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027-280-032
r COMP 1A=INT TO P -C . R Oq r1V I/Ra O 27-28-32 q itPA -- . ) E/S Grier Ave.,app.300'N.of McIntosh Ave., Palermo Permit #4728-79P E(util.,MH) ELEC . SUPPOR RU -:2Y R . 9= - !/ COMPACTION_ TEST REQ. - 2 7 - 2 8----3-2 EQ.27-28-32 Permit #4729-79MHI Issued z440 -v-'_ ® 27-28-32 LO0.4tH. SIMMONS Permits 427-84P,E(util, MH) relocate ELEC - -&'� S 2DC7 WR�'� G�!eG1 GAS Z ` 0 3/ trLPG SUPPORT STRUCTUR DEQ D_ COMPACTION TEST REQ 140 27-28-32 ontr: ne Schmitt Permi 2705-84TRII (install, MH) ISS . D-i/-�'h� 27-28-32 RAJ 8079 Grier Ave, Oroville Contr: Gene Schmitt 14 p� �� Permit#3399-84B(new awnings & decks/MH) 027- 0-032 02-2745 n PERS W Air 8079 GRI O V CONT: CH O HS f �� EX MH PERM D EX SITE PERMIT NO. 3399-84B PERMIT EXPIRES /D/(/�� OWNER -LOUIS SMMONS CONTR.. Gene Schmitt ASSESSOR PARCEL 27-28-32 LOCATION 8079 Grier Ave, Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Caller JOB FINA t. Signal J = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) � Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 49. 50. 51. 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Mr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w./Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E) Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral [Yes ❑No 75. Followin instld.: Drive ❑ 9 ❑Yes ❑ No; Walks ❑Yes No; Planters ❑Yes ONO 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 77, H.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing Card B -I Date Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except H's 31. A.C. Ducts; Insulation &Support 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 'Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_._ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) = OK = Not OK Not Applicable MOBILEHOMES Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS OVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements oning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concreteecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) ' 4. Wood wn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete Ium. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; LocatiorrTest—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date l5 FZ Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMI NO.,,/ J 7 County Center Drive - Oroville, California 9.5965 - Telephone 916/534-4541 APPLICAT16N ANbrPERMIT � v ASSESp,S�(OR ARCEL NUMBER 'all ZON " FF BUILDING PERMIT OWN R S u LC S TELEPHONE S0. FT. OCC. BUILDING VA ATION - OWNER'S MAILING AD RESS `9© r A4e © r -o . CON I2ACTOR S N M'}- NOV" 110 t.1 VVX l� TELEPHONE ik?� CO RACTOR'S MAILING Q ADD ESS Fireplace CONSTRUCTION LENDER • UNKNO N Total Valuation • $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESSL�/ Permit Fee $ A.6. ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 12. S Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT FiIingFee 10.00 Each Trap 2,00 Solar Water Heater 20.00 •MAP Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE' SF ❑ Duplex ❑ Mobi lehome E' Other SPECIFY Building sewer 5.00 Mobi le Home IS I G W 10.00 e TYPE OF WORK New ❑ Addition ErRemodel ❑ U t i I i t i e s ❑ Insa I I at i o n ❑ Other ❑ Describe work: b — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 610V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sgft 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 3 a3 Classification lr C`� ❑ 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;1 ❑ 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 NON.RESID P- BRANCH CIRCTITS 2.50 ea NEW NON-RESCONISTR D. ( SINGLE OUTLET CIRPOWER APPARATUS . & zoesca Ex. OCCUp(OUTLETS OR FIXTURES SAL030 FIXED ALINIS Ex. Occup. OUTLETS P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a -Certificate. of Consent to Self -Insure. VI shall not employ any person in any manner so as to become subject to the W. C. laws of California. . Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith,comply with such provisions or this permit shall be'deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation, permit Fee $ Contractor 1 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, i 2demnify and keep harmless the County of Butte against liabilities, judgm nexpenses which may in any way accrue against d County in ue of the granting of this permit. X Date fes^ oZa1- S�j% Signature of Applicant — Owner EJ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storie in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD HD 550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OF PUBLIC BY 13 IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. _q WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT M c N?TEi� All t�laferials; & VJorkma�shiP. Shall Be in ' dar.