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HomeMy WebLinkAbout027-270-036f ................................................. T jr , 27=27-36 27-27-36 ie Y�KAY1 PER -L u PERIGO,-Mary Kay 8000 Res,r-voir Rd, Or&oille ":8000'-Reservoi'r Rd,, Orov . ille. Permit#-37668BR,E(util, MF 'Ag ExempLonPermit-- ELEC. --Cga-r--n—for chickens & livestock) GAS SUPPORT STRUCTURE RE COMPACTION TEST R -2-/"-2 7-36- Permit M1166-88MH, I s /-27-36 1591-90P,E PERI 1 Mary- 8000'Rese ir, Oroville Co'n-tr: Dave k (utilities/MH ELM - GAS --�-- COMPACTION TEST REQ SUPPORT STRUCT'REQ -=27737�-' Per 1592-90MHI a 115 t i on /MH B07-2497 -027-270-036 MISCELLANEOUS Demolition DEMO EX MH (24' X 60'),. 8000, RESERVOIR.RD HASS, RUDOLPH RESIDENTIAL 'SFD-Mobile Home PFS MOBLE HOME INSTALLATION PERM 8000 RESERVOIR RD HAAS, RUDOLPH :a l[ - IE C, ' � r A I BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 1 INSPECTION CARD MUST BE ON JOB SITE' 24 Hour Inspection Line (IVR) : (530) 538-4365 i Office: (530) 538-7541 Fax: (530) 538-2140 , (od .-; t, ^� Website for Online Permits/Renewal Pavments: www.buttecountv.net/dd.q Permit No: B08-1719 Issued: 12/02/2008 Address: 8000 RESERVOIR RD Area: PALERMO Owner: HAAS, RUDOLPH Applicant: MOBILEHOMES 4 LESS Permit Type: SFD-Mobile Home PFS APN: 027-270-036 Description: MOBILE HOME INSTALLATION PERM FN Flood Zone: None SRA Area: Yes SETBACKS for Zonine. AG, SRA. PW Front: 20 Ultimate R/W from CL: 30 Rear: 5' SRA: Side: 5' AG: Other: Total Setback from Centerline of Road:20+30 ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House ' 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts' 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not. Install Floor_ Sheathing or Slab Until Above Signed ^ Holdowns/Straps ` ; 122 Shearwall/B.W:P.-Interior 135 Shearwall/B.W.P.-Exterior 135 a Roof Nail/Drag .Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough' Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 , Pool Final 802 Mobile Home Final 802 Finals Inspection Type IVR 1 INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceilm OFFICE COPY N Stucco Lath I Bldg Permit: Stucco Scrat{ Stucco Brow Address: - k_ Setbacks Pool Plumbii GAS By: Date: - !� T Gas Test Electric By: PSI-' Date: Pre-Gunute Ik Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Lp Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 _ IS Gas Test Yard 404///6' Manometer Test 605 Continuity Test 602 /! Skirting/Steps/Landings 610 Coach Info' Manufactures Name: / p 1 C >—pJ Date of Manufacture: ZJ Model Name/Number: Serial Numbers: S Length x Widt A � Insignia: D e Public Works Final Q 538-7681 Fire Department/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 801 5 17 eq *Project Final is a Certificate ot Occupancy or i ntia y / PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 8000 RESERVOIR RD Owner: Permit NO: B08-1719 APN: 027-270-036 HAAS, RUDOLPH Issued Date: 12/02/2008 By KCG Permit type: RESIDENTIAL PO BOX 3121 Subtype: SFD-Mobile Home PFS PARADISE, CA 95967 Expiration Date: 12/02/2009 Description: MOBILE HOME INSTALLATION P (530) 872-8304 Occupancy: R-3 Zoning: A-5 Contractor Applicant: Square Footage: MOBILEHOMES 4 LESS MOBILEHOMES 4 LESS Building Garage Remdl/Addn 6404 COUNTY ROAD 27 6404 COUNTY ROAD 27 1,166 ORLAND, CA 95963 ��, r 865-6420 %Lk ORLAND, CA 95963 Other Porch/Patio Total (530) ✓ 1 C7 (530) 865-6420 1 1,166 FEE INFORMATION Ag Com Building Permit Clearan $36.50 DBSMIP Residential $0.50 DBEH Building Review Fee $78.90 DBF MH Plan Check - $241.16 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE SRA Fire Plan Review (S $107.00 DBMSC Mobile Home Permit Fee. $361.74 DBOMSC Fire Safe Standards Rev $118.98 Total Charged: $1,158.78 Fees Paid: $1,158.78 Balance Due: $0.00 Receipt No: B9235 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License MOBILEHOMES 4 LESS 896705 / C 47 / 05/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 12/02/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued, improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the STATE FUND 1838439 04/01/2009 Policy olicy Number: Exp. Date .04/01/2009 Date- Contractors License Law.). section need not be completed if the permitis or on' e�llars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 12/02/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 12/02/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, riles, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. 12/02/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner' Contractor OR; Agent for Owner ❑Agent for Contractor INSPECTOR COPY Lenders Address City State Zip 08/04/2008 17:35 FAX 530 527 6828 Y RECORDINC REQUESTED BY Bidwell Tltte & Escrow Company `I AND NVHLN RECORDED MAIL TO Name Jeffrey T. !lass ct al %.tddr 6Z2 Eastwood Drive u.sla,e Oxnartlt CA 93030 tbdra.�a• 00228237-003 FIDELTY RED BLUFF 0002 2006-0053342 Recorded I REC FEE ILL Official beards 1 Im 214.51 C0i9altQaf 1 13IM pLE I. GIs I County Clerk-Recorderl I I HL 89:tlieRM li-0Irl�Bil6 1 Fags 1 of 2 1111111911 IN 101111011111111 SPACE ABOVE TIIIS LINE FOR RECORDER'S USE Parcel Nu. 087270-036 GRANT DEED THIS FORM FURNISMED By t11DW5LLTrfLE & ESCROW COMPANY The Undayipwd Granhx(s) Declarc(s) Documentary 'Transfer Tax A $214. S o ❑ City/Town of 0 computed on full value of interest or property corrvcyod, or Cd Unincorporated Area ❑ full value less value of liens or encumbrances nermining at the time ofsale ® Monument Fec of $10.00 ) FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknewtedged, �G Linda L. Indish, Executor of the Estate of Mary stay Perigo AKA Mary Kathleen Perigo �V Deceased will full authority to act under the Independent Administration of Estates Act, Probate No.PA37860 hereby GRANT(s) to Rudolph T. Hass, An Unmarried Man and Jeffrey T. Base and Patty Dee Hass, Husband and Wife, all as Joint Tenants � the following real property in the Cl City of ® Unincorporated Arra County ofsutte, State ofCalifomia: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF Linda L. Indish ExeCutOr of the Eatate of VU Mary xay Perigo Alm Mary Kathleen Perigo r Deceased with full authority to act under the independent Administration of 6etates ,Ant, Probate blo.PR37960 - 1 Dneument Date: oct:ober 2 2oo6 Scute of t/bt Couniy of SS. On Wow 2,wt-,before me, ha Notary Public, personally appeared Linda L. Indish **• Personully known to me (or proved to me on the basis of suisthetory FOR NOTARY SEAL OR STAMP evidence) To be the person(s) whose names) is/are subscribed to the within instrument and acknowledged to tnc that Ite/she/they executed the same, in his/her/their authorized capacitAt es), and thm by ASI NAN CAAPENiER his/hedtheir signaturc(s) on the instrument the pers rft or the entity, NOMY PUblio. Stebe Oi M fl upon bchulf of which the pe sons) sicced, exeeutcd the instrument Courd/ of Alpena My EI(PiII1162 WITNESS my hand and official seal. "Ian Mtn fib" 1 i AcIlrig in the Cou!'1v Signature f RgA-356--8105 l5pr (',Gest,, , Q*V NCI 0747 MAIL TAX STATEMENTS TO: 3amo as Above Aug 19 08 09:52a Chuck Karen Mathews 5305294944 p.1 ��tyENiDF BUSINESS, M' S DEPARTMENT OF ' DIVISK N o MANU °t o MANUFACTURE TG%TE OF„CAUFORNIA NUMBER: SPORTATION AND HOUSING AGENCY OUSING AND COMMUNITY DEVELOPMENT 8669342 OF CODES AND STANDARDS C IN TURED HOUSING PROGRAM CERTIFICATE OF ORIGIN DISTRIBUTION. ORIGINAL (PINK) FORWARD TO THE INVENTORY C REDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREEI. COPY 1 (WHITE) FORWARD TO THE OEPARTMENVAT P.O. BOX 182B, SACRAMENTO, CA 95812-1825. WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOY4 DELIVER TO THE TRANSPORTER , O ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUF kCTURER HC 483.0 • Side 1 - (7197) ❑ CHECK I THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME ORM -NIT MANUFACTURED HOU NG 99SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING NUMBER OF TRANSPORTABLE SECTIONS 2 COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: LIBERTY HOMES, INC. 90039 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: 888 S.E. SHERIDAN RD. P O BOX 188 SHERIDAN OR 97378 (Street) (City) (state) zl $64,032.00 MANUFACTURER TRADE NAME: MODE NAME AND/OR NUMBER: DATE OF MANUFACTURE IJDLV 2848 3B 2B PMB LIBERTY ANNIVERSARY QG284802 10/05/05 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO: CALIF. DEALER NUMBER OR DATE OF TRANSFER: TRANSFEREE DESIGNATION: MOBILE HOMES 4 LESS 1062395 1 10/11/05 DEALER OR TRANSFEREE ADDRESS: (Sveet) 22564 AN'T'ELOPE BLVD. (city) RED BLUFF (State) CA (zip) 96080 INVENTORY CREDITOR NAME: NONE INVENTORY CREDITOR ADDRESS: (Stme)(City) (State) (Zip) SECTION t s MANUFACTURER SERIAL NUMBER HCD INSIGNIA OR HUD LABEL NUMBER LENGTH (INCHES) WIDTH (INCHES) WEIGHT (POUNDS) 1 09L35626X ORE 477101 528 159 17,887 2 1 09L35626U 477102 528 159 17.887 .I TRANSPORTER NAME LIBERTY HCMES, INC. TRANSPORTER ADDRESS: stree0 P O BOX 188 CI SHERIDAN (State) OR (zip) 97-378 DESTINATION FOR UNIT DESCRIBED ABOVE NAMEIMOBILE HCMES 4 LESS (street) 2256 (c ) RED BLUFF (state) CA (zip) 1 certify under penally of perjury.under the laws of the State of Celifomla that the above acts are true and correct. Executedon OCTOBER 11, 2005 S I YAMHI L OREGON (Date) Cityj (County) (state) SIGNATURE OF AUTHORIZED AGENT: DISTRIBUTION. ORIGINAL (PINK) FORWARD TO THE INVENTORY C REDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREEI. COPY 1 (WHITE) FORWARD TO THE OEPARTMENVAT P.O. BOX 182B, SACRAMENTO, CA 95812-1825. WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOY4 DELIVER TO THE TRANSPORTER , O ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUF kCTURER HC 483.0 • Side 1 - (7197) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 8000 RESERVOIR RD Owner: - Permit NO: B0$-1719 APN: 027-270-036 HAAS, RUDOLPH Issued Date: 12/02/2008 By KCG Permit type: RESIDENTIAL PO BOX 3121 Subtype: SFD-Mobile Home PFS PARADISE, CA 95.967 Expiration Date: 12/02/2009 Description: MOBILE HOME INSTALLATION P (530) 872-8304 Occupancy: R-3 Zoning: A-5 Contractor Applicant: Square Footage: MOBILEHOMES 4 LESS MOBILEHOMES 4 LESS Building Garage Remdl/Addn 6404 COUNTY ROAD 27 6404 COUNTY ROAD 27 1,166 ORLAND, CA 95963 ORLAND, CA 95963 Other Porch/Patio Total (530)86 5-6420 (530) 865-6420 . 1,166 FEE INFORMATION Ag Com Building Permit Clearan $36.50 DBSMIP Residential $0.50 DBEH Building Review Fee $78.90 DBF MH Plan Check $241.16 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE SRA Fire Plan Review (S $107.00 DBMSC Mobile Home Permit Fee. $361.74 DBOMSC Fire Safe Standards Rev $118.98 Total Charged: $1,158.78 Fees Paid: $1,158.78 Balance Due: $0.00 Receipt No: B9235 LICENSED CONTRACTOR'S_ DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License MOBILEHOMES 4 LESS 896705 / C 47 / 05/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UND PEN LTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencin act' 7000 of Divisi f the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full f d e of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 12/02/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: �Contractoes_Sign Date 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 WORKERS' COMPENSATION DECLARATION - OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). / AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED QrhAVE as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. `J_My The Contractor's License Law dows not apply to an owner of the property who builds or improves Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: STATE FUND policy Number: 1838439 Exp. Date:04/01/2009 Contractor's License Law.). (This section nee not a completed if the permit is oror on�llars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY -THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS -a ISSUED, I shall not em # a person in any manner so as to become subject to the Workers' Compensation Laws Calif rnia, and agree that if I should become subject to the workers' the X 12/02/200$ compensa ' pro ' ions o Section 3700 of the Labor Code, I shall forthwith with those Owner's Signature Date provi ' 12/02/2008 I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAIL E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, aa caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this pe I. I reby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occup y sid alk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Coun er t bove enlione rty for inspection purposes. I hereby certify that I am the pr r ma orize lheprop=/half. LAO&T a Name o Pe SIG y Print I Date CONSTRUCTION LENDING AGENCY IHEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Owner,f Contractor OR. ElAgent for Owner Agent for Contractor !J�'► FILE COPY Lender's Address City' State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 Z -"'�+ _ c A FEE WILL BE REQUIRED AT TIME OF APPLICATION 00 .