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026-070-025
026-070-025 PERMIT#98=0 05 _ CARRILO, Augustin _ o2y8% Bohemia Ave., P ermo Mobilehome Utilities , -ELECTRIC rl GAS COMPACTIO TEST _ SUPP STRUCTURE'.,. i .. . 026-070-025 99-0964 CARRILLO, Augustine 2487 Bohemia Avenue, Palermo Contr: Owner water line easement ELECTRIC . / UD GAS 3 i COMPACTION TEST REQ Urso SUPPORT STRUCTURE REQ ✓i'u� 026-070-025 99-0971 CARRILLO, Augustine 2487 Bohemia Avenue, Palermo Contr: Owner MHI / replaces BP#98-0406 026-070-02 A ' 026=070 025 y �° � 99-�9g1 CARRILLO', AUGUSTIN _ .2487.BOHEMIA;�OROVILLE :ANEW OPEN DECK (MH); t1, CARRILLO, Agustin 2593B d2 _� ._ 2017P b,,7_ s/sl Bohemia east of Irwin, Palermo (convert garage to residence) ,� 5 oat-c0-0--cOas V ��' ! I - RESIDENTIAL 026-070-025 PERMIT#9&-9�r$5 / PERMIT NO. _ CARRILO, Augustin.M _ �99q Bohemia Ave., Palermo PERMIT EXPIRE Mobileh_ome . Utilities OWNER -7/ CONTR. ASSESSOR PARCEL LOCATION v-• N L }]t 1' it 51 j •� � firr: 4 'y ''Temp. Power Pole b Called PG&E `Temp. Elec. Service t Called PG&E Temp. Gas Service * Called PG&E i' JOB FINALED (Date) f Signature ;K`+Cv�My.�`b.'x.�}''Mir!/ `•-+.rr. .`s ..4 .,,�..,c•Y,w';�+:[ IA:. � ewe } �� ::r,Y�;,-:mss�k' jr..-,-. ...-,7.x-r 026-070=025 ` 99-09.64 CARRILLO,'Augustine . } j 2487 Bohemia Avenue, Palermo Contr: Owner water line easement , N, 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) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 026-070-025 ZONING x.11"- i I BUILDING PERMITt/ ' OWNER CARRILO, AUGUSTINE TELEPHONE 5",-1293 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRES€'j" • 0. BOX 22 t PALM140, CA 95963 U BOX L CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2487 BOW -41A AVENUE PALERM Energy Plan Checking Fee S S PERMIT FEE i LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Iff Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 r5.ff Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: I-= 98-0405: MATER LII1tES TO COM -UTE WATER UMM EASEMENT TO BE R=RDED PRIOR TO FINAL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 I PERMIT FEE S r ELECTRICAL PERMIT Filing Fee 20.00 Main Service ioonoaLEss 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.P License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawfor the following reason: . I, as owner of the property, or my employees with wages as their sole compensation, `will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5Q�; NEW CONST. MULTI-0UTLET NON-RESID.CIRCUITS@7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FO(TURES 20 Q 1'00 BAL @ .so Ex. Occup. ours PP=.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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�� �a %i .� Date Z �i.' - / % — Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. 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 $ 35.00 .AZ. D. FEES IMP I FLOOD COF PARCEL PD I HD I 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 pnid. By Date / /!>A 7_ PERMIT EXPIRES ZN b I pe1B ReceiptNo. 2 6 � WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT RECORDING REQUESTED BY BIDWELL TITLE & ESCROW COMPANY Order N 590510 AND WHEN RECORDED MAIL TO Agustin M. Carrillo 2419 Bohemia Avenue Oroville, CA 95966 1999—go019�s30 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 12:19NM 10 -May -1999 REC FEE 10.00 Fay Paae 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE: API# 026-070-007 FASIIcNT Grant Deed THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The undersigned grantor(s) declare(s) : Documentary transfer tax is $0.00 - wager Line Easement: - Consideration lees than $100.00 ( ) computed on full value of property conveyed, or per R&T Code 11911. ( ) computed on full value less liens and encumbrances remaining at time of sale. (X) Uitincoiporated area ( ) unincorporated area and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, AGUSTIN M. CARRILLO, an unmarried man ; hereby GRANT(S) to AGUSTIN M. CARRILLO, an unmarried man 1 the following described real property in the unincorporated area County of Butte State of California: SEE ATTACHED SCHEDULE C FOR LEGAL DESCRIPTION Dated: May 7, 1999 nn C,4-2 A stin M. Carrillo State of California County of Butte SS. On May 10, 1999 before me, the undersigned, a Notary Public in and for said State personally appeared **Agustin M. Carrillo** personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted executed the instrument. WITNESS my hand and official seal. Signature MAIL TAX STA' .y.,�,�., ,.r--..._.,.. .,.', w�....n �,..f„�-a-'�"•-ra ,..;t ''�-.n.s.�.,,..--n.,�.w.,, Tij�.,,l� COUNTY OF BUTTE-.DEPARTMENT;OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 n PERMIT NO. (Rev.12/96)" APPLICATION AND PERMIT `fig -04o .caa a A1111111111, ZONING A ,tel -1 BU I LD I NG P ER M ITASSEo-=25 OWNER AUGUSTIWCARRILO TELEPHONE 5�r+-1X98 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P 0 BOX 22, PALERMO CA 95968 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE Fireplace LENDER'S MAIUNG ADDRESS 4 Total Valuation $ ARCHITECT OR ENGINEER NONE - LICENSE NO. Filing Fee $ 20'•'00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkiri Fee $ BUILDING ADDRESS BOIiMIA AVENUE;, PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome70 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 - TYPE OF WORK New ❑' Addition ❑ Remodel ❑ Utilities 0 Installation ❑ Other ❑ } Describe Work: T1TII,f MH Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 • 00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ioonoAss 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.PowER 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 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations:, ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BUDS. so 3.5QFT; NON-.ESrID.T M�ULCTI.00U UT 97,50 APPARATUS d SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURE BAL @ .50 Ex. Occup. OUTELEDTSA PPUNRESID.oEA 5.00 Temporary Service 23.00 Mobile Home Facilities • -60 20.00 Misc. Wiring 23.00 PERMIT FEE $ ALM MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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. 2 /7 X.� • _• i)/ , / /i �Date2..,__�'7� _ Signature of App alit - 0 `OwnEti "❑ Cofitractor ❑ Agent l An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 166.00 HAZ. D. FEE ►IMP FLOOD ^CDF /PARCE PD -•' r ND ISSUE v _ 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. B L' y }4���' 17 A Date PERMIT EXPIRES ON Dale Receipt No. 236233 - WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .caa a A1111111111, 1'8011 0 = Not OK - ' ' - r I Not tReady MOBILE HOMES \_,o,01. Zoning Requirements- Setbacks - Easements L.-� 2. Soils; Special MH Support Sketch /AmpC"icrete / /Nat or}-*�jL'ft G ` 7. e I Clearance & Disconnect NoOO'8. Utility Clearance i { Date - and B-1 Date Card B-1 j Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; SbD-Spacing-Marriage Line { 3. Gas; MH Test-0ernandValve-Connector i 4. Electricity; MH TestCrossovers-Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test-Regularor-Connector j 7. Water and Sewer Connected -C/0 to Grade -HD Approval { 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 1 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 1 Date Card B-1 Date, Card B-1 P A f MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning RequirementsSetbacks-Easements 2. Footings; SoilsSize Dep"pacing-ConnectorsSteel 3. Decks; Girders and/or Joists-Decldr g-BracngStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors ' Shthg.-Rfg: Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.: Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors -Landings 12. Braced Wall Panels 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. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.: Bonding; Metal w/6 -Circulating Equip.+Ieater 8. Elec.; Grounding; Equip, w/S Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Flealth Department Approval 10. Plumb.; Cir. TestWater Supply Test 11. Llght Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 =No 0 = Not OK I RESIDENTIAL = Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Ftg'. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 5. Stemwalls, Main;'Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Blackouts -Wrapped 6a. Hold Downs and Special Anchors . 7. Stab, SteelANrapped . 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size, Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13: Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders. -Sills -Anchor BoltsJoists Vents-Crippies 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 #'s 17. Water Hh:; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 " Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fodure & Transformer Clearance -Ins. Protection 24. Elec.. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFi 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Ciro. / / ga Cu or Al Insulated Neutral ❑ Yes ❑ No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow,'Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 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 . (Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps-Anchdrs-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-tanding-Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic :59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels , 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows ` t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -landings 64. Smoke Detector r 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Uting 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. Fat. & 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 -Meth. 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 ❑ Yes 82. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Pibg-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 I 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' 1 NOTES r RESIDENTIAL PERMI '02-6-07-0-025 CARRILLO Augustin 99=1281 B 2487 Bohemia, Oroville knew open deck)MH SPECIAL CONDITIONS CHECKED BY .. SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB F�INALED - igna II � OFFICE COPY t Address i GAS Meter By D� ELECTR C Meter By Datj JOB F�INALED - igna II � iii 1 i MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION - COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 AP C) 96_... PERMIT NO.: __... OT Owner's Name: CA 112. o Owner's Address: 9—`�r. Mobilehome Manufacturer: y Year of Manufacture: Serial Number or V.I.N.: S Insignia yor HUD Number: o t 1 14 s;T Official apploving in t Ilation: 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. 513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA!S (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER I // A PERM�O. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need. additional explanation, plea ntact this office immediately. Date — / �`'�� Inspector ` REV 10/92 _. •- � .. � � . �.i:,:.,``s��s-a�.+�''-��t�.x"'ti:"s.=+:.--.�i+��c"'�•�; 3x....r�r^�~.v_..yi:�.— `: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street Chico, CA • (530) 891-2751 AL 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE )!WNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please Contac .this office immediately. rLzrID Date l �� "� 6 In REV 10/92 J = OK 0= Not OK - = NotApp!icableMOBILE BIOMES * = Not Ready 1` Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete MISCELLANEOUS Date 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"tt./ /'LPG 1. 7. Well Clearance & Discohnect 2. 8. Utility Clearance 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Con nectors Shthg.-Frg-Bracing Date Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Card B-1 Date Card B-1 Date Carports; Windows -Doors Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector Date 7. Water and Sewer Connected -C/O to Grade -HD Approval Date 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 4. Elec.; Receptacles and Lighting, Distance-GFI Date 5. Card B-1 Date Card B-1 Date 6. Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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 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 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ./ = OK 0 = Not OK - = Not Applicable =Not Ready RESIDENTIAL (; Date FRAMING (Continued) Underfloor (Plans) OK except #'s 46. 1. Zoning -Setbacks -Easements -Flood -Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 49. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture®& Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing MECHANICAL (Permit) OK except #'s 87. 35. A.C. Ducts Insulation & Support 88. 36. Vent Fan, Exhaust above insulation 89. 37. Condensate Drain & Overflow, Size & Grade 90. 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 91. 39. Attic Access & Platform if Furnace in Attic 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 Date FRAMING (Permit) 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 jingle & Duplex) - Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties- Purlin-Rolf 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 Ht. & 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 Interior/Exterior 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 FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. 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 & Receptacles at K t. 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 (F.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 O Yes 82. Following Instld./Drive ] Yes J No/Walks :) 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. Receplacle-Underground 88. Ventilation Throughout 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 94. Address Posted 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: COO, i'Y CSF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530 38-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT /a z ASSESSOR PARCEL NUMBER 026-07-0-025 ZONING BUILDING PERMIT OWNER AUGUSTIN CARILLO TELEPHONE 534-1298 SO. FT. OCC. BUILDING VALUATION 3900 OWNERS MAULING ADDRESS 2419 BOHEMIA PALERMO CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $40-99 BUILDGRI$O,�RESS/1V IA, OROVILLE 1J Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other DECK SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK NeJ)P Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW OPEN DECK 10 X 50/PC Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G w 920.00 PERMIT FEE $ 98-0405 PSI ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20 A OR LESS 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: J� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service s 46.00 Eo NG CCU000A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BADS. 3.50FT. NEWCONST.BRANCH MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OurLET OR FOLTUREs 920 p 1.30 Ex. Occup. DSS RZ .DE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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' 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./`�� 6 X ah17,Z Date Sig re o Applicant - Owner ❑ Contractor ❑ Agent An SHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee' 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ 12Y951 �HZ. D. FEES IMP FLOOD COF _ PARCcompensation � 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 TAO��Dat l i, PERMIT EXPIRES ON afe ReceiptNo. 