°"'tion w voA d Poomty aa""yse on - Tammy Blaney ...... GWrVAvd on o» aW*ft M a vwe IM WM Or snaenOrslLpss P.O. Bo: 243 T.nn.en.p °"" d tuM Bangor CA 95914 .. v AWN Mo tom- ne Nwe a GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby adwwwbdpd, /sole and Fredrick M Blaney, a married man, as his separate property :;. hereby GRANT(S) to Fredrick K Blaney and Tammy Blaney, Husband and Wife, as Joint'Tenants ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: IAT 5 IN THE TOWN OF BANGOR, BUTTE COUNTY, CALIFORNIA, AS SHOWN ON THAT CERTAIN NAP, WHICH NAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 7 OF NAPS, AT PAGE(S) 77. EXCEPTING THEREFROM ANY PORTION, IF ANY, LYING WITHIN THE FOLLOWING DESCRIBED PARCEL OF LAND: BEING A CERTAIN UN-NUMBERED LOT OR TRACT, LYING BETWEEN LATS 4 _ AND 5 OF THE SAID TOWN OF BANGOR, BUTTE COUNTY, CALIFORNIA, AS SHOWN ON THAT CERTAIN NAP, WHICH HAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 7 OF NAPS, AT PAGE(S) 77, MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHWEST CORNER OF IAT 4 OF THE SAID TOWN OF BANGOR, BUTTE COUNTY, CALIFORNIA. THENCE EASTERLY ALONG THE SOUTHERLY BOUNDARY LINE OF SAID IAT 4 132 FEET TO THE SOUTHEAST CORNER OF SAID IAT 4; THENCE SOUTHERLY, PARALLEL TO THE EAST LINE OF THE OLD OROVILL.E AND BANGOR COUNTY ROAD, 158 1/2 FEET; THENCE WESTERLY, PARALLEL TO THE SOUTHERLY LINE OF SAID LOT 4, 132 FEET TO THE EASTERLY LINE OF SAID ROAD; THENCE NORTHERLY ALONG THE SAID EASTERLY LINE OF SAID ROAD, 158 1/2 FEET TO THE PLACE OF BEGINNING. AI'N U28-240-031 Dated 7-31-92 .,: 1 Fredrick N Blan STATE OF CAUFOAFGA YUBA COUNTY OF on 7-31-92 balm me. .,3 Gary R Randle Fredrick N Blaney 1 pmonalh known to me (a awed to me an tlw esus d eatiaeat ro y ,vwence(rooemeoe.wn�sly+wsenamela(aarea,oicnoadbenewrawn R. RANDUE ..GARY� In1lnuTeM and wkntow*og d to rTre Leal P she" e.eculed ow sm"o•` �.gTAAv nreUC • CMf in histw.ro" outf nied cat envies). and " by tt'srhm va T wgV.NC.a^+ E..^w Mn tt. te0l- hireW on Cro ns"Urrm" fne owson(s) or the emery upon b~ of wroo the pww(s) actes. *mewed ?te ostrumeTM i WITNESS ^W nand of w uN, / � •� C,nnar, a. / ) ITh% weA b OAC,* of wli NM �199a . J 1 M1 == ... 'RESIDENTIAL 28-24-31 92-1017P,E BLANEY, Tammy & Fred 40 Wayne Clem Way, Bangor F mh utilities (07& t F r� - 44�K 1, 1 a � j1 1 r f 4 r s t OFFICE COPY Address i GAS Metes By Date t ELECTRI Meter By Date r t f `JOB FINALED ( to 4 Signature MOBILENOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541.; r • PERMIT NO, - C� Address or location of mot ilehome Owner's name :I- h1�tiC Owner's address l, Insignia or hud number L67q,. Manufacturer's name r Serial number I.N. r Year of anufacture ffici I APP -;,.A nstallation) (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. ol d513B White owner, Yellow -Installer, P' ' ') r:D V=OK O = Not OKNot Applil" = Not Readya¢le MOBILE HOMES Date MOWtt HOME UTILITIES Plans OK except ft's 1. Zoning Requirements -Setbacks -Easements Soils; Special MH Support Sketch ewer; Location -Test -Fall -C/O Concrete ater; Location -Test -Easement Needed (Sketch) Electricity; Location-Clearences-Grnd4jianp-Concrete % ._0'_,--6N,-as: Locati(ingest-Wrao ,'i'/"L"ft // /"Nat. oWL"R./ 'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date , and B-1 D to Card B-1 Date � and B-1 -� ate Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #i's Zoning Requirements -Setbacks Easements F otings; Size -Spacing -Marriage Line MH Test-Demand-Valve—Connector Electricity; MH Test -Crossovers -Breakers -Clearances 5 rain; MH Test -Fall -Flex Connector 6 Water; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval ts; Insp.-Sketch rt. of Occupanc Date cam! 4,L B-1 V7 �y Date Card B-1 Date I Card B-1 Date Card B-1 r r MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel T 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK Not = Not Readble aRESIDENTIAL Date UNDERFLOOR (Plans) OK except 11's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's --- ------16. Water Htr.: Vent -Access -Combustion Air -Baffle ----- - ---- - ------ ------ - -------- 17. Water Pipe; Test & Anchor -Nail Protection ---------------- ------------------------ 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ---- ------ ---- ------------------ -- 19. Shower Pan; Test, First Floor -Tub Access -------------- ------- --------------- 20. Test -Tub & - -Shower, Second Floor -Tub Access ------------------ ---------------- 21. Gas Pipe: Size & Anchors Date Card B_1 --- Date - Card B-1 -------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's ---- -- 22. Fixture & Transformer Clearance -Ins. Protection - - ----------------- 23. Eleq. Receptacles Spacing -Lights & Switches at Doors ------------------------- -------------------------------------------- 24. Size - Boxes & No. of Conductors -Stapled ---------- --------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C_J. --- -------------- --- ---------- 26.-Equip.-Ground-madeup w/Mech. Fastners-Bond--Gas & Water ------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------------------------------------------------------ 28. Subfeed Wire Sizer r ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI - - - ------------------------ 29. Range Circ / / ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------- ----------------------- ---------------------------------------------- ------------ 30. Service_Riser Conductors & Gro-und-M-ain-Disconnect-- ---------------------------------------------- 31. Equip_ Clearances Panels-Motors-Mech. Equip. ---------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light -- 33. Smoke Detector ------------------------------------------------------------------------------------ Date Card -B-1 1 Date Card -B- 1 --------------------------------- ---------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft's J 34. A.C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation ----------- ------------- - --- ----- - --- - ------------ ----------- 36. Condensate Drain & Overflow: Size & Grade ----------------------- ------------------------------------------ - --- --- _ 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- - ---- -------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ------------------------------------------------------------------------------------ ---------------------- -------------------------------------------------------- Date Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors ------- ------------------------------------------------------------------------ 40. Walls Studs-Nai-ling. Spacing -&- Bracing -Plates -Sound -------------------------- ----------------------------- 41. Bearing Walls over Girders & Floor Nailing -- - - -------------------------------------- 42. Draft Stop in Walls (rat proof) '------------ --------------------------------------- ----------------------- +r: 43.. Fire -Stops: Furred Ceilings -Stairs -Chases -Tub ---------------------------------------------------------- 44. Headers & Beam -Size & Bearing Single & Duplex) Date , FRAMING (Continued) ----45. Hangers=Post Caps -Anchors -Connectors 46. Cing. Joist-Rflr_ties-Purlin-root Brac-Truss-Shthng.