� Website: www.buttecounty.net/dds OV N.1 PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All pu related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name Firs Mailing Address W 2- CityState G� zip 9✓ / Phone g -� 2- YJ? 6 Fax E-mail AITLICANT SIGNATURE X �Cr�t�+ee�i �S3�i'Gl PERMIT NO. Y_ /?(( BIN # PROJECT LOCATION AP# x2"7_2 O - Property Address r 61 City L WORKER'S COMPENSATION Policy Number i G g Carrier ST1517__; �IXD If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENFING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: /N sf�t4 Z 2171d�(Yf� Sq FT- Living 116,6 Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): 7A/A i9g2-1917' For office use only: CONTRACTOR Name 0W L Address G —7 City 0 State StateG/-3 Zipl�S9 Phone Fax E-mail E-mail State License Number Lic. # g . O Class G _ AITLICANT SIGNATURE X �Cr�t�+ee�i �S3�i'Gl PERMIT NO. Y_ /?(( BIN # PROJECT LOCATION AP# x2"7_2 O - Property Address r 61 City L WORKER'S COMPENSATION Policy Number i G g Carrier ST1517__; �IXD If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENFING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: /N sf�t4 Z 2171d�(Yf� Sq FT- Living 116,6 Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): 7A/A i9g2-1917' For office use only: ARCHITECT/ENGINEER Name �S Address fe;7 '�o City State Zip Phone i 7 2O `7 Fax E-mail State License Number AITLICANT SIGNATURE X �Cr�t�+ee�i �S3�i'Gl PERMIT NO. Y_ /?(( BIN # PROJECT LOCATION AP# x2"7_2 O - Property Address r 61 City L WORKER'S COMPENSATION Policy Number i G g Carrier ST1517__; �IXD If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENFING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: /N sf�t4 Z 2171d�(Yf� Sq FT- Living 116,6 Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): 7A/A i9g2-1917' For office use only: APPLICANT INFORMATION Name �S Address fe;7 '�o City OWState Zip Phone i 7 2O `7 Fax 4 , E-mail AITLICANT SIGNATURE X �Cr�t�+ee�i �S3�i'Gl PERMIT NO. Y_ /?(( BIN # PROJECT LOCATION AP# x2"7_2 O - Property Address r 61 City L WORKER'S COMPENSATION Policy Number i G g Carrier ST1517__; �IXD If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENFING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: /N sf�t4 Z 2171d�(Yf� Sq FT- Living 116,6 Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): 7A/A i9g2-1917' For office use only: Yes No Zoning —5 FloodZo�Type Occ. nst. .�rc -149r����4�0•Unra�. BUTTE COUNTYTEE SUMMARY Permit Number: B08-1719 7 County Cent6r Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Job Address: 8000 RESERVOIR RD Contractor: MOBILEHOMES 4 LESS 6404 COUNTY ROAD 27 ORLAND, CA 95963 Printed: 08/20/2008 2:49 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt Ag Com Building Permit Clearan 0010-460001-4612200-1010( $36.50 DBEH Building Review Fee 0021-540013-4614901-1010( $78.90 08/20/2008 $78.90 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010( $107.00 08/20/2008 $107.00 0100-450001-4617240-1010( $107.00 DBOMSC Fire Safe Standards Rev 0010-440001-4210501-1010( $118.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010( $107.00 08/20/2008 $107.00 DBMSC Mobile Home Permit Fee. 0010-440001-4210500-1010( $361.74 DBF MH Plan Check 0010-440001-4210501-1010( $241.16 08/20/2008 $241.16 DBSMIP Residential Printed By: Tammie Powell 1001-0-280-1011298 $0.50 19158.78 $534.06 Balance Due: $624.72 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These �hWan uring the plan checking process. Signature. Date: 08/20/2008 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). 1 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County,Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds "PERMIT APPLICATION DATA SHEET" Reference Number: B08-1719 ate: 08/20/2008 Location: 8000 RESERVOIR RD y: TMP Parcel Number: 027-270-036 /SO.FT. ub Type: SFD-Mobile Home PI Owner Name: HAAS, RUDOLPH hone: (530) 872-8304 Description: MOBLE HOME INSTALLATION PERM FND 1 ❑ The above permit application has the following Clearances required pelor to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your pefmit application. Yes No SEWER DIST ICTS Thermalito Irrigation District, 410 Grand Aven/(5310) roville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 533-2000 City of Chico, PO Box 3420, 411 Main Street Chico CA 95927 - (530) 879-6700 ❑ Chico Area Recreation District, 545 V ombrosa, Chico CA 95926 - (530) 895-4711 ❑ Durham Park & Recreation District 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction &Par District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 11 ❑ Paradise Parks & Recreation, 626 Skyway, Paradise CA 95969 - (530) 872-6393 Record d copy of Agricultural Acknowledgment Statement- See Attached Instructions City f Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 rl 0 Ot er: 11 ❑ ther: "When fil , this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: FILE Date: 08/20/2008 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ Chico Unified School D' trict, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ Durham Unified Scho 1 District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 F1 E:] Gridley School Dis ict, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ ❑ Marysville Scho District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 ❑ Oroville Elem tary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-30 0 Oroville Uni n High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:r0l�� Paradise ified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-64 OTHER Record d copy of Agricultural Acknowledgment Statement- See Attached Instructions City f Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 rl 0 Ot er: 11 ❑ ther: "When fil , this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: FILE Date: 08/20/2008 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS** Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at hitp:HmuniCipalcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-1719 Location: 8000 RESERVOIR RD Parcel Number: 027-270-036 Owner Name: HAAS, RUDOLPH Description: MOBLE HOME INSTA Signature of Applicant: PERM FND 1166 SQ.FT. FILE Date: 08/20/2008 Phone: (530) 872-8304 Date: 08/20/2008 Butte County'Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds "�gtIc National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B08-1719 Date: 08/20/2008 Location: 8000 RESERVOIR RD By: TMP Parcel Number: 027-270-036 Sub Type: SFD-Mobile Home PI Owner Name: HAAS, RUDOLPH Phone: (530) 872-8304 Description: MOBLE HOME INSTALLATION PERM FND 1166 SQ.FT. By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land'and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: 08/20/2008 California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B08-1719 Date: 08/20/2008 Location:' 8000 RESERVOIR RD By: TMP Parcel Number: 027-270-036 Sub Type: SFD-Mobile Home PI Owner Name: HAAS, RUDOLPH Phone: (530) 872-8304 Description: MOBLE HOME INSTALLATION PERM FND 1166 SQ.FT. To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County. All development within the SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ • Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: • ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6226, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the.above pre -inspection requirements. 08/20/2008 Date Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/Fireprevention/protplan/protplan.html Rev'd 5/7/07 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds POOL SETBACK EQUAL TO ONE-HALF BUILDING FOOTING � 7 FT. (2134 mm) SETBACK DISTANCE AS REQUIRED -BY FIGURE 1B-1-1 FOR SLOPES STEEPER THAN 3 TO 1 SLOPED BUILDING SITES 3--I5-nfi STRUCTURE SETBACKS ` PORTIONS OF POOL WITHIN 7 FT. N4 mm) SHALL BE CAPABLE OF PORTING WATER WITHOUT SOIL SUPPORT d FACE OF FOOTING TOP OF SLOPE FACE OF STRUCTURE TOE OF H13 BUT NEED NOT H SLOPE EXCEED 40 Fr. L///A\ly// (12 192 mm) MAX 1 FU2 BUT NEED NOT EXCEED 15 FT. RM mm) MAX. r � BUILDING CLEARANCE FOOTING SETBACK FROM FROM ASCENDING SLOPES DESCENDING SLOPE SURFACE STEEPER I L_ THAN 1 TO 1 H1 / (IF RETAINING 1 �� WALL) i STEEPER THAN 1 TO.1 / 11 REQUIRED J SETBACK 21 _ 1 TOE FOR PURPOSES FOR PURPOSES OF OF FIGURE 18-1-1 FIGURE 16-1-1 POOL SETBACK EQUAL TO ONE-HALF BUILDING FOOTING � 7 FT. (2134 mm) SETBACK DISTANCE AS REQUIRED -BY FIGURE 1B-1-1 FOR SLOPES STEEPER THAN 3 TO 1 SLOPED BUILDING SITES 3--I5-nfi STRUCTURE SETBACKS ` PORTIONS OF POOL WITHIN 7 FT. N4 mm) SHALL BE CAPABLE OF PORTING WATER WITHOUT SOIL SUPPORT d § 1337. Support Inspection. At the time of inspection, the installation of the. MH-unit on its support system shall be complete and the area under the MH-unit shall be accesAible for inspection. (a) Skirting shall not be installed until all underfloor installations have been approved by the enforcement agency. (b) Masonry walls shall not be installed until all underfloor installations have been approved by the enforcement agency, unless the installation of the masonry wall is required to provide perimeter support to the MH-unit. NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Section 18613, Health and Safety Code. Butte County Building Division MANUFACTURED HOME SUPPORT INFORMATION Owners name: A. P. # 02.40' Home ,Manufacturer: ZANIKIZ 0 Manufacture Year: raj,2 a iN L ZZ -11 'Model Number / Name: Zom Z - Width: MM(ft.) Length: MR (ft.) FOOTINGS: Wood - pressure treated or foundation grade[X] Other:1021-1-.50319; SUPPORTS: Concrete block FR.'fl Other: ',Vf�,5 Provide manufacturer's installation manual, support blocking requirements and state approved or engineered f6undation or tie down system specifications. vier rooting times and Locations SINGLE WIDE Line1 ------------------------------------ — ------------ Line 2, Section 1 Line1 ------------------------------=------=------------- ----- — ------------------------------------------ Section 2 MULTI -WIDE Line 1 Line 2 Line 3 Line 2 Line 4 (triple wide only) Section 3 , I I '-Line 2 Line 1 Piers: 7MV-0—:22 L 19W,. ; Minimum size piers: X Spacing maximum: 0705M w V en move ww, From ends maximum: �M== Line 2 Piers: �trio Comm Minimum size piers: IBM ON H X Spacing maximum: Ire From ends maximum: rel Line 3 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size piers,: Location (from front): Minimum size piers: Location (continued): Snow Load: Evi3-Tj91 _,J PSF Snow Load requirements may be obtained at hftp://www.upstate-ra.com/bufte/bufte_cou nty/ Insert AP #, view snow load in lower right corner. er. Line 1 Openings: Minimum size pier., ]] X Required at each side of openings over,,f. - wide. 7MV-0—:22 L 19W,. ; ) 2 �X 2 I VIA 0705M w V en move ww, SZOM mma =w.� �M== imam MM �trio Comm H � - " - =11 IBM ON H 10 W-WORRUg - 71-1__'� 90M. -M K ya mn=imn SZOM mma =w.� mom r, OF, Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems California Building Code (CBC) 2007 Wind 85 mph, Exposure C; Seismic Design Category D By Tie Down Engineering•, May 16, 2008 Xi2 Concrete System Jut -JIM A-. Page 1 of 8 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems A / ' CBC -07, 85 mph Wind Exposure C; Seismic Category D By Tie Down Engineering t REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1333 and Wind & Seismic Requirements, CBC 2007. • Maximum vertical projection at sidewall is 9'. Higher walls maybe used when the design loads are adjusted accordingly and approved by HUD. ` • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the 1 -beam wi0i ,clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12'.' deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating.'