969-197 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT FA COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev.IV96) APPLICATION AND PERMIT /� /��/ ~""O"P"N"MM © DON"° _ BUILDING PERMIT ow'" Ca H P i11 S SO. FT. OCC. �7BU�ILDING VALUATION V� °wmm's A0011pe J OONrMCTOII•! NNi! Na OONnUGT l "' W AD OOWT1 XIVN Umak L&COM YNUNoAMPM Fireplace Total Valuatlon S A11CNfrECT OR ElgINEEA ucENse NO. Flin Fee S 20.00 A"OMrlCT 0I1 oaNmrs YAL!►A ADo"ess euEoM Aoo"ass Permit Fee $ --- Plan Checkina Fee S , Energy Plan Checking Fee $ s PERMIT FEE $ wTw eueonsoNSNAYe PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF O Duplex O Mobilehome 17_zi er s�crr Each Trap 7.00 Solar or heat pump water heater 23.00 Water 1 In 15.00 TYPE OF WORK New O Addition O Remodel O Lmdes O hslsklion O Describe Work: ��% IGC�/U �G Other C}--- �0 � SZ� Each gas water heater or vent 15.00 Gas PIPIna avatem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S AUS✓ ELECTRICAL PERMIT Fee 20.00 Main Service o0 oon 23.00 lj 3 Main Service 2004 To t000A 46.00 NEW COW .owtluq oOCU/. sa O" ADONS. a ACC. etas. 9.5tR. NLW Flom T. NON"f91o. YUITWVrtF1 @7.50 POYV9< AiVAlUtTt� Ex. Occup. wnzr oil ►nmA= a�L .SO Ex. Occup. otmFn oro. a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT FI' g Fee 20.00 Heating Cooling Hood 8.50 ventilation PERMIT FEt: S Mobile Home Installation Fee i Energy Inspection Fee S «` `o�T• TY� TOTAL FEES • 0. iEES IY► nco0 CO! wadi tM ND =9 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 DateRec PERMIT EXPIRES ON _ WHIT . .0. WHITE•0.0.3.•g,0. SOR aur.iNsvECTOR rnncuw00•APPLICANT E.�""-Y �"�Ir%"i':.r"•i�=t+�%'.:-3�..�+-i7:�,-N`e"'1'1w•-:•Yi+�.� U.��'r'ti�.+�'�'��``y.y,y,..;+-'.�,y-R.;:.-+�i�;�a.v-t-,�.,,.r.�rr�l"'Ui--=fir:'"..�-�r'�`�`� ..�-. f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: A( r- C i&Li 1. WkSSESSOR PARCEL ER: 6 d - 6 Proposed Building Use: Building Inspector: Date: 6 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 --------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- 03. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑ 6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ El 8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .--------- ❑ 10. Fees of.$ ---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.------------------------------------------------------- ❑ 12. C ' ornia Department of Forestry plan approval/fees.-------------- lood elevation certificate. --------------------------------------------- . anitation and plot plan approva��Q� Health Department. 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: O 4 (B) Parking: _ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. --------------- -------------------------- -----------. 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- 026. Letter of intent on building use. ---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------- 1128. Existing violations and/or expired permits. ---------------------------------------------------------------------- 9. 043 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ --------------- Other: 901-119-71 M a/1.5 T.$f- l 55 0r X PQ rn0 T -A ------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. Th(5 0594'h IT 0Te1ephone5__��(- / -Z_5_,oP__ and hold for pickup office. ❑ Deliver with inspector A (Date) Applicant i l� �Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ ArrjPol ution Date: By: Copy of plans sent 11 Health Department, ❑ Fire Department, C3 Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: A i Contractor, designer, owner, was advised of the above required data by ❑ ph 'e, ❑ mail, ❑ Building Division counter, by Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑'Building Division counter, by Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Vo11-1 0....11 ..rT %_-I ___ ___. a_ _. r 1 1 - . . _ Date: Date Date: Date: / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 6 a q f ( 1&6VALC41 ()a� -D-Z6 -- a0?57 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for ell, Other -n Hold final for: Final clearance O.K. for: NOTE: Environmen 8/96 Ith Specialist k F56 eOt 1 -?,10-6t Date 9 lY E.H. O&M, MY ' Plot Plan Artac 04, Floor Plan. Attac ad sant to B.D. G /00 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 6 a q f ( 1&6VALC41 ()a� -D-Z6 -- a0?57 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for ell, Other -n Hold final for: Final clearance O.K. for: NOTE: Environmen 8/96 Ith Specialist k F56 eOt 1 -?,10-6t Date OWNER -BUILDER VERIFICATION Attention Property Owner: ' An "owner -builder" building permit has been applied for in your name and bearing your sigoapx". Please complete and return this information at your earliest opportunity to avoid unnecessary decay` in processing and issuing your building permit. No building permit will be issued until its verification is received. ..:..�., 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESW NO 13='='1 2. I HAVE A HAVE NOT 13 signed an application for a building permit for the proposed Wn 3. I have contracted with the following person (firm) to provide the proposed construction:. :_. NAMR? ...'- ADDRESS: CITY: PHONE. CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the'follovdng person to supervise, and provide the major work: :,T.: 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 PM -46 the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: J SOCIAL SECURITY ER: DATE: &1, _ //- ?17 NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 off u California Health and Safety Code. This verification must he completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property. improvements specified. For your protection, you should be aware that as "owner buildee, you are the responsible parry of jecord on such a permit. -Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business 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, yoohould: be aware of the following information for your benefit and protection: . ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. .. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state.and.federal income tax withholding, federal social security.uxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. J .1'•! , ♦ There may be financial risks for you if you do not catty out these obligations, and these risks are especiallyiserious with respect to worker's compensation insurance. ' ♦ 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 tinder State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contactor or subcontractor, only underliini d conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac!qrs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" bn the reverse side of this form so that we can confirm that you.. are aware of these matters. The building permit will not be issued until the verification is returned. I rely, Mic el C. Vi ira, C.B.O. MI ger, Building Inspection NOTE: This Owner-Builder,Information is required by Seetlon 19830 of the California Healdr and Safety We- OVER oda OVER VAPr' S y 36" MIN. o, i a. X Oni LP v_ rco g C Z r G) m O0. b � rn V W ` c c . .0 �.�. ` r m aO � m �► 0 M. .0 ' 01 0 oc zr ' s `s✓r 4r $• MAX. /' 34"-38 t J,/NMDfZWL REIGHT w 03 O -� M AX. a _ _ rn N79 -n �-4 - A � ao o. o C? A e� X CA May 1995 6.5 3(o 'MIN. STAIR W I DT4 3 x �3 • C X • 3:p 3 m vrn 0 o �• o m n Z � a. X Oni LP v_ rco g C Z r G) m O0. b � rn V W ` c c . .0 �.�. ` r m aO � m �► 0 M. .0 ' 01 0 oc zr ' s `s✓r 4r $• MAX. /' 34"-38 t J,/NMDfZWL REIGHT w 03 O -� M AX. a _ _ rn N79 -n �-4 - A � ao o. o C? A e� X CA May 1995 6.5 3(o 'MIN. STAIR W I DT4 `s✓r 4r $• MAX. /' 34"-38 t J,/NMDfZWL REIGHT w 03 O -� M AX. a _ _ rn N79 -n �-4 - A � ao o. o C? A e� X CA May 1995 6.5 3(o 'MIN. STAIR W I DT4 HANDRAILS Handrails shall be shaped as per the attached details or the shape shall provide an equivalent gripping surface. NOTE: We will continue to permit stairways and handrails serving single family dwellings, individual dwelling units within apartments, and residential mobilehomes with 2 x 4's flat as the top rail. (Exterior Only). 1/4 to 2 3/8" May,K995 4 11/2. To Y 1'/z" 1+/z' 11/2 MIN. TOY MIN i'/i 1'/2'TOY MIN. 3'h' MAX. N Z NOTE: OTHER SHAPES MAY BE ACCEPTABLE IF THEY PROVIDE AN EQUIVALENT GRIPPING SERVICE. SEE THIRD PARAGRAPH OF SECTION 3306 0). NOT ACCEPTABLE ACCEPTABLE SHAPES AND INSTALLATIONS—HANDRAIL t 2 3/8" 1 4.23 NOTES M I RESIDENTIAL 026-070-025 -_-_ §9 -0971 - PERMIT NO.;.-CARRILLO, Augustine-- --- — 2487 Bohemia Avenue, Palermo Contr: Owner MEI /replaces BP#98-0406 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER • . • We CHECKED BY ,/ = OK 1. 0 = Not OK 2. - = Not Applicable MOBILE HOMES = Not Ready i 4. Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Disconnect - 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1,. Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Line ectr' ' 'MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval as and Electricity Tagged i owns -Type -Installation Cert. zits; Insp.-Sketch k _ t A Cert. of Occupancv License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 LIM 5k v41,, % �T�P,� e�-a-Ls - cit MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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 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- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date FRAMING (Continued) Underfloor (Plans) OK except #'s 46. 1. Zoning -Setbacks -Easements -Flood -Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 49. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance -Ins. Protection 74. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 75. 25. Size Boxes & No. of Conductors Stapled 76. 26. Romex Installed Close to Edge of Studs & C.J. 77. 27. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water 78. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 79. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 80. 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral fJ Yes O No 81. 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 82. 33. Clothes Closet Light -Shower Light -Spa Light 83. 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground MECHANICAL (Permit) OK except #'s 88. 35. A.C. Ducts Insulation & Support 89. 36. Vent Fan, Exhaust above insulation 90. 37. Condensate Drain & Overflow, Size & Grade 91. 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 92. 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 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 jingle & Duplex) r Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll 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 Ht. & 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 Interior/Exterior 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 FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. 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 & Receptacles at Kit. Counter _ 74. Garage Fire Door; Swing -Landing -Closure t 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.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 IJ Yes 82. Following Inslld./Drive :)Yes J NoMalks J Yes J NotPlanters J Yes :)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 Throughout 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 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION �L 7 County Center Drive - Oroville, California 95965 - Telephone (916) 5 8-7541 „PER�IT„[d (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 026-070-025 ZWH I BUILDINGPERMIT OWNER CARRILLO, AUGUSTINE TELEPH NE 53 -1298 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P.O. BOX 22, PALERMO, CA 95968 ' CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Ellin Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS AVENUE,9487 BOHM-TA Energy Plan Checking Fee $ $ PERMIT FEE S4,1 no LOT NO. SUBDNIS ION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MHI REPLACES 98-0406 SNOT ISSUED) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ioonoRR v^ss 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO t000A 46.00NEW CONST. DWELLING OCCUR OR ADDNS. ( d ACC. BIDS. SO 3.5¢FT. NEW CONST. NON-RESID. MAU,LLCTI OU CIRTL TS 97.50 POWER APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FlxruREs ear p I:so Ex. Occup. oinELErs REESSID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ X Date ^_ Applicant 21-0 caner ontractor ❑ Agent SigrApermit An O is required for excavations over 60" deep and de Itio or construction1.� of structures over 3 stories in height. ��a Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOT L FEE $ 143. HA2. A. DFEES I FLOOD C F A)7LD . 1) su This perm) is hereby issued un er the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By D - PERMIT EXPIRES ON provisions to do work - paid. to 0 D 6 d ate ReceiptNo. 2649261143.0077 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION q9 d 97` 7 County Center Drive • Oroville. California 95965 - Telephone (530) 538-7541 PERtwr o. (Rev.1M6) APPLICATION AND PERMIT DDI"° BUILDING PERMIT TODIWNe SO. FT. OCC. BUILDING VALUATION OWMMI Www ADDRESS COMMACTOR! INV! TVAPmma CO►RR4CTOR1 WAalw ADOWN COr1TUXIrm UMVI LOOO s WA%M ADDRESS Fireplace Total Valuation Is ARCNfrECrORLMMNM UCE eNo. Firing Fee i 20.00 ARCWM=oR 84MUAs WA&M ADDRESS Permit Fee i Z3 00 Plan Checking Fee $ euaDND ADDRESS Energy Plan Checking Fee i i PERMIT FEE _ � d roTNa susonrranwuc ►Ants MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF O Duplex O Wbilehomv11-10,ther •veep Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O Li VU* O InsOslatlor*-tf,,Other O Describe Work: O D `S ¢ Gas piping system 1 -5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Fillng Fee 20.00 Mein Service oo aDRRt p 23.00 ReceiptNo. WHITE.n n e -n Mein Service sod► To 100M 46.00 Nm CONST. OWE31lq ooeuv. 3.54SOL OltADONa. a ACC. eu». 8 NONR®ro.NEW ' YNLTWImET @7.50 POWER ArrARArw asOL L Ex. Occup. Duner on MUMa- • r•oo SAL .w Ex. aaOccup.%O' . oR rw 5.00 ovnErs Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood e:50 Ventilation PERMIT FEtd t Mobile Home Installation Fee Energy Inspection Fee S Dec 11T. 11 TOTAL FEE $ O0 NAZ 1 0. FED I mr I Ra00 I COf f0 MD aStA This permit is hereby Issued under the epp6cable 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 ' "�'^K�S"+`'{�$�� ;Cy�l �i• :�1`) �""j" �.1i �'.,► y4 q;y J�-V+-.a- +-. y�- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: / AIv,.i- I -%-. ASSESSOR PARCEL NUMBER: n Proposed )��ing Use: 4,/ / Building Inspector: Date: 4.ca At time of permit applicah nono I was advised the following data must be submitted prior to pe, p sing and/or issuance: Date Received By 111. All items have been submitted. ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings.---_--------------------------------------------------=- A4anufactured ome and installation instructions including ie Down Specifi -`t �� - -------- Im10sof $-----------------------------------------------------------------------�•� �--� .pact fees as shown on the attached schedule.�to-a - .