�e with :Recegni�ed Good Practices :and Accor ecificd use in the ' cel;t prescribed for the Sp uu Y echanical Codes and- ! pf a •� ,rhing Untfor,l Building, pie t 4hc Pl.tional Electrical Code- _ :This, set of plans and. spec;ficat`ons MUST b kept on the job at aIi times and it`is.un3a@ to O make tiny chars,. e s .or a't'_rations on •sarne Wtth�Do wrif on permissi from th De rtment of Pub, - j jic Works, Count of Butte I t^ SE�tic O6 A pa ouch' i v 9 X46 Aw kllVG , s IP\ 6' (JhS pigAI/P./761 CAS/i A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equiprnent except ove BUTTE COUNTY BUILDING DEPARTMENT APPROVED 1�3 Cie ry,001CA4. De-- 1&4' CIOIVJ�rwaerl" Top rail to be 36 in. high with in. termediate rails 'to be not over r 9 in. apart. �IFri[ Y -F - //1110 lei ieZ. .tJ.4-4 �j. C, a NS o� PooT, ' �---•. -RMIT NO. .242--$4 ,EiMH) S PERMIT EXPIRES OWNER LOUIS H. SRIMONS CONTR.. owner ASSESSOR PARCEL 27-2$'32 LOCATION E/S Grier Ave; 300'N McIntosh Ave, Pal Temp. Power Pole] OFFICE COPY Called PG&E i Address Temp. Elec. Servi i - GAS U-- — o.. Called P( Temp. Gas Se Called PC JOB FINALEI Signature OFFICE COPY Address GAS �� , Meter By Dat ELECTRIC Meter By Date Temp. Power Pole] OFFICE COPY Called PG&E i Address Temp. Elec. Servi i - GAS U-- — o.. Called P( Temp. Gas Se Called PC JOB FINALEI Signature J = OK 0 = Not OK - = Not Applicable �E = Not Ready RESIDENTIA,l. (Single and Duplex) Date UNDERFLOOR Plans CK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outricgers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -61 Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Vltr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. 71. 72. Plb., Elec. &Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic E] Yes 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 25. 2 Appliance Circuits n Kitchen & Conductor Size Guard Rails &Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. 76. Following instld.: Drive E] Yes [:]No; Walks El Yes El No; Planters ❑Yes []No Stucco; Brown -Finish 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B-1 Date Card -BI Date Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support •83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86• Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39.Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng_.-Rfn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—.Easements ,?_SofSs pecial MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors I_S2wer; Location—Test—Fall-C/O—Concrete 4—Wa'er; Location—Test—Easement Needed (Sketch) 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing Electric'tyi-Location—Clearances—Grnd.- Amp—Concret 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures fi.',G s•,L-oca'tion—Test—Wrap:/ /"L"ft./ /"Nat. /"L"ft -'L'PG 6. Carports; Windows—Doors tiIity Clearance 7. Elec. C&d-BI Date — `c5— '7 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBI HOME INSTALLATION (Plans) OK except N's Zo g Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except q's 1. Setbacks—Easements 2 ooti ize—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3 s; M Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 4 ectr' 'ty; MH Test—Crossovers—Breakers—Clearances 5 ain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6,r Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater as an ectricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulaiing Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9 xits• .—Sketch 10 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test t� C B -IG ate �7 and -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number ! for the following location: tC/( /: t✓ . -- 4 W, , r Owner /_ '", / i ewf, .+ Owner's Address _ �7 � �C PAL61? ,pr -;e D Mobilehome Mfg. ~��Ly�` Model C�' '� �p ? Year Insignia Na- #q ami/p/6/a!"