.." Page 2 of 8 0 .............. .. ... .. _ ..... ..._...- 0 ..Fell" o P&Cftc4nsUW4it 2169 eta+. arMff. Sure %5 SAMAPrtltt+tl, CA 49898 t9tl+D 56"02&.(916) ftl4 OPv WiXI C & R PIER MFG. M S. Roodt0 Ave. Colton, CA 92324 Des 1-606-443-049% 19 June 17 FAX PM 872-9439 Epted and Aatxovd bv: las MK AgSpC',1ATFS 10 Aug. V0 0MITIM MANUFACTURES HOME SUPPORT PIER BSK Usting Number: 1002 Pier Capacity. 6000 lbs (Based on tested ultimate load divided by a foctor of safety Of 3) ter-- __ l r . t •... .J i �. DRAWING - NOTES 1 Pier Cap. See. Shie•t 3 ileta 1 I a 4or !to nc%rd cup 'anal $heels 4 ; 6 for altitovia'tq poor caps. 2 3Rod x'51- AST14 A307. 3 3/4' Dia. AST14 A307 Flex Nut. SRe ShRet 3 Dethits t 6 e for qpt 1 orts,l dwb le nt4- 4• 3/4' x 10 GAw Flat • Washer 'ee 4ded to 1' MV, x M 660• x 3!40 A4TM A3$ Tube Coltar and stetded tp farj%ed angle tegr, g L 1' x V ASIN A% stee t farrad "Ig legs. See Pier Schedule for gauge of less. x 13' GIIr AS7D1.A36 stet! p'tase traees, See Pler sa•CdMte far hel&t end use of brecss: 7 t -1l41 x 13 CA. ASTM A36 sweet plate pate strips. See Page 3 D"a I t 9, 9 111 1138 1• 60ly. yatf`-air! i t img .se l f-sapp tng -scree or dr 1 t t For (j] 610 x 1' Gs t v. a rood screw CA each comer. 9 tribe 1,.See �ShFet 3 Ile -to il 4 BLUMAND 11AMYCODB, DNOON 1J,>'ItRZ'2 A"RdVm ' ' >�A➢SC!'f0 CO'ZtxBCITOi:.4 H!!l'i*D Appnx�tt Leos get ec ea�e.e auq ee►ledee es Aerp 1 GIA FUTURE STRUU I uKr—=, u- INSTALLATIONS INDICATED ON THE 'fCO-OR PLAN WILL BE REQUIRED TO MEET THE REGULATIONS REQUIRED AT THE TIME OF PERMIT APPLICATION 02N 2� 08° �8 X wo; �ov Nmco m� I� � r � i . JJJJJ Z �JJJJJ Lu u UxJJJJ t=NJJJJ Z zQU x Y.�'JJJJJ ^ JJJJJ �.IJ .mac '� JJJJ_U' � J JJJJ_?XJ JJJJ_Z�J J 9a �JJJJJJJ .�•�� J 1J J i c�'o N n C 00 co c m cn x to LL�SI�� � J JJJJ m2 JJJJJJ "' -o ,o r r t � L ,9•.9l r PAGE 02 TIE DOWN ENGINEERING, Inc. ABS Pad #59301 - 16"x 22.5" (16) -Dimples. See Del. On Bottom -- 9.11 7.837 --i Chassis Beam }— 6.5 I2 4.560 1 2.727 1.278 1 I � , ', . � Bolts on top 21500 1b. 6,000 lb. 16 x 22.5 steel pier -2.563 ADS Pad 3.838 II () 9 I Attach pier to ABS Pad using �luj (4) 114 x 2" SMS Screws. 11.25 –•----- �. 5.276 - 22.500 _t ocr 16" x 22.5" TI1e dimensions shown on detail right % o.,ae • for injection mold process. Actual „n e.l;o i measured thicknesses after curing: 0.045 0. try.) o Outer Flange = 0.134" to 0.121' (top) action - A � Dimple Detail Bottom (base)= 0.100• larged Enlarged Ribs (at base)= 0.137' to 0.114' (lop) :neral Notes M01aAows¢osRa,mlc,t,>s8a Based on 1,000 lbs. PSF SoilA>rrao°v=D"""x' Qt1QfE 360 square inches = 2.5 square"fl;�'O �`"'`°"°101� eoe.au.msoa Rated 2,500 lbs. `�''���'"°'"''�"°'"� Flat side down. ni>P Rb1lSWpu .w O. 26070 a Can be used with steel piers or concrete blocks n.. a q AR �Iv��6 Tested, listed & labeled BFM IF cAl%I Listing #TDE•02-1012 nhAxHq'­ a r • , TIE DOWN ENGINEERINNG, Inc. ABS Pad #59303 - 24"x24" a.uuu 0.25 R. mp :s, e4 e. Orrin Holet' Bottom 0.50 r 0•,7 / /7 I -0.23 I OitOdrgvoWPM oa�pa.�oQ p A s �ao► Pw as �wl� s o��;ao�r�1►�94' >ooga`,oga%v� vov'4av rv�ca�o r.,on'a. t �a� s s ��a �• • Chassis Beam B Bolts on top ,000 Ib. steel pier 4,000 Ib. 24x24 A135 Pad 6 Pad 4.a4e Attach pier to ADS Pad using 1.448 (4) #14.x 2" 5M5 Screws. 0.11C 0 0.0208. NO 0.250' - S 24"x24" The dimensions shown on detail right are for Injection mold process. Actual o•10r �. 4 0.250DIa Aha thicknesses after curing: 0.045 A.(Typ•) measured section� Outer Flange = 0.124' to 0.107" (top) Enlarged Enlarged Bottom (base)= 0.103" Ribs (at base) = 0.182" to 0.118' (top) General Notes MONO.EaOMEmACCE59oaYMUMMEta47Q11afO COXOM IT fMAL7HAHD.3AVMCW13IDrVMl0H h=2 QF Ess 1) Based on 1,000 lbs. PSF Soil "rRovzp e� eoattcrroeolaaurnoxexoren �� T 2) 576 square inches = 4 square teg6�1l F c�F o �g� 3) Rated 4,000 lbs. 4) Flat side down. ov vaWoA C. 26070 - 5) Can be used with Steel PlersH� or Concrete Blocks R 3cti,oq �z �� / 6) Tested, listed &labeled to I—� OF CAOV 7) Listing #TDE-02.1014 Appa••+amwm ° -EB'9 2 r TIE DOWN; QIGIY![RIffG; BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 8000 RESERVOIR RD Owner: Permit No: B07-2497 APN: 027-270-036 HASS, RUDOLPH Issued Date: 12/10/2007 By KCG Permit type: MISCELLANEOUS PO BOX 3121 Subtype: Demolition PARADISE, CA 95967 Expiration Date: 12/09/2008 Description: DEMO EX MH (24' X 601) (530) 872-8304 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: HASS, RUDOLPH Building Garage RemdUAddn PO BOX 3121 PARADISE, CA 95967 Other Porch/Patio Total (530)872-8304 FEE INFORMATION DBMSC Demolition $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B5563 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a peril subjects X 12/10/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL MAINTAIN the work himself or herself or through his or her own employees, provided that such improvements ❑I A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this peril is issued. My Workers' Compensation insurance carrier and policy number are; The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number. Exp. Date: (This section need not be competed if the peril is or one hundred dollars ($100) orores ) ElIAM EXEMPT under Section B. & P.C. for this reason: Io I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS [Af ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers'X 12/10/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owne s Signature Date provisions. X 12/10/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prop own r or m authorized to act on the property owners behalf. CONSTRUCTION LENDING AGENCY t f 12/10/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for a ofPerttee [SIGN], Print Date the performance of the work for which this permit is issued. (3097 civ. code) FVOwner Contractor OR. Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT INFORMATION OWNER OWNER INFORMATION Last Name -r3, Address Fir,%t Namel l 1 Mailing Address O 3l2% City fz, Y74, O % Fax State 4- Zip 7 PhoneJIR Y 72 g G t Fax E-mail APPLICANT INFORMATION CONTRACTOR Name 43 /L Ivywr S Li Address Zip City Fax State , Zip C ne E-mail Y74, O % Fax Fax E-mail Class APPLICANT INFORMATION ARCHITECT/ENGINEER , Name a Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION API C)27_ n Property Address/ _4 p *SjY�ov City PERMIT NO. &»-2yqIl BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Zoning N. FloodZone c�-i x(Po� Yes No Occ. Type Const. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. .k. DEMOLITTON PERMIT ASBESTOS NOTIFICATION STATEMENT Pursuant to section 19827.5 of the California Health and Safety Code. all demolition permit applicants are required to fill out this form_ "19827.5. A demolition permit shall not be issued by any city, county; city- and county, or state or local agency which is authorized to issue demolition permits as to any building; or other structure except upon the receipt from the permit applicant of a cope of each ,%Titten asbestos notification regarding the building that has been required to be submitted to the LLriitcd States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant" s response on the demolition permit application. Compliance with this section shall not he deemed to supersede any requirement of federal law." Attached is a copy of the Asbestos NESHAP Notification of Demolition and Renovation form for the project located at (Address) (City) (Zip Code) Assessor's Parcel Number Date Signature of Applicant I hereby declare that a written asbestos notification to the United States Environmental Agency is not applicable to this demolition project located at o10V//Z -CIO8, ®OO G-%� Zop 1L,d i l , yS 9G� (City) (Zip Code) Date /Z -Jb-97 Signature of Applicant .�p 60,2---J Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business 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 $500 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 government 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 to you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor 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 contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PLAN TOP VIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES ORS O) 2. le)/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTUD WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME Ja y y t 5 /�YJf2, /� 4y_e s f we -r ADDRESS CITY PHONE 2ff % dCONTRACTORS LICENSE NO C'r LL 19 74? 7 4. I PLAN TO PROVIDE PORTI�S OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: DEMO EX MH (24'X 60') Reference Number: B07-2497 Applicant Name: —HSS; kUDOLPH Owner's Name: RUDOLPH AP # : 027-270-036 �4-57 Sibnature of Property Owner: , , - Date: 7 PERMIT NO. jj q PERMIT EXPIRES 13o I t OWNER MARY KAYR PFRTGO CONTR. unknown ASSESSOR PARCEL 27-77-36 LOCATION 8000 Reservoir Rd, ORoville Temp. Power Pole Called PG&E_ Temp. Elec. Sei I Called PGS Temp. Gas Sen ti Called PGS JOB FINALED Signature =OK ' o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable =• Not Ready Date UNDERFLOOR (Plans) OK except #'s i. Lon ing-setDacKs;-tasements-ri000-slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air�Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Liqht-Shower Liqht-Spa Liqht Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48, Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51..Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance.to 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -81 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) = OK 0.= Not OK = Not Readyiable MOBILE HOMES , MISCELLANEOUS Date MO LE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel L-KS01'er; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails - ater; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing . EI tricity; Location-Clearances-Grnd.-//-O Amp -Concrete Gas; Location -Te -Wrap: / P'L"ft. /i /"Nat. or/ LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 2,-6 -?9 ' . Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B Dated Card -81 Date 11. Ext.; Steps -Doors -Landings Date "OJMLEHOME INSTALLATION (Plans) OK except #'s oning Requirements -Setbacks -Easements Card -131 Date Card -131 Date Fo ings; Size -Spacing -Marriage Line Card -B1 Date Card -131 Date 3 s; MH Test -Demand -Valve -Connector ctricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s ., rain; MH Test -Fall -Flex Connector 1. Setbacks -Easements ater; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability V. Water and Sewer Co cted-C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electri Tagged xits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel board s -Ins. to Main in Conduit Card -B1 Da Card -B1 . Date,— - Card -131 Dat - Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -131 Date Card -81 Date Card -131 Date MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE 6EPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER -DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. '� :1 Lp Address or location of mobi lehome1��� c7 C1 �+{)Ps(o Lx! v / v 1 Owner's name • � 1" �P k- I r) f� �— Owner's address Insignia or hud n Manufacturer's name y L etk �, r Serial number o`ff / V.I.N,. (1-1 \J ii �i % ,X Year of manufacture tial Approving Installation) (Dat 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 - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891=2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE A routine inspectioir indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact{ this office immediately. V ti/ 4 . , Inspector oC Date " /2 - - ,� +Y, � � _ ..s"'hi�.c�«'►"'"i '�-' .s:: ion: +�wr4 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS f 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE Y OWNER V PERMIT NOi, A routine inspection indicates that the following violations of County Ordinance4 exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining, to this matter, or need additional explanation, please contact this'office immediately. c .a ,20. sy •;� d, t;a 4 t y a rf Inspector Date_" �� 7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE o as — OWNER PERMIT NO. Y A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. al -. 