��-,'-r�'_ ❑ 12. California Department of Forestry plan approval/fees. ------------------------------ --------------------------- El 13. Flood elevation certificate. --------------------------------------------------------------- 7 14. Sanitation and plot plan approval Health Department. ------------------------------------------- 1115. ------------------------------------------ ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ----- =---------------------------------------- *7. Planning approval for (A) Use: () 1t%,1--/ (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 0 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). 1122. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - ❑24. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement.-------------- ❑L26),J.etter of intent on building use.------------ anufactured Home utility clearance. ----- 028. Existing violations and/or expired permits. 029. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- 30 Other ------ 30.Other: When you issu the permit, pr ss as follows ❑ Maifto 4caner, ❑Mail to contractor. I Nelephones34/— )Z R p and hold for pickup at Ve-a office. ❑ Deliver with inspector. 6A# tAPPlicant: Date: m Copy of Haz-Mat forsent ❑ Health Department, ❑ Fire Depent, ❑ Air Pollution Date: Copy of plans sent ❑ Health Department, ❑ Fire Department, g A i_.� Date: Index permit application for the above items numbered: 2. Additional items required: (Date) ❑ Plan Check List Contractor, designer, ownerAas advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: VPIIf{W (!{nu - T)PT9 —Pn4 13..a.3:-.- �� If 7 INITIAL ❑ sEpopM I1EIGl1T WIDTH is ,MOBILE HOME SERVICE CO. ' Pr0. ,BOX 179 DURHAM, CA 95938 0HONE:. (915) 342-7827 _� /_• 3 i1 vim• �,: n i, n •t:.t,. � �t • t. t,�`.+... � �nhPvin t dam• • To O H •W AUL C � IITH MAKE ``o OI s� �� 1 �9 DATE: _ , 2Ts- / ()RIVER: STATE PERMIT: TOW & HAUL ❑ SERIAL NUMBER($) COLLECT ❑ DESCRIPTION r PREPAID U MILkB WARGES ACCEBSORIAL SERVICES"PREPARATION TO MOVE, REPAIR IN TRANSIT, OFF HIGHWAY SERVICE N OF BRAKES KEYS LEFT: T1RlS: NIlN ❑ USED ❑ SIZE NOF AXLES . PAI® A -M B r . 43 IL c,EspiF DATE.-nilft— 0100. DAMAGE NOTATION r �l /� . t V f:T'v ARRIVING TIME AT PICKUP POINT --_ TIME SHIPMENT RELEASED TO CAflRIER AjiRN I ioN e1HjPPEIJ/CONSj-G11JEE Thl$ contract le wbjoct to Conditlons end Chorgelf of Ihe'Claaslllcetlonti end jariha In Rljecj on the data of the Issue of this form Commop law exemptions apply to lose or damage,eeusdd by Apt of God, defects In properly, Act of Shlppor or Public Aulhorily. Carrier not Mable for any damage caused by leforu d fagura ao da1111ed In applicable Tariff. Carpo lose eoyered jtp Ig 120.00 •OQ m4.xlmgm Per ejtlprpgnj. It addlllonat coverage Ig requested, the shipper or consignee requesting shell be liable for additional emoynl Of cOvNreBe.. „ Claim shall p1 P194 rfllh c4rrler as proYlded lot In the ppproprlale p4C or ICC regulatlons governing this ahlpmanl. No parllori of any freight charges duo earrief shell be withheld for allapdd damegee All chargee due and payable upon pompjePQn o1 shipment. 11 credit U pejebllahed, all charges due end payable as slated In credit rules of egehey regulatlona governing shipme3ichsrnl. Cartier may file cellon for total charges el deblgfa/ownere expense It charges' are not pelq 1p credit period. Charges not paid within ler) days pall due dale shell be Subject to Ihlerest charge! II Iha nu of 1.6 c per month. which do not re ulre extra labor or equipment to deliver or Which will Rol be huardou/, unless the 1 Carrier will transport aye( legally permilled,ro}rtes to points adlacanl to public highvyaye q owner by his Initial$ here ( ) agrees to accept liability for aamege and pay the extra charges Incurred. Shipper warrents Ihal the properly described hera:n meele ell slenderda imposed by law and agrees to reimburse carrier for coat Incurred and accept responsibility for noncornpllance. ery will be charged (or. II consignee refuses delivery the shipment will be placed In storage at owner's expense. Delay time In excess o154 hour for pickup and/or deliv Carrier not responsible for fire, theft or vandalism to any and while in storage. NO PERSONAL CHECKS ACCEPTED. IMPORTANT NOTICE These charges Include (1) lee& to pay for regulation of transportation companlas by the California Public Utilities Commission and (2) taxes paid to California titles Instead of Wife or business nests Wes Ihev could olharwlse Impose. _ THIS SHIPMENT HAS BEEN PREPARED FOR TRANSPORT BY SHIPPER AND rS WARRANTED TO BE LEGAL WEIGHT, HEIGHT, WIDTH VER ILL BE HED GAL SPEED TO TE DESTINATION LISTED HEREON. DR N TRANSIT DAMAGE OUEOTO DEFECT AT EP(THE PROPERTYNACTS OF HE SHIPPER OR ACTS OF AIPUBLIC AU HORIT HARMLESS FOR ALL TERMS AND CONDITIONS INCLUDING NOTATIONS HEREON ARE ACKNOWLEDGED BY: i SHIPPER SIGNDATE: HERE X RECEIVED IN GOOD VISIBLE CONDITION EXCEPT AS NOTED HEREON. DAMAGES OUT OF SIGHT OF DRIVER NOT ACCEPTED FREIGHT PERMITS PILOTS INSURANCE SERVICE CHARGE SIGN— iHERE X DATE: TOTAL CHARGES 1 IOU CUD r' TQ: Nome end Address �. FROM: Name and Address r .. r:.1 SHIP TO: Name and Address (C DELIVER TO: Noma and Address INITIAL ❑ sEpopM I1EIGl1T WIDTH is ,MOBILE HOME SERVICE CO. ' Pr0. ,BOX 179 DURHAM, CA 95938 0HONE:. (915) 342-7827 _� /_• 3 i1 vim• �,: n i, n •t:.t,. � �t • t. t,�`.+... � �nhPvin t dam• • To O H •W AUL C � IITH MAKE ``o OI s� �� 1 �9 DATE: _ , 2Ts- / ()RIVER: STATE PERMIT: TOW & HAUL ❑ SERIAL NUMBER($) COLLECT ❑ DESCRIPTION r PREPAID U MILkB WARGES ACCEBSORIAL SERVICES"PREPARATION TO MOVE, REPAIR IN TRANSIT, OFF HIGHWAY SERVICE N OF BRAKES KEYS LEFT: T1RlS: NIlN ❑ USED ❑ SIZE NOF AXLES . PAI® A -M B r . 43 IL c,EspiF DATE.-nilft— 0100. DAMAGE NOTATION r �l /� . t V f:T'v ARRIVING TIME AT PICKUP POINT --_ TIME SHIPMENT RELEASED TO CAflRIER AjiRN I ioN e1HjPPEIJ/CONSj-G11JEE Thl$ contract le wbjoct to Conditlons end Chorgelf of Ihe'Claaslllcetlonti end jariha In Rljecj on the data of the Issue of this form Commop law exemptions apply to lose or damage,eeusdd by Apt of God, defects In properly, Act of Shlppor or Public Aulhorily. Carrier not Mable for any damage caused by leforu d fagura ao da1111ed In applicable Tariff. Carpo lose eoyered jtp Ig 120.00 •OQ m4.xlmgm Per ejtlprpgnj. It addlllonat coverage Ig requested, the shipper or consignee requesting shell be liable for additional emoynl Of cOvNreBe.. „ Claim shall p1 P194 rfllh c4rrler as proYlded lot In the ppproprlale p4C or ICC regulatlons governing this ahlpmanl. No parllori of any freight charges duo earrief shell be withheld for allapdd damegee All chargee due and payable upon pompjePQn o1 shipment. 11 credit U pejebllahed, all charges due end payable as slated In credit rules of egehey regulatlona governing shipme3ichsrnl. Cartier may file cellon for total charges el deblgfa/ownere expense It charges' are not pelq 1p credit period. Charges not paid within ler) days pall due dale shell be Subject to Ihlerest charge! II Iha nu of 1.6 c per month. which do not re ulre extra labor or equipment to deliver or Which will Rol be huardou/, unless the 1 Carrier will transport aye( legally permilled,ro}rtes to points adlacanl to public highvyaye q owner by his Initial$ here ( ) agrees to accept liability for aamege and pay the extra charges Incurred. Shipper warrents Ihal the properly described hera:n meele ell slenderda imposed by law and agrees to reimburse carrier for coat Incurred and accept responsibility for noncornpllance. ery will be charged (or. II consignee refuses delivery the shipment will be placed In storage at owner's expense. Delay time In excess o154 hour for pickup and/or deliv Carrier not responsible for fire, theft or vandalism to any and while in storage. NO PERSONAL CHECKS ACCEPTED. IMPORTANT NOTICE These charges Include (1) lee& to pay for regulation of transportation companlas by the California Public Utilities Commission and (2) taxes paid to California titles Instead of Wife or business nests Wes Ihev could olharwlse Impose. _ THIS SHIPMENT HAS BEEN PREPARED FOR TRANSPORT BY SHIPPER AND rS WARRANTED TO BE LEGAL WEIGHT, HEIGHT, WIDTH VER ILL BE HED GAL SPEED TO TE DESTINATION LISTED HEREON. DR N TRANSIT DAMAGE OUEOTO DEFECT AT EP(THE PROPERTYNACTS OF HE SHIPPER OR ACTS OF AIPUBLIC AU HORIT HARMLESS FOR ALL TERMS AND CONDITIONS INCLUDING NOTATIONS HEREON ARE ACKNOWLEDGED BY: i SHIPPER SIGNDATE: HERE X RECEIVED IN GOOD VISIBLE CONDITION EXCEPT AS NOTED HEREON. DAMAGES OUT OF SIGHT OF DRIVER NOT ACCEPTED FREIGHT PERMITS PILOTS INSURANCE SERVICE CHARGE SIGN— iHERE X DATE: TOTAL CHARGES 1 IOU CUD r' '�^ t..''7'r'�'t:r.. t�- ' _ + `1`�'s� ., t-� y-, �'" .. �T-+.,ti e��?i•�...'..,,,. . * /) ]� I��� NI rs �1 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIMS7�� N 1. 7 CbUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: - ASSESSOR PARCEL NUMBER: ' D O Proposed Building se: Building Inspector:Date: At time of permit application, I was ad ed the following data must be su miffed prior to permit processing and/or Issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- Hazardous Material Form. ------------------------------------------------------------------------------------------ ufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------- ------------------------------------------------------------------ vImpact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 13. Flood elevation certificate. 1114. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ W. )Tanning approval for (A) Use: (B) Parking: -------------------------- 0 l%/Contact Land Development about Improvements, ❑ Drainage, ELxgal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 1__123. Owner -Budder Verification (Given to owner ❑, Mailed to owner ❑). - ❑24. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. ------------- 26 tter of intent on building use. ----------------------------------------------------------------------------------- 27. Manufactured Home utility clearance.--------------------------------------------------------------------------- C7 ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 1130. -------------- ❑30. Other: ------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to tractor. Telephone �3 - J �% and hold for pickup at U ✓ i office. ❑Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Poll hon ate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other' Date: By: 1. Index permit application for the above items numbered:/ 11Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. �q ��� ? Date: Date: Date: Date: „,ten.:-:.r^JV�Y�+��:.�.�'''�.J`rr•r':'y+�i+++si.�,,ir`�.�y�Ni�+ r4.'Ty'1”'Z4%46.d^hua�,.�^►'7r+�'{""�d,••rc.�.s,a;yr��st'r...,..�w►r�'.�_': r:s�.-rs+�uvw�..�s� ..,,.,,,.-y�'.,.�rk-.... -.. ..... COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE s - OWNER ,/ `I wl 1 HCl / A.P. #-�%D�aas PROPOSED BUILDI G USE , DATE REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ . -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ > ^n, -- Revised Plan Checking Fee ....... $ / C leV CS�42. SCHOOL DISTRICT FEES Orov; / lC� �yt I`Q h (paid at District Office) V ' 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ 3��• �O.`� /� ®� Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 0 �. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft.. Amt. 5. RECREATION DISTRICT FEES - (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT C DATE •- -' Original -Owner cop Ouilding Div. (Rev. 12/96) 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES A NO 0 — 2. I HAVE`M HAVE NOT 0 signed an application for a building permit for the proposed w6& 3. I have contracted with the following person (firm) to provide the proposed construction:.: "'._; �rME e . ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY N DATE: J/� /� NOTE: -Thu Owner -Builder Verification is required by Section 148.31—nd 1983 , flhe— California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business 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: ♦ If you employ or otherwise engagfamily, e any persons other than your immediate and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, . workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ 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. ♦ 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 structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac!qrs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Code. OVER BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM goo (One form per Building) School District' /JjC �!// Z L 46 RZ1J1� �(, r'/VQ v Building Department No. A.P. Number d5z "'4" Wit% Jurisdiction: City County Property Owner Iq ia6a57—lb t.%T//YV L L 10. Property Location./Address Subdivision Lot No. H .................................................................................................................. Residential Development Sq. Footage 7�0 No'of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection)! €................................................................................................................... Commercial/Industrial New Addition Bwlding Department Representative (Floor Plans reviewed by School District Di thct Identification No. 010029. / % `•P UDistrict certifies that Address) (City) has complied with the requirements of Resolution No. representing square feet. '= School District t Paid by Check # Remarks: v►r. (State) ids 9d AB 2926 FULL MITIGAI `�Sq: Footage r+ (Including Exterior Roofed Areas) Date U (Applicant) -I -1O (Phone Number) (Zip Code) by payment of $ �$ 7 Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act-(CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) ` feeform.As (10/98)dmm October 10, 2000 Augustine Carrillo P.O. Box 22 Palermo, CA 95968 �epartment of Develo >�nt Services P Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number- 026-070-025 Building Permit Number: 99-0971 This office reviewed building plans for the permit application referenced above. The plan examiner's comments are listed in PART - I below. Please respond in writing to each comment in PART - I by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Indicate which detail, specification, or calculation shows the requested information. Additional response information is included on the response form. Your complete and clear response will expedite the re -check and approval of this project. PART — I Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Your mobile home must be HUD approved, which means built after 1976. Please get approval from the Planning Department for a pre -1976 mobile. 2. The data sheet you submitted shows this mobile as a 1973 Insinia mobile. I am sending you a copy of this form. If this is incorrect, please fill out a new one with the correct information. 3. Plan review will continue upon receipt of the above items. Additional comments may be generated from your response above where plan documents are incomplete, inconsistent, or not adequate to depict code compliance. PART - H The items identified below must be submitted prior to permit issuance. These items were noted at time of permit application on the PERMIT APPLICATION DATA SHEET. If you wish to discuss any requirements in PART - I, you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. The attached checklist must accompany corrected items. Sincerely, Linda Simpson 1 of 2 Plans Examiner 2 of 2 • October 2, 2000 Augustine Carrillo P.O. Box 22 Palermo, CA 95968 *Department of Develo fent Services Develop fent Division 7. County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 026-070-025 Building Permit Number: 99-0971 This office reviewed building plans for the permit application referenced above. The plan examiner's comments are listed in PART - I below. Please respond in writing to each comment in PART - I by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Indicate which detail, specification, or calculation shows the requested information. Additional response information is included on the response form. Your complete and clear response will expedite the re -check and approval of this project. PART — I Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Your mobile home must be HUD approved, which means built after 1976. Please get approval from the Planning Department for a pre -1976 mobile. 