!66 , --Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director oJff�PubliciWorkkV Date-9-2-4— ate 9 �/— By ��/�� THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED, White - Owner, Yellow - Installer, Pink - D.P.W. t, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 8911751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 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 -explanation, please contact this office immediately. f I � Inspector / � /� /� t - Date COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS 7 County Center Drive - Orovilte, Cdlif6rnia 95965 - Telephone 916/534-4541 APPLICATION A10 PERMIT PERMIT NO. r ASS ESSQR RCEL ZONING BUILDING PERMIT OVYNER LWIS W. Sl""OALC TELEPHONE SO. FT. OCC, BUILDING VALUA-Q94 OWNER'S MAILING ADDRESS CONTRACTOR'S �C_#�/ _ `7 ,S&P-0(fETELEPHO CONTRACTOR'S MAILING ADDRESS ^ P/2 c^ ZS Fireplace CONSTRUCTION LENDER f UNKNOWN Total Valuation $ Flllrig Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGI LICENSE NO. Plan Checking Fee $ /:5; tYt% Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL NG ADDRESS /Fee E S Gel Lc ALIO leo 300 /(%. D� PLUMBING PERMIT Filin 9 10.00 /c V Me xvioSI�- n, /� Each Trap 2.00 Solar Water Heater 20.00 n >` P�%LC%–lrl.�O Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 110.00 e TYPE OF WORK / New ❑ Addition ❑ Remodel ❑ Utilities❑ ,Iista4ationL ther ❑ Describe work: �� �T� � — Permit Fee $ Contractor ELECTRIICA L PERMIT Filing Fee 10.00 LESS Main service too AMP OR LESS 10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.8, OR ADDNS. ACC. SLOGS. t 2h2sq ft CONTRACTORS LICENSE LAW I declare rider penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. ^ y License No. Sia 3 Q 3 Classification �r ( ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR TI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEWCONSTR. (POWER APPARATUS &� NrON.RESID. ,SINGLE OUTLET CIR. Ex. Occu 20050C P(ouTLETs OR FIXTURES SAL®so FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. tld shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemn' and eep harmless the County of Butte against all liabilities, judgments, c ts, expgripes which may in any way accrue against sa' ounty in cons en of t anting of this permit. X Dateg,;�y` 8– 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 stories4n height. Mobile Home Installation Fee $ 540 TOTAL PERMIT FEE $ 7a v -o OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR CTOR PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ate r Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND, PERMIT PERMIT NO. A ASSESSOR PARCEL N6WBER A c` ZONI G— ,�I if t BUILDING PERMIT OWN :,F) S S� TE EPHONE SQ. FT. OCC. BUILDING VALUATION OW R'S "AMING ADDRESS I CONTRACTOR'S WAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $�Q(�; LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ S�A� Penalty $ ARCHITECT OR ENGINEER'S ;NAILING ADDRESS Permit fee $ BUILDING ADD, ESS / V e— PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 1Qfl^VA Fa Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome e -_"Other SPECIFY Building sewer 5.00 Mobile Home Itel -_ 6 10.00 e ,50 0 TYPE OF WORK New❑ Addition Remod. I❑ Utilit s r nstallation❑ Other Describe ork: (� 1®C�,.P l 9" 1 S Permit Fee $ Ito 10 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 1000 �vv Main service EA. ADD'L 100 AMP 2.50 ti NEW CONST.// DWELLING OCCUP.& OR ADDNS, ( ACC. BLDGS. t 220sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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 CON5TR ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC TS NEW CONSTPOWER APPARATUS &) R RESID. (SINGLE OUTLET CIR. NON. 20@60a Ex. Occup(o X TS OR FIXTURES BAL®30 D FIXED APPLNS. OR `` EX. OCCup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wi ' 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit* shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Q %X1(7L�-(�, ����2'�+� Date Signature of Applicant — OwnerContractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE occuP. GROUP TYPE OF CONST. IPAR IV I XHSSUE,all This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By PE EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date (/ \ Receipt No. a �i WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT . o, R� tdd?G eta./ d �c •+ 7` 300 SQ. FT. MINIMUT%1 ..9 :� ,� c YY6. .. FOR MOBILES . E, $ � o6,ir.Aw 41f,/��. 