11 . - ' - 1) - _V__ 11 IT 'INS, ,i Inspector Date t Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memofial Way, Chico— Phone: 89i-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 •----- �-- -!CORRECTION NOTICE 3 7" - OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. Q�kInspector Date % `rg `7 c COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER v�27- ;Z7 - U 3 ZONING X S BUILDING PERMIT O VMR C0- Ve r i TELEPHONE :5 t :3�L23 SQ. FT. OCC. BUILDING VALUATION OWNER'S I LING1,r�RESS /'►ro t ; Ike R 59 6 I(/ V D/..l CONTRACTOR'SNAME L—V /t ,N O t.t,J.ilJ TELEPHONE CONTRACTOR'S MAILING ADDRESS F i rep I ace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $' Penalty $ BUILDING ADDRESS Permit fee $ /6-,&-v d� PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2,00 �' D� f ��� LOf NO. SUBDI ISION NAME PARCEL MAP Solar or heat pump water heater 20.00 Water piping 5,00 Each qas water heater or vent 5,00 USEOFSUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S IG'Q WV 0-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee $ d -O , Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 900V OR LESS100 AMP OR LESS 10.00/14- Main service EA, ADDL tooAMP 2.50 •5� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification FTI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code%+NI for this reason NEW CONST. DWELLING OCCUP.N 1/22sgft New OCONSTR� A UC BI ODUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCcU OUTLETS OR FIXTURES p 20@50teAL030 FIXED Ex. OCCUp. OUTLETS P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 1 0-0 Misc. INirin g 15.00 tJ/ -3 eLmI Fee $ so WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation),or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. fYl I shall not employ any person in any manner so as to become subject i� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filirig Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X g- Date Signature of 4licant — 0 ner J ontractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP, CONST.TYPE SCHOOL I FLD PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which I E PUBLIC By PERMIT EXPIRES D$t@ the applicable provi- resolutions to do fees have been paid. WORKS Date O '� Receipt No. tT % -3 WHITE-D.P.W.. YELLOW-ASe E5S0R. PINK -INSPECTOR. GOLDENROD -APPLICANT -....�rw{�'•�st��+F15-+C�'"•:,�.;•�t{r.v'!:'�q{'e�sisi+"�'!�`off'�9;tT'�'t't`r'�i6Cw'cf[++t''�',t+"'�'f`�{1t"�+d n't�+:r'ii4}y-�xrd'��,-;'��,:�,,.. , ��.. ;cam" Ah r' - --- �.:-. -COUNTY OF BUTTE - DEPARTMI N'It OF RPLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL•LE, ALLIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER.Aa&��'I ei A. P. No. �- 6'16 Proposed Building Use /0 ? -'Building Inspector Date P_ "K­98- At K 98 - At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items. have been submitted. . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans, 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of • • • • • • • • VK9�. Letter of signature authorization. . 0. Sanitation approval from 0a << �-f Health Dept. 11. Planning approval.for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑.) _15. Improvements may be required. . . . . . . . . . . •+ 16. Mobilehome Installation Data. . . . . . . . . e -In . Prspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector / 6a 1X8. Recorded copy of Agricultural Acknowledgment Statement. `f �. �19. Driveway Permit. •k 20. Plot plan approval from city of , 21. Engineered trusses'in duplicate (required prior to plan check). 22. When ou issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at(`�i office, Deliver w/inspector. Other Applicant y�l%6t'.(ti1 /iLO.%lcE�tte Copy of plans sent Health Dept., Fire Dept., Other Date i The following data must be submitted pri o per it i suance: (Circle new item not checked above). 1. Index permit for above items No. f 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nail—counter byo` date Contractor, designer, owner, was advised of above required data by_phone_mall_count by date Plans checked by Date Plans approved by -,/'Date Sets of plans on hold in File cabinet AP folder // Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance AP # ow er location Driveway permit �l 2 g I-' has been issued for the above property. // Z 7— date si ature TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance ...... _.__&t4 ua c r o2 7-02 7 Owner, Location AP# Plan Approved for.: Sewage Disposal , Water Supply Hold final for: Water Supply Final -clearance O.K. for: Water Supply Clearance for bedroo mobile home. Other NOTE *** IIA -2- �;&_F Sanitarian Dat Rptur.n i_o DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTTAL DE ELOPMENT Secti.on 26-8.1 of. the Butte County. Code" requires this acknowledgement be recorded prior to .issuance of a building permit. < The property described herein is adjacent B8-040098 I Ree Fee 5.00 to land or :included within an area zoned Total 5.00 .for agr:i.c:ua.tural purposes, and residents " Recorded ; of this property may be subject to incon- Official Records ; veniences- or discomfort arising from the County of ; ����.� use of agricultural MOM chem:ical.s, i.nclud.ing, Butte but not :limited to herbicides, pesticides, Candace J. Grubbs ; and ferLili zer. s; and from the pursuit Recorder ; of agricultural operations including, 2:4,3pm.28-Nov-88 BG 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor.. Butte County has estab.l.ishc!d [.ural. zones which have as a priority use for productive agricultural purposes, and rc tiicicni:: within said zones and on' adjacent ,property should be prepared to. accept suc:h i n(-onivrii i or di.sconform from normal, necessary .farm operations, -•__! All. that. real' property situate in -.the- County of Butte, State of. California, dcti-ril)' f ol.l.ows :. c E / t 0 C, t1-vS •T),Qct g To TA j= o/-^ Af,4 F- • �� C i�c/ �, )'� a �= F� c �- ®,� �/� roc o h q, h a F c� y a P 13Ic to �L 0 CA , ,� a � o �A, 0,4 �� i�g�r ?L 5 .% alb. Date: %� `� n O PROPERTY OWNERS: Slate of On this the day of kimthv, 2 , 1968 , before me, (--ount;y of SS. the undersigned Notary Public, personally appeared �_) ® Personally known to me.roved to me on the basis Irsa�asm®e©®rav��ra��aa�re�ea cbc of satisfactory evJdcnce. be the person(s) whose name(s)� A � KELLY J. RCESON sebscribed to the within instrument and acknowledged Lhat _ iA-^`z No�AfiYPIJi�iIGCALIFpRNtA ejmecuted the same for the purposes therein contained. INI;ti ion Expiros WlEREOF, I hereunto set my hand and official seal. . ,�rrr ''' My Cprrxnission ExQ3roS March 5.1830 m �®q�BlP.i�t3f8is69@r�1�lllr�fli�B30�Ri�47�.� Present A.P. No. ©o27 -a 7d -U3�'a0� No La y Pub. i AP # OWNER JVV74rid h,,Rd a rerl PERMIT"lk MH ' UT IL. CLEARANCE DATE R 9 INSPECTOR l� ELECTRIC GAS Support Compaction Struc. ITest.Req.- Service OtherPipe I YES NO YES NO Size Load �T a Size Length -COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 - Telephone: APPLICATION AND PERMIT WORKS PER IT NO., 916/538-7541 v ASSESSOR PARCEL NUMBER A7- 7-03.x, ZONI G -S BUILDING PERMIT OWNF,R. r k� le_ 1eJ-1 O3�Z3 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAVLING ADDSS Q Q kv CONTRACTOR'S NAME tk,v k A-1 d (.J N cs �' A � 15 ina TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation Is LENDER's MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ l- s0 --D Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fees J Q --Q lJ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 cr Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USEOUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 50.0'0 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: 2L 4U• .241,x&y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 7 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ® I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a , OR ADDNS. ACC. SLOGS. h2Sgft NEW CONSTR U TI -OUTLET NON.RESID BRANCH CIRC S 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20050t p� eAL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot-7c) Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Xaz Date if Signature f Applicont 17 Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 0_0 Energy Inspection Fee $ TOTAL PERMIT FEE /� O occu P. CONST.TYPC SCHOOL P O PARCEL PO ND 1 This permit is hereby issued under sions of the Butte County Code and/or work ind' ted ab ve fo which R TO PUBLIC By PERMIT EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Q� Date 0-7' O Z- -7— 90 Receipt No. c "'7 3 41 9 WHITE-D.P.W.. YELLOW-ASSC380R. PINK -INSPECTOR. GOLDENROD -APPLICANT �, .n-, ro+hWr1..�,iv't;fiY`RC1,r,:..�31�:Yew=Y«..-�'�t�'�R?P`Yf"`�Rti-'�?�t7�11/,s+�rci'c.�t�;`^�'�T�rt-t�;,�}�i^,-,{�ti�IAit .�r.��, y�...-.. %`.,i.• t z COUNTY OF BUTTE - DEPARTMENT 909, / �. A , ,U�LIC WORKS - BUILDING / 7 COUNTY CENTER DRIVE - OROVILLEALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER Grl' Wit— 0' A.. P.No. .27—o-2-7-036 Proposed Building se /V1 H l Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items. have been submitted. . . . . ... . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed.by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning,approval for (A) Use: (B) Parking: 12. Certificate�!of.Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to ownerE]) 15._ Im;rovements may be required. . , . . , , , , , , , Mob1lehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval, from city of - w 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. ✓Telephone 589 37; 3 and hold for pickup at42 office, Deliver w/inspector. Other //!! Applicantpw� Aqy D-2te Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mai [—counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—counter byz), date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder eounf* af Xuf& OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT:MarvMary Peri�o ADDRESS:30113011 CraigAve. CITY & STATE:Orovi Ile. CA 9596611 e. CA 95966 IMPORTANT: January 2A 1989 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RFCFIV►Nr. nnnnc no ccov[rce DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Duplicate building ap lication made due to clerical error (Bldg Permit Appin. #1 MHI, eceipt #32111, dated 1/23/89, A.P. #27-27-36). i Total building Permit fees paid------------------------ $70.00 TA R ---------------------------------------------- 1 i i I _T TOTAL. $70. 00 .I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .SLS .... day o[ ....:x.Y.............. 19." at ................................• Calif.f.2 S . �� 1r:LJ(z e�Z..................... Si azure o[ 1 mant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above hav een Performed or de- livered and that there is a Budget Approprietiona or Specific Board Approval � (Check one) fo sa Dated this 27th January 89 OrOVi11e .................................... day of ............................. 