-Rfng. --- 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance - -- - 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ----- 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions --- - 50. Garage Fire Protection Framing ----- 51. Property Line Firewall & Openings -- - 52. Ext_Doors-One 3' -Check Garage -3rd Story, 2 Exits --- 53_Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ----------- 54. -plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer ----- ---- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ----- 57. Glazing Area -Glass Protection -Skylights -Plastic ----------- 58_Shear Walls: -Nailing -Bolts - 59_ Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows - -- - --------------------- Date - -- Card B-1 -- Date - Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except it's - 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: -Above Floor-Ducts-Mech. Protection -------------- ------------------ 64. BedroomExiting 65. G_F,I_& Bath Fixtures & Tub Access -Spa ____ 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ----------- _________ 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. ------ -... 70. Kit Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance ----------- 71. -Elec. -Outlets & Receptacles at Kit. Counter ------------------ -- ----- 72. Garage Fire Door Swing -Landing -Closer 73. A.C. Duct in Garage -Damper --------------------------------------- -- - 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb._Elec_ & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G_F.I.)-Romex Protection -------------- 7;.- Insulation -Foam -Looked in -Attic ❑ Yes --------------------------- -- 78. -Guard -Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth ---------Clearance Looked -under Floor- ❑ Yes _ 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; ___ Planters ❑ Yes ❑ No__ _ 81 Stucco Brown -Finish - - - --82.-A_C_Unit: Disconnect_ Electrical, Plumbing -- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings _ --------- 84. Water Well; -Disconnect, Electrical, Plumbing - 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground - 86. Ventilation Throughout House ------ --------------------------------------------- 87 Glass Protection - - - --------------------- - ------ 88. Corrections from Previous Inspections - ---_----_ TT�_ 89.Gas Test -Meters Tagged; Gas -Electric ----- -- -. 90. Water -&-Sewer Connected -C/O to Grade -HD Approval- - 91. Energy Compliance Certificate -Other Certificates ----- ----------------- --- --- Date Card B-1 Date Card E3-1 --------------- - --------------------- -- -Date-- -Date_ Card B_t - - Date --- Card B-1 Date Card B-1 Date Card 13-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County CentecDrlve - Orovllle, Callfornla 95965 - Telephone: 916.`538.7541 APPLICATION AND PERMIT. _ PERMIT NO. ASSESSOR PARCEL NUMBER 028-240-031 ZONING U BUILDING PERMIT OWNER TELEPHONE 679-2457 SO. FT. OCC. BUILDING VALUATI N , WdmM MAI LIFREDDBEANEY SS 40 WAYNE CLEF WAY BANGOR 95914 CONTRACTOR'S NAME SKYCREST ENTERPRI TELEPHONE G CONTRACTOR'S MAILING ADDRESS 13468 HWY 99 CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 40 WAYNE CLEM WAY BANGOR 95914 Permit fee $ 35.00 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobiiehome® Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Rem del ❑ Uti lities ❑ Installation;] Other ❑ Describe work: MH I _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS j$,50 200A OR LESS Main service 200A TO t0o0A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .JO. 1S'fl� Classification_ El 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.&\ 3.64 sq.ft. OR ADONS. 1 ACC. BLDGS. I NEW CONSTR ULT' -OUTLET NON-RESID• BRANCH CIRC ITS @ 5.00 (POWER APPARATUS 1, SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20 76 EX. Occup. OUTLETS ( FIXED RESID )NS.REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bVirin g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon thea ve-mentioned property for inspection purposes. I also agree to save, ' nify and keep harmless the County of Butte against all liabilit judg n , costs, and expenses which may in any way accrue agains County n e of the granting of this permit. X I — I %/ Date Si nature of A carie - Owner 9 P ❑ Contractor Agent ❑ An OSHA per t is required for excavations over 5'0" deep and demolition or construct- ion of structures over en stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 105.00 HAz — DFE IMP — FLOOD L CDF PARC L P HD ISSU This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indic ed bove for which fees have been paid. CTQ9 O PUBLIC WORKS B Date !2LU_qZ PE IT EX IR DateHITE-D.P.W., [Receipt No. 115620 YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT N�` r1 v � rr-'« ^-• , '"f.'�"'�%v'f`�hF"v�,�7'�ujp'�'^'".F�Ml,l!'cYJtiFi'i#:��'1Z.`+�'�R"Syi11f+`�''�ii�tT�f$�q['s,�:i��t:Ek=1�iyY'1`Is�:�+4r+il�-"r�'t:. y1 .... ,,,,,,,,,COUNTY OF BUTTE - DEPARTMENT, OFIOUBLIC WORKS - BUILDING DIVISION t 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE:.916/538-7541 PERMIT APPIERTION DATA S�iEET Permit No. -OWNER k� „ A. P. No. d,4-Zq6412 Proposed Building Use ��'J5 Building Inspector Date 'y �Z- 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) �Mobilehome installation data including manufacturer's installation Instructions...................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ............................................... �'HiGf� School District fees paid .............. /o" TSanitation approval from Health Department 15. City of Chico plumbing permit ..................................... F 16. Plot plan and business license approval from City of (see City for other requirements) f ,. 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to.occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .............:.... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization., .... �;.. ...z- 27. fnl�() C_&Q� o When you issue the permit, process as follows: �`�,MaiI to owner. - Mail to contractor. _(Telephone3J1Z-2694' and hold for pickup at office. Deliver w/inspector. Other Applicant .Date 9L. Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. ` Other Date By. The following data must be submitted p.Lior 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---naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma iI—counter by date Plans checked by >gi a Date 4141[9-L Plans approved by RU) Date 41141 9Z Sets of plans on hold in File cabinet AP folder I bId d°' rn#0 Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSO PARCEL NUMBER Z - 0 -0 3 ZONING v BUILDING PERMIT Ow R TELEPHONE &7 S SO. FT. OCC. BUILDING VALUATION OWNER'S AILING ADORES 4.A006 P -105M UN, T� �. CONTRACTO 'S NAME Gs� EPPONE z, -Z64 CON ACTOR'S MAI I G ADDRESS 11 3 4 6 -0W ' Z 6 Fireplace CONSTRUCTION LE DER UNKNOWN Total Valuation Is Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2p Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS A, /V Permit fee $ 3S�— PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome5�f Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 1 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation& Other ❑ Describe work: _ t3 e) Ir _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 19 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.-%g��i 1 Z Classification ,43 ❑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) ❑ 1 am exempt under Secti. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.6\ OR ADONS. ACC. SLOGS. // 3.6dsq.ft. NEW CON5TFL ULTI.OUTLET NO N.R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR, EX. Occup( OUTLETS OR FIXTURES 20 @ 76 FIXED Ex. OCCUp. OUTLETS P(RESID )REA.; I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 " Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the abAve-mentioned property for inspection purposes. I also agree to save ind nify and keep harmless the County of Butte against all liabilities, judg ent costs, and expenses which may in any way accrue agai�nd Count i e of the granting of this permit. (� X Date /' % �� Signature of A cant — 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 S '7J G Ener Inspection Fee Energy P $ occ CONST TYPE TOTAL FEE $ s HAz 0FEES IMP FLOoO cOF PARCEL PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. I /5620 (kr+w—t.^+^.y+:~:..rtiJ''rr+:u{;�\�wy`�=w�::.r.:.wi�,,,y..y„r:,'r;;t',� r'v'►+'aeFsryzrtR+'"'i�q�;e�'+1°:t+a+t�..+nrs;+pi^•r.tir�s''��,'■ti-q�,:' ,•,,,�:.dpi'P%.+r�si+r+k.....rati7.rr`."e:��y^.ra±7'y-.,:..�. , J' 061 a 0� BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per BuildingD ` A.P. Number Building Department No. Schiool District �l°'t�Ul+11f� / City D County � Jurisdiction Property Owner Frod glom� 11 Project Locati Subdivision ' Lot Number ResidMUI elopment: BUILDING DEPT Sq. Footage APR 16 1992 # of Living' MHI ` Addition (Group R) • Units Commercial/Industrial: Sq. Footage cf '0 New Addition (Including Exterior Roofed Areas) f Building Depaptment Rep e entative Y Date (Floor Plans reviewed by School District Personnel) t District id No. .920440 cru School District certifies that 1 (Apglicant]Name) I ; (Phone Number), //6 ualv" &,�Kj aeu/ ( Street ddsfess ) l� r City) /j (State) (Zip Co has complied with the requirements of Resolution No. 16,5-' 7 by the payment 'of $ 0 no 7Lrepresenting �.1 square feet School District ReApresentative Date // /� Cc PAID BY CHECK NO. / REMARKS:' &ZA-W BANK NO PAID BY CASH white -applicant, yellow -building department, pink-schi SCHOOL.FEE (8/88). 0 I v v of of district J«J BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA' PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: �P\JP �-iG� M. �>(ALQ4/ �4�� (f•t ) 2. Installer's Name: SS4 5 -QX t3;�� (BTU) /(9 ❑ COUNTY OF BUTTE 3. Is the site currently under permit? Yes No BUILDING DEPT (If yes, furnish permit number �-� )%OR -APR 17 119,92 Is the site an existing site? Yes No _ �f (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? --------------- �100 Amps 6. What is the mobilehome site service rating? ------------- 2J20 Amps 7. What is the mobilehome site circuit breaker rating? ----- A 1�) e Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes Cal No (If yes, identify the load and size: (Load) E (Amps) 9. What is the mobilehome site gas pipe size? -------------- � in. 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) mobilehome?--------------------------------------------- �4�� (f•t ) 12. What is the mobilehome gas demand? ---------------------- -QX t3;�� (BTU) /(9 *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. fes- furnish Setup Model No. 'ZZ()O S Year �2- Width— Zb (ft.) Box Length56 6 (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) M1. Wood -pressure treated or foundation grade.0 2. Other (specify) SUPPORTS (check one)1. Concrete block.® 2. Other (specify) Lr A TI ��o Sieb 0A eA.& Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Line 2 _ _ _ _ _ _ _ _ _ Main Beams Tag or Triple Line L Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. ------------------ Spacing-Max - -----------------Spacing-Max. --------- ,- Each Side of Openings From Ends -Max - ------- With Width Over --------- Line 2 Piers: Size-Min------------- Spacing-Max - ------------Spacing-Max.--------- From Ends -Max .------- Line 3 Roof Loads: h Size -Min. ---------- Location (From Front) Line 4 Piers: Size -Min.------------ k Spacing -Max ---------- t From Ends -Max.------- Line 3 Piers: (Under Bearing Wall Only) Size -Min -------- - ---------- Spacing -Max.__------------- From Enda-Max.-----------•- C F_ MULTI -WIDE X z4 „ ZA-„x 7_4--Z_4-!' z4 "k z4 , „x 6 D,_ (0"j-_7 ,- a :Z! ,_ n"�_ ° 41-1 ►. �, Fr -5 t•„ Line S Roof Loads: Size -Min.------------ Line S Piers: (Under Bearing Walls Only) is L „"' • 1 , Size -Min. ---------- +_f_�,tA .: L s 0116.%? "x n Spacing -Max.--------------- From Ends -Max.------------- „ Location (From Front), R Doo a OWNER PERMIT l- W — Z z)- M UTIL.CLEARANCE DATE INSPECTOR ELECTRIC CAS Support Sti;uc. Compaction' Test eq; ' _ Service Other Pipe YESI NO YES NO Size Load ',Type Size Length f, 'i 4, ,Y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS G7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 28-24-31 ZONING U'1 - - BUILDING PERMIT OWNER FRED & TAMMY BLANEY TELEPHONE 679-2457 SQ. FT. OCC. BUILDING VALUATION ' OWNER'S MAILING ADDRESS P.O. BOY 243 BANGOR 95914 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$'20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 40 WAYNE CLEM WAY BANGOR 95914 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT N,PI SUBDIVISION NAME PARCEL MAP G e� 7 -7 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.001 45.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities® Installation❑ Other ❑ Describe work:MH U Permit Fee $ 60,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.5018.50 200A OR LESS Main service 200A TO t000A1 37.50 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 1, 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 OCCUPM 3.64 sq.ft. OR ADDNS. ACC. BLDGS. NEW CONSTR. ULTI.OUTLET NO ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED Ex. Occup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15-00 Misc. Wiring g '15.00 Permit Fee $ 48.50 — 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. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 on equence of the granting of this ermit. X Date Signature of Appli a t — 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 $ Ener Inspection Fee $ 9Y P DCC CONST TYPE T FEE $ 128 50 HAz I DFEES IMP FLOOD I CDF PARCE PD HD .ISSUE, This permit is her ssued under the applicable provi sions of the Butte County Code and/or resolutions to do ab work indicated a for which fees have been paid. D ORO PUB IC WORKS By Date PEWIT EXPIRES Date ^ct 11 Receipt No. 110393 128.50 WHITE-D.P.W., YELLOW-ASSQSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �Gv�cICOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PA CEL NUMBER ZONING v BUILDING PERMIT OWNERS r. d- Igvh e: TELEPHONE 67 2 S SQ. FT. OCC. BUILDING VALUATION OWNE 'S MAILING ADDRESS_ &_ CONTRACTOR'S NAME owAe. TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PLUMBING PERMIT Filing Fee 15.00 cc, Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome� Other ��SPECI FY ""`"` Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home 6 S rGO @ 15.00 TYPE OF WORK New❑ Addition[] Remodel❑ Utilities Installation[] Other ❑ Describe work: M. M_y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 SS Main service 200AORLESS 18.50 SZ` Main service 200A TO IOOOA1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑1 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 ADDNS. ACC. SLOGS. 3.60 sq.ft. NON.RES D R. BRANCH CIRCUITS @ 5.00 (POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76d Ex. Occup. OUTLETS (RESIO )ED APPLNS. KEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Is ' Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Coolin g rHood 6.50 I Ventilation perrnit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor Agent ❑ ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct - ion of structures 3 stories inheight. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ ISOI HAz I DFEES I IMP I FLOOD I CDF PARCEL PD HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date �o/v�er Receipt No. 1/(J3��.CBSv WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNERmyl/17Alc4ne-1--1 A. P. No.2(;�-'Z L(- 3 i Proposed Building Use M u U Building Inspector SIZ- Date"6_0Z At time of permit applidation, 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 Icate, Igned by preparer of plans ........ !4 :Z 9 3. Complete plans in duplica iplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ........................................ 12. Park fees paid .................................................... 13. Scho I P strict fees aid .............. 0� 14. Sanitation approval from ala 1 1 A -e Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see%City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW k9riveway permit (construction approval required prior to occupancy) `'I' -G 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... q 76 9a12.......................... Letter of signature authorization ....�5... 7. r When you issue the permit, process as follows: Mail to owner. Mail to contractor. X Telephone_(22-2V s7 and hold for pickup at office. Deliver w/inspector. Other Applicant ate Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air PollutiV Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2, Additipnal items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by N -A) Date Plans approved by PU Date Sets of plans on hold in File cabinet AP folder If Copy—DPW TO: Building Department FROM: Encroachmeant Permit Section RE: Driveway Clearance COUNTY OF aUTTE BUILDING DEPT APR 0 5 199 tee. owner / .loc tion �,° AP # Driveway permit l�jis�'1C �ZCL�.GO� has been issued for the above propelty. n b sign re date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive; Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will Ve issued until this verification is received. 1. I personally plan to.provide the major labor and materials for construction of he proposed property improvement (yes or no) 2. ,I avve 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 plan to provide portions of -.this work,- but j have. hired the following per -son - to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social,,�ecur�ty Number Date Xl� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California .Health and -Safety_ Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. �,� 92 14736 Saturn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded -. -- -- — - -- - prior to issuance of a building permit., 1 92-014736 1 Rec Fee 8.00 The property described herein is adjacent I Check 8.00 to land or included within an area zoned Recorded for agricultural purposes, and residents Official Records of this property may be subject to incon- County of veniences or discomfort arising from the Butte .I use of agricultural chemicals, including, Candace J. Grubbs I but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 1:49pm 6 -Apr -92 I PUBL XX 2 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 agricul- tural zones which have as.a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real :progerty.-situate in .the County of Butte, State of California, described as follows: Date: 4Ctl� PROPERTY OWNERS: r 6l State of ) On this theday of 1 19-Q?_1 before me, the SS. undersigned Notary Public, personally appeared County of �) Personally known to me. Proved to me on the basis of s tisfactore,41,1 ence. to be the person(s) whose name(s) 1XI', / e- _ ��- subscribed to the within instrument and ac nowledged t;at executed the same for the purposes therein contained. IN WITNESS W'HEREOF, I hereunto set my hand and official seal. 6 ? OFFICIAL SEAL a •� JANE ANDOE ( D Present A.P. No. : ....�.s 92— 14 7 36 ORDER NO. BU -126291 DMP DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: LOT 5 IN THE TOWN OF BANGOR, BUTTE COUNTY, CALIFORNIA, AS SHOWN ON THAT CERTAIN MAP, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 7 OF MAPS, AT PAGES) 77. EXCEPTING THEREFROM ANY PORTION, IF ANY, LYING WITHIN THE ` FOLLOWING DESCRIBED PARCEL OF LAND: BEING A CERTAIN UN -NUMBERED LOT OR TRACT, LYING BETWEEN LOTS 4 AND 5 OF THE SAID TOWN OF BANGOR, BUTTE COUNTY, CALIFORNIA, AS SHOWN ON THAT CERTAIN MAP, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 7 OF MAPS, AT PAGE(S) 77, MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHWEST CORNER OF IAT 4 OF THE SAID TOWN OF BANGOR, BUTTE COUNTY, CALIFORNIA; THENCE EASTERLY ALONG THE SOUTHERLY BOUNDARY LINE OF SAID LOT 4 132 FEET TO THE SOUTHEAST CORNER OF SAID LOT 4; THENCE SOUTHERLY, PARALLEL TO THE EAST LINE OF THE OLD OROVILLE AND BANGOR COUNTY ROAD, 158 1/2 FEET; THENCE WESTERLY, PARALLEL TO THE SOUTHERLY LINE OF SAID LOT 4, 132 FEET TO THE EASTERLY LINE OF SAID ROAD; THENCE NORTHERLY ALONG THE SAID EASTERLY LINE OF SAID ROAD, 158 1/2 FEET TO THE PLACE OF BEGINNING. TBuildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance O er location AP# Plan Approved for: Sewaqe Disposal _ Water Supply,�� Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other j,/l /l�il , NOTE Ahtv ' - nlrl �Q Sanitarian' Data �r Pit -z6 -2�- 3 I CoUt 8UItrD o DBP �e A PR p 7 1992 JJU U-4 H V�`aV APR -11-1997 11:53 YUBA CITY TRANSAMERICA FINANCIAL SERVICES April 11, 1997 Mid valley Title 2295 Feather River Blvd. Oroville, CA 95965 RB: Blaney, Frederick To Whom It May Concern: 916 674 8840 P.01 Transamerica Financial Services rt30 Civic Center Boulcvatd, Suite zoo Yuba City, California 95993 "telephone; 9x6 674 8840 AS legal owner of the Skyline Mobile Home (ID1190002), we consent to the placement of a permanent foundation to said Mobile Home_ . If any additional information is needed concerning this matter please do not hesitate to call_ Sincerely, Jo Donovan Branch Manager JD/Cjv AP# 028-240-031 ItEC�I`IE� APR 14 1997 BUTTE COUNTY BUILDING DIVISION �. —env-:.yY�i .4 'Nr'. .: _,i •��.zyy'A %; �",4�r;;Y�'�¢T�+f =.yq,.,, ," hy„f�tF.