2. Plan review will continue upon receipt of the above items. Additional comments may be generated from your response above where plan documents are incomplete, inconsistent, or not adequate to depict code compliance. PART - H The items identified below must be submitted prior to permit issuance. These items were noted at time of permit application on the PERMIT APPLICATION DATA SHEET. . If you wish to discuss any requirements in PART - I, you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. The attached checklist must accompany corrected items. Sincerely, Linda Simpson Plans Examiner 1 of 1 ,f.. L I-tk 'AN A �. RAC Dhkk Se ftUIp*F� . FT. FF OF S F7 F ALC �,q � QlNQ O �E REAR PROPE7."'E SIDS ,q R� , F'OR q ��F STRUcrr, ROAD CF F n' ONFS AN , �- L*Ata OVE%,84 AND FQUIPM e SHALL `'.: Butte County Environmental Healt? Da _ --.-CLL a=--------- S9gnature ,,;� 30 a r r Mobilehome Manufacturer: % � Man ct ire Year[ ;7 /! IN/A If other than single wide furnish Model Number: ?aca El 1' S � ? � s Width: I �- (ft.) Length: � U' (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. FOOTINGS: Wood pressure treated or foundation grade[ Other: SUPPORTS: Concrete block[)] Other: Provide Tie Down Specifications for all Mobilehomes: Main Beams ........................................................ Tag or Triple I Line 1 Piers: " Size minimum: x Spacing maximum: > ` From ends -maximum] n� ` Line 2 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): ............................... Line 2 ' Line 1 S 4 Line'l Openings Size minimum: [ ] x [ J. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ Spacing maximum: C` From ends-maximum:1 C` OVER Pier Y66tings Sizes and Location - SINGLE WIDE MULTI -WIDE Line 1 e 1 Line 2 j... ,.... ..... y�.....1�... J.. Line 2 Line 2 i�......�..:--..:. ... .. ,.......... f...y'. e 2 Line 1 Line 3 Line 2 Main Beams ........................................................ Tag or Triple I Line 1 Piers: " Size minimum: x Spacing maximum: > ` From ends -maximum] n� ` Line 2 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): ............................... Line 2 ' Line 1 S 4 Line'l Openings Size minimum: [ ] x [ J. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ Spacing maximum: C` From ends-maximum:1 C` OVER t 1. Owner's Name: a--�!/ 2. Assessor's Parcel Number: 02�� 0,9,q 3. Installer's Name:�[���' 4. Is the site currently under permit? YesVj No[ ] Permit No. 5. Is the site an existing site? Yes[ ] No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? Amperes. ' 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[!'X ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ Da If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: ' Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[A] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? `L (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8•5 r 9 4�,4�121 114�v d LAND DEVELOPMENT BUILDING I ENVIRONMENTAL .HEALTH PERMIT CLEARANCE Building Permit No. OWNERSr� A.P. NAME: (2 ccf rlC NUM BER: PRINT LAST NAME FIR3T COUNTY ZONING DESIGNATION L� MFLOOD ZONE: �� FLOOD MAP: gds APPROVED: l/r' o. CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: G ZS PARCEL CREATION BY DEEDS J/ OR MAP cc 0tv 2:�f DEED INFORMATION: DATE OF CREATION: v� c)/7Z LEGAL ACCESS PROVIDED: YES NO DEED REFERENCE: I?4o% 0.9. 448 Co✓✓LT 9%/06 A-t-c"Nr LEGAL ACCESS REQUIRED: _ye' YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: CEye r i F O� /�l/�L /,4 /�C L oe Fly MAP INFORMATION: DATE OF RECORDING LOT BOOK PAGE , COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: t A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of 3. Comply with Zoning code for building setback from road. 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from 6. Pay water tender fees in the amount of $ to Battalion Number 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 8. Connect to a public water supply. 9. Connect to a public sewer system. of the Butte County Fire Department. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 130, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. ' 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Paymmt to be RW* to the PA"""9 OMsiw- _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. _ X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. , _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. o — 22. 23. 24. 25. 26. 'A101N3Wd013A3O ONb1 31.1f18 30 A1Nf100 9661 0 £ J 3 6 (13A1333H LD 7196 C:\WP51 \FORMS.K\BLDGPERM.CLR AND WHEN RECORDED (MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1 998-0gb 1 1 1 8 Recorded Official Records County Of Butte CANDACE J. GRUBBS 01:36PM 25—Mar-1998 REC E 12; 0 V` COPIES 0 , O Maureen Page 1 of 2 0 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: 7 Xy PROPERTY OWNERS: State of California ) County of On Q.�'.�� ?/-ST before me, /� c f'Loaek_ll c personally appearedG�gcf$ f �/ CpR�2���d personallN known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the pers n r OeAngtyk&nfiel al f of h'ch h persons) acted, executed the instrument. RICHARD FEUERSTEIN WITNESS my hand and official seal. Commiulon#1133507M#CPS] ' Notary Public Butte County Ctfflomio Signature Seal: < My Commasion Exp. APR. 13, 2001 A.P.# NOTE TO RECORDER: DO NOT REUMD THIS SIDE AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT Instructions for recording Agricultural Statement of Acknowledgment: A.A. -1 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. (The description may be handwritten or typed in the space provided or attached on a separate sheet is more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized.. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $7.00 - 1 st Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. (Monday - Friday) RECORDING REQUESTED BY Albert M. King AND WHEN 111ECO11DCD MAIL TO NA.E Agustin M. Carrillo' ADDIn.. P. 0. Box 22 D""lifornia ...,E Palermo, Cu J Title Order No Escrow No. MAIL TAB aTA'B.BMTa TO NA.a Agustin M. Carrillo A*@"$$ P. 0. rix 22 CITT • 'TAT' Lralermo, California OFFICIAL RFCORDS ^U1TF.r,0u4Tr•fALIF AL ERT ivi-j jNG By AL S 2 si PM 1911 LOUISE KLIIEAUrRrUO,, COUNTY RECORDER 21"7 FEE SPACE ABOVE THIS LINE FOR RECORDER'S USE 7 libl�llbiliiY stint MCC WCOTr.RN TITLC F-"%4 NO. 104 FOR VALUE RECEIVED, Agustin 14. Carrillo, sometimes also known as Austin M. Carrillo, and Rometimas also known as Agustin Carrillo, and Maria Rosario Carrillo, also known as Rosario Carrillo, his wife, GRANT—to Agustin M. Carrillo, as his sole and separate property, aU that real property situate in the unincorporated area of the County of Butte . Statc or Calirornia, described as follows: Parcel 1. A portion of Lot 7, in Block 86, of Subdivision # 1 of Palermo Citrus Tract, according to the official map thereof, filed i.n the office of the Recorder of the County of Butte, State of California,. February 28, 1888. EXCEPTING the.Easte-rly 30 feet thereof. FURTHER EXCEPTING 'THEREFROM the followirnj property, more particularly described as follows to -wit: • Commencing at a point 30 feet Wost of. the East lane of said Lot 7, Block 86, in the center of Bohemia Avenue for a point of beginning; thence, te'sterly along the center line of Bohemia Avclluc 230 feet: thence, at right angles Southerly 30 feet to the Southerly line of Bohemia Avenue; thence, continuing Souiaterly 338 feet; thence, at ri'1ht ancilo, Easterly 230 feet to a point 3c - fa&. West from the Easterly .lute of said Lot 7, Block 86; thence, at right angles Northerly and parallel wiLit the Easterly line of said Lot 7, Block L16, 368 feet to the point of beyirning. Parcel 2. A right of way to transport water in an underground irrigation pipeline and right of way for ingress and egreze to repair the same over t,'•,e Easterly 22 'fee,t of the last abovo described real property, which ri,lht of way shall be for• the benefit of and appurtenant to all portions of said Lot 7, Block 86, of Subdivision 01 of Palermo Citrus Tract, conveyed to the Grantee by this deed. Dated_Anril 'Ll STATE OF CALIFORNIA County of butte on AG C i 1J % 19_12L hefore me. me undersigned, a Notary Public, In and for said Stale, perionally aypearelL_ ADt:stin M. Carrillo FOR NOTARY SEAL OR STAMP + known to me to be the perwn_ whose name i s I µ► subxribed to the within Instrument, and acknowledged to me :hat _he_ executed the Same. Notary rotic � � f. %' •• ' �:- ' I N MAIL TAX STATEMENTS AS DIRECTFO AO0%1E AUGUSTIN PO BOX 22 PALERMO, CARRILLO CA 95968 X.1- C I ALLLN 1 Ur 1jr, v c,1.Ur.v1r,0 i OJV,A%. A%- 7 County Center Drive, Oroville CA 95965 Phone: 916-532-7541 '.E: MOBILEHOME UTILITIES BP#98-0405 '-P- # 026-070-025 lith reference to the above subject: attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm DATE: 3/19/98 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced ate need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. . Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Other: A CERTIFICATE OF COMPLIANCE IS REQUIRED PRIOR TO ISSUANCE OF BUILDING PERMITS•- 266. r�g;TT�e�rT ED PT T ng PHTT n HUNT AT THE LAND DEVE Should you have any questions concerning the above, please contact SCOTT RUTHERFORD of this office. IYo s very t , isel C. Vieira, C.B.O. MCV:ahb Man ger, uilding Inspection January 22, 1998 Augustin Carillo 2411 Bohemia Avenue Oroville, CA 95965 .-1;utte 160, L A N D O F N A T U R A L W E A L T H A N D BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 53&7601 FAX: (916) 538-7785 RE: Application for Determination, AP 026-070-025, FILE DET 98-08 Dear Mr. Carillo: At the regular meeting of the Butte County Development Review Committee held on January 22, 1998, the Committee granted a Conditional Certificate of Compliance for the above -referenced property. The conditions are: Pay the recording fee in effect at the time the Certificate of Compliance is recorded. The current fee is $7.00 for the first sheet plus $3.00 for each additional sheet. The estimated current cost for recording this Certificate is $10.00 without conditions, $13.00 with conditions. This cost estimate is based on 1 page notification (first sheet), 1 page of legal description attached as Exhibit "A", and 1 page of conditions attached as Exhibit "B". There is a fifteen -day appeal period before this certificate can be recorded unless you sign and return the enclosed waiver waiving your right to appeal the committee's decision. If the condition is cleared prior to the end of the appeal period, a "clean" certificate with no conditions will be recorded. Should you have any questions regarding this matter, please contact this office Monday through Thursday, between 8:00 a.m. and 4:00 p.m. at 538-7601. Very truly yours, Thomas A. Parilo Director, Development Services By cc Environmental Health Department Building Division Land Development Division RECEIV. JAN 2 6 1998 R GJ t TE COUNTY 13U '_-0rA1O DIVISION ....f.. a'ORov L E IN.THE MUNICIPAL 6AURRIDLEY T _ t�3 Arur+ ttr.. - SOUTH BUTTE, Ui&, U J DICIAL DISTRICT -4gG 238 a . r 9ssas Sycangre (PA, Box 110() , (Oro818?83a -7747 tOUNW O Bi�TTE, STA7� b CALIFO MIA' Gridley; C/1 95948 ". y o 7HE -PEOPLE 4F THE STATE OF CAMbRNIA f. NOTIM $E!`IIENCE COMM V ENT FORM CASEWO... A P 70 02,1S ME Jub( r YOU AAE ORDERED TO APPEAR ON - AT PM/AK CHARGES J-*.':9!Sj��,_.... nmoNy MISDEMEANWI �04NFRACT116N ❑ P & R XJ Co. ❑ Co./City ❑ City ❑ Fish and Game „ 0 Biggs City ❑ Grkft ROL FOR: !Twain Attorlmy Further PrQCeedjrjM Pre-Px HeaArg � Moft &try of Plea,Arraiari tient DisprolSettlng Prelimtnary' Emralrt3(t¢r< [ of Iorvliearrng/Ftevlaw �] Revotation of PmWon PW -'trial Jury ❑ Coart TrIat Detenae Aftmey Admit or Deny — Herring Jury Trim E Pr6MIon/$entencing tart to ftbation Dppartmerit W&MM (Address on'reverse side.) tmfrtedlatety contact the Office of ft Biblio Defemdpr as Indicated. CUSMDiAL STATUS Remanded to mistody of Sheriff until next appearan0e. Ball .$ "fm at liberty an bati Released O R 9rKiant ordered disctoged SENTENCE AND CUSTODIAL STATUS • ❑ •Pay fim of S Ardor go VW at ooffootion and pay fim cis %thY/ith PayaVe to Clerk of Court by, or you mvst appear to Court that date at - m 4M SO" hQUIWdaw/irr"ft M fig. vAth c nWlt for time served. Je. TIM Served. Q• SM to = fa be serve( o0ri outivety/cormnlently with. 04f exeoutlonwanted,unot Al and defendant ordeMd to surrender to ShW f at. that UM 0 f^7 t�. a►reverse side) • Jafl: at .m. t(x. and: each weOzM thereafter unM served. Q VWrtc,_,. , ft" an on Court. Work Program atWka*d job site, Tobe and file pm& vidh the'Court.by at t certfty'tite foregotrtg is et'?<f of tt ittent.rendered on the ab" dat$ by (tie moxa narned . CLERK OF THE 4WOW NAMED =RT. � Y- ; Deputy , TO THE. SHERIFF. --,7T p foregoing certified copy of Judgment fp that above,entttW action outhoHfy for the e , n ther�i DEFENDANT, -BEING RELEASED ON HIS OWN;.RECOGNOkNCE, A*RtES;1)-Wl He wlll (appear at aU`,times' and places as m Wed by; the Court or MMWM* (2) he win not depart • the: State wither( leave vt ft. 'Court; (3), to wql waive'. eixfradition if he ' ' apprehended: Vis. th� $falai of r aitfontla: (d) any Caurt or magistrate of c�ml?eter►t .jurisdiction y E����f�arx# ef�`'retiimvhim�toaratody Q? r�gtilre that he givte bait or assii►arice 4f, his appasranQe ,.� • has per• fav-pa�B:t't10chanter' ?; +pf ttie PSI Cdde: lSr failure to appear our a mtsderr>earmr constidtes a naw, purii�t�$� by r.� artdofhdl�lj�y , a>'idlor .��Q0.00 fltre, and (S) faNure to appear an a talahy mea a rtawr ! puntea r Defendant te+ 11Vftt6sed by.,: - n okMLIX ` tWt Arun Rhine Dr. 0x13) vim, Cas 9e399s s-�ar IN THE MUNICIPAL. COURT GRIDLEY SOUTH BUTTE'COUNTY j= DIICT STR. G�►I- ra9sycarriore(P.0.8ox 1100) �--, COUNTY OF. BUTTE; Si iM QF CALIFORN. W Grkftj GA 'tom (916)04"701 FELE- PEOPLE OF THE STATE OF ,CAWFORN[A VS, - ARM N=CE, SPMN , OOWTIVIEN ' FORM CASE N4 p�2-tom DJUDGE YOU ARE CMERED TO APPEAR AT PWAK CHARGES OFEWNY MISDEMeMOR, [] WFFIAG171M 0 P & R IV Co. 0 00joty D City 0 Fish and Garne 0 Biggs City © Gm" PD. F Q Retaht AtMmrey F] Furttw Pmeed"s Q Pia-P'x I•IwOng n t_rdry of ma/m;�J nrmnt pispo/Setting Preliminary Examination Revaoetion of Prn6at D Pre-Trtai .fury Cour; vai Admit or Decay Hewing p Jury Trial p Pr n/Senter ing Q Repon to ProboonDe"norttFotthw4k "" on reverse side.) R;. immediately contact the Office of the Public Defendor as indicated. CUSTODIAL STATUS D 0 a Atta ay Lj Remanded to custody of Sheriff until next appearance. t;' ; Ball $ Remain at liberty onbaii R Defendant ordered disdWeed � w tr r$ Ir AND CUSTODIAL. STATUS K - - +1 A.V- f, y W _fi)e proof of correction and pay Titre of $ o Payable to Cierk of Court by or you nwst appear in Court that data at m. . ..til .. Jail: Serve hputsldaysiftio tths fit jail, with credit for tune Saved, F] off: Time Semeo. n Sentence to Wieryed o=egttivelyfoorWrW* With r❑'� ($ gyr z�arltted forth - - at and 4efenclent otderest to suirerKW td Stsettff at that t1rn% L1 •tdik at m, tb at� fi and each weekend Diereafter until served. C3�4� ftoum on Court Work Program at hrdicated job alts. Tp be oornplded and fife praO with the Court by - - - - , at sq or-oppear. I certify doforwaing is a true copy of the M*Te:tt rendered Qnrthe above date by the aboo nod J =AK OF THE ABOVE NWED COURTf r" By TO THE• SHERIFF: The foregoing certified copy of judgment.In, the ebove entitled . VW $uthodty for the a th®reaf: . ordered BEING RELEASED ON HIS OWN RECOGN ANCE, W.EES. THA , . ) He cilli appeal at all times, and. plus as x h (2) e, will,. not depart the State4without leave of --Court"-(3j he will walve.'OktradMort,Ube ppreherided outside the State of OalHcrnia; (4) any t port or ma�rstrate of e t jurisdidiori ►naY ,)ttt9 tttn ase pnd'. return him to. 