19....... at .............................. Cellf. .......................................................... .................. apartment Heed or Authorized De t coc`e ..........4.4.Q ..0.0.2 .............. Exp de ....A2.19599 ....................... PAYA13LE FROM .......... list. Permits ........................................................... FUND DO -NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT fPER" T NQJ? ASSESSOR PARCEL NUMBER - —3C� ZO ING BUILDING PERMIT OWNER TELEPHO SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS E/ CONT AC TORR'©AME � TEL PHONE CONTRACTOR'S MAILING ADDRESS _5_;;9�1 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS , Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 • Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL AP Water piping 5,00 Each pas water heater or vent 5.Op USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lit- s ❑ Instal latiov❑0 er ❑ Describe work: C67� AD _32631 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess -ons Code and my license is In full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) Qf I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Q I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.8d) , OR ADDNS. ACC. SLOGS. / h2sgft NEW CONSTR TI.OUTLET NO N.R ESID .BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. p 20050 Ex. OUTLETS OR FIXTURES DAL@3t FIXED APPLS. OR Ex. OCCUp. N OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. M I shall not employ any person in any manner so as to become subject JrLJ to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Gip %� �� Date %"' 23'� O / Signature of A icant — Owner E Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE of OCCu P. CONST.TTPC _J SCHOOL FLOOD PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. c fc=3 Z J II WHIT[-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 27-27-36 ContR: Keo4ppel Const Permit#198-89MHI Issued -w... tiJ/��q �'Y"-:,; ��t+vt .,r t` -.�r'�(..i.^�'/ x..}...._.,'�Lti."�a'1'�kl.i S:tisa"rt{�.�.. .n y �'.. ;� .. y Y •,�A• ��., COUNTY OF BUTTE - DEPARTMENT gRiPUBLIC WORK'S - BUILDING DIVISION 7 COUNTY CENTER DRIVE ;•-OROVILL-E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �'� 2�� A. P. No. Proposed Building Use Building Inspector Date / 936 vk� At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design- Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees,of $ . . , , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 1Owner-Bu i[der ,Verificat ion (Given to owner El, Mail to owner ❑ ) _15. t'lImprovements may be required. . . . . . . . . . - - 16. Mobi lehome Installation Data. . . . . . . . . . 17. Pre-Inspec. request to 1 (Date) Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Ac knowledgnient Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at -off ice, Deliver w/inspector: Other Applicant0naw /4?! u, L�_tiate U Copy of plans sent Health Dept., Fire Dept., Other Date t The following data must be submitted prior to permit=issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: -1 Y Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date l 1: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS t 7County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET (Ir P 1. • Owner's Name: /Y% A h �/ P ►= h I O 2. Installer's Name: /I F D 121OF CO eN S 3. Is the site currently under permit? Yes ® No (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes © No (If no, clarify 5. What is the mobilehome electrical rating? --------------- / Amps 6-. What is the mobilehome site service rating? ------------- Amps ^ 7. What is the mobilehome site circuit breaker rating? ----- O Amps 8. Is there any other electric load to be served by the mobilehome site service? -: �'=--------------------- Yes F\7 No n ! J 1? (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3/-/ (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?------------ ----------------------------- ---- -120 (ft.) * 12. -What is the mobilehome-gas demand? ---------------------- (BTL') *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHO:� SUPPORT DATA If other than single wide, Nobilehome 111fr. 1 G �% ( T7- / / furnish Setup Model No.%:�—1 51' �� Year 17 7 3 Width Jft. ) Box Length Tagalong or Expando Size -�-- ft. x ft. 6 -7 3 On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup .sheets (if not on file with the County of Butte). FOOTINGS (check one)® 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 1. Concrete block. F-1 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE fir Main Beams 3 ,9„ 3 191" --� —in —Be _ Maams —Tag or Triple �. I?nP A Line 1 Line i Piers: Line I Ooeoings: Size -Min. ------------ Size -Min. ------------------ Spacing-Max - -----------------Spacing-Max. --------- Each Side of Openings From Ends -Max. ------- ^ With Width Over--------- Line-2 -------- Line2 Piers: Size -Min. ------------ Spacing -Max.--------- From Ends -Max .------- ' Lire 3 Roc f Wads: ��----- =„x Size -Min. ------------ (/ Location (From Front) _ Line 4 Piers: Size -Min .------------ ,k „ Spacing -Max.-_____--- ti From Ends -Max. ------- Line 5 Roof Loads: Size -Min. ------------ Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ i,Y Spacing -Max.--------------- From Ends -Max ------------- e 5 ?iers: (Under ea`ring ':ails Only) •� Size -Min .------------------ , "x Spacing -Max.--------------- „ From Enda-Max.------------- " BUTTE COUNTY Location (From Front) I A MPOVED DOUBLE WIDE PIERING WORKSHEET '^ MODEL: PSF ROOF LOAD PLANT# --I- SEE PERIMETER'PIERING� SEE NOTE REQUIREMENTS TABLE- . SEES MATING_LINE PIERING TABLE'"'" 3 9 FRONT OF �S.EE PERIMETER--= o R , UNIT �. `'PIERIN_G REQUIREMENTS TABLE NOTE: SEE PIERING PLAN DRAWING IN INSTALLATION MANUAL FOR REQUIREMENTS OF MAIN RAIL SUPPORT CAPACITY AND FOOTING SIZE. MATING —LIN E;P.IERING TABLE• RIDGE BEAM POST LOCATIONS INITIAL POST AT FRONT 1ST INTERIOR POST 2ND INTERIOR POST 3RD INTERIOR 4TH INTERIOR 5TH INTERIOR REAR WALL POST POST POST POST PIER LOAD CAPACITY IN LBS. pp,� 3�0 i_ 9 3 54'7 Z_ W07 -FOOTING -SIZE. IV A Pam NOTE: Footing sizes based on 1000PSF soil bearing value. If soil conditions differ seethe piering plan drawing or the Home Technical Installation Manual for method of calculation. PERIMETER PIERING REQUIREMENTS TABLE �PIERS_REQUIRED_ � DOORSIDE WALL* ROADSIDE WALL• JAMB STUDS AT DOOR OPENING OVER 24"' _ _� MASONRY FACED FIREPLACES IN OVERHANG OF FLOOR PORCH POSTS AT RE- CESSED S/WALL WHEN POSTS EXCEED 42" HEAVY APPLIANCES UNT% IN OVERHANG OF FLOOR 8�'LDl G HEPAR ,, DIMENSIONS ARE FROM FRONT OF UNIT. e /1 P k) rlt� 1OVG002 0 •S•129 v8s 9 '4W, PAJ-10E f� 8� 7-�70 036 -c'�c'G' . -t T 180' 4OPt s Sot of Pians and specifications MU P fhQ fob; et all timos and it is unlawful ST b! • make any char�9ef or eltoreti an o tc written permisson from the on without •.... Works. County of Gutta. p°iDOrtmont of Publb fft 160' a�, � � f h 1.40' I NOTE:—All Materials & WorkmanshipShall B Utility connections shall be within Accordance with Recognized Good ractic e n I4 ft. of the mobilehome, either of a quality prescribed for the Specified use n t e directly behind or within the rear Uniform Building, Plumbing & Mechanical Codes a half ) of tJe the National Electrical Codo. 120' mobilehome. �pEr ►, 'spa C, �� O u 100' .,k 500 SQ. FT. MINIMUM 1 _ FOR MOBILES i A setback of 5 ft. from the property lines and � setback 60' of 50ft. from theroad (` centerline shall be clear of structures or equipment ogcopf for a 2 ft. eave overhang=YW OY61 i 7. RALDINGDEPAIRTM 20' qq PROVE" I r F=i t- r �. t r t. : 1.3 40' _ 60' �, ...,80` • . .]00` i. 120.11 1c;0° Return' 'to 'PW 1 Section requires prior to AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9 O Z O 3 0;4 FOR RESIDEMAt DEVELOPMENT 26-8.1 of the Butte County Code this acknowledgement be recorded issuance of a building permit. 90-020304 R e c Fee 7.00 The property described herein is adjacent Check 7.00 to land or included within an area zoned Recorded for agricultural purposes, and residents Official Records of this property may be subject to incon- County of 1 veniences or discomfort arising from the 1 Butte ; use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit k8:01am .18 -May -90 BG 2 of agricultural operations including, -_ --1 - — I but not limited to cultivation, plowing, spraying, pruning, and harvesting which y occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that*real property situate in the County of Butte, State of California, described as follows: 4TrA C A Ed Date: PROPERTY OWNERS: State of,CA(X ) On this the day of M 1990 , before me, SS. the undersigned Notary Public, personAlly appeared County of 5tkf+P_) E] Personally known to me. M Proved to me on the basis of satisfactory evidence. �-. MELANGE J. ENSI_EY go be"the' person(s) whose names) ( S ® qlubscribed to the within instrument and acknowledged that s h ? ® •m � NOTARY PUBLIC CALIFORNIA Butte County ttexecuted the same for the purposes therein contained. IN WITNESS 79 My Commission Expires May 11, 1993 M&HEREOF, I hereunto set my hand and official seal. Present A. P. No. J 7 - 17 -3 a ' NotAry ublic ..:.rte 90--20304 - Block 134 of air E NG at rthwest corner of Lot the No said Subdivision, said corner being the truepoint " beginning for the parcel herein described; said true point of beginning, North 89° 12' OS" East, 145.50 feet; 477.35 feet; thence South 25"}1 351 2013G495 feet; thence south thence South 60 30 " East, 10" 69° 97� 25" East, 117.50 feet; thence North 18° 39' East 30.01 feet; thence South,72° 54' 15" East, 121.03 feet; thence North 05° 11"'00"'East 213.07 feet; thence South 830 20' 13" East 161S23 e t'; tthence 28"Nast 46° 404 feet; East, 164.62 feet; tt�cncc thence South 20° 30' 52" West, 3S,outh feet; 53th07CeWeotth 67° 39' 43" East 91.08 feet; t ° 242.47 feet, 192.75 feet; thence North 89 44 1.4 East, thence South e thnce South 890 27' 03" East, 304.55 feet; thence 16" East, 223.02 feet to the Westerly line of 800 McCormick Avenue; thence Southwesterly along said line and the extension thereof, South 42° 40' 28" West, 153.83 feet id Westerly line; thence continuing along to.a point in said Southwesterly 999.08 feet; thence West said Westerly line, 1166.37 feet to the West linelofes�idsiilockaid 1134,11320t00nfeet to North along the the p::;int of beginning. usive nt TOGETHER WITH AND RESERVING TuroseOsr'60 feeteinlwidth lying e30 for road and public utility p P feet on either side of the following described lines: the Southerly line of Lot 6 Block BEGINNING at a point 127 in of said Subdivision from ears NEorth 70°e 3' southwest" stoaj�dis- Lot 7 of said Block 127 bears said point of beginning tance of 253.20 feet; thence from , line of said Lots North 700 39' 51" East along the Southerlyto a distance of 593.0 feet to the beginning of a Terve 75°t25' a cetal anOf left with a radius of 245 arc ofcsaidt andcurvenardistance of 32253 40"; thence along t} feet t o the e n d of _h -. c�.. _ .-dam SG•r � �.�-- ��'-�'-�-ii— _ --- EN® OF DOCUMENT 4 guite OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Mary K. Peri go ADDRESS: - 8000 Reservoir CITY & STATE: nrnvi 1 1 P, CA 9596fi IMPORTANT: DATE OF CLAIM: September -7. 1990 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SFRv►rFc "51 R, v �2.-�-2 3(- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO.� Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 3 / o 6 ZONING A—'s OWNER PHONE NO. Q C a C) .33 - ®S b OWNER'S ADDRESS pp 000 SG \ r rd d'P'DV. 1e C,+ LOCATION OF BUILDING SAM USE OF BUILDING a. r SIZE OF STRUCTURE ce �p �" X -e?:, - SQ. FT. TYPE OF CONSTRUCTION: WOODFRAME�—STEEL CONCRETE OTHER (Specify) TYPE OF SIDIN ROOF COVERING ii Jl FLOOR TYPE ESTIMATED COST OF CONSTRUCTION Wo AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follo s:i C'-'— Is FRONT SIDES REAR I AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date /0—//— Permit U—/l— Permit Fee - $26-W 50.E Receipt No. Signature of Owner 6r v The above described AG Building is exempt from a building permit/ FLOOD PARCEL P.D. OFING V ISSUE Director of Public Works B Dat White - DPW, Yellow - Assessor, Plnk - B.I., Goldenrod - Applicant41-1 Date r: COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS - BUILDING DIVISION , 7 COUNTY CENTER DRIVEa7 OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 - )PER -MIT APPLICATION DATA SHEET Permit No. OWNER e% 'A. P. No. Proposed Building Use A x�M�— Building Inspector Date 14 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ 2. ........... Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered ,plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation , instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13.' School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of ' (see City for other requirements) 17. Planning approval for; (A) Use: (B) Parking: '18. Improvements may be required. Contact Land Development Section DPW , 19. Driveway permit (construction approval required prior to occupancy)' 20. Pre -;Inspection for d required ... Pre-Inspec. request to 21. Building Inspector (Date) Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of,Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue/the permit, process as follows: Mail to owner. 'Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other ApplicantJ292`7(:iL3G- 4QM 9lf�� :Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above).' a 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved,by File cabinet AP folder Date — This -set of -plans_ and specs cationsT be kept on the job at times . . .. arsd�f7s -un aw u to .