1�10TE:--All MaAerials & \Norkmanship Shat) Be in `�`►' IJUt `�'Accordance with Rccocnized Good PracticesUtility connections shall be within and A j • /� N of a quality prescribed for the Specif ed use in the' . {'� F 4 ft. of the mobilehome, either �. + uniform Bwi+ding, Plumb, & Mechanical Codes and directly behind or within the rear the Nationcd Electrical Code. 114 J` half of the roadside (left)*of the obi mobilehome T'' ;4 permit will. l_'t re qu�,-red •tor the This set of plans and specificafions MUST bE. r�t illstulieition of i17e iE i ;1�c;om�. �xis1`r.9� kept on the jab at a!l .times and. it is unlawful to �: jA Seitutgq rno.q any cha nes oral#erasicrs on.same without :i written pq-missio,i from the Department of Public Works, County of Butte. 4 A setback of 5 ft. t rom the property lines and.a setback ' r • of 50f t. from the road centerline shall be clear of structures or equipment except 0 fora 2 ft. ea.ve overhang.0 � BUTTE COUN Y . /Me- BUILDING DEPART" ,177NX. is �.'�,� ;: APPROVED r Return to DPW a AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 84-27-917 `�N» 1,7 FOR RESIDENTIAL DEVELOPMENT Pf FJCMn REGORDE Section 26-8.1 of the Butte County Code requires this acknowledgement 9UfiF. C�}H;Y-Gat.i! be recorded prior to issuance of a building permit. 2SCONDS BEE.I,ESTED : PARTY SHOWN The property described herein is adjacent to land or included An 3 23 PIIIJUL! within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from ELEANOR a,bh!";.LR the use of agricultural chemicals, including, but not limited to herbiciS,Kp�l�i��ffS& and fertilizers; and from the pursuit of agricultural operations including, but not limila to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as A priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that re'al..,property situate in the County of Butte, State of California, described as follows: Parcel One, as shown on that certain Map filed in the office of the Recorder of the County of Butte, State of California, on June 21, 1978 in Book 67 of Parcel Maps, at page 31. AP -027-28-0-0,32-0 Date: .L[. PROPERTY OWNERS: 1 State of California ) On this the Mrd day of August 19. 84 , before ) SS. me, the undersigned Notary Public, personally appeared County of Butte ) +. - •—. .v�iR HRTMMnNS JESSIE L. SIMONS ,L/ Personally known to me. .Proved to me on the basis of satisfactory evidence. to be the.person(s) whose name(s) are subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Ci - Not y'Publ c Present A.P. No. -%� �_. OFPWAALSU76EVAN9 �ACQUELtP�! L ® NOTARY PUBLIC-CA Principal OfPira in BUTV CommissioR Expires BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1, Owner's name: U I ,C 11-7 /110 /S 2. Installer's name: 61 tiG SCdl- i 3. Is the site currently under permit? Yet / v/' No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No / / (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leash fields and clear of.all setbacks.and easements? Yes / VI No (If no, clarify 5. •.What is the mobilehome electrical rating? ------------------------ /40-0 Amps 6. What is the mobilehome site service rating? ---------------------O O Amps - 7.. What is the mobilehome site circuit breaker rating? ------------- /'012 Amps 8. Is there any other electric load to be'served by the mobilehome siteservice? ----- ------- ----------- ----------------------------- Yes No . (I£ yes, ,identify the load and size: tLIr4 _(Load) ge 30 (Amps) 9. What is the mobilehome site gas,pipe size? ---------------------- / (in.) 10. What is the type of gas service? -------•---------------------- Natural /% LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) � SUA COUNT BUILDING DGPARTMEIV i . APPROVE® MOBILEHOME SUPPORT DATA FA!c v6-5 If other .than single wide, Mobilehome Mfr. fli6lsh Setup Model No. Year )Jidth a y, (ft.) Box Length 4,;1.0 (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) 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). All center supports measured from front of mobilehome unless otherwise specified. (ft.)(in.) Center support locations* /0ii (ft.) (in.) 3 *r (ft.)(in.) S' ° (ft.)(in.) O16y. (ft.) (in.) [a L[" " - (in.) (in.) Center support footing sizes (in.) 30r�x3� (in.) (in.) 3G (in.) (in.) 3o�rx3lof (in.) (in.) (in.) (in.) Footings (check one) Single Wood either pressure treated or foundation grade.. 2. Other: (specify) Supports (check one) Concrete block. E] .2: Other. (specify) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. Tagalong or Expands,' show support details. x V -- Typical Support (in.) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) G -- Max. Overhang CLAIMANT: ADDRESS CITY & ST COUNTY OF BUTTE Oroville, California GENERAL CLAIM DATE OF CLAIM: '0 IMPORTANT: SEE INSTRUCTIONS SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES ON REVERSE SIDE ,ATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO "DID DELAY) AMOUNT PROJECT CANCELLED: AP# 027-280-032, BP# 02-2745, RECEIPT# 363874. DATED: ..0-2 TOTAL AMOUNT PAID: 1,069.50 2 AMOUNT PATD ON BP-# 02-2745* 363 25 .25 00 RETAIN' BUILDING PERMIT PILING FEE 20,00 BaTAIN PLUMBING PERMIT FILING FEE: 20 00 RETAIN PLAN CHECKING FEE: 23 00 TOTAL AMOUNT TO BE. RETAINED: 88 00 TOTAL AMOUNT TO BE REFUNDED: TOTAL 275 25• he undersigned, declare under penalty of perjury that the services or articles claimed have been peOrmenry I correct as stated. sted this_,) day of l •�$� at �� . Calif. v Si ed. and that this daim is true e o Claimant the undersigned, hereby certify that. to the best of my knowledge, the services or specified hove ve be n performed or delivered and at there is a Budget Appropriation I I or Specific Board Approval I I (Check one) th ited this 13TH day of JAN • WU at OROVILLE . Calif. Delfarunent Head or Authorized Deputy !pt. Code 440-001 Exp. Code 4210500 PAYABLE FROM BATT DTNG apt. Code Exp. Code PAYABLE FROM ept Code Exp. Code PAYABLE FROM DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY PERMUS _FUND FU DEPT. & SUB. PROD. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE.- Receipt SE: Receipt Information: Number. Date: Issued To: Amount: Fees Retained: /Processing Fee: Bldg Filing Fee: /Plbg Filing Fee: Elec Filing Fee: Mech Filing Fee Energy P/C Fee: Plan Check Fee: Inspection Fee: Total Amount Retained TOTAL REFUND DUE 7 3.63E a l $ �;)- a $___ $ `� S� REFUND CLAIM APPLICATION CLAIMANT'S NAME �� S aMAILING ADDRESS ASSESSOR PARCEL #: RECEIPT NUMBER(S) Request a refund of fees paid on the above receipt number(s) for the following reasons: I - - M- NIIIIIIII - - i Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) ( ) Building Permit Fees ( ) SRA Fees (CDF Fire Planning) Disposition of Plans: ( ) Plans returned to me at counter ( ) Sheriff Fees ( ) Urban Area Fees ( ) Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATURE j.DATE PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. Nov 12 02 11:09a Cheryl Juhl/ John Cruz 1-530-345-0487 P.1 2105 Forest Ave. Ste. 130 Chico, CA 95928 _ (530)891-8989 Fax(530)891-8585 To: Scott R. Frons John Cruz/Loan Officer Far: 5382140 Pages: 3 Phone: Daft- 11112 102 Re: CC: Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Conrnents: Good Morning, Scott I have faxed over the letter from Walter P. in regards the out building and a copy of the bid to tear them down as well. Please call me if this is satisfies or any adjustment need to be made. THANKS, O a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 -7 o. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 097-280-032 ZONING BUILDING PERMIT OWNER P'FP .OWNERS MAILING ADD ESS 8079 aTER GROViLLE CA 95965 CONTRACTOR'S NAME 9 IM mus TELEPHONE TELEPHONE SO. FT. OCC. BUILDING VALUATION CONTRACTORS MAILING ADDRESS R Q BOX 4121 C.HiGo GA 95927 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP i PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX MH PERM EM FX SITE Gas piping sy2tem t - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 a00V OR LESS Main Service 20AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i ful� f r and effect. �//1 License Class LIC. No. [ // D�CLAR TION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number he above sections need not be completed 'If the permit is for work of a valuation one hundred dollars ($100) or less.) Zfertify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f w comply with those prov'sions. l Date /0 — Z 0 -Z Sig lure - ❑ Owner ❑Contractor ❑Agent An SH permit is required for excavations over 5'0" deep and demolition or construction of tru ures over 3 stories in height. Main Service TO 1000A 4 NEW CONSTDWELLING OCCUP,6.00 o . . SSO OR ADONIS. ( a ACC. BLDS. 3,.FT. REOSIUT =OUTLET @7,50 FowER APPARATus 8 SINGLE OUTLET S OUTLET OR FDCTURES 0 @ 1.00 Ex, OCCU g2 0 OOWNER-BUILDER RSD 5.00 Ex. Occup. OUTiFis °� Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE•D.D.S.- , CAN •AaS OR PINK -INSPECTOR GOLDENROD -APPLICANT rev` 12/96`tk COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 - Telephone (530) 538.7541 0 APPLICATION AND PERMIT ASIMCAPAMMNUNfM - - .