'QW *- rix .rr':girir0 that he glee ,bail or other aseumnbei , h 11p�er , as .i)tdi%biapter' 1. of 'the Penal Code; (5) failure to aPPeW Qn. d riengf constitutes a, nrAt.. ,'b k 4-- , , imtl ld/.ol $Y,t300.00 00fine, Arid (8) appear' on app011 at felony tbrretitute$ a ne vit fe rip , :IWcrn++uit 9fMW 00 i Wltnd by t f' 4 .. 11 AP * `®?-( - 230 - CMZ 5 IN THE MUNICIPAL. JUSTICE COURT pY I COUNTY OF BUTT TATE OF CALIFORNIA Oa CHICO _j LEY nOROVILLE 655 Oleander 239 Sycamore 1931 Arlin Rhine Dr (916) 8 ,1-2703 (916) 848-5701 THE PEOPLE OF THE�' STATE OF CALIFORNIA V Defendant CONDITION OF PROBATION/ CO DITIONAL. AND REVOCABLE RELEASE PARADISE 747 Elliott Road CASE 'N- c=� art. DATE i. / JUDGEA -° -_�^' The above named defendant having been convicted of a misdemeanor violation of Section°%"' IT IS HEREBY ORDERED=(applicabie items checked) A. COURT ACTION (sentence and/or terms indicated in (2)QFollow ad orders of Court/District Section B, C, and D). Attorney and report as directed. 1.- FORMAL PROBATtONGRANTED. Placedunder (3)D Seek and mountain etnploymant/ care and supervision of the probation officer for education and notify Court/District a pahof of rtrt 9_,)2 1 Tt ,rtifs, yRlr+`Y.APL' VAttorney of any charge in status. from the date of this order. a (4)QNotify Court/District Attorney im- 2.[] QONDITIQNAGREVOCABLE RELEASED TO 1 i mediately of any,„change in resi- dence address.' SNE G UNITY for a period of , ter•,;: �-.. ,a. ur-.�, from date'ot this order. 2.❑ FINANCIALS'ERMS: Ro not maintain any cftectt- �r;.' '' ' , Ing accbun, orihave any Alecks or credit cards 3._ ROBAT)ON/CONDITIO VOCABLE RE n possessi LEASE as granted o 3odified. on or under croil Original terms in full force a effect except as cheeks). amended herein this date. 3.ED PROGRAM TERMS: 4.Q PROBATION/CONDITIONAL REVOCABLE RE-, (a)QCommence and continue eduoation, psych - LEASE REVOKED ON r..r, ological, psychiatric, drug, alcohol, or Defendant found to be In violation of probation/ :, other rehabilitative program as prescribed conditional release. REASON•� y by tale Probation Officer/Court and not leave or terminate contact with any such 5.Q PROBATION/CONDITIONAL REVOCABLE RE- z):} prooram without his permission... LEASE REINSTATED: Original terms iq ful) (,�t��rnF��•�l.C,om�pl�� with .the attached program force and effect except as amended herein this't rtir ¢L.f:Cotii7►Tf4i17ft.;,i,ttt date. 6.0 REVIEW DATE (b)Rh�urs.of wor'krfor Court L (e){ Defendant must appear In Court `, grit I Repori'to Work Coordinator (b)[] Defendant peed'ttoj appear unless rdirected�• on at M. by Probation Officer. Complete, assignment and submit certifi i sQ PROBATION/CONDITIONAL. REVOCABLE RE- rye ca�d•ptppgtpleon to_JtloiCourt bX Ltub 1 'YI t, ate AM.�or' appear LEASE terrpinated l- a in Court at the ttlne.f +' e., - B. ,.B. JAIL/FINE/RESTITUTION (ct�ag9 �441(Dr�iyer•Impravement/ — J 1 .—BE IP1PR_I$ONED in the Butte County Jail for a d om�lete same fay__ at T__- ^ ti1-fteurs/da s/ weekends/months with y M. File' proof of completion with suspended commencing the Court ora ear pp •,n .pen Court kit that J tiefor4/at a V n, Dred time. 2. AY FINE C7F 8 r c ud' !g 9. ADDITIONAL CONDiTlCNS ' peasalty assessme / ���1i[] Totally abstain from the ur>e ur passe5senn of (al��� Payable to robat�on �fitcert-in„install7& � �jf r -inti alcoholic beverages. I.rems to be determined by him. Q Do not drive if there is afcotvol in your blood. +'t o?`' Payab e in equal monthly installments of 3.� Do not enter any public place v,nL>ra the primary $__ on the day or item sold or dispensed is intoxfCatang Idgruar. e month commencing- 4.E Submit to and pay for any expense of drug, nar- c!� ayataie to Clerk of Court b 1[ / cotie or alcohol use detection test as directed appear n Court that date at r 1+ ”" ` by peace officer upon a reaconabte srusprcion of + "+ :>r , t z non-compliance 3. P;AkE RESTITUTION in the Sum of -� p lance with numtAUr 1 and/or 2 immed- or in an amount to be determined by Probation.�;� } i,r.,t .lately above. Off cer/District Attorney Office/Court. ISf Submit person, vehicle, place of residence or (a)LPayable through Probation Officer In',,r. s4,area over which he has.control,.to search and nstallments determined by him. „e,`, seizure of narcotics, drugs or other contraband (b)[ File proof of restitution to_ at any time of day or night,•with or without a 4iIII the court by _ search warrant as directed by peace officer upon or aopti ar on that date at am/pm. reasonable suspicion of non-compliance with (cl� Pay $ to Violent Crime Fund: number 1 or 2 immediately above. (1) __ Payable to Pronation officer in install- 6.Ei Register address El 290 P C. 711590 H & S. mants to be determined by him. ' ' 7.Q Do not annoy harass or threaten _ (2) ;_i Payable to Clerk of Court by — or appear in Coir! tr+at date at 8 L Do not own or have possession, custody or con- trol of any firearm.1 9.Q License or driving priviiege is suspended for C. F - ORDERS AS FOLLOt",'S: f-- 1. ; STANDARD TERMS: 1o.Q Surrender driver's license to Court! 1 to two held Cal_ -] FORMAL PROBA7ION. Obey ail laws, by the Court for daytVr+onthn. ( ? to bu wort to P•�b:^r�r� forttx•,,odr, dr,; `ortwarx7ed to CMN, as d•rected, fo,lc,.v a+i orders ©f Probation it.F_ Do not drive without a valid Caltfomra licr;nsf: Officer, seekand marr,ta:newtsloymentand/ issued to you and in your passesauon or without or education and notify Probation Officer insurance in the amounts set forth m 184300VC. of any change in employment„educator or 12.QDriver's license restricted lot__e-_months as ree ence status. as follows: rbDlTl �L/REVQCA8L.E RELEASE (wD Drive to and from empioyanent. 1)_4ATey all laws and report to Court in (bl_�� Drive during course of eratpltry nt. oerso or 'n w.,tinq f directed to do (c)—Drive to and from ireatrvetit proardm. :l 13. -- — -- --�-- UPON SATISFACTORY COMPLETION OF PROBATION YOU MAY APPLY TO THE COURT TO HAVE YOUR CONVICTION SET ASIDE PURSUANT TO SECTION 1209.4 OF THE PENAL CODE EXCEPT AS PROVIDED FOR IN,U3666 CALIF. VEH. CODE. 1 have received a copy, read and urdersttand the above conditions of probation .r Defendant Addross r• 1 /' ! > jr 7 f t: r>,441_-. INTERPRE'TER'S DECLARATION: I hereby declare under penalty of perjury I personally read and interpreted the above document and ex- plained each item to the defendant. He indicated he fully understood each item, Executed at �-_ _ F � Cal hornia cm �___ : (date). Signature tax_ I certify the foregoing is at,ued copy at the judgment rendered on the above date by the above-named Jtdge, CL`�RK OF HE Q fJAfivlEa OU BYe j TO THE SHRIFF: The foregoing certified copy at judgment in the above entitled actir your authority torkhe execution thereat. DISTRIBUTION: 1 ) District Attorney ( ) 'police Department ( ) Jail ( ) Probation ( ) Defendant ( ) Collection Department f ) Arresting Agency i dROMU. y � IN`THE MUNICIPAL-COUfiT t � _ �k 1�931t,Arpn Rhi Dr: - SOUTH BUT.t ,66UN'T.1� JUDICIAL DISTRICT' GRIDt.EY' P. ) -. z'; A ovine; GA' 968Qb 239 Sll artiar3 f Q BOX ;1100 orovil oo ck 47 COUNTY OF BI�TT'E, SWE QF CAUPORNK Gdd*;'CA:.'t�5A4,8• (8113) 848{701 T.HE' PEOPLE OF THE ME OF CAUFQRNiA V.% 9=0 VC�M Defendant- N0710Et $tWMKCI , COMMITMEW FORM.. No. m02AA2=9 AP*02.23~0 - 025 0DATE �� JUDGE �- YOU AAP_ t3RUERELi M APPEAR 0 AT i'WAM. CHARGES 1 LAW 12=4(91. 0 FEWW ] MWDEMEANOR [jwFRACTIO ';.. Yui 4• .: ❑ PSR 3 Co. ❑ Co./c ty 0 City [I Fish and Game '•.,'10 Biggs City k 0_ Gridley PD.. Fi3R E] "a Attorg" Further Proceedings Pre-Px Hosting 0 motbo © Entry at Ptea/Arraipntoni a D1st Statiriq Q Preliminary-Examinaftctn Dlye>*m/Hear)ng/Reviaw - t3eypoation of Prob0on ❑tyre -Trial ory C.q,irt Trial Dere q* Atiwnpy _ Admit or Deny Haft Jury TC#gf Q" PmbatiorUSeritencing Report to ftbation Aepa>tmettt Forthwith. (Addrets oe rewroe side.)' a Immediately contact the Offipe of the Public Defender as ircficatedl:,' ` .p . i. -. .. y s i `' 1 .:a : 7 ,`Irl) • v Y t, p -,t i � �' � t - - CUSTODiAL STATUS Remanded to custody of Sheriff unftl next appearanQ& Batt $ ` Remain at liberty on bail Released O t1, Defbndarti Ned d SENTEN�E'AND.CUSTODIAL'STATUS ATtt- Payfineof$ 41 tuY4it�Lt = t!.. rfi1 ks is • t ., F El And/or file proot of connection and pay fine of $ f Fwftft n Payable to Claris of 0&o rt: by - - r or ycu must appear in Court that date at m. �,Tail: Serve hours/days/mths onin jail, with credit for time.served Q ; .tali: Time Son* [] Sentence to be smad c&vem tyloo currently with d ucait - -- - at and defendant ordered to surrender to SW at that ifrne. Jafr Serve weekends oamrrtendtig at rtt. to anti each wei'kend thereafter urttit sortred.. . j ; ' ?0 ftk ...��. hours on CotM W(tit program at lrtdk8ted lob site ; To be cmpWW and fits pn*0 with the Court by _„_ , tn,or appy; 1 oer* ltia foregoing is a true tropy of the jud lent mm *md. w V* aboveby the abs �a rtarned CLERK OF TME ABOVE NAMED COURT , To THE SHERIFF: Thq foregoing 04MW copy of judgmw*In ici abovea #1 Is yow a>JthoiitJ* 44axq utlon thamot. DE.PWANT, BEING RELEASED ON. HS QWN RECOGNgANCE� AGP; S. TH# (t) He will appear at all fipv< ant!' pt es as rder o+ ,-by the CoOrt 4!'' .:nvastrate; 42) he; will not depart• thi i State wifli4ut leave. of this- dourt -(3) fie ierill waive extrWitiM Ifhe ~fa b 'appear �•MA , `is appreltanded outsidq the Skate ot'Cal;forrda; (4) wN Court of rri�strafe ef'eompet%t judWk%oA! ilia ' e arld eitt�r • returta him ta•a stody or mquIM ,thd he give bail or others assurm loo of, his appearance i, as Mia ' 10. chapter 1, of the'Periai Cede; (i5y tallurtr to so peW ai_ a rltisderrteaW constitutes a ngw prior t � bwi w jet orxf/or, S;z, 00 fli>o, anti (8) faltuna to appear oa a fe:pny► oorado*s ,a riew f _ �p totawft w9tato, $33A00'in titles, elony pctr@sitaMe s ..,w,.�,.+,,.,,�,�,,,y� .. Tl��"''-'S�....w—....+...,� •....y.y,�,*y4,--•y�+.,Js...,,�,�r.�,`.-.. �1.�,.�w..�.,�,.n,�..w�..,,�,,,r. ,. .-ti+�.� +-�...,,,+...� '•-err',,_ `S n IN THE MUNICIPAL JUSTICE COURT APS .0 Z 6- 280 - 00 ( COUNTY OF BUT E' STATE OF CALIFORNIA Q GHICO ORIDLEY C]OROVILLE 655 Oleander 239 Sycamore. 1931 Arlin Rhine Dr. (9'16) 894'2703 (916) 846-5701 THE PEOPLE OF THE STATE OF CALIFORNIA VS. fendagt CONDITION OF PROBATION /C DITIONAL AND REVOCABLE RELEASE The above named defendant having been convicted of a misdemeanor violation of S IT IS HEREBY ORDERED: (applicable items checked) Q PARADISE 747 ,Elliott Road (916) 872-2961 CASE NO, DATE JUDGE -A A. COURT ACTION (sentence and/or terms Indicated in (2) [] Fouow all orders of Court/District Section B, C. and 0). Attorney and report as directed. 1,3 FORMAL PROBATION GRANTED., Placed under (3)❑ Seek and maintain employment/ care and supgrvlsion of the probation officer for education and notify Court/District a per►of o1 'i ( :`'. `?*:) ;: - :• i.� : r" •" ! j.l' ";:� ;1{,})7 KIFI7ittomey of any change In status. from the date Of this order. (4)ONotity Court/Diatrlct Attomoy im- 2.0 CQNDi'TIQNALJREVOOABLE RELEASED TO med►ate►y of� any, change . in rest - THE COMMUNITY for a period of dance address.' tr tha date of this order. 2. El FIINANQ14A TEAMS: D�nolmaimatn any cheeK' 'F r ' F t ac, un 'e�'tieve an checl(s or credit cards �/O/ 3. PROBAT ON/CONDiTION ABI. RE- LEASE as granted on --C flied. in possession or under toll Original terms in luta force and/ fact azCept as checks). amended herein this date. [' 3.0 PROPRAM TERMS' ION/COD 4.�1PROBATION/CONDITIONAL REVOCABLE RE (a) Commence and continue education, psych - IT LEASE ological, psychiatric, drug, alcohol, or Defendant found to be in violation of probation/ other rehabilitative program as prefiorlthlad conditional release. REASONby 4.1 the Probation Oftieer/Court and n9l It 3.3.! leave b.❑ PROBATION/CONDITIONAL REVOCABLE RE- or terminate contact with arty Such prooram without film permission. LEASE REINSTATED' Original tam in full � , 1)[1Compty '!beth the attached program force and effect except as amended herein thisF - ,boriditibns date. REVIEW DATE (b)(] P�*f r--,hpurs of work for Oourt (a) O Defendant must appear in Court Work Piogram._ Report to Work Cdordinator (b)E]Defendant need not appear unless directed on } ` a(- ' •' M. by Probation Officer. Complete assignment and submit Cortlfl- 7.L] PROBATION/CON131TIONAL REVOCABLE RE TC���pte(aI op��n7ple;Ian to.(heli cull by U.t r ( LEASEtetiImled sti or appear in Court at that ,{trtia : •, ;! h Glx B. JAI L/FINE/RESTITUTION (c)0;]� ttar[d_QgI/Drfvar improvement/ 1.f]BE iMPRISDNED in the Butte County Jail for and comp ptsame by at hours/days/Weekende/months with M,t PIIe'proo} of completion with suspended commencing the Court or appear in open Court at that bofor et a r< ore {1 (ima. ) i ��t)90 2.+ AY PINE OF S - I g t+.. ' D. / ODITZONAL CONOITFONr>; Density assessment. " '' :7. Totally abstain from the use or possession of la)t< Payable to probation �Qft(y�d: n,instaillb-.> i!'t 1t�t�,i alcoholic beverages. ments to be determined by him. . i Q Do not drive if them is alcohol in our blood, ltr� .. y (bT-1 Payable In equal mohthly Installments of 3Do not enter any public piece where the primary .O g on the ---day of item sold or dispensed is intoxicating liquor. ea month ocmmancmg___ `� 4.D Submit to and pay for any expense of dreg, nor- (cabie to Cleri, of Court by cotic of alcohol use detection test as directed ; ,;,):� S ::.) -} Of appear in Court that date aIr1 by peace officer upon a reasonable suspicion of l 3.Lj MAKE RESTITUTION in the sum of $ ' `';ICY• nw-compliance with number 1 and/or 2 immed- or m an amount to be determined by Probation,,,; s Sr!•'l iately above.. Off,cer/Deal6ot Attomey OIUea/CCurt. �{ i"Submit person,vehicle, place of residence or fa)r'Payable through Probation Officers.en area iw y' area over which he has eontmi to search and installments determined by him. of narcotics, drugs or other contraband lb) ,—_ F i le proof of restitution to at any time of day or night, with or without a with the court by search warrant as directed by peace officer upon Of appear on that date at nm/pm. reasonable suspicion of non-eo+ftplfarroe with (cls Pay 5 to Violent Crime Fund: number 1 or 2 immediately above. dol' - Payable to probation officer In install- 6.[ Register address 0290 P C. LA11590 H fd, S. merits to be determined by him. 7.