�`---- �-l�; L make any changes or alterOCLI o goo iP►. o PO qtr �Y1 e ►_«. . arnttan Permission from. the De artm P of -Public' Works, County of Butte. - NOTE.—All Materials & Workmanship'Sha11 Be in . . . . . ... . . . . . . . . . VV600 SQ. FT. MINIMUM Accordance with Recognized Good Practice$ and of a quality prescribed for the Specified'usir i6the . _ . . . ..... . . . . . . . . . . Uniform Building, Plumbing.& Mechanical 66d& and the National Electrical Code. T._ j A setback of 5 ft. from the property lines and a setback lA ioec ®f 5from5Wthe road ' _..,.�� _ / c Oa a enterline shall be cIsar o f . r ! "' \e structures or equipment except for a 2 ft: eave overhang: 4(f' C/F4,c r. . . . . ... . . . . . . . . . . . . . . . . — BUTTE COUNTY . ). ING DEPARTMENT APPR0-V�ED el A BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1 1: Owner's Name: AA h y if P01-1so - 2. Installer's Name: D4 V 1 Q A 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? Yes F-1 No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes ® No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- 00 Amps 6. What is the mobilehome site service rating? ------------- '4-00 Amps 7. What is the.mobilehome site circuit breaker rating? Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No 1A I '(If' --yes., identify'the-load.and,size: ! (Load), (Amps) 1 9. What is the mobilehome site gas pipe size? -------------- /VAI (in.) YP g • .� 10. What is the type of as service? •-------- Natural � LPG 11. What is the gas pipe length from meter or tank to the mobilehome? -44-K!"Jo- - ------------------- * 12. What is the mobilehome gas demand? � � � . -------- (ft.) (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPRQVD► MOBILEROME SUPPORT DATA "TQ y'2 9 •t If other than single wide, . Mobilehome Mfr. furnish Setup Model.No. /Cid A/ C Year Width (ft.) Box Length 40 (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)Al1. Wood -pressure treated or foundation grade. 7 2. Other (specify) SUPPORTS (check one)1. Concrete block.�2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams .�.2r.� _ — _ — � — � Main Beams — Tag or Triple Lin. 4 Line 1 Line 1 Piers: Size -Min. ------------ 'k Spacing -Max._ �------ _ From Ends -Max. ------- Line 2 Piers: Size -Min. ------------ Spacing-Max - -----------Spacing-Max.--------- From Ends -Max .------- Line 3 Roof Loads: �J Size-Mio. -- -------- ,x „x Location (From Fro. Line 4 Piers: Size -Min .------------ ,k „ Spacing -Max.--------- From Ends -Max .------- Line 1 Openings: Size -Min. ------------------ „x „ Each Side of Openings With Width Over --------- I �► Line 3 Piers: (Under Bearing Wall Only/)t Size -Min .------------------ k f v n Spacing -Max.--------------- From „ Ends -Max.------------- "/ ityl!/ / „x 6 V '„x /!D n „x i'I , „x „ „xI.nx of Line 5 Piers: Under Bearing a s On y Size -Min .------------------ 'k " Spacing -Max.--------------- From Ends -Max .------------- '_ u Size -Min. ------------ x „x ,k n ,ix „ ,k n „x „ ,k n "x „ Location (From Front) VIOLATION CHECK LISTS t - f • n t i'r.' G Address Owner_. Owner, s Addre Owns%'s`Ptione 'No: 3upervisoral' District Name - Phone No. :Tenant's Type of Volation'in~Detail with Code Section Priority No:. Specific- Plot Pian w- itii 'C/V Noted'. , Yes no ,• Penalties Required -1st. Notice Sent 2nd. Notice Sent ' _ �Ifac:, ate Comments and/or Determination W14 'Disposition For Citetion Citation ` Date (Date) Department Recommendation to Court, _ n A I e Notice of Viola (Date) T,.� . .. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County.Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE A routine inspection indicatesIthat the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. e Dzte,S.5 S7 Inspe REV 10/92 f �a I 0 0. ........... ....... ... jo=dsiq uiog SIUQUIMOO TRUOPrPPV AP # OWNER PERMTT MEI UTIL.CLEARANCE DATE INSPECTOR i ELECTRIC GAS Support Struc. Compaction Test Req. Service iize Other Load Type Pipe Size Len th YES NO YES NO n OWNER'S NAME: / RECEIVED PERMIT NUMBER: -A. P . #: a7 -Z 7-�y DATE s�D La-IRESIDENTIAL F-] NON RESIDENTIAL RECEIVED BY ® TIME --------------------------------------- REQUIRED PRIOR..TO PERMIT ISSUANCE FROM DATA SHEET �EQUESTED BY PLAN CHECKER OTHER --------------------------------------- REQUESTED BY CORRECTION NOTICE Q YES Q NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: --------------------------------------- WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner (Address) Mail to contractor (Name and Address) Call 05-6) 6 and hold for pickup at ejQp office. Deliver with next inspection. REVISED PLAN CHECK FEES PAID: $15.00 $30.00Additional Fees Not Required FA BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number % Z % -p Building Department No. School District lg/ZO P/1 - City County [Z Jurisdiction Property Owner !' A a 4 Project Location/Address��� Subdivision Lot Number pA. C Residential Development: / 616-0 / Sq. Footage /[y-0 # of Living MHI Addition (Group R) Units Commercial/Industrial: ng Dep a New nt Representative aSq. Footage Addition (Including Exterior Roofed Areas) I7 o Date ******************************************************************* (Floor Plans reviewed by School District Personnel) has complied with by t e payment of School Dis District certifies V�Q� — �0 the requirements of Resolution No. �, �D $ !p e \ representing (?OpQsquare feet. J i 0 k_ic epresentative Date PAID BY CHECK NO: BANK N PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) AGRICULT'URxL AFFIDAVIT r,;'(PLOYER Name of Owner 2,,J r Owner's Address_ �%� J �S� i�vo/y �r a1 �� �' �, A /= CX 0,,merIs Assessor's Parcel No.eo�---27-3 1/, Building/Environmental Health Permit Description and Number Date Issued By Planning Department Approval: DateISI Clo Zone Dwelling. on AP# 02.7 -Z-7y^ 03�' By Jl r r � O Phone . ETployer Employer's �2f4 �^ �� Address G� (Present) X000 /- V61k e - / Name of Owner 2,,J r Owner's Address_ �%� J �S� i�vo/y �r a1 �� �' �, A /= CX 0,,merIs Assessor's Parcel No.eo�---27-3 1/, Building/Environmental Health Permit Description and Number Date Issued By Planning Department Approval: DateISI Clo Zone Dwelling. on AP# 02.7 -Z-7y^ 03�' By ... 41�: r{ Bio declare, subject to the penalty of perjury, that I ar,� the employer of /, 1^ address (preser_t) ��>G�Z V���%_ on AP#_%- and that I will be employer under Section 24-21.2 a for at least to g thirty-two (32) hours per week for at least sixteen (16) weeks per year on Signed Dated pa -4.___e - - - - AGRICULTURAL AFFIDAVIT FMPLOYEE Employee 4 Employee's Address (Present) Name of Oemer Phone %Iel 3-`J 3 - C $-0 & Owner's Address � - 'I Owner's Assessor's Parcel No.� V Building/Environmental Health Permit Description and Num be BY- Date y-Date Issued Planning Department Approval: OZ'1 _ Z7 _D --a 3� Dates qa _ ZOT1P_-r--- 0--- Dwelling on APS .By_&Ll do .declare, subject to the penalty of perjury, that—I am the employee of _ reser-t) Cil 1iSr= �vClrC,� iho �r CA , on AP� 7 it '7 3 address. (present) for at least and that I will be employed under Section 24-21.2 a to g int --two (32) hours per, week for at least sixteen_ (16) weeks per year on th ,� cam, Signed �--- - Dated —/7— � BUTTE COUNTY DEVELOPMENT SERVICES Complainant: V,) U3 ti--- Address: Phone Number. S �� Other ks,p—ke-z Inspector must draw a plot plan with all building locations: i i Additional Comments from Inspector 2 i 12 VIOLATION CHECK LIST A. P. # OA _2 �� `03 C Address (�W J,eOD2- ` � Owner 04/"14— Owner's Address (/ v Owner's Phone No.. Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. Specific Plot Plan with C/V Noted___yes no -Penalties Required 1st. Notice Sent 2nd. Notice Sent ate Date Comments and/or Determination �r' Disposition For Citation Citation Date (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) M J RESIDENTIAL 27-27-,36 l�yt-yur,r PERIGO, Diary 8000 Reservoir, Oroville Contr: Dave Clark (utilities/MH) s X3-9/ 57 OFFICE COPY Address GAS f Meter By Date ELECTRIC )/1 Meter By Da v –� l JOB FINAL (Dat `-' 14— Signature V OK O = Not OK =Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped I 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access - 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors ' 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 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: (NOTE: An entry must be made each time you visit job site) J=OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES Plans OK except #'s oni Requirements -Setbacks -Easements oils; §jaecial MH Support Sketch ewer; Loc tion -Test -Fall -C/O Concrete er; Location -Test -Easement Needed (Sketch) �icity; Location-Clearences-Grnd-/ /Amp -Concrete e. Eltis, ap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG I'Mil-ity- Clearance D,tgr-7P470 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks Easements Footings; Size -Spacing -Marriage Line MH Test-Demand-Valve—Connector lectricity; MH Test -Crossovers -Breakers -Clearances 5. Dre'n; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector ate and Sewer Connected -C/O to Grade -HD Approval as and Electricity Taaaed L/9. Exi , Insp -Sketch L Cert. of Occupancy Dattla/Aard B-1 Date Card B-1 Date Card B-1 V Date Card B-1 MISCELLANEOUS Date DECKS. COVERS. CARPORTS. GARAGES. (Plans)OK except #'s I 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 le AN, MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 Address or loc Owner's name Owner's address n Insignia or hud number--/ �//n to wizO-Z0 i Manufacturer's name 6� pv(a S / 8 Serial number df V.I.N. Year of manufa, ficial Aoarovinq Installation) (Date) IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION. ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 1, White Owner,.Yellow : Installer, Pink'-,D.P.W y;.-.•,,;,K./q►t+`^.t.�r.r,:.-.—r...:.+��4�.`�"�fr'.4�--'«t`��':•+.t•�y+ -1t"'" � :ti•�'+.J�:.' ire � s„ ! COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ` 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explana ion, please contact this office immediately. T K V tPo -7- J 7' iS Date !�• d_ Inspector .�rr•�.w.-,a.r;►r.5ra..,...Rsr-. ,� ......; da;;� � +��,frc n+q'.w+w :. :`ipyc• •G.estiv--y,•�"�-r+ea �Thll"+ar+-i.� "."y.r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 n CORRECTION NOTICE. OWNER // PERMIT N0. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter,)ter, or need //�� additional explanation, please contact this office immediately. M.�W-,� f , -7� Date �f V Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. / 7 County Center Drive - Orovil,le, California 95965 - Telephone: 916/538-7541 1591-90 APPLICATION -ANO PERMIT ASSESSOR PANCEL NUMBER 27-27-36 ZONING A5 BUILDING PERMIT OWNER Mar yK. Peri o TELEPHONE 533-0506 ,SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 8000 Reservoir Oroville CONTRACTOR'S NAME Dave Clark TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 8000 Reservoir Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap ---2,00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeKX Other SPECIFY TYPE OF WORKr� New ❑ Addition ❑ Remodel ❑ Utilities Installation El Other ❑ Describe work: MHU 2 bedroom Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home _ 10-00 ea 30.00 Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;Doo AMP ORV OR LESS10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. SLOGS. 2/20sgft NEW CONSTR. ULT' -OUTLET NO N.R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20@509 eALO 30 FIXED APLNS. Ex. OCCup. OUTLETS PRESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15,00 Misc. Wiring 15.00 Permit Fee $ 37.