— V k,�,...�� .. „' 28-24-31 92-1078B BLANEY, Tamm 40 :Wayne Clem W Fred demolish aq, Bangor house COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Cantor DrIva - Orovlllat C®Iffornia 0$906 - Telephone, W13,138-7541 APPLICATION AND. PERMIT— . 0 — I C7,g PERMIT NO, A1115r.1112OR PARG96 NUMBER 28-24--31 ZONING U BUILDING PERMIT OWNER FRED & TAMMY BLANEY TKILKISHON1 679-2457 So. FT, occ, BUILDING VALUATION EST SIJIJ OWNER'S MAILING ADDRESS P O Box 243 Bangor CA 95914 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ SQQ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICEN E NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS j 40 Wayne Clem Way, Banor Permit fee $ 30.00 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 ` Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAMEPARCE{L MAP 1 Water piping 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑Duplex❑ Mobilehome❑ Other demolish/SF I SPECIFY I Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition [I Remodel n Utilities ❑ Installation[I Other Ox Describe work: demoliBWi/SF _ Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 1 I 600V OR LESS 200A OR LESS Main service 18.50 Main service 200ATO IOOOAI 37.50 CONTRACTORS LICENSE LAW I 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 ;Jo. Classification ~ 19 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.&) ACDNS. 1 ACC. BLDGS. / 3.6d sq.ft. NEW CONSTR. 1AU LT'_TOR NON•RESID% BR ANCHO C. RCTITS 5•00 POWER APPARATUS (eSINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES A20 7611 Ex. Occup. OUTLETS P(RESID )REA.) 1 3.00 Temporary service j 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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. Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X ��-• ;Vti-,�+,+- x-LSC/c�n..�'.v1 Date 1, t Signature of Applicaryt — Owner Contractor ❑ Agent F! An OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 30,00 HAz I DFEES IMP I FLOOD I C= HD I ISSUE- 4-11, This permit is hereby issued under the cions of the Butte County Code and/or work indicated above for which fees DIRECTO OFUBLIC By '. 2 ,111 % j . rn PERMIT EXPIRES,.,.�baiA 441 applicable provi- resolutions to do have been paid. WORKS i..pate 4/9/92 �11 �) J Receipt No. 115529 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPLI CANT f COUNTY OF BUTTE - DEPARTM�NT OF PUBLIC WORKS 7 County Center Drive - Oroville, CPfifornia 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PER IT NO. ASSESSOR PARCEL NUMBER 28-24-31 ZONING U BUILDING PERMIT OWNER FRED & TANIflIff BLANEY TELEPHONE 679-2457 S(,1, FT. OCC. BUILDING VALUATION EST 500 OWNER'S MAILING ADDRESS P 0 3ox 243 Bangor CA 95914 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ,500 Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ 1.5.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 40 Wa ne Clem Way, Bangor Permit fee $ 30.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF❑XXDuplex❑ Mobilehome❑ Other demolish/SF SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other JX Describe work: demolish/SF Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A) _ 37.50 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 ADONS. 1 ACC. SLOGS. 3.6Q sq.ft. NON -RES D•NEW CONSTR BRANCH CIRCUITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 @ 764 Ex. Occup. OUTLETS IPED APLNS. R RESI 0.IEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. -54 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in c�insequencefthe granting of this ermit. X '11 67 Date III Signature of Applic — 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ I HAz DFEES IMP I FLOOD COF PARCEL PD HO Issu This permit is hereby issued under the sions of the Butte County Code and/or work ind' ted above for which fees DIR T OF UBLIC By PERMIT EXPIRE a applicable provi- resolutions to do have been paid. WORKS 4/9/02 Date r3 Receipt No. 115529 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller Californla 95965 - Telephone: 916;538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT owNE n 13& e� Tot RESS TELEP�N� SO.jFFT. Dec. BUILDING VALUATION O NER'S MAILING ADDrt 756 D 6nx Z�3o CONTRACTOR'S NAME Ow yl ey— TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ /sem ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADORE SS`, C� Permit fee _ $ Q . PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent USE OF STRUCT rURRE SF ❑ Duplex❑ Mobilehome❑ t/Other ew'rJ4s�OYL SPECI FY Gas piping system 1 - 5 outlets.00 t7.00 Building sewer .00 Mobile Home I S I G JWF @ 15.00 TYPE OF WORK New El Addition Remodel❑ Utilities ❑ Installation ❑ Other Describe work: 0(f54d)^ Bc� go LIS e_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 LESS Main service 200AO00V ORLESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification El 1, 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 OCCUPM OR ADDNS. ACC. BLDGS. I 364 sgft NEW CONST R. MULTI. NO N - ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20 7611 FIXED APLNS. EX. Occup. OUTLETS (PR ESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor Agent ❑ ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories inheight. Mobile Home Installation Fee S ; Energy Inspection Fee $ DCC CONST TYPE — TOTAL FEE $ HAz 1 0FEES I IMP I FLOOD I COF PARCEL I PD I HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date . Receipt No. �1SS*' a �VOU COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in.processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (ygs 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 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date > > 'L ./�- NOTE: This Owner -Builder Verificaticn is sent to you as required by Sections 19831 and 19832 of the California Health and -Safety Code.