-- —I z1own I BUILDING PERMIT I owNER W oWkM'S IwyU►q ADOWU �Ir < D ie G "Y i e v C) Yli 6 LENDERI W"40 ADORpf ARCHITECT OR ENOINEUt ARCHLTECT OR ENOINEERs 144JUNO ADDRESS fua.DwO ADORESS C�6 -- d NO. LOT NO. fLAlOMB DN9 NAIAE I►AMEL YAP USEOFSTRUCTURE SF ❑ Duplex ❑ Moblehome\� Other fPEesr TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities O Instnlation ❑ er Q Describe .Work:. 8'is'l 1'_15,\ FT. OCC. BUILDING VALUATION 'U 1- � 7l(_i. 1 7166 rue lace PERMIT FEE S �U �- Total Valuation = Filing Fee 20.00 Main Service Rlina Fee S 20.00 Permit Fee -Sa S 6 a S Plan Checkin Fee $ 3 -_ Energy Plan Checking Fee S ' S PERMIT FEE : PLUMBING PERMIT Fong Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater of vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G Wji@20.00 EX. OCCU P. OuTw OR "01JR0 PERMIT FEE S �U �- ELECTRICAL PERMIT Filing Fee 20.00 Main Service so°OVOA DSR = 23.00 Main Service 20QA TO f ---A 46.00 NEW COWT. OR ADONS. owaiiw oCCUP. f ACC. RDS. 3.54M NEW CONST. lIOK0.61n. r �LanounEr ` l wa�v!Y /�'� 4@7.5o EX. OCCU P. OuTw OR "01JR0 y,i ap Ex. Occup. LmET7 �0 EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 'lutist: Wirin �f`�►- _ 23.00 PERMIT FEE 1 _— . MECHANICAL`I?ERMIT I Fling Fee 20.00 Coolin PERMIT FEI: I S Moble Home Installation Fee S Energy Inspection Fee S °Cc corsT. 7YPe TOTAL FEE $ NAL 0. FEET YP Amo c01 p1Am PO ND mut This permit is hereby Issued under the appkable provisions of the Butte County Code and/or ResolutJans to do work indicated above for which fees have been paid. By Date �— PERMIT EXPIRES ON fy, L� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER 00 "y ` Q � �IN.01 Proposed Building Use: nQ/61n Counter Technician: Date: Items required in order to apply for a permit. Ali boxes MUST be checked OR malted NA in order to apply. PL. Plot plans, 3 or 4 sets, signed,ty the preparer of the plans. �2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. _p 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to th\plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential 1 ................................. ❑ 11. Detached Accessory• B�tildtng Form filled out by�the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑' 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due�Sheei.......... :............................. ❑ 15. Statement of Intent for Non -heated and A/C Buildings :............................................ ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid., Sent. by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: ! (C) Parcel Check: ❑ Y-22.* Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑Encroachment Permit for driveway o the Public Worl�^e�t�. (construction approval prior to occupancy). Pre -Inspection for AAl required ................ ❑ 23. Contractor's license information. (Number, IName Style„ lassification)...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Exist' g violatigA and/or expired permits ......................................... ..... ❑ 30. P'Grant Deed, A M.H. Title/Statement of Facts, L�]'Letter from Legal Owner heck .. H.C.D. $ �' ❑ 31. Other: —� When issued Telephone 7 Q and hold for—pickup I have been inf of the above items and requi ements fbr obtaining a building permit. licant: /0 - Z - 0 A 2 pp f� _ - , Date: 1. Index per/t ap ication for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by_ Contractor, designer, owner was advised of the abovdata y ❑phone, ❑ . mail, ❑ counter, by_ Plans reviewed by: Date: /� Plans approved by: Structural reviewed by: Date: V Structural approved by: Note transfer by: Date: Yellow: Building Division Plan Check Letter _Date: Date: Date: Date_ Nov 12 02 11:09a Cheryl Juhl/ John Cruz 1-530-345-0497 p.2 FROM MID VALLEY TITLE AND ESCROW COMPANY (THUM 7 2002 15:42/ST. 15:41/NO.501: Nov UY uZ-03:52p Cheryl Juhl/ John Cruz 1-530-345-0487 November 7, 2002 Wafter D. Person 8079 Greer Ave. Oroville, CA 95965 To Whom It May Concern; I arty writing this letter to instne that I will complete and be in compliance with Butte County Building ordnance_ North Butte Consmxfion will be applying for the permits need to demolish the out buildings located at 8079 Grier Ave, ()Coville CA. This annouat of 52,275 well be held at Mid Valley Title in Oroville for Nodb &M Construction for demolition of the building stated above. At which time work will be completed after 45 days of recording or funding. I am aware drat the Burne County may take legal action towards me or property. If you have any questions, please call me for any additional changes that need to be made, (530) 536-6336 Sincerely Walter D. Person e Nov 12 02 11:09a Cheryl Juhl/ John Cruz 1-530-345-0487 p.3 - - - - _ •^fir i.: _.:. - - •.A. a "i 1 Iwo ^x; 1. "..