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (Valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a said County in consequence of t e granting of this permit. ��.��// � Date � _l %� 9e Signature of Applicant — Owner ❑ Contractor ® Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE A TOTAL FEE $ 9 .5 F{qZ ___ CUA PARK FE PAR PD D: ssu I This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees R CT UBLIC BY 10 PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date JZ -3 gy -7-75 Receipt No. 66745 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT a COUNTY OF BUTTE - DEPARTMENT, O.F, ' U'BLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET - /\ y / / /, Permit No. OWNER `i t V LJ A. P.. o. 2- 7— 2 7 Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1All items have been submitted . .................................... :. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 1�d 3. Complete plans in"duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs; with wet signature on plans .. 5. Hazardous Material Form ............................ ................ 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid 3. D (- School District fees paid .............. �-®14. Sanitation approval from D/2O �2 Health Department 15. City of Chico plumbing permit ............... .:.................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A).Use: (B) Parking:} ...... 8. Improvements may be required. Contact Land Development Section DPW -6 Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for t required Pre-Inspec. request to -, S Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications .. -' 22. Certificate of Workmans Compensation, Insurance- ti ..?..:.......... 1' f . Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... � ,-03. Recorded copy of Agricultural Acknowledgment Statement ......... . d 25. Letter of signature authorization .................. ............... t 26. 27. J When you issue the permit, process as follows: Mail to -owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. Other A A0plicant/')1"/?xAWeekf Date,_ Copy of Haz-Mat form sent . Health Dept. Fire Dept. E ----Air P I n Dat Copy of plans sent _Health Dept. Fire Dept: Other at ! y The following data must be submitte .prior to permit issuance: (Circle n item not checked above). _ 1. Index permit for above items Nb. 2. Additional items required: Contractor, designer, off, was advised of above required data by_phone__rnail—counter by -91 -date Contractor, designer, owner, was advised of above required data by_phone_mall—counter by date Plans checked by Date Plans approved by 7�/Lh�, Date Sets of plans on hold in Copy—DPW . File cabinet AP folder TO .Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Irv, . Ownfir Location_ ' nn AP# Plan Approved for: Sewage Disposal Water'Supply Hold final for:, Water Supply Final clearance O.I. for: Water Supply Clearance for _L— bedroom mobile home. Other NOTB ,r Sanitaria Date TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance ka t, A", o iner Driveway permit si ature Poo L - location AP # has been issued for the above property. date rr�� Zai V� APPLICATION AND PERMIT ASSESSOR PA EL NUMB COUNTY OF BUTTE - DEP,ARTMENT OF PUBLIC WORKS 7 County Center Drive - Woville, California 95965 - Telephone: 916'539-7541 PERMIT NO. 4-�-�- IZON.N !/ BUILDING l OWNER �^{ PERMIT / /�I ' !:5 9E C E� V V �EPF.ON50 OWNER -3 MAI SO. FT. I OCC. BUILDING VALUATION ,,,/// iNO AODR E55 //a/�� CON TR AC'OR•5 C_-(/ C �— TELEPvONE V CONTRAC_OR'S MAILING AOORESS COFireplace NSTRUC71OWLENOER UNKNOWN Total Valuation j 5 LENOER'S M AILING .AQOR1oSs Filing Fee S ARC/•IITECT OR ENGINEER Permit Fee I 5 ucENSE NO. Plan Checking Fee ARCHrITEC7 OR ENGINEER'S MAI LINO AD OR ESS =nefC, Plan Checking Fee S UI LOING ADQ ssPenalty ,.."Coo a Permit fee PLUMBING PERMIT I FiIirgFee 10.00 E__acn Trao 2 .00 LOT No. SU901 VISION NAME `ala( or meal pump water heater 20.00 • PARCEL MAP 'Nater piping Each oas water heater or vent S.00 500 USE OF STRUCTURE SF ❑ Gas piping system t - 5 outlets 5.00 Duplex Mobilehome Xf Other �^t SPECIFY Building sewer .Mobile Home l G W 5.00 I 10.00eai O TYPE OF WORK —' New C] Addition ❑ ;Remo Ir! Utilitiey� Installation C] Ott) j Permit Fee S Describe work: • ��0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1,500v OR LEss 100 AMP OR LESS I 10.00 ZQ CONTRACTORS LICENSE LAW Main service EA. AOO•L loo AMP 2.50 . 1 declare under penalty of perjury (check one): NEW CONST, ( OWELLING OCCUP.y` OR AOONS. Acc. aLQcs. / r� 12'Acsoftl fi �! I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code CONSTR. MUL 71-OuTLcT NDN.Reslo 9R ANC4 ciRc�•ITs . IZ•50 eaj and my license is in full force and effect. License No. (P7wER APPARATUS &\ 9NOLE OUTLET UR. Classification El 1, Ex. Occup(ou TLETS OR FIXTURES I20 e 50 eA1330,I as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is Fo AlxEPP LN S. , ,R��IoOR �A , I 2.00 not intended or offered for sale. (Sec. 7044) Tempo ary service 10.00 ❑ I, as the owner, am exclusively contacting with licensed contract- ors. (Sec. 7044) Mobile Home Facilities 15.00 ❑ 1 am exempt under Sec.15.00 Business and Professions Code Misc. Wiring for this reason Permit Fee Contractor S WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is MECHANICAL PERMIT I Filing Fee 10.00 for 5100.00 (valuation) or Less. f- 1 have'placed on file with the Count of B Building leafing a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-Insure.Cooling ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Hood 3.00 Notice to Applicant: If after making this statement, should you become Ventilation subject to the W. C. provisions- of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed Permit Fee S revoked. Contractor I certify that I have read this application'and state that the above information is correct. I agree to comply to all County Ordinances and State Laws Mobile Home installation Fee S relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned Energy Inspection Fee Qcc CONST 5 property for inspection purposes. I also agree to save, Indemnity and keep harmless the County of Butte against all liabilities, TYPE TOTAL FEE S judgments, costs, and expenses Whichmay in any way accrue^ against said County in consequence of the ""z cuA LARK SC"L auo r VAR Po "0 9aUE granting of this permit. _ I X Date This permit is hereby Issuedunder tree applicable provi- SiQnature of Applicant - --Owner ❑ Controctor ❑ Agent❑ sions or the Butte County Code and/or resolutions to do work indicated An OSHA e u ' t ... permit is required for escavations over S'0" deep and demolition o. construct_ .Ion of urvctvrea over 3 stones in hei t. above for which fees have _ been paid_ :: -' DIRECTOR OF PUBLIC WORKS --- Receipt No.' .. -- , .• .,. :.. - _ ` . By - f/"IT[-a.I. YI.. TLL�OWAae [7lae. AIMIt-INe�ttTa w, aOl DtMea O-A�eCICAwT •" PERMIT•EXPIRES nate Date R.etur L 1)PW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT ej FOR RESID, TIAL�DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. ACCEPTED'FOR RECORDING AT 8.01 A.M. The property described herein is adjacent to land or included within an area zoned MAY g 190 .for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of.California, described as follows: /4 i7"A C A �E d Date: 5-_J -% - 7r State of ) County of ) PROPERTY OWNERS: On this the day of MCLM , 1990 , before me, SS. the undersigned Notary Public, person lly appeared V - k V%" Personally known to me. M Proved to me on the basis of satisfactory evidence. 'o be the person(s) whose name(s) IS ;subscribed to the within instrument and acknowledged that $_ iexecuted the same for the purposes therein contained. IN WITNESS PHEREOF, I hereunto set my hand and official seal. 'J Present A.P. No. J 7-2 7-" 3 & o ry�'uic r ' i*�ATME�CZNG at t1;e northwest corner of Lot 1, block 134 of e poin said Subdivision, said corner bcit�y the d; thenncetforom beginning for the parcel herein described; said true point of beginning,12 North 89° ' 145.50 feet; East, 477.35 feet; thence South 35° 20' 43" East, 14 thence South 601 30' 25" East, 136.95 feet; thence South 690 97, 25" East, 117.50 feet; thence North 180 39' 10" East 30.01 feet; thence South 720 54' 15" East, 121.03 00" i:ast 213.07 feet; thence feet; thence North 050 11'260 4' South 830 20' 13" East `�1Soutl feet; thence North 70° 301 28"East 46.404fee0t,; East, 164.62 feet; ttlt_'1 thence South 20° 30' 2" West, 316.65 South feet25"; 53 67° 39' 43" East 91.08 feet; 192.75 feet; the°n27�NO3t1iEast,43U4]45 feet; thence South thence South 89 800 33' 16" East, 223.02 feet to the Westerly line of McCormick Avenue; thence Southwesterly along said line and the extension thereof, South 420 40' 28" West, 153.83feet to a point in said Westerly line; thence continuing alonWest said Westerly line, Southwesterly 999.08 feet; 1166.37 feet to the West West linelofesaidsaid 131ock1134,1341320.00nce feet to ock North along t the p.•irlt of beginning. TOGETHER WITH AND RESERVING THEREFROM non-exclusive l oses60 feetinwidth lyinge30 for road and public utility p E feet on either side of the following described lines: BEGIN14ING at a point in the Southerly line of Lot 6 IIlock 127 of said Subdivision from whichN1�°��;t70oe39�u51Wel astst oat�disof Lot 7 of said I31ock 1�7 en -)oi.nt of beyi.nning tance of 259.20 feet; thence from said 1 line of said Lots North 70° 39' 51 East along the .southerly of 593.0 feet to the beginning of a curve to the 5' a di.�tance r° left with a radius of 245 feet and'a central angle. of 72 2 40"; thence along the arc of said curve a distance of 322.53 feet to tile e n agf1�•lll r -.. 1e . scr .�.. . ,,.. . r.—.y ,,. „ .... .-r,-. r � ..-.."^'t�+T"�' ti v'..."T^^._7"" "'....r...^d.'. ,,r, - .._-�-• _.- •-- BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number17 7-27- 2.4 Building Department No. School District/)&O 19A City D County [:A Jurisdiction Property Owner Project Location/AddressQQ� /5�111491/z Subdivision Lot Number PAX Residential Development: Sq. Footage 96 # of Living MHI Addition (Group R) Units Commercial/Industrial: New Sq. Footage Addition (Including Exterior Roofed Areas )�, S_ D to ******************************************************************* (Floor Plans reviewed by School District Personnel) Y District Id No. 9 0 School DistricXer*tkf%ids that A (A.lic nt Name) / (Phone Number) Q ✓ ,d' /' Y6fi�J .o Q a� ,� ✓ d (Street ddress) (city) - ( SYdte ) ,� (Zip Code) has complied with the requirements of Resolution No. AQ6 - 500 by t e payment of $ 4v.�10* `(p. representing square fee(_ 7(1School-DisU�,rictfRepresentative Date PAID BY CHECK NO. BANK N 2 PAID BY CASH / REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) i AGRICULTURAL AFFIDAVIT '' El LPLOYER/EMPLOYEE Please read the following carefully before signing: Section 24-21.2 Agriculture Employer/Employee (Applicable only in zones A -5,.A-10, A-20, A-40 and A-160) An•individual who verified, by personal affidavit and by affidavit of -his employer, that he is, or will be, employed at least thirty- two (32) hours per week for at least sixteen (16) weeks per year, or' that his primary source of annual income is, or is anticipated to be, derived from, any of the following described occupations: (a) The. preparation, care and treatment of farm land, pipelines or ditches, including leveling for agricultural purposes, plowing, discing and fertilizing the soil; (b) The sowing and planting of any agricultural br horticultural commodity; (c) .The care of any agricultural or horticultural.commodity. As used in this subdivision, "care" includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning, or tieing, fumigating, spraying and dusting; The harvesting of any agricultural or horticultural commodity including, but not limited to, picking, cutting.,.thrashing, '-mowing, knocking off,"field chopping, bunching, baling, balling, field packing, and placing in field containers or in the ve- hicle in which the commodity will be hauled on the farm or to the place of first processing; (e) The assembly and storage of any agricultural or horticultural commodity including, but not limited to, loading, roadsiding, banking, stacking, binning and piling; (f) The raising, feeding and management of livestock, fur -bearing animals, fish, frogs and other aquatic animals, and bees in- cluding, but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; (g) The operation, conservation, improvement or maintenance of such farm and its tools and equipment. 