— This -_ - - This verification must be completed and returned to our -office before we are per- mitted to issue the permit. Demolition P� rmits Asbestos Notifi.oation Statement Date r/ AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits'as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli— cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant OR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. t M -. .. !, 2/19/91 RESIDENTIAL f 028-240-031 PERMIT#97-0828 BLANEY, Tammy j. 40 Wayne Clem Way, Bangor Ex MH On Perm Fnd r ,t 't. i t THE HCD FORM 433A FOR THIS MH CANNOT BE r{ RECORDED UNTIL ONE OF THE FOLLOWING HAVE -BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETRIEVE) INSPECTOR TO VERIFY SERIAL & LABEL #'S i t� .y 1 .,y f _ ` y JOBTINA D (Date) — S gnaturAA 44 4 -A - Lr V=OK ' ' - 0 = Not OK Not •=NotReady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements' 2. Soils; Special MH Support Sketch 3. Sewer, Location-Test-FaiFC/O-Cornxete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-ClearancesGmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / A -It / /Nat or/ /'1_'ft/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; SiaeSpacng-Marriage Line 3. Gas; MH Test )emard Vahm-Connector 4. Electricity; MH Test-Drossovers-Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector 7. • Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Can. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning RequirementsSetbaccsEasements 2. Footings; Soils-Si�Depth-Spacing-ConnectorsSteel 3. Decks; Girders and/or Joists-0ecldng•Bmcing-Stain-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connections-Sptioe-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rf -Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors- endings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI & 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 Equlp.41ool Lghtg. Ti Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 V = No OK RESIDENTIAL (Single & Duplex) - - Not A lioable PP Not Ready Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors UNDERFLOOR (Plans) OK except #'s 47. toning-Setbacks-Easments-Flood-Slope 48. 2. Ftg., Main; Soils-Elec. Gmd. / t' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ PFtg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ J' Ftg. Depth temwalls, Main; Steel-Blockouts-Wrapped Stemwalls, Garage; Steel-Blockouts-Wrapped o d Downs and Special Anchors 7. Slab, Steel -Wrapped Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 8. Piers -Fireplace Ftg.-Steel Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Garage Fire Protection Framing '10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Property Line Firewall & Openings 11. Water Pipe; Test -Anchors -Regulator -Service Test Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 12. Electric Underground Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 13. Pienums & Ducts; Clearance -Material -Support -Ins. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Siding -Nailing Veneer 15. Access & Ventilation Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 16. Insulation Glazing Area -Glass Protection -Skylights -Plastic 59. Date - - Card B-1 ate Card B-1 Date � -S Card B-1 _Date Card E-1 Date PLUMBING (Permit) OK except #'s Infiltration -Walls -Windows 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection Card B-1 Date Card B-1 19. D.W.V.; Test Fittings & Anchor -Nail Protection Card B-1 Date Card B-1 20. Shower Pan; Test, First Floor -Tub Access FINAL (Plans) OK except #'s xt Steps -Door & Sidelight Protection -Landings Smoke Detector 21. Test Tub & Shower, Second Floor -Tub Access Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 22. Gas Pipe; Sixe & Anchors Bedroom Exiting 67. Date Card B-1 Date Card 8-1 Date Card B-1 Date Card 8-1 Date ELECTRICAL (Permit) OK except #'s Fireplace or Stove, Clearance -Hearth 23. Fixture & Transformer Clearance -Ins, Protection Elec. Outlets at Wood Panel, Int. & Ext. 24. Elec. Receptacles Spacing -Lights & Switches at Doors Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 25. Size Boxes & No. of Conductors Stapled Elec. Outlets & Recepticales at Kit. Counter 26. Romex Installed Close to Edge of Studs & C.J. Garage Fire Door; Swing -Landing -Closure 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water A.C. Duct in Garage -Damper 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Plb., Elec. & Mech. Equip. Listed for Location 30. Ran je Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No Elec. Receptacles in Garage (G.F.I.)-Romex Protection 31. Service -Riser Conductors & Ground -Main Disconect Insulation -Foam -Looked in Attic 32. Equip. Clearances Panels-Motors-Mech. Epuip. Guard rails & Deck Construction -Post Caps 33. Clothes Closet Light -Shower Light -Spa Light Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 34. Smoke Detector Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Water Well, Disconnect, Electrical, Plumbing 35. A.C. Ducts Insulation & Support Exterior Elec. Trim, G.F.I. Receptacle -Underground 36. Vent Fan, Exhaust above insulation Ventilation Throught House 37. Condensate Drain & Overflow, Size & Grade Glass Protection 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet Corrections from Previous Inspections 39. Attic Access & Platform if Furnace in Attic Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Plans) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 6 64. FINAL (Plans) OK except #'s xt Steps -Door & Sidelight Protection -Landings Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: - COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 ` 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE A � �% DSS �6 OWNER PERMIT NO. -w l/ • A routine inspection indicates that the following violations of Butte County Ordinances exist at " the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions.pertaining to this matter, or need additional explanation, <`. pleas ntact this office immediately. NO E� ted -All 3 - 3b MFH' i iTV j �f �K h It': REV 10/92 9 ,.COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI TON 7 County Center Drive - Oroville!'Califo&a 95965 - Telephone (916) 538-7qZ1. PER T o. (Rev. 12/96) APPLICATION AND PERMIT AS SESSOR PARCEL NUMBER 029-24-0-031 ZONING U Bu DINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 1456 78,624 OWNERS MAIUNG ADDRESS -P 0 RON 243, RANGOR CA 95914 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER NQNF Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER NQNF LICENSE NO. —Filing Fee $ 20.00 Permit Fee 545/2, $ 272.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 177.10 BU4?yGJAyft CLEM. WAY, BANGOR Energy Plan Checking Fee $ PERMIT FEE $ 469.60 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CX Other SPECIFY Each Trap.7.00 Solar or heapump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X Describe Work: %4� PERM FDN (EXISTING SITE) Gas piping system 1 - 5 outlets 15.00 15.00 Buildingsewer 15.00 15,00 Mobile Home S G W - @20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service AORLESS 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 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. O 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 TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. DWE200ALLING ( ACC. BLDS. 3.5dF°: NEW CONST. M NON-UTLET RESID. .