[ Do not annoy harass or threaten (2) APayable to Clorx o1 Court by or appear in Court that date at ____M.. s, [] Do not own or have possession. Custody or con - W)[, troll of any firearm. 9,❑ License or driving privilege is suspended for, C. FORT ORDERS AS FOLLOWS: 1, TANDARD TERMS: 10.0 Surrender dtiver's license to Court( ) to be hold la)LjFQRMAL PROBATION. Obey ;it' Iaws; by the Court (or_—_^days/months. ( 1 to be report to Probation Officer forthwith and forwarded to DMV. as directed, totlow all orders of Ptobe3lon f 1,.- Do not drive without a valid Callfomia. license Officer. seek and maintain employment and/ Issued to you and In your possession or without or education and notify Probation Officer insurance in the amounts set forth In 164300VC. of 3ft change in employment, education or 12. ,`Orivor's license restricted for, - months as idence status. as follows: (b)IEFCONDITl2Pt9REVOCABLE RELEASE tai U1Drive to and from employment. (1) all laws and report to Court 6n (b)[`] Drive during course of employment. person or in Writing It dejected to do (ol uDrive to and from treatment program. SO. 13. UPON SATISFACTORY COMPLETION OF PRO13ATION•YOU MAY APPLY TO THE COURT TO HAVE YOUR CONVICTION SET ASIDE. PURSUANT TO SECTION 1203.4 OF THE PENAL CODE EXCEPT AS PROVIDED FOR It1 $19b65 CALIF. VEH, CODE. I have received a copy. read and Understand the above cond)tlons of probation Def 7 nt Address ,/K�F1 %]� 4-—+4Lf�-� INTERPRETER'S DECLARATION: I hereby declare under penalty of perjury I personally read and Interpreted the above document and ex- plained each item to the defendant. He Indicated he ?urly understood each Item. Exectyted at ' ,�,{- /�j.� Oalifomla;on a (date). Signature 1 certify tfie°f �reg"Tis a true copy of the judgment rendered on the above date by the above named Judge. CLERK OF THE ABOVE NAMED COURT BY Deppty, TO THE SHRIFF: The foregoing certlf led copy of judgment In the above entitled action Is your authority for the execution thereof. DISTRIBUTION+ f ) District Attorney ( ) Police Dgpartmont ( 0611 /) Probation ( ) OefenBpnt i ) Collection Deportment 1 1 krasting Agency J ` IN THE IV IC1i��. �,iQ�RT' - ti -i CiRIDLEY,' 1931 Arlflt Rhine Dr, SOUTH QUT r1N1'Y �1UYCUfi. D!S"fRitl' 239 Sycamore (PO; �otr t1Q0) c Orov+ftCA 85M MUNTY OF SUM SLATE OF CAUFORNK Qrid*, CA 05W v (916) 53S-7747 (91811548-67n/ THE TEO�' OF 1'1".4n� SLATE O CALIFORNIA NIA M -_P CAW r rte" ' i/eent%nt - NOME, &AGE, COMWMP-114T FORM CAME rata Gt:OA411-. JUDGE MDI ARE ORDERER TO APPEARON AT NM/p* crosmes 1 UkAW C] FELONY K] MISDEMEANOR []:U Aet Ot 0 P & R X3 afl 0 WClty 0 arty o Fish anO flame. (3 Biggs city 0 Gtdley PQ IKU 0 Retain Attorney 1=uftt er OMM80rgs [] ft - x IWng 0 ki . Q of SWAT and moo/Setung n Piietierrinafy EXaminatkn [} Diversion/Mearing/RevWq Reyocaftn al Pmbal n Pre-hilar Jury court Twat Art mey f Admft or Deny — Hearing D .fury To Pmha*WSentersring ❑- r RepaA to 17ftaWntlemr1mont ForMwith. (Address on raverse side.) L ! ImmeM4* aha! the Offma of the Poblfc Det'erdpr as W ated. CUSTODIAL MTUS Remnded to custody of Sheriff until next appearance. Rerrtafn at Ilt$erty on bail Refeased 0,13 !Jefersdant ordered dis� SENTENCE AND CUSTODIAL STATUS Q Pay fine of $ D /end/Qr fele proof of cotreatfan and -pay One of S 12 ftftah 0 00y"110 CLA of Caw by, - or you m* appear in Wirt that dit at rla; { i .da(t; Sartre - hosrsJdaya%mornhs in jErli, with Ctledfir fqr ti me served, Jail: `nrr* SeryrA []; SoftNe t4 be served oor emdvft/m=mer* swift► Q s%g amoutkm granted urea - - at and dlefermant ordered to saes rKw to Sheriff at tw time. �rae d 0 24 9reYeeke,309 cammerdno at m. to at AL atV each weekend ftmatter until served. Marrs W Court Work Propra►n at kX1104teg job site. Tobe ao q)laedrand go pmW vAth ft Court -by ah-r� rrr, or,.appear. t certify ttie foregoing is a true copy of ft WdWneM+israW on the above date by the aW* raad*d Jud CL9RK OF 'PHE ASM NAMED C<3l.JRT. sy ,TO THl* SHgRff, Tfte 'foroin9.obrtified oopy,a! ludpmeM!ripe abgve m0l:led fa ybur authgrfty for, ttserebf. OEFENDAX�, BEM .RELEASED ON HIS OWN RECOGNIZANCE. AGREES THAT: •(1), He ,kilt Oppose. at ally tunes and pia m as. 0mlemd, by tfie Court • or nie tfate;, , i2) he aril► -rear drtparj -ttse State yrithout leave of rias fgirrt: (3) hw spill v►8laie" eutr if hg autaide the Spate' of .(d) any Gout{ of =61sbate of corrvetent Wftgo on - mays• .� either teturrnhim�b �vdf► qr that. her give t>si1 or other assauaricer of, his ,' -�; a3 t>f�� dtapter 1, <if the Pastel CDcieK (til tafllrrre tb appear an a rttfsderrr9argr constitutes a ripw m purslsha�,; 8; ,tnor+tti�; tri Yatl iiindlar $Za�.QO #;ne, ar�f 181 faire to apQear on a fsrlQ�r des a rtenat `ietfrrsy ptmtsttal� by Ayp" t> 8d+d (h fits: Defendant � -! r3�- /' r' :'•1' y tib" iafeoutedo�a - i � t � �..t.. ml Gam! 1 068-360-114 99-1242 CARTER, Chris Cagtle Creek, Oroville Contr: Chris Carter New single family I U 3 APPROVED Butte County a Environmental Healt -- L aaZ- -- ------ - Signature Augustin M. Carrilo P.O. Box 22 Palermo, CA 95968 RE: Code Violation 2487 Bohemia Ave, Palermo Dear Mr. Carrilo: LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 April 13, 1999 A.P. #026-07-0-025 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Z Sincerely, MCV:dms Michel C. Vieira, C.B.O. Mana er, Building Inspection cc: Assessor 0^ o �;, Department of Public Works 011 County of 'Butte .o J. Michael Crump, Director LAND DEVELOPMENT DIVISION i� 7 County Center Drive �� Warner C. Phillips, Assistant Director Oroville, CA 95965 (530) 538-7266 v9�tC YJOA� (FAX) 538-2140 April 15, 1998 Agustin M. Carrillo 2411 Bohemia Palermo, CA 95968 Re: Certificate of Compliance; AP -026-076---02-5- Dear Mr. Carrillo: Enclosed please find the Certificate of Compliance that was issued by the Butte County Development Review Committee and recorded on March 26,1998, under Serial Number 1998-0011360, in the office of the Butte County Recorder. If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Stuart Edell j Manager, Land Development Division S E/kp Enclosure cc:vironmental Health Department Building Department Planning Division, ATTN:. CRAIG IX AFTER RECORDING RETURN TO Butte County Public Works Dept. LAND DEVELOPMENT DIVISION 7 County Center Dr. Oroville, CA 95965 CERTIFICATE OF COMPLIANCE Assessor's Parcel Number: 026-070-025 1 998-00 1 1 360 Recorded I REC FEE 10.00 Official Records I CountyButteOf I CMDACE J. GRUBBS I I I Myles 11:28AM 26 -Mar -1998 I Page 1 of 2 This Certificate of Compliance is hereby issued by the County of Butte to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. Issued to: AGUSTIN M. CARRILLO 2411 Bohemia, Palermo, CA 95968 Property Location: On the south side of Bohemia Avenue, approximately 580 feet east from its intersection with Irwin Avenue. Palermo area. Description: All that certain property located in the County of Butte, State of California, more particularly described in attached Exhibit 'W'. This certificate relates only to issues of compliance or noncompliance with the Subdivision Map Act and local ordinances enacted pursuant thereto. The parcel described herein may be sold, leased, or financed without further compliance with the Subdivision Map Act or any local ordinance enacted pursuant thereto. 'Development of the parcel may require issuance of a permit or permits, or other grant or grants of approval. Issuance of this Certificate is conditional upon the following condition(s) which have been imposed pursuant to the Butte County Code Chapter 20-166 and Govemment Code, Section 66499.35 (b), to protect the public health and public safety: NONE State of California, County of Butte, on MARCH 26. 1998 , before me, Anne Belser, Notary Public, personally appeared, Stuart Edell, personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. ANNE BELSER, NOTARY PUBLIC JEANINE BELSER mm. x:1073981 PUBW - CAUFOfMpA.EEV. Oct. ! 1 M COUNTY '� County of Butte Development Review Committee CHAIRMAN r CERTIFICATE OF COMPLIANCE - Page 2 AGUSTIN M. CARRILLO AP 026-070-025 "EXHIBIT "A" All that real property situate in the unincorporated area of the Count of Butte, State of California, described as follows: A portion of Lot 7, in Block 86, of Subdivision #1 of Palermo Citrus Tract, according to the official map thereof, filed in the office of the Recorder of the County of Butte, State of California, February 28, 1888. EXCEPTING the Easterly 30 feet thereof. FURTHER EXCEPTING THEREFROM the following property, more particularly described as follows to wit: COMMENCING at a point 30 feet West of the East line of said Lot 7, Block 86, in the center of Bohemia Avenue for a point of beginning; THENCE Westerly along the centerline of Bohemia Avenue 230 feet; THENCE at right angles Southerly 30 feet to the Southerly line of Bohemia Avenue; THENCE continuing Southerly 338 feet; THENCE at right angles Easterly 230 feet to a point 30 feet West from the Easterly line of said Lot 7, Block 86; THENCE at right angles Northerly and parallel with the Easterly line of said Lot 7, Block 86, 368 feet to the POINT OF BEGINNING. END OF DOCUMENT COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: AUGITSTTN CARRILLO ADDRESS: PO BOX 22 CITY & STATE: PALERMO, CA 95968-0022 DATE OF CLAIM: 5/13/99 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT PERMIT EXPIRED. (AP#026-070-025, BP#98-0406, RECEIPT #236223, DATED 3/16/98, OWNER: AUGUSTIN CARRILLO.) TOTAL AMOUNT PAID ON THIS PERMIT......................$143.00 RETAIN REFUND PROCESSING FEE.........................t 25.00 RETAIN BUILDING PERMIT FILING FEE, ......... � 20.00 TOTAL AMOUNT TO BE RETAINED ...........................$ 45.00 TOTAL AMOUNT TO BE REFUNDED ...........................$ 98.00 TOTAL $98. the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true id correct as stated. & ted this 41m day of 1913, at 0-'14L .Calif. Signature of Claimant the undersigned, hereby certify that, to the best of my knowledge, the services or articles pacified above hav en p rformed or delivered and iat there is a Budget Appropriation [ ) or Specific Board Approval [ 1 (Check one) for th ated this 13TH day of MAY , 19-19 at OROVILLE , Calif. 'Cid 7?Lk Depa ent Head or Authorized Deputy ept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUND ept. Code Exp. Code PAYABLE FROM FUND ept Code Exp. Code PAYABLE FROM FUN DO NOT WRITE BELOW THIS LINE • AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: Receipt Information: Number: 3COa� 3 Date: �o 1 Issued To: Amount: Fees Retained: /P, essing Fee: $ 610 Bldg Filing Fee: $ ao , Plbg Filing Fee: $ Elec Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Inspection Fee: $ a SRA Fee: $ Total Amount Retained $ 4S". 6D (('tjl�'` TOTAL REFUND DUE $ 9,0 r -0 A CLAIMANT'S NAME MAILING ADDRESS REFUND CLAIM APPLICATION (ti-QLcS,k/1 Carr -I' I 10 ASSESSOR PARCEL #: D/ 6 — 0176 — 0.2 -25 - RECEIPT .2--5- RECEIPT NUMBERS) Request a refund of fees_ plaid on the C�abov_enre�l>f receipt for the following reasons: oDrvK, -F o�L101 r� - 1�-�- IOa(l C'ost ) k742,,W1 r4 Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) ( ) Building Permit Fees ( ) SRA Fees (CDF Fire Planning) Disposition of Plans: ( ) Plans returned to me at counter ( ) Sheriff Fees ( ) Urban Area Fees ( ) Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATURE DATE������ PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. a�� Ina Aa -71- /P�� aL4-L COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, CaYornia-95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT - 99-0 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT DINE R UGUSTIN CARRILLO 534-1298 SO. FT. OCC. BUILDING VALUATION owNE�S n�lur P4DaE�ss2, PALERMO CA 95968 L CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS BOHEMIA AVENUE, PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑XOther SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallllaJtionXp Other ❑ Describe Work: MHT aj � O r �� Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home ISI G1 W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 LESS Main Service '..A OR LESS 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: —YI 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( SO : T. rNioOWRESID. MULT" CIRCUT 97,50 PSowERINAPPAR d GLE OUTgLET rus CIR. Ex. Occu OUTLET OR FDcruREs 20 ° '�0° Bqu @ •50 Ex. Occup. OUTLETSRESIIXED ooEEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20'.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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' 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. XX (J_ pplicant - ❑ Owner ❑ Contractor ❑ Agent �— Signature o T An OSHA pe mit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. O. FEES IMP FLOOD COF PAR PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date Dare Receipt No. 2_'3622i WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541ERMIT NO. (Rev.12/96) ' APPLICATION AND PERMIT N ASSESffr—Vu5 1M%2 L U / (� U ZGNXI�MH-1 BUILDING PERMIT OWNER AUGUSTIN CARRILO TELEP O E 5 -1298 SO. FT. OCC. BUILDING VALU N OWNERS MAILING ADDRESS P 0 BOX 22, PALERMO CA 95968 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTIONLENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER NONE UCENSE NO. Fee $ —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS a481 BOHEMIA AVENUE, PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeyU Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities W Installation ❑ Other ❑ Describe Work: T1TTL�MH Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 6U. UU PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo noao<ss 23.00 93 C)n 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: R I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors torconstruct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BWS. SO 3.5¢FT_ NEW CONS. T NON-RESIDT BRA CH CIRCUITS @7,50 owER APPARATus b PSINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 @ I.00 @ .50 ED Ex. Occup.OUT LERESID.) OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE $ rq nn WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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, 1 shall forthwith comply with those provisions. I X A Date y. �_ _ Signat�pplican - ❑ Owner ntractor ❑ Agent An OS permit is required for excavations over 5'0" deep and demolition or construction of strulures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166 0 HA2. D. FE FLOO OF PAR PD HD SU 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. �+ 2 By �" " ate 6 PERMIT EXPIRES ON -7 61 9 Da! ReceiptNo. WHITE•D.O.S.-B.D. CANAY•AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAETOANIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICA TION DA TA SHEET - ✓ OWNER: ASSESSOR PARCEL NUMBER: Q — Proposed Building Building Inspector: Date: At time of permit application, I was advised the following data must besubmitted prior to permit proces—sidg an or issuance: Date Received By vio items hav been submitted-------------------------------------------------------------------------------------- t plans / sets, signed by the preparer of plans.