11 AGRICULTURAL AFFIDAVIT , Ei'iPLOYEE Employee RA ► 44 `L �° AC -7r I q O Phone Employee's Address (Present) �3<5?C j--- �S 'l- leo► AV�� c�h0[�,� C/4. Name of Owner ' v Owner's Address z5 - Owner's Owner's Assessor's Parcel Building/Environmental Health Permit Description and Number Date Issued By Planning Department Approval: Date t °Ip Zone -S Dwelling on APS OZ -7 i I, (3 y,J AM i� ,��h I 4 do .declare, subject to the penalty of perjury, that' am the employee of �%fAr �/ �� �� �� O address (present) ©00 J? S V01 P, IC CA, on and that I will be employed under Section 24-21.2 for at least a to C97 thirty-two (32) hours per week for at least sixteen_ (16) weeks per year on Signed Dated AGRIC ULTUFcxL AFFIDAVIT E;'IPLOYER J Employer /;),4;, " AhO PhoneX06 Employer's Address (Present) F000 /fGS,L27- /-!/O/.4^ dal, (0), o fir,4 �,E-- CA Name of Owner Owner's Address ®nn F -i -yo/!- zfaJ ct:)j, a cz ,4 CX, QS r/66 04mer's Assessor's -Parcel No. r2,"? Z ­ ;2 7n - ®36 - 6©'f� '. Building/Environmental Health 014 Permit Description and Number Date Issued By Planning Department Approval: .Date Vold pone _ 0M, �- D•,,relling. on AP# p2% -Z70 A n . By. Bio declare, subject to the penalty of perjury, that I am the employer of R jA N �,� o address (present) 000.0 6_51 �- VO /y � ©�4 �� on AP# '? and that I will be employer under Section 24-21.2 for at least a to g thirty-two (32) hours per week for at least sixteen (16).weeks per year on Signed Dated—/ % 20 - COUNTY OF BUTTE - DEPAR.TMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATWN-AND PERMIT PERMIT 0. 1592 0 ASSESSOR PARCEL NUMBER 27-27-36 ZONING A, - BUILDING PERMIT OWNER Mar K. Peri o TELEPHONE v SO. FT. OCC. BUILDING VALUATION OWNE 'S MAILING ADDRESS 8000 Reservoir CONTRACTOR'S NAME Dave Clark TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 8000 Reservoir Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeEX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00e TYPE OF WORK New❑ Addition [I Remodel E] Utilities❑ Installation NX Other ❑ Describe work: MNT (MNTT 91591-90)X _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No.312 9"Kq Classification �rEiL �iLtl t ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) OR ADDNS. ( ACC. BLDGS. I , �z2sgft NEW CONSTROUTLET NON -R ESID BRRAANNCCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 6AL050C FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. VVirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ISI I shall not employ any person in any manner so as to become subject J� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County. Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County Ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue �,,d Count i�conse�quence of he granting of thispermitX .rf/ Date '"��% n Signature of Applicant — Owner ❑ Contractor 1& Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 45.00 Energy Inspection Fee $ Occ CONST TYPE AL E FEE TOTAL $ 70. .0 0 0 HAz CUA PARK C PA PD HD Th's permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECT OF PUBLIC By PERM EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date -3D-9 ' —3C,, Receipt No. 66745 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT COUNTY OF BUTTE - DEPARTlM9NT ( PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE -. VIILL'1LE, CALIFORNIA 95965 - TELEPHONE:916/538-7541 ... PERMIT APPLICATION DATA SHEET Permit No. ✓o OWNER b / 1 t� 6--1�C ,_Y�if2 / U A. P..No. -% Proposed Building Use r Building Inspector—'e/2 Date -7 -� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. �....................... ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form ........... ............................. & Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ... I........... 8. Engineered truss details and layout in duplicate (required prior to plan check) p9. Mobilehome installation data including manufacturer's installation instructions........................................................ .�� 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... -112. Park fees paid �............................................. (�!!r/ 13. ��h� J� School District fees paid .............. y 14, Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Le rp`f ,sigf at r authorization ���f� S ................................. 6�6 � ho 27. When fou issue the permit, process as follows: Mai I'too�owner. Mail to contractor. y Telephone 533..59 and hold for pickup at office. Deliver w/inspector. Other Applicant l 1 A112�� .Date_ Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By. The following data must be submittedpX to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, o er, was advised of above required data by_� phone__nail—counter byAgg�_)..date— �'�� Contractor, designer, owner, was advised of above required data by_phone_mall_counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE,­DEPARTMENT-OF PUBLIC 7 County Center Drive - Oroville, California 95965 WORKS - PERMIT N0. Telephone: 916:'538-7541 , APPLICATION AND PERMIT --�--,- ASSESSOR PARCEL'UI„Ig _ ZONING OWNER �\/ TELEPHONE BUILDING PERMIT �/� OWNER'S MAILI D C)/. 3OS� SO. FT. OCC. BUILDING VALUATION CONTRACTOR** V NAME -_ C / TELEP"ONE CONT q ACTOR MAILING ADDRESS !/ CONSTR UC TION•LENOER Fireplace UNKNOWN Total Valuation S LENDER'S MAILING ADDRESS Filing Fee ARCHITECT OR ENGINEER 5 10.00 Permit Fee S LICENSE No. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING AOOR ESS S Energy Plan Checking Fee BUILDING ADDRESS S Penalty S ♦. Permit fee S 2 _� PLUMBING PERMIT Filing Fee 10.00 Each Trap LOT NO. SUBDIVISION NAME 200 Solar or heat pump water heater 20.00 ' - PARCZL MAP Water piping 5.00 USE OF STRUCTURE Each Oas water heater or vent 500 SF ❑ Duplexes MobilehomeX Gas piping system 1 - 5 outlets 5.00 b-� Other Building sewer 5.00 SPECIFY TYPE OF WORK Mobile Home SIG W 10.00 ea New[] Addition Remodel❑ Utilities[] Instailatio Othe Describe work: ermit Fee S Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service °000 AMP ORSLESS 10,00 CONTRACTORS LICENSE LAW Main service EA. AOD L ioo AMP 2.50 - - I declare under penalty of peau I ry (check one): NEW CONST. ( DWELLING OCCuP.S\ �2h¢s ft OR AODNS. ACC. BLOGS. I ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code a NON-FEslo R BRFNEE��� 2.50 eaand and my license is in full force and effect. License No. "' (POPPARATUS D SINUTLET CIR. I Classification ❑ I, Ex, Occu I20ee0r p(DUTLE?S OR FIXTURES as the owner, or my employees with wages as their sole compen- sation, will do the work, and the EAL,130r Ex. Occup. our O AS.LN- IREA.J 2,00 structure is not intended or offered for sale. (Sec. 7044) Temporary service ❑ I, as the owner, am exclusively contracting with licensed contract- ors, (Sec. 7044) - 10.00 Mobile Home Facilities 15.00 II I ❑ 1 am exempt under.Sec. , Business and Professions Code Misc. Wiring 15.00 I i for this reason Permit Fee S WORKMEN'S COMPENSATION INSURANCE Contractor rdecare er penalty of perjury (check one):MECHANICAL is for X700.00 (valuation) or less. 've PERMITFiling Fee 10.00permit placed on file with the County Of Butte Building Department a Certificate of Workmen's Compensation Heating Insurance or a Certificate of Consent to Self-Insure. Cer I shall not employ any person in any Cooling manner so as to became subject to the W. C. laws of California. Hood 3.00 Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, Ventilation you must forthwith comply with such provisions or this permit shall be deemed revoked. Permit Fee $ Contractor ' I certify that I have read this application' and state that the above information is correct. I agree to comply to all County Ordinances and State to Mob, Home Installation Fee $ Laws relatingEnergy building construction, and hereby authorize representatives of the Count o Butte to enter upon the above-mentioned Y gY Inspection Fee S property for inspection purposes. I also agree to save, Indemnify and keep harmless occ CONST TYPE . the County of Butte against • all liabilities, judgments, casts, and expenses which may in . • ' TOTAL FEE S any way accrue against said County in consequence of the granting of this permit. H CUA PARK SCML FLD PA PO MO ISSUEI _ X Date -' - Signature of Applicant _. " `-Owner ❑ •Comrector Q'--qg,,,t ❑ ,_ This permit is Hereby Issued unser the applicable provi- Bions or the Butte County Code and/or resolutions to do _ An OSHA--...:-: • _.._ ..:-..: ._ . ,.t :.. • parmlt Is required for excovations over S'0' of structures over 3 deep and demolition or work Indicated above for which fees have been paid__ ''_ '.' - stories In height: construct. - . DIRECTOR OF PUBLIC WORKS - ;a_-..-_- Y- Receipt No." - wMITc.D.i.w.. i:r Al eC!l011• IMA-IK!'CCT 011, aOID(e110 D•AIPIICAK7 By Date •--..... —•.,. •• PERMIT EXPIRES Dar.. I � --. �. T• 18 N. R. 4 E. M. D. B. 8 M. PALERMO C/ TRUS TRA C T NO.3 , I 18 I o / 9.82AC n4; 326.40 573.60 I sAPA 4.4 AC i 042 `� 2.43 ANf�_•� 6 a7 P .7 15.Ooac 5,00 Ac ti I r 134-I_"6 •� � � 0 9 I 573. 326.40 I � � P . i'7 t At 2� 1 F, 3 4 4 % �t t CoVrf za �i5_-=---- �z I 5.00Ac 5.004.5 ( O 6.40 573.60 ;► Q 9.68* Ac + I i V4,(-. O I 466.33 Twin p 5*IOAC I � •-' 298S • I 1 RIS56-/5 _ 22 7 1 4 0034 I IQ01AC 6.26AC 0 0,30 0 i O 0 + ,�► / / . 6.96AC .Z 1-16 A • I I � M� of � \ � � h � 796 I I Yowl 3Q- I 541AC S56-15 /34 ---.55-- Z - 5Z- 06.43VAc4 r PALERMO C/TRUS 7RAC7 SUB NO. 3 M.O. R. WALL 0. "5 98H5 • lh h 13.47AC R!�B 54-65 InS} I'] Ve. 02 AC T' • ms's, •" r �^ 1r i. �'. ��. •o!. 7? ' 797 .. 11.81 AC /i.,�' zo3 v• . w•=t�A�,� .4A ' IACr 6le- V A = s �sessors -Moto. NOTE: These creels are for assessment- CCUr1 hof. 8e r purposes., only and may not constitute legol parcels. • REVISED+ 2=94 •�''� . ' y' •' ,Y 9 NO -CONSTRUCTION-IN EASEMENTS ALL PORTIONS OF STRUCTURE TO BE UT OF EASEMENT -INCLUDING FOOTINGS, FOUNDATIONS, WALLS, EAVES AND ROOF 6 7-1( 7/q REFER TO CALIFORNIAI TITLE 25 — 337- SKIRTING SHALL BE INSTALLED UNTIL ALL UNDERFLO RT INSPECTIONS HAVE BEEN APPROVED MANUFACTURED HOME FOR - _ - _ N OTE: D' _•. _..__.. .......--, _ -. .. _ - NS OF PROPERTY LINES PROPERTY OWNER IS RESPONSIBLE OR - DETERMINING LOCATIONS 9 AND EASEMENTS AND MAINTAINING REQUIRED SETBACKS FROM NTS OM PROPERTY LINES AND EASEMENTS. A SURVEY MAY BE REQUIRED IF DETERMINED NECESSARY BY THE BUILDING OFFICIAL. T NFPA 58 lb I CALIFORNIA CODE OF a-�_- LPG TANK LOCATION MINIMUM --'•-" 3_ �. REGULATIONS TITLE 25 DISTANCE FROM PROPERTY LINES OR REQUIREMENTS AS AMENDED .. ...._ STRUCTURES FOR 2.5 GALLONS OR LESS, LPG TANK SHALL BE_ gFEET BY THE JURISDICTION APPLY �� Fjwrll�✓G: r .io, TO THIS PROJECT 2007 CBC, CMC, CPC, DE _...-.-..;_......_•uc__._ .._.......:...... ..:... .../ ... ALL COVERED DECKS AND C i .. _ ... .__ ....._ ......CALIFORNIA HE ;....._.__... .._._,._....._-....—` --'- -.. _._. EXCEEDIN OPEN G 36 OASN O _ DECKS ��. T IN AREA WILL 11 ENERGY STANDARDS SQUARE -" AMENDED BY THE JURISDICTION EQUIRE A BUILDING PERMIT R APPLY TO THIS PROJECT st -� R �! I FUTURE STRUCTURES OR YIIYJ� % NSTALLATIONS INDICATED ON y .... BUILDING z THE PLOT PLAN WILL BE P6IMI1 REQUIRED TO MEET THE . _ REGULATIONS REQUIRED AT THE PARCEL# 20n� _W. TIME OF PERMIT APPLICATION -- — --- LANDINGS AT DOORS SHALL COMPLY WITH _;J . 1e 2007 CBC SECTIONS 1 OOB.1 .5, 1 009.4 & 1010.6 A ' NOTE • SITE CONDITIONS ENGINEERING MAY BE REQUIRED IF ANY OF THE FOLLOWING SITE- CONDITIONS ARE OBSERVED AND NOT SHOWN ON THE APPROVED PLANS; • EXCESSIVE SLOPES • EXPANSIVE SOILS • EXCESSIVE CUTS OR FILLS • ALTERATIONS TO NATURAL DRAINAGE • OTHER UNUSUAL SOIL OR GEOGRAPHICAL CONDITIONS APPROVED PLANS AND PERMIT SHALL BE ON SITE FOR ALL INSPECTIONS FILE COPY MLE COPY ` _ _ __ -'-' �D�'���= ��Pw"� �p�~r'' ,