=O c CIRCUITS I cu @7.50 POWER APPARATUS 8 SIN GLE OUTLET CIR. OUTLET Ex. Occup.BAL 20@'.0O o .so PPLNS Ex. Occup. ouTEiErs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. ❑ I 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) . �- I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _� Date _i= J 7 Signature of Applicant - ❑ toner ❑ Contractor ❑ Agent OSHA permit required for excavations over 5'0"deep and demolition or construction of 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 $ 577,60 I AZ. D. FEES IMP ^ FLOPD CDF PARCEL PD f HO ISSu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ` CCDate PERMIT EXPIRES ON G�-1-01 E Date 407 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF`DL"O�MENTSERVICES - BUILDI O DIVISION 7COUNTY CENTER DRIVE -OROVILLE,CALIFORNIA 95965 -TELEPHONE (91 � 538-7541 PERMIT APPLICATION DATASHEET OWNER No. II rdO CJ Proposed Building Use t` r m 1 7 X Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . ........................ `. . 3. Complete plans, 3/4 sets, si d by preparer of plans . ...................... 4. Engineered plans and calc 4 sets, with wRj_sjgnature_on_plans ............. 5. Hazardous Material' Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... 10. Fees of $ ,............................................ 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of.Forestry plan approval/fees. ............'....,.._ ..... . 13. Flood elevation letter (1Q0 year flood) by California Engineer. ............. 14. Sanitation and plot plan approval Health Department .............. 15. City of'Chico plumbing permit . ........................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development,about (A) Improvements (B) Drainage. ......... . :19. Driveway permit (construction approval required prior to occupancy). ... . 20. Pre -inspection for P`Bu"�eg ` or required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... X23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. . . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ............."' .......:................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. ..... .... ......... . . . ..... ..... ... 32. PIh k Ii t; ........ / /� 33. / r O r v►� �C Cc...... 1�►�C1/1��c� .... ��.r .. o " 34. C, 61 eC l<, t V m C U -4y 6W. 0U,x Whenyou issue thepery�i prpce as follows: Mail topes r Mail to contractor. �/ Telephone (J7`7`�ff S( and hold for pickup at rJ� office. Deliver with inspector. Other f Parcel Creation y_ � Acreage Applicant �'''" Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuan le new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _mail Counter by _Date Contractor, designer, owner, was advised of above,required data by _ phone _ mail --Counter by _ Date Plans checked by Date Plans approved by _S -" Date ✓ 7 l 7 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. , Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until -this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[A 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: Z( J NAME:: A;-ee/�L ADDRESS: f 4-1-1 7 CITY: moi. ,- y v/ PHONE: d 2, L/-(2 CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: . CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS . PHONE TYPE OF WORK SIGNED: PROPERTY OWNER:.% SOCIAL SECURITY NUMBER: DATE:' NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Progeny Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record t required to be sighed by property owners unless they are personalty on such a permit Building permits are no is axing performed by someone other than yourself, you may Protect performing their own work. If your work yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to'be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: I _ 0 If you employ or otherwise engage any persons other than your immediate family' and the work (including materials and other costs) is S300 or. more for the entire project, and such persons are not licensed. as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments a as employer and you are subject to several obligations including state and federal income tax withholding, federal social security lases, workers compensation mist nce, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structiire is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employe -..s, without a licensed. contractor or subcontractor, only under limited conditions. - A frequent practice of wnlicensed persons professing to be contractors is to secure an "ownerbuildei" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing [heir own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in vour community or at 1020 N Street, Sacramento, CA. 9531.1. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aNN•are of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michail C. Vieiia, C.B.O. ,Manager, Building Inspection NOTE: This owner -Builder Information is required by Section 19830 of the California Health and Safety Code. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -.Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATIONAND PERMIT i' re ASSESS75719L,""7, R ceLNu► 7 ,KI/f/ ZONIN.Q - .BUILDING PERMIT 1071-0 TQ1�"ONE SO. FT. OCC. BUILDING VALUATION % awwoLs s Q f�G / 01c Jy r^ J 7 'COIR Aro NAME - tv C ✓ TELEPNONE CONRACTOR9 MMUND ADDRESS ~ L Fireplace LFJ 87 MNU NG ADDRESS • Total Valuation S ARCNRECTOR ENGINEER LICENSE NO. Filing Fee $ X0-.00 Permit Fee �S $ / . J ARC/RECT OR ENGWM 3 MA6JN0 ADDRESS Plan CheckingFee b' SULDWOADORESS O a C'lc:� Energy Plan Checking Fee b $ r, PERMIT FEE _ ,20.00 COT NO. susoNsio swME PARCEL MAP PLUMBING PERMIT Filing Fee Each Trap 7.00 USEOFSTRUCTURE SF O Duplex O Mobilehome Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 /S.00 Each as water heater or vent 15.00/ ' TYPE OF WORK New O Addition ❑ Remodel O "sties O Installation O_ Other _ „I Describe Work: � � nu ` Gas piping stem 1 - 5 outlets 15.00 /S O Buildingsewer 15.00 /SO Mobile Home S G W @20.00 - PERMIT FEE s 1pcj _Q. ELECTRICAL PERMIT Fling Fee 20.00 NOV OR LESS Main Service . OR LESS 23.00 . ©Q LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700C) of Divsicn 3 of he 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. ❑ 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 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. 4 I 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 'workere' 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 of one hundred dollars ($100) or less.) O 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant • O Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONS;. DwEUWc Otto°. s0 OR ADONS. a ACC. SLDS. 3.50 FT, NEW CONST. MULTI.OLJTLET �7 .O NCN ESID. PowF1i AP°AMTLS a SINGLE OXET CIR. 20 g 1.00 Ex'. CCC OUTLET OR FDITURES, SAL FIXED APPLNS..OR 5.00 Ex. Occup. oLmtTs RESID. EIL Tem ora, Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation . PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee S occ CONST. TYPE TOTAL FEE NAZ. 0. FEES IMP FL oo COF PARCEL PO NO ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Dwe1 Receipt No. a / P WMITE•D.D.S.