-M, �iyC•�- ��� !. � ^J: -"Ai,-: R� 4 3:•c� �:5•qY 1_�t 'S,:i Aetra+9� �aC:i'• mss, yk'c-�:t�' W9 heYeby siibin�:. • - -;� ; zy;;ra`�{^-F�i: •t 4 :. �'-.r;`: � s _" - , . - - � �'• 'SY,�+.'N {•_ -�h�~r �..•:.,w,�:A' :+`i� r:.: is -: 'a..Z.:"'n:;' LA;r:- max•: _ �:-x _ _�'.`�-. _ ,*:.: 'Y+.' :T'GYia' x.',.',`r•: '-Z;'-:1�.•.<.'3'` _.^-�-.::,>s�;�v'r%w ''�'.,,,iY-�:T:�:'t i":v :_5' _ x '�.. ice_ �.-:-.,q.: i S,rr.. .Si. . ✓Pff� _ i � _ _ "_ °.i.• - - lac �.r�:.`Kk^x?,:':.,� rx :eVeit- _ .. - :fix.. _ _ __:�i.�::i.,.•; - .:....i'=+;.:... . �1•.r A. ,�;, - .-._ tea- _ ,s.;�' ��'�y: .'r'„a�.-_-'t',-•`-:.�. ,`, 'S we DJDPos@ Y �.�! j}-i�¢j-.;�!•u:..- �-`�' ��r•_•.';,..,-',t,< e,;rt:rs `.."' s;:. - - - ^:,- - with (q be�r�tde� _' ply _ yrs lolk►wg ' .. _ .� � .t:: .A ��YJ. :: .•. 1 —6, _ ,.t�.. '_'!:,�V,T�!.arurxl7Y:`�'�.� >,SY��; •• :y., �,•: y�.��r��x��Y�y� . mree 0*4Y� +tleen+i%o�.a9 .a• "''d' b+r m?a - • .e9oy01Di lSS.iTYP AQ" ";la:-:�: -:Z��.K.•""•:. LS kT e' ,ys: rte. �. _ ��-i,: V�v: ir:: ,";: [,r .-�•• :':'• `'' 4q�011OW - ..���'' s .. .,.yams, skw. +yyt,,?�• ��. Mwcg :��WMwW.�x.,��,�pw^5.. .. tMseby dOC d•VpµBsemindV#ir6.'gRSk ,eRBQI ;: ?_ xzY"�`"- _xq hy;:}?^•: .� %a o;•: _ PdyM11BUi5 Wim DateAsoeDl�illc¢ _ 1u Y s.r , x x ,.r : > •.s '+i% :,! - b::ii.. - - ':iiCk.�,.:xb+•..R:��'x!Y'_ .'.'xA_. ll.,.x't-.!.iw . _ •.'r._ :,ate`•. s. ..y 4c.�•.-i: x. p1G�i9 � nE(!� �','.i ..:: ::� st ..' : _ - ` - - � :�[ :`r_':^':7Ta� �.�il;: �'��: s)�e�'•� -_:_. l0 •d a 4611 oES 0£S 13>12lvW SuBwavd Wd Le:ZO zeez-£Z-170 FROM MID VALLEY TITLE AND ESCROW COMPANY (WED)1.O 2 2002 10:39/ST.10:38/NO.5011992017 P 1 g t A M L A f v� wor s' Mid Valley Me & Escrow Compat� y , 2295 Feather River Blvd. 4 A, P.O. Box 1068, Oroville, CA 95965 (530) 533-6680 FAX (530) 533.3018 October 2. 2002 Jerry's Mobilehome Service Fax #: 895-1774 0 Re: 8079 Grier Avenue, Oroville, Ca. 95965 Mobilehome Described as: DECAL ,f:LA09734 To Whom It May Concern. Mid Valley Tide & Escrow will be removing the Legal Ownership for the above described mobilehome title at the close of' - escrow. Sincerly, CHARITY D. BERRY Escrow Officer FROM MID VALLEY TITLE AND ESCROW COMPANY (TUE)10 11 2002 9;03/ST. 9:02/0.5011992954 P 2 DEPARTMENT OF 'HOUSING AND COMMUNITY DEVELOPMENT Mtstcn of Cod" vW tymner k s . Title Search Dote Printed : 10/01!2002 Decal#: LA03734 Manufacturer: 09945 FAR WEST HOMES INC Tradename: FAR WEST Model: 24X60PD2BR .Manufactured Date: 08/31/1984 Registration Exp: First Sold On: U9n4/1984 Serial Number 3528A 3528B Record Conditions: i Registered Owner: Use Code: SFD Original Price Code. AJQ Rating Year: Tax Type: LPT Last IRT Amount: Date ELT Fee Paid: ELT Exemption: NONE HUD Label / Insignia L.ongth Width 291661 60' 1T 291662 6tY 12' - An application for tide or registration change is pending with the department. For information regarding this application, please call 1-800-952-8356 and request to speak with a customer representative. WALTER DONALD PERSON LOREPTA LYNN PERSON (Joint Tenants with Right of.Survivoiship) 8079 GRIE.R OROVILLE, CA 95965 Last This Date: 10/03/1997 Last Reg Card: 10/03/1997 SaWrrandter Info: Price $35,000.00 Transferred on 11/02/1994 Situs Address: 8079 GRIBR OROVILLE, CA 95965 Situs County,.BUi-IE Legal Owner RATTAN L SHUKLA SUNITA SHUKLA (Joint Tenants. with Right of Survivorship) 2120 LINCOLN ST OROVILLE, CA 95965 Lien.Porfected On: 07/03/1997 08:47:00 Open Escrow: MID VALLEY TITLE PO BX 1068 2295 FEATHER RIVER 8L OROVUXE, CA 95965 Escrow File No: 201688 Pending DuM: WALTER D. PERSON LORSTI'A PERSON Dear Name: None Reported Escrow Opened On: I W I /= Expires on: 01 /29/21)03 *** END OF TITLE SEARCH s This km pavido0 by The ao I is Gmalor(s) dmhn(* hTland Land Tide and FAmw Cmmp=W Dommommy tzmdcs tax is-$ 3930 "JL 027 2841)i2 (X) ampumd cc (W value o(poputy cm ar )wapmw on fiw value ba vale orlimadowmamm:oi tette a time of ale GRANT' DEW FOR A VALUABLE OMNSWERAMON. -0* of which is h -by KbwwkftA BA Pmperfm 1=, a Dcbwam corpomd= bat by f0 Wahm DomW Person aW LAmm Lyzm PasM %,d— and w&. ALS Joiat ImnaqtS dic and papisty 'm the U&—W=d, Conray of.Bmc S= of CaUbmia, d=dW ar SFE ArrAmED EMEW *V FOR LEGAL DESCRWnOM SgotraeafGansW Oao1' fkrnhwr ]R_ 1001 Slee d Quem Avp CM ..Octcber 