------------------------------------------------------------632a)x 1aww 03. Complete p ans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ E16. ----------------- ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $ ------------------------------------------------------------------------------------- � T ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 13. lood elevation certificate. -------------------- -- ---- ----------------------------------------------------------- 9 4. Sanitation and lot plan approval �'M14�Heath DePartment-------------------------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 1 . Planning approval for (A) Use: (B) Parking: ------------------- Contact Land Development about Improvements, ❑ Drainage, Vegal Parcel. ----------------- Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). El 22. Workers' Compensation carrier and policy number. ----------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- 05.Letter of signature authorization. -----------=----------------- Recorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on building use. ------------------------------- ❑27. Manufactured Home utility clearance. ----- ❑28. Existing violations and/or expired permits. ❑29 0433 A, ❑ OK Other: fie When you issue ,( Telephone ❑ M H Title ❑ Cheek to N C n h inspector. i Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pution bate: Copy of plans sent 11Health Department, ❑ Fire Department, 13Other: ( Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer,owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, 13 mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. g _ t��� �Aif TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached�,-- Floor Plan Atty hed Sent to B.D. 3 l q i .f Owner Location AP# Plan Approved for: Sewage Dispos_ Water Supply: Public Private Well Clearance for dwelling. Other 3eotnb-P^ fn<:)ank- lame, Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 -3 // ---g y Date 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES- NO C L2 I HAVE 0 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: CTTy: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate; supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK • SIGNED: /�► PROPERTYOWNER: SOCIALSECURITY DATE: < – C_/ - - e ''"" -Thu Owner -Builder Verification is required by Section 198.3Ian–d79872—of?ht— California Health and Safety Code. This verification must be completed ani returned to our office before we are permitted to issue the permit. OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper -permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business 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: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, corkers compensation insurance, disability insurance costs, and unemployment compensation contributions. . ♦ 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. ♦ 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 structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are hot required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi iia, C.B.O. 0-1 M ger, Building Inspection NOTE. This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Code. OVER cm an;nn. #s COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION (Rev. 12/96) 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSDRPAgCEG NUMBER D _OSS C,.I/�dd�► l/CDo_ ZOf^I Vl� i1 / r BUILDING PERMIT OWNER - Y44s�%n r l 6/I TELEPHONE SO. FT. OCC. BUILDING VALUATION �1 41�� owNERS NG RESS `( C r /� ^�, (`' CONTRA(�'jO�R'S NAME VWMeY- TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUC I LENDER Fireplace LEND 'S MA UNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS - �_ ,v Energy Plan Checking Fee $ $ F r n'1 d PERMIT FEE $ LOTNO. SUSONISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome X Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities X Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S PERMIT FEE $ sro 100 ELECTRICAL PERMIT Fling Feb 20.00 600VMain Service zoOA OR LESS 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,,,Dµpa,p and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DwELUNG OCCUP. s0 OR ADONS. ( 8 ACC. BLDS. 3.50FT. MULTI.OUTLET @7.50 POWER APPARATUS a SINGLE OUTI ET CI0. ET EX. Occup. OUTLET OR FwTUREs .00 SAL O I.50 Ex. Occup. D TLE°TSA Ra D.o� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 a9, Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES IMP I I= CDF PARCEL PD HD ssUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. Receipt No. I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date) Y, - AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE ` OROVILLE CA 95%5 (II IN IN 1111111111111111111111111111 1 996-00 1 1 1 8 Recorded Official Records County Of Butte CANDACE J. GRUBBS 01:36PM 25 -Mar -1998 REC FEE COPIES Maureen Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-5 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: ty. 0 Date: 2r — ` PROPERTY OWNERS: State of California ) County of 94*'7�1 On ��-�� 9� before me, / f C C. personally appeared &aS-AA✓ e!:!4Ae/114 personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same In his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the pen71RIICR�ARD ty Ip n e JhchJpersons) acted, executed the Instrument. UERSTEINWITNESS my hand and official seal. 1133507 Mh CPSI CaBfomia Signature Seal: n Exp• APR 13, X01 446 }?�. 1. Ar ` OFFICIAL RFCOFIO$ ^U"FC"OY•OALIF r! "" �=..FF„ BY AL6EkT KING JUL 5 2 sl PM 1972 LCU.YT KLUEa'UER fht 1 CuUYI RECLRCER 7 21,7 FEE SPACE AOOVE THIS LINE FOR IIECORDER'S USE — �lttbibiburI- mitt Mp ec WctITc11N TITLO /..IgM NO. IOA FOR VALUE RECEIVED. Agustin 14. Carrillo, sometimes also known as Austin M. Carrillo, and Rometimcs also known as Agustin Carrillo, and Maria Rosario Carrillo, also known as Rosario Carrillo, his wife, GRANT—to Agustin M. Carrillo, as his sole and separate property, all that real property situate in the unincorporated area of the County of Butte Statc or California, dcscribcd as follows: Parcel 1. A portion of Lot 7, in Block iib, of Subdivision it 1 of Palermo Citrus Tract, according to the official map thereof, filed ;.n the office of the Recorder of the County of Butte, State of California,- February 28, 1888. EXCEPTING the Easterly 30 feet thereof. FURTIiER EXCEPTING THEREFROM the followinlj property, snore particularly described as follows to -wit: Commencing at a point 30 feet Wost of. the East line of said Lot 7, Block 86, in the center of Bohemia Avenue for a point of beginning,; thence, ;%-sterly along the center line of Bohemia .".vchuc 230 feel-; thence, at right angles Southerly 30 feet to the Southerly line of Bohemia Avenue; thence, continuing Souzherly 338 feet; thence, at right an.-iton Easterly 230 feet to a point 3(- ftrt west from the Easterly lite of said Lot 7, Block 86;.thence, at right angles Northerly and parallel wilit thu C.isterly line of said Lot 7, Block 136, 368 fent to tree point of beginning. Parcel 2. A right of way to transport water in an undcr�jround irrigation pipeline and right of way for ingross"and egreso tn repail- the same over t; -.e Easterly 22 feat of the last above described real property, which right of way shall be for the benefit of and appt_r.ten2nt to all portions of said Lot 7, Block 86, of Subdivision N1 of I?alcrmo Citrus Tract, conveyed to ttte Grantee by this deed. Dated- A ID r i 1 STATE OF CALIFORNIA ss. County or O,. April ),/ 19.22. before me, the under0cried. a Notary Fublle, In and fnr said State, personally appeared-_ Acll;stin M. Carrillo known to me to be the petwn_ whose name 1 subscribed to the within Instrument, and acknowled¢ed to me :hat _he_ executed the same. Notary I'ubtic FOR NOTARY SEAL OR STAMP MAIL. TAX STATEMCNTS AS DIRECTF.O AOOIIE RECORDING REQUESTED aY Albert M. King AND W010N IIeC011000 MAIL TO NAMa Agustin M. Carrillo' Ave ese P. O. Box 22 `""lifornia .TAT. LPalermo, Cu J Title Order No Escrow No. MAIL TAX XTA'aMe MT. TO Agustin NAM■ M. Carrillo 10.0041190 P. o. Fix 22 CITT a "All (,palermo, California _1 OFFICIAL RFCOFIO$ ^U"FC"OY•OALIF r! "" �=..FF„ BY AL6EkT KING JUL 5 2 sl PM 1972 LCU.YT KLUEa'UER fht 1 CuUYI RECLRCER 7 21,7 FEE SPACE AOOVE THIS LINE FOR IIECORDER'S USE — �lttbibiburI- mitt Mp ec WctITc11N TITLO /..IgM NO. IOA FOR VALUE RECEIVED. Agustin 14. Carrillo, sometimes also known as Austin M. Carrillo, and Rometimcs also known as Agustin Carrillo, and Maria Rosario Carrillo, also known as Rosario Carrillo, his wife, GRANT—to Agustin M. Carrillo, as his sole and separate property, all that real property situate in the unincorporated area of the County of Butte Statc or California, dcscribcd as follows: Parcel 1. A portion of Lot 7, in Block iib, of Subdivision it 1 of Palermo Citrus Tract, according to the official map thereof, filed ;.n the office of the Recorder of the County of Butte, State of California,- February 28, 1888. EXCEPTING the Easterly 30 feet thereof. FURTIiER EXCEPTING THEREFROM the followinlj property, snore particularly described as follows to -wit: Commencing at a point 30 feet Wost of. the East line of said Lot 7, Block 86, in the center of Bohemia Avenue for a point of beginning,; thence, ;%-sterly along the center line of Bohemia .".vchuc 230 feel-; thence, at right angles Southerly 30 feet to the Southerly line of Bohemia Avenue; thence, continuing Souzherly 338 feet; thence, at right an.-iton Easterly 230 feet to a point 3(- ftrt west from the Easterly lite of said Lot 7, Block 86;.thence, at right angles Northerly and parallel wilit thu C.isterly line of said Lot 7, Block 136, 368 fent to tree point of beginning. Parcel 2. A right of way to transport water in an undcr�jround irrigation pipeline and right of way for ingross"and egreso tn repail- the same over t; -.e Easterly 22 feat of the last above described real property, which right of way shall be for the benefit of and appt_r.ten2nt to all portions of said Lot 7, Block 86, of Subdivision N1 of I?alcrmo Citrus Tract, conveyed to ttte Grantee by this deed. Dated- A ID r i 1 STATE OF CALIFORNIA ss. County or O,. April ),/ 19.22. before me, the under0cried. a Notary Fublle, In and fnr said State, personally appeared-_ Acll;stin M. Carrillo known to me to be the petwn_ whose name 1 subscribed to the within Instrument, and acknowled¢ed to me :hat _he_ executed the same. Notary I'ubtic FOR NOTARY SEAL OR STAMP MAIL. TAX STATEMCNTS AS DIRECTF.O AOOIIE MAIL. TAX STATEMCNTS AS DIRECTF.O AOOIIE RECORDING REQUESTED BY BIDWELL TITLE & ESCROW COMPANY Order # 590510 AND WHEN RECORDED MAIL TO Agustin M. Carrillo 2419 Bohemia Avenue Oroville, CA 95966 1999-11019E33la Recorded Official yyRecords CoBUTTE t CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 12:19PM 10 -May -1999 REC FEE 10.00 Fay Page 1 of SPACE ABOVE THIS LINE FOR RECORDER'S USE AP# 026-070-007 EAsa NT Grant Deed THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The undersigned grantor(s) declare(s) : Documentary transfer tax is $ 0. oo - water Line Easement - Consideration lees than $100.00 ( ) computed on full value of property conveyed, or per R&T Code 11911. ( ) computed on full value less liens and encumbrances remaining at time of sale. (X) Uttincoiporated area ( ) " unincoxr5orated Arda - w and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, AGUSTIN M. CARRILLO, an unmarried man hereby GRANT(S) to AGUSTIN M. CARRILLO, an unmarried man the following described real property in the unincorporated area County of Butte State of California: SEE ATTACHED SCHEDULE C FOR LEGAL DESCRIPTION Dated: May 7, 1999 Iff-Kstin M. Carrillo State of California County of Butte I SS. On May 10, 1999 before me, the undersigned, a Notary Public in and for said State personally appeared **AQustin M. Carrillo** personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted executed the instrument. WITNESS my hand and official seal. B.J. GREEN COMM -9 1169480 NOTARY PUBLIC -CALIFORNIA y a ! COUNTY OF BUTTE w Comm. Expires Jan. 15, 2002 V 9 - Signature MQq-,\ (This area for official notarial seal) MAIL TAX STATEMENT T Same As Above SCHEDULE "C" All that real property situate in tile unincorporated area of the County of Butte, State of California described as follows; An casement '15' wide for the installatioti and maintenance of a water line, over Parcel .1, as shown on that certain Parcel Map, recorded in the office of the Recorder of the County of Butte, State of California, on August 14, 1992 in Book 128 of Maps at Pages 26 and 27, more particularly described as follows; commencing at the centerline intersection of Irwin Aveune and Bohemia Avenue, thence �{ south along the centerlitke of Trwin Ave 110 feet, thence east 60 feet to the existing well, and the true point of beginning, thence South 70" East 550 feet more or less to a point on the East line of said Parcel 1 300 feet south of the centerline of Bohemia Ave, and the end of said easement. t This easement is appurtenant to and shall enure to that parcel described in Book 1768 at Page 91 of Butte County Official Records. 70'- 0 z9�9 �f�2� A.P. #�---o OWNER '' E//_' PERMIT # ' MH UTIL. CLEARA E DATE�— INSPECTOR ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REGI. SERVICE OTHER PIPE SIZE LOAD TYPE SIZE LENGTH YES NO YES NO a ?, MOBILE HOME SERVICE CO. AP.O. BOk 179 DURHAM. CA 9593,8 PHONE: (916) 342-7827 AMTON FTQ: Name end Addre" FROM: Nam* rind Address SHIP TO: Name and Address (C 8 D) DELIVER TO: Name and Address NIT* ❑ OEIGHT WIDTH r • is DATE: _ 1 5 -,.t ( 2.I3- DRIVER: ` STATE PERMIT: ACCESSORIAL SERVICES -PREPARATION TO MOVE, REPAIR I" TRANSIT, OFF HIGHWAY SERVICE It OF BRAKES KEYS LEFT: TIRES: NEW 13USED ❑ SIZE N OF AXLES SAI® DAMAGE NOTATION U pc -4 'Porp SccfaN?aN �/•/i. �Jttt,E � ... %�oK� Gt1A�� �o�� �o� �>� /6c�J -TIME SHIPMENT RELEASED TO CARRIER ARRIVING TIME AT PICKUP POINT pTTNjIOF! SWIPPEF�/CONSIGNEE r is form. This eorlir�et IF wblect to Copoltlops enr) Cggrgeq o! the Clessilicetlone pRd elrieltal Ip Ileo tOrly,I laof Shipporte of the sor Puoi bhlc Aulhorlly' Carrier not liable for any damage caused by structural failure Cornlnop layr exemptions sppfy to loss or damege,caused by Aft of God, 4, e p i I e g y.. pp,lg 3, iOgQ xl U er s I en� h addlflonal coverage is requested, the shipper, of consignee requesting shell be liable for additional as dg11(led In !Pp Icabl4 T, rift. Car o loss! co Bred 20 oQ m� m,.m p h Pmt. limoynt of tAYOrtge.. , , 0 Claim 401094 p9 019A with �llttler ee proYl4e911ar In the Pp(?roprlete PUC of ICC regulgllons governing this shipment. No porilori of any freight charges duo carrier slieli be wdhhaid for anaged Aamgpes. payable, as Siete In credit rules of agency reguiatlonS governing shipment. Certiaf All eherges due end payable upon compjetlpn of 0 1pment. If credit is psi, pli charges due end Paye, d mai Ills Salton for total payabs el deblgrs/oy<ner4 expense it eher$es are not 0814 iii crodil period. Charges sol pair) within teiJ days pest due dale shell be subject to Interest charges et the use of t.6K per month. ) P a s which do not require extra labor or equipment to deiiver or ryhich will not be hazardouk Unless the Carrier will (ranspor) oyer legally Permtlled.!optes fo pointe ed scent to ubflc highW y_ d owner by his Initial; here( ► agrees to eccepl Ilablllly for damage and pay the extra charges incurre Snippet warrents (hat the properly described herein meet; all standards Imposed by law and agrees to reimburse carrier for cost Incurred and eccepl responsibility for noncompliance. i ry the shipmetd will be placed in storage at owner's expense. Delay time In excess o154 hour for pickup and/or delivery will be charged (or. If consignee refuses delive Carrier nor responsible for fire, then or vandalism to any unit while In storage. NO PERSONAL CHECKS ACCEPTED. IMPORTANT NOTICE 1 transportation companies by the California Public Utilities Commission and (Y) taxes paid to California titles Instead of exclsb or business Thaw charges Include (1) Iwa to pay for regulation o license (saes they could otherwise Imp014. NATTTAAE ERTBY IRANTED TO V HARMLESS WIDTH E TRANSPORTED LEGAL SPED TO THE DESTINATION LSEDHERON. DRIVER WILL 8E HELE LEGAL D FFOR AO SAFE TO S IN-TRANSIT DAMAGE DUE TO DEFECT IN THE PROPERTY, ACTS OF THE SHIPPER OR ACTS OF A PUBLIC AUTHORITY. ALL TERMS AND CONDITIONS INCLUDING NOTATIONS HEREON ARE ACKNOWLEDGED BY: 1 S HIPPER . ' DATE: HERE X RECEIVED IN GOOD VISIBCONDITION EXCEPT AS NOTED HEREON. DAMAGES OUT OF SIGHT OF DRIVER NOT ACCEPTED LE • DHIVEfj a' S GM' , . f 7 DATE: i HERE X RECEIVED IN GOOD CONDITION �XCEPT AS NOTED HEREON. CLAIMS FO�_D_A gAS T S OR SHORTAGES NOT SHOWN ON THE BILLING n0coi�Wc L NTOT PROON EOR ACT OF THE S►IIPPE4 RMR ANLD Hi REBYIAS G SA UENMAOGAINSUT THIS ('ROPERTYBIf�I THE A OUNT e� cnnnc,u nnuaRwNG JURISDiCT10N OF DELIVERY. SIGN HERE X r t DATE: FREIGHT f r i t.. r. Alm L rtTe>r p,l __til. R•.