•8.0. CANARY•ASSESSOR PI K•INSPECT0A GOLDENROD•APPLICANT —+ 'M 4 Sgnat , re CoUly 8UIL-?ZhPGF eUrrE OEpr A PR 0 7 1992 3 'acoeoorn HCALIT+ 0 -(-PTI CLL—Ae-ANCe q C SU71 E C()ij"- BUILOING DE 'rMEpjT PAR A�;�%4 P� �� 9�� PROVED Loeworl of sftcwms & equipment shall be as & clearofWl eammerft QC,., '10 JZC-are) Lfn r1cm 631 APP RO Utte c VED171/i onrf Oljrlt�, 7 ��,?100,1 , alth Sgnat , re CoUly 8UIL-?ZhPGF eUrrE OEpr A PR 0 7 1992 3 'acoeoorn HCALIT+ 0 -(-PTI CLL—Ae-ANCe q C SU71 E C()ij"- BUILOING DE 'rMEpjT PAR A�;�%4 P� �� 9�� PROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA' PHONE: 538-7541 MOBILEHOME INSTALLATION.SHEET .1. Owner's Name: 2. Installer's Name: S v." s E� 3. Is the site currently under permit? Yes No COBUILDING DEPOF �E . . (If. yes, .:furnish permit number ° ), OR -APR 17 1992 ' Is the -site an -existing site? Yes �'' No (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 a No (If no, clarify 5. What is the mobilehome electrical rating? --------------- �I�O Amps - 6. What is the mobilehome site service rating? ----------- 2f7ly` Amps 7. What is the mobilehome site circuit breaker rating? ----- ✓\ O PD Amps 8. Is there any other electric load to be served by the _E1 mobilehome site service? -------------------------------- Yes ` No (If yes, identify the load and size: I'Ll �/ (Load) (Amps) A ' 9. What is the mobilehome site gas pipe size? -------------- `7� (in.) 10. What is the type of gas service? ------------------- Natural LPG !X 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- Svc (ft.) �* 12. What is the mobilehome gas demand? ----------------------0.X (BTU) PG *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BU �'�,. R �� MOBILEHOME SUPPORT DATA - If other than single wide, Plobilehome Mfr. �� !�� furnish Setup Model No. -ZZU© S Year 2 -- Width _e- ) Box Length f 6 (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) M1. Wood -pressure treated or foundation grade.E 2. Other (specify) SUPPORTS (check one) F1. Concrete block.® 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams Line2_ Main Beams Tag or Triple Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ , Size -Min. ------------------ }. Spacing -?fax. --------- Each Side of Openings From Ends -Max. =------_ ' �_. With Width Over ---.------ Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------ ,k „ Size -Min------------------- ,k J I. Spacing -Max.--------- ,- 6 „ Spacing -Max. ,- „ From Ends -Max.------- From Ends -Max .---------^-- Line 3 -Roof Loads Q G Size -Min.Z� „x 6 o Zb,_ „„ „s x�x 7-4"x7-4j Location (From Front) - c 4-- ( LI=1111_1� C5 -Line 4 Piers: Line 5.Piers: (Under Bearing Walls Only) Size -Min. ------------ ,k „ Size -Min-------------- 2j', 7777 Spacing -Max.--------- , Spacing -Max .--------------- From Ends -Max.------- ,- „ From Ends -Max -------------- '- Line 5 Roof Loads: Size -Min .------------ ^I Location (From Front) r ,q r n _ uj 00 Z rte.• - qqa , .' _ _. •4 0�.1 ! ' � ••` � i1pL� /rte I Y R, '3�' j� F _Zi Z4 Zie "!•'•. 'r + • - `e. - :�I.v� _ -r +� _'c,�, �f`rti :'7FZ�+�r•��s, -+y„ �'.'¢' -Sf2�n i. _'w:r.a•. i ,�...��,•.. - -:,_ _ v- R�i_ ..1. c9•-� :si .-s:,.' .�. +-•is 'rr. — ! ,A'�!„'3, ,t a �� _ ,.t <.'t�- �+�s :."1• -_.. 2 _ ��.'!• _ _ -:,- .��: - "•-- =fid:(.:..._-..;�,.. `..�.-„ `� T a t.� �w-.fir - ,.r : y?. 'fir » s.,� . . S. t•-�_ 7 w+:�F�'! ._ � t . .� +. T... r+. ^ v 'a•:<< a 3.c• .i' 4'i-• .Tiny, -As!In:: •. uJ . _ e5- Y[` Y�i�Y. _ S.. :��• r!4 3L.-'-'. --; _ .. _^ .. - _...-x-.:::,..r-:•� S...ay._:,,�:-...rte,-::.i, _.c.-:t'.':::<L•.i.,�t ':�.♦:_ �v�:_ .:�� yy,�+ - _i..._.%(.. : t" . .-''•L-. ..u• .'�•.: � _ .,L:....: ,:f"'-w:+•ZK'�,. rP �� "tom;. .t-.... yK: ',�•3_ 7 ��y..�� — •- .� :r- n tr - .•+. - �_r.•>3=� .fes ti ::.-;•§.--•.-::. _ Dn -.a( :y,; _ v - :.a; I•as ttr•r.s!'v'r� 9`�e. .-�; a _ ,,s.:;;.� _ Wit! se moi= - - �• -Pi .� . �u..,.,;�,n...,�-�-•<.-:,,. _ �.,_ ��.„ - REiflfl��•> SFRVIr-- Df :T r "..•r ..: _.. , >uQ; 4. a �� r ff31Ip1N_IIP. a *s rR F�}'�` j " ". ♦R" ISStifA BY CENTERLINE SUPPORT REQUIREMEN r. :THIS SNEEY TO13E INSERTED WITH SUPPLEMENT; 'UNOE(s�'�RtTERs. s' t :TO FIELDINSTALLJITION M�INUAt.F01;?,C�f AOOF.: £p,�ortaTORl£S. 1NC•' � �� r SNOW LOAD _ _ _ -.. - 8ERtE8 DE9ERIPTlOH - HO.' • �'�� Ll F IOAo. RB/oPc- 4TH, t OF Dwa BY ` 1 Kenneth D. Reed, P.E. Registered Civil Engineer 8976 Simmons Rd Redding, CA 96001 Voice/Fax 916-243-3296 e-mail: kendeb@maxinet.com Foundation System for Blancy Manufactured Home at 40 Wayne Clem Way Bangor CA 95914 Coach is Multi -Section Coach Length L = 58 -ft Coach Width W = 28 • ft Roof Pitch = 3:12 Coach Weight Wt = 42108•lb FOUNDATION DESIGN Distributed Weight W d := Wt W d = 726 *plf L Design Snow Load SL = 30 ,psf Basic Windspeed = 80 mph Site is Inland Seismic Zone is 3 -- Type C2 Foundation System is acceptable Floor Live Load LL f 40•psf Seismic Load, UBC - Z = 0.3 , C 2.75 , R W 6 V := Z•C•1.0 V = 0.137 W RW Wind Load - 80 mph, Method 1, 0-15' Exposure "B" C e = 0.62 Cq for Windward Wall C el 0.8 Cq for Windward Roof C e2 _ -0.7 Cq for Leeward Roof C e3 '- -0.7 Cq for Leeward Wall C e4 :_ -0.5 q s 16.4•psf 4/20/97 j BuTrE. couNTY BULLING E'P � -�-F+a it � P !�Novolm I :_ :.0 C I - C e•C el'I•q s C 1= 8.1 •psf C 2 '- C e'C e2'1.q s C 2= -7.1 •psf C 3 '- C e'C e3'I•q s C 3= -7.1 •psf C4 -Ce•Ce4'I•gs C4=-5.1•psf C SINE) COS 8 2 windward .. leeward . C4 h/2 "A B d 0 : = atan y 0 = 10.5 • deg (2) Seismic Load Ps := Wt V Ps = 5789.8•lb Wind Load Pw :_ (C 1 •h - C 4•h + C 2•sin(0)•y - C 3•sin(0)•y)•L P W = 6133•lb Wind Controls OTMCL := C I•h. - C4•h•� - C3•sin(0)•y•(h+ 2) - C3•cos(0). 2 ... L + C 2-sin(0)•y.h +Y) - C 2•cos(0)•W. W+ W) 2 2 \ 2 OTMCL = 342812 -lb -ft Support Pier Spacing s = 8•ft O.C. 4/20/97 W --s Moment Arm d:= s+ 2 d = 11•ft 2 Uplift P up OTM CL Pup = 31165 •lb d Dead Load Moment RM := Wt•W RM = 589512•lb•ft 2 OTM CL 2 - 3 *RM Holdown Force HD HD = -4563 • Ib No Vertical Anchorage is Needed Transverse Foundation Wall U := P w u = 219 •plf 3/8" CDX or equal w/8d @ 6"/12" W Nailing of T.P to Coach sp = 105.1b sp = 5.8 in 16d (ED 6" o.c. i u , Anchor Bolt Spacing sp := 715•lb•1.33 sp = 4.3 -ft 1/2" � x 10" A.B. (c_ 4' o.c. U Longitudinal Foundation Wall U := P ss u = 99.8 •plf 3/8" CDX or equal w/8d @ 6"/12" L Nailing of T.P to Coach sp := 105•Ib sp = 12.6 -in 16d (a)- 12" o.c. U 715 lb Anchor Bolt Spacing sp = 1.33 sp = 9.5 • ft 1 /2" � x 10" A.B. (aD- 6' o.c. u iv ) 3/8"IDX Ally or equal w/8d@6" a. c. en. @ side wall & 4"o.c. en. @ end walls A Existing Coach 16d @ 6" oc @ end walls & 12" o.c @ side walls 2x4 Cripple Stud @ 24" ac. 1/2" dia. x 10" AB @ 4'0.c. @ end walls & 6' o.c @ side walls #4 Continuous Top & Bottom 4/20/97