•+t.{ - art 5 hs f PILOTS f f INSURANCE % `r ❑ ' COLLECT ❑ PREPAID ❑ �t ^; TOW [] HAUL El- Isf°#� TOW & HAIL ti .=•la; .: l DESCRIPT40FI , MILES cNARGEf1 SERIAL "UTABEPI$) LE"gTH ' ' ` ' ? MAKE f 60 SV_\ \ v19. If 0C ACCESSORIAL SERVICES -PREPARATION TO MOVE, REPAIR I" TRANSIT, OFF HIGHWAY SERVICE It OF BRAKES KEYS LEFT: TIRES: NEW 13USED ❑ SIZE N OF AXLES SAI® DAMAGE NOTATION U pc -4 'Porp SccfaN?aN �/•/i. �Jttt,E � ... %�oK� Gt1A�� �o�� �o� �>� /6c�J -TIME SHIPMENT RELEASED TO CARRIER ARRIVING TIME AT PICKUP POINT pTTNjIOF! SWIPPEF�/CONSIGNEE r is form. This eorlir�et IF wblect to Copoltlops enr) Cggrgeq o! the Clessilicetlone pRd elrieltal Ip Ileo tOrly,I laof Shipporte of the sor Puoi bhlc Aulhorlly' Carrier not liable for any damage caused by structural failure Cornlnop layr exemptions sppfy to loss or damege,caused by Aft of God, 4, e p i I e g y.. pp,lg 3, iOgQ xl U er s I en� h addlflonal coverage is requested, the shipper, of consignee requesting shell be liable for additional as dg11(led In !Pp Icabl4 T, rift. Car o loss! co Bred 20 oQ m� m,.m p h Pmt. limoynt of tAYOrtge.. , , 0 Claim 401094 p9 019A with �llttler ee proYl4e911ar In the Pp(?roprlete PUC of ICC regulgllons governing this shipment. No porilori of any freight charges duo carrier slieli be wdhhaid for anaged Aamgpes. payable, as Siete In credit rules of agency reguiatlonS governing shipment. Certiaf All eherges due end payable upon compjetlpn of 0 1pment. If credit is psi, pli charges due end Paye, d mai Ills Salton for total payabs el deblgrs/oy<ner4 expense it eher$es are not 0814 iii crodil period. Charges sol pair) within teiJ days pest due dale shell be subject to Interest charges et the use of t.6K per month. ) P a s which do not require extra labor or equipment to deiiver or ryhich will not be hazardouk Unless the Carrier will (ranspor) oyer legally Permtlled.!optes fo pointe ed scent to ubflc highW y_ d owner by his Initial; here( ► agrees to eccepl Ilablllly for damage and pay the extra charges incurre Snippet warrents (hat the properly described herein meet; all standards Imposed by law and agrees to reimburse carrier for cost Incurred and eccepl responsibility for noncompliance. i ry the shipmetd will be placed in storage at owner's expense. Delay time In excess o154 hour for pickup and/or delivery will be charged (or. If consignee refuses delive Carrier nor responsible for fire, then or vandalism to any unit while In storage. NO PERSONAL CHECKS ACCEPTED. IMPORTANT NOTICE 1 transportation companies by the California Public Utilities Commission and (Y) taxes paid to California titles Instead of exclsb or business Thaw charges Include (1) Iwa to pay for regulation o license (saes they could otherwise Imp014. NATTTAAE ERTBY IRANTED TO V HARMLESS WIDTH E TRANSPORTED LEGAL SPED TO THE DESTINATION LSEDHERON. DRIVER WILL 8E HELE LEGAL D FFOR AO SAFE TO S IN-TRANSIT DAMAGE DUE TO DEFECT IN THE PROPERTY, ACTS OF THE SHIPPER OR ACTS OF A PUBLIC AUTHORITY. ALL TERMS AND CONDITIONS INCLUDING NOTATIONS HEREON ARE ACKNOWLEDGED BY: 1 S HIPPER . ' DATE: HERE X RECEIVED IN GOOD VISIBCONDITION EXCEPT AS NOTED HEREON. DAMAGES OUT OF SIGHT OF DRIVER NOT ACCEPTED LE • DHIVEfj a' S GM' , . f 7 DATE: i HERE X RECEIVED IN GOOD CONDITION �XCEPT AS NOTED HEREON. CLAIMS FO�_D_A gAS T S OR SHORTAGES NOT SHOWN ON THE BILLING n0coi�Wc L NTOT PROON EOR ACT OF THE S►IIPPE4 RMR ANLD Hi REBYIAS G SA UENMAOGAINSUT THIS ('ROPERTYBIf�I THE A OUNT e� cnnnc,u nnuaRwNG JURISDiCT10N OF DELIVERY. SIGN HERE X r t DATE: FREIGHT f PERMITS f S f PILOTS f f INSURANCE % SERVICE CHARGE S • f f f TOTAL CHARGES If 0C `, a ',: �` 1. �� � y ` ` ,'a: �:,'al e ,, } ,. �' � ! � 1 x.15 J E y> sir i :, � :� ; •. � ,- t; �'�4�� t�s�'�; �/ COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 qq— PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 026-070-025 ZONING ARMH 1 BUILDING PERMIT OWNER CARRILO, AUGUSTINE TELEPHONE 534-1298 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADORES .0. BOX 22, PALERMO, CA 95968 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2487 BOHEMIA AVENUE PALERMO Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Iff Other SPECIFY Each Trap 7.00 Solar or heat pump 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 ❑ Describe Work: MHU 98-0405: WATER LINES TO COMPLETE WATER %ZNKNX10 EASEMENT TO BE RECORDED PRIOR TO FINAL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W 1@20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service .0.' 'SS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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.P License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, ill 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 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BLDS. SO 3.5QFT: NEW NON.RCONSESI. MULTI.OUTLET O. BRANCH CIRCUITS @7.50 OWER APPARATUS d SINGLE OUTLET CIR. Ex. Occu OUTLET OR FD(TURES 20 Q 1'00 sAl o .so Ex. Occup. Din�is RESIo.O� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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 r;Date ��% — % Sig natu o Applicant - caner Contractor ❑ Agent An OSbA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D, FEES IMP I FLOOD COF PARCEL PD I HD I 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 Q1/9 PERMIT EX IRES N l6 Defe ReceiptNo. 2 WHITE-D.D.S.-B.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.1W6) APPLICATION AND PERMIT A.�e►,o"'""`ate d 2� _ d7 O _ OZ� m y _ BUILDING PERMIT O1MNL"_ �Q tT03.oNONa 12 �91 SO. FT. OCC. BUILDING VALUATION 0,14 owNas AooRae oONTRACTOR's N14K � r TClO1gNa coNnNCT0111 MAUND AOOft ! cotent cr"umet d. uroors M "M ADONIS Fireplace Total Valuation = ARCNRECT DR aaNea uceNce NO. FM Fee i 20.00 AACWMCT DR ENOWUMs &"M ADOAM Permit Fee $ Plan Checking Fee i �LDNO � Z C� C 1� 2 Energy Plan CheckingFee t S PERMIT FEE _ LOT NO. f PAME. MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 0 Duplex O Wbilehome16-Pther arM Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 qc7 Each as water heater or vent 15.00 TYPE OF WORK New O Additlon O sl O LMRU* b(instelatlon 0 Other 0 Describe Work: ( e I Q Gas piping systern 1 - 5 outlets 15.00 Building sewer 15.00 Moblle Home I S I G I W220.00 PERMIT FEE _ o ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20=o0,R = 23.00 ReceiptNo. ? Y9 WNITE.r1 n e _o n �__ _ --- ---_�..�.... __' _._.....n_�ooi n•ur Main Service 20" To 1**" 46.00 0-0t AcOON-9 • o a Aix e� r 3.5trr NDKR®ID. M1C7,, % tET @7.50 01OWM A01'►ARATte seem ovrw OR ouncr oR "mom Ex. Occu se Ex. Occup. ab. a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 8.50 Ventilation PERMIT FEt: f Mobile Home Installation Fee = Energy Inspection Fee 3 Dcc 'Ns'" TOTAL FEE_ NAz 1 O. M13 1 w► I RWO 1 0001 Ryna vo w asue 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 _ . L STRUCTURES A ND EQUIPMENT O OVERHANGS SHALL B CLEAR OEASEMENTS.ALL I NG 0 A SET BACK OF ( FT. FROM THE SIDE AND . 0 FT. FROM TH. HEAR PROPERTY LINES AND r o FT. FROM THE, ROAD CENTERLINE SHALL BE CLEAR OF STRUCTUF IES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OV�RHANQ. X11 Materials & Workmanship Clood Practices and Accoidance with Recognized of a Quality Prescribed for the Specified 8 hank in the Uniform Building, plumbing Codes and the National Electrical Code. This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same witharut written permission from the. Department of Public Works, County of Butte. t 44 a J77E Co )i ►NG DEP'ARTjMENI 3PR0 i On V) 59 izs i r� FILE COPY 4(TV APPROVED Butte County Environmental Health 0J R/06 L Dfite, naturi,., e /Vo �p 1 h f GENERAL NOTES: REVISIONS BY I ♦ I I � I I � I n REFTRENCE:CALIFORNIA CODE OF REGUlATI0N5, TITLE 25 AND U.B.C. 1994 EDITION. LI U `.r `-1-' `-- COACH I BEAM I. DESIGN LOADS: 141 41 3'X6'Xl/4' PLATE -11 4ILL 4 - 1/2' BOLTS otzH 2 AU4W0 STANDARD STEEL PIPE t� COACH SIZE VERTICAL LIVE LOAD ROOF I FLOOR' LATERAL LIVE LOAD WIND EXPOSURE SEISMIC ZONE SINGLE WIDES 30 Psf 40 Psf 70 Mph B 4 DOUBLE HIDES 30 Psf 40 Psf 70 Mph B 4 TRIPLE WIDES 1 30 Psf 40 Psf 1L 70 Mph B 4 (STING (OBI WING MOD ,- i I (SCHEDULE 40) COACH aEMa COACH TEAMS " 12', SB', OR 27• LENGTH 2. THE DESIGN LOADS SHALL BE CONSISTENT WITH ROOF LIVE LOAD, WIND LOAD, AND o + LIJ LLJ LLJ C C11 EXTENSMN SET C ZONE AS ESTABLISHED FOR PERMANENT BUILDING WITHIN A SPECIFIC LOCAL AREA. L n F 314U 1 3. THE HEIGHT OF THE C.P. ANCHOR PIER , FROM THE TOP OF THE PIER TO THE BOTTOM OF THE BASE, SHOULD NOT EXCEED 28 INCHES. t + Q � i I i I .4 4. AIL FOOTINGS ARE TO BE SUPPORTED BY FIRM, UNSATURATED, UNDISTURBED COHESIVE H g �D iv SOIL OR ASPHALT. FOOTINGS ARE DESIGNED FOR 1000 PSF TOTAL LOAD SOIL PRESSURE �D L�LJJ [P TI -T -I I -T I IV AL AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. `.I-� `1-� 5. STRUCTURAL STEEL .. Z .-. a. SHALL CONFORM TO 'ASTM A38= 38 KSI MINIMUM. 'n U (y) L! J L! J b. SHALL BE FABRICATED ACCORDING TO AISC SPECIFICATIONS. V 1 00 ' a SHALLBE WELDED ACCORDING TO AWS SPECIFICATIONS: L • _ MARRIAGE M I2IE suPPORr 'F 3/4' t YWmD i. ELECTRODES:E70 W 'Ln PER t/AtiUTAC'tt)SER'8 � "� �. iHstauwsloNi n+srtttrcrtoxs ii.. PIATES:ASTM A38 t@111107Y�4 ) Ili. BOLTS:STANDARD ASTM A307 � a o M THREADED ROD:COI.D DRAWN LOW CARBON WELDABLE U o d. ALL METAL COMPONENTS INCLUDING NAILS do SCREWS ETC. ARE TO BE PROTECPIVE COATED. '� ON 4 4 3/4' ANCHOR RODS, 4 EACH 0. THE PI� SUPPORT ASSEMBLIES SHALL BE COATEDWITH SHERMAN WILIIAMS E81 -RC2 WHEN CONDITIONS REQUIRE, OR APPROVED EQUIVALENT. L Q ' I ( PRE -DRILL B-10 IN, WITH A 7. U 1/2' DIAM. BIT FOR ANCHOR RODS. THE C.P. - ANCHOR PIER SHALL `BE LISTED AND LABELED BY CERTIFIED TESTING AND O CONSULTING SERVICES (CTC) FOR THE FOLLOWING LOADS: + Qw ab. LATERAL : 2840 LBS. ULTIMATE LOAD 1893 LBS. WORKING LOAD 4 4 4 Q VERTICAL : 8125 WORKING LOAD U 1 �11 W O 8. THIS SUPPORT SYSTEM IS FOR PLACING MANUFACTURED BUILDINGS CONSTRUCTED �4 F— C.P. ANCHOR PIER WITH LONGITUDINAL OR CROSS JOINTS. U 1 C: CL „ _ " 9. THIS SUPPORT SYSTEM PLAN IS DE H O Q SCALE: 1 — 1O PATENT PENDING- SIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL Q+, .,..► �N `HOBDI COACH -Is SITE WITH NO ` EXISTING SOIL PROBLEMS, IF SETTLEMENT OCCURS DUE TO POOR SOIL, � � HAS OUTRIGGsas.L�J L�.J L�J L�J C.P. ANCHOR i7a SEE NOTE 11. HIEJI 1[OBIIX COACH AN O Ba ADJACENT TO VA SEE NOTE 10. SUPPORT SYSTEM FOR CHASSIS BEAM SUPPORTS SHALL HE LOCATED AND SIZED FOR > HAS OUMGGERS IVARM SEE NOTE AN OUTR100ER t 1 R THE LOAD AS SHOWN IN _TT3B MOBILE HOME INSTALLATION INSTRUCTIONS. � U Q c P. ANCHOR PDtit W 0 A MUST B: ADJACENT To � 1L IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOMES AN OVTHIGGER f 1 FT. "i'" 1 _ I SHALL BE READJUSTED HIEN D.S. EXCEEDS 1/40, OR WHEN IT WILL ADVERSELY AFFECT © j" THE USE OF THE MANUFACTURED HOME. ('� P-1 L olm�ra it BD" L O/ I I I I 12. AIL MANUFACTURED REQUIRED PIERS -MUST BE POSITIVELY ATTACHED TO THE CHASSIS F -+-I Q W or YOBus 0° COACH BEAM AND FOUNDATION PAD. STANDARD PIERS MUST BE MANUFACTURED BY CENTRAL ('�> Y PIERS OR BE OF EQUIVALENT QUALITY. F -i -i W 1A U 2 3/8' x 1' BOLTS 12 12', 14', OR 16' 20', 24 ; 26•, 28', OR 32' . THIS SYSTEM MAY BE USED WITH MASONRY BLOCKS '. U1 THE BLACKS DO NOT HAVE TO HE bi FIELD DRILL` HOLES ATTACHED TO' 1W CHASSIS 'BEAM OR FOUNDATION PAD. � Ln � OPTION OF 4 - #14 TEX STS COACH C COACH SIZE NOTES PLAN PLAN : ►��--ii OR J BEAM I. FOR TRIPLE WIDE COACHES UP TO 70 FEET IN ,LENGTH. USE 8 C.P. ANCHORS AND FOLLOW SINGLE `WIDE MOBILE COACH DOUBLE WIDE MOBILE COACH • . 3' x 3' SAME PLACEMENT PATTERN AS SHOWN ON THE CORRESPONDING DOUBLE . 1 / 4 x2 x 4 ND LE 1►IDE PLAN. Scale: 1. _ 10' Scale:. i - • 10 .. PLATE . NOTE: ANGLE 3 VIDE LA E 2. FOR ANY COACH SIZE O'I"rIER 1'fnAN A8 3H01►N ON THIS PLAN OR REFERENCED ABOVE, FOR MORE THAN TRIPLE WIDE UNITS, SUBMIT THE PIER AND :'PAD LAYOUT SHALL BE REVIEI►ED AND APPROVED BY THARP do ASSOCIATES. IAYOUT TO THARP & ASSOC. FOR APPROVAL 3. _ UNLESS APPROVED BY THARP do ASSOC.. FLOOR TO RIDGE HEIGHT NOT TO EXCEED W STANDARD PIER & FOOTING SPACING PER MOBILE 4 — 1/2' 12 FEET FOR ALL MOBILE COACHES. COACH MANUFACTURER'S INSTALLATION MANUAL BOLTS ANCHOR U� WrcxovT ` MANUFAC!'IJRER's IIIT/ALIJTIox YANueI. PIER SPACING OF STANDARD PIM AND PAD SUPPORTS BEAM SIZE NOTES: . G TO BE DETERMINED BY STATE MOBRX HOMES PARK C)DAMHum PARKS ACT. 1. SPACING SHOWN ON THIS PLAN ARE FOR COACHES WITH 10 INCH AND 12 INCH BEAMS OR 8 INCH PACO 'CORRUGATED BEAMS. -1 COACH 1 BEAM 2. FOR AN B INCH BEAM, ADD AN ADDITIONAL ROW ' OF C.P. ANCHOR PIERS. ' REAM `SHOULD 'L.}m•..'1Lm•�.J� NOT CANTILEVER MORE THAN 8 FEET. � xISTING NOVLLE� 1 EXISTING MOD 1 1 O I COACH BEMIS COAQi K" •� FSM p ' 3• X 3, PLATE ....t h�i ENGINEERED TIEDOWa;J 61JI L t3 APPROVED CIO SUBJECT TO CORRECTIONS NOTED H Q t I "I i 4 1/2 Q BOLTS Approval doe: not authorize or approve u,,n omission or y Z'* W deviation from requirements of applicable Statz 1.»s Cn4 .. m © a rANCHORulatlons. CO 00 �-+ reY � ,IER State of California C� W aaRRlAcs LINE suPPoxr PER MANUFACrURER'S Department of Housing and Commune hDeve,c^aCO W - ursrAuATION D!Iarsuclta+s T � 'T' � . NDMIUM-a DIVISION OF CODES AND STAN�)ARD.r W � 0 Cart P 4 4 ri a TYPICAL ..BEAM CONNECTIONS ��� -AND 00 L..Not to ScC*L(e �:d D /Z/ Z• DO/ i �tl ADPro� Exyins=f._� . Cou11 W N G LO CO Lo ( q L C\2 O RM Y08lIi COACH - HAS OUTitIGGiR9. 4 4 WART( MOW2 COACH C.P. ANCHOR MR HAS ounwjGERs, MM HE'AWACWff TO FFESS/ C.P. ANCHOR PDDR BEE NOTE AN OLMaGGER _ 1 F! ( (` SIM NOTE 0 P / MM BE ADJACENT TO `-t-' $ `ty �p,LD M. r AN otnatom _ I Ff. N `�� opt �� �, DATE: 09-16-99 ..EU V 'fie s SCALE. AS SHOWN Q Q otTTl�iE Or C.P. ANCHOR PIER AND PLYWOOD r` ovlvxE I I - roans •I I I I � EXP. 3 03 Or HOetu COACH PAD. STANDARD PIER a.► X ,l...L.L._ COQ WHEN COACH HAS OUTRIGGERS. 00 DR AW N i Y MW ' WN LII MUST BE ADJACENT TO OUTRIGGER N 12' 14' OR 16' `rq Civil. , 20 , ,24 , 26 , 28 , OR 32. r j JOB #I 95-36-85 /IUMM F -0F CALV- PLAN PLAN . SHEET, SINGLE WIDE a�oBi1 coacx DOUBLE WIDE MOBILE COACH TRANSVERSE SECTION RESUBMITTAL OF 1 Scale: l 10 Scale: 1 = 10' y NOT TO SCALE ETS-1074tn \ PATENT # 5873679 OF 1 SHEETS