26, 1994 bdm,, Angela J. BY: John/x. 1;6.cvL*. VP Webiter..... pov.,pyappeared Sandra Ptxltxaml� lam to me (or pm"d w me on the basis ef . f . m5m=) to be the posom(sl wbosi dame(s) bl am saI Aad to Ibc within.mtmamea and ackwaiedsw as w that bo-4he I lbCY cleamol the um in biq+ia I &* Mhamw apatan im). wd dm h dwir Sipw "MSO 00 to mfa0mem she pm*$). or -the. Ono WM bd1aff Of stsh dc pown(l) Kw& emeamd ft mutomoa %Tr%M ny bad and of fkw S=xwe f�j i x r. 1 A ry, Mad Tax tm— KK WIN Cain Aster Omwdk- C& 95966 W -W f 10L A ftv" kt* - C�p S",;Acw WC,_ (This xca 6w dficial eourial we amoft lop—d Or. Prefermt! lit—d Title #V-116131CW 94-045734: aao . Roe rev .Wbm R01=104 Mad TM I Ow 3& 50 WahmDwaMPegsOn Recorded I Check .47.50 Loam Lynn Peasao Official Records I County of I P. o. a= n73 Butte I San cmlos. Ch 94070 Candace J. Grubbs I Recorder SxDO&o 2-Mov-94 I PM UP 2 This km pavido0 by The ao I is Gmalor(s) dmhn(* hTland Land Tide and FAmw Cmmp=W Dommommy tzmdcs tax is-$ 3930 "JL 027 2841)i2 (X) ampumd cc (W value o(poputy cm ar )wapmw on fiw value ba vale orlimadowmamm:oi tette a time of ale GRANT' DEW FOR A VALUABLE OMNSWERAMON. -0* of which is h -by KbwwkftA BA Pmperfm 1=, a Dcbwam corpomd= bat by f0 Wahm DomW Person aW LAmm Lyzm PasM %,d— and w&. ALS Joiat ImnaqtS dic and papisty 'm the U&—W=d, Conray of.Bmc S= of CaUbmia, d=dW ar SFE ArrAmED EMEW *V FOR LEGAL DESCRWnOM SgotraeafGansW Oao1' fkrnhwr ]R_ 1001 Slee d Quem Avp CM ..Octcber 26, 1994 bdm,, Angela J. BY: John/x. 1;6.cvL*. VP Webiter..... pov.,pyappeared Sandra Ptxltxaml� lam to me (or pm"d w me on the basis ef . f . m5m=) to be the posom(sl wbosi dame(s) bl am saI Aad to Ibc within.mtmamea and ackwaiedsw as w that bo-4he I lbCY cleamol the um in biq+ia I &* Mhamw apatan im). wd dm h dwir Sipw "MSO 00 to mfa0mem she pm*$). or -the. Ono WM bd1aff Of stsh dc pown(l) Kw& emeamd ft mutomoa %Tr%M ny bad and of fkw S=xwe f�j i x r. 1 A ry, Mad Tax tm— KK WIN Cain Aster Omwdk- C& 95966 W -W f 10L A ftv" kt* - C�p S",;Acw WC,_ (This xca 6w dficial eourial we J V-11611 me land referzed to berein is described as follors: an that certain real propezty situate in the County of Butte, oosooaeposated. State of C& fomia. described as follow: . Parcel one. as Show on that oertain iarcel lop filed in the offine of the Recorder of the Cauuty of Buts.. State of California. an June 21. ISM. is bolo 67 of "4a. at Rage 11. . PRE -INSPECTION REPORT OWNER- ���/ \ DATE. LOCATION: 417)� . A.P. #• 621 �;q6. 63 � CONTRACTOR:M ZONING: PRE-WSPETION FOR: . DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE AS FOLLOWS: BUILDaYG IIYSPECTOR'S REPORT Bullding Description: . Canmercial/Usage: Residend" of Units: Currently Occupied Abandoned/Vacant Electric: Yes— No • Electric currently On Off Condition of Electric Gas: Natural Propane / None Currently On_,_� Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water a Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR,4�2�� Inspectot- Date �6-7—�z Sketch buildings on reverse and indicate location on proper �•°�i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER —RE- Ml;r-NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you'have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. -T- _moi:22y r Date43 Z– Inspector REV 10/92 7 County Center Drive • Oroville/ California 95965 • Telephone (530) 538-7541 da PERMrr No. �ev.1246> APPLICATION AND PERMIT A., Q,OR.ARca►�In�e� Gad , a �6 o 20ma BUILDING; PERMIT J oM.eR W < o T�"O1C 0. FT. OCC. BUILDING VALUATION �►�, Aoope" c)-."-6 L —Y COMMCTO / T M! OOHntAC IIAa1 � � COQ Ll/001 1 Fire lace u:Hool'j W"M ADOPM Total Valuation = 1 AACHm:CT 0R EkOtA A uceml NO' Filing Fee E 20.00 1 Permit Fee SW -SG i Q -'D S ARCWECT OR DOONO:ns VAUw AOORlss Plan Checking Fee b _ OU D040A00RlSS / _ V / l 1 Y V Energy Plan Checking Fee E 1 PERMIT FEE _ LOT NO. sueonsla+srwr! PARCEL M" PLUMBING PERMIT Filing Fee 20.00 j Each Tr 7.00 USEOFSTRUCTURE SF O Duplex'O Mobilehome1� Other ,Pecry Solar or heat pump water heater 23.00 Water piping 15.00 Each cas water heater or vent 15.00 TYPE OF WORK New ❑ Add6m ❑ Remodel ❑ Utilities ❑ ins0elation ❑ Cier Describe Work: �� �1S^` Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 kkbils Home S G W @20.00 PERMIT FEE _ �- ELECTRICAL PERMIT FM Fee 20.00 Mein Service o�R tJ�sa 23.00 - ' ;4.1vLsc. S�+trHeating O� mom -Moble __6. • • ✓�) �'•� , �� /� L(J "� ►'/ Main Service 20" To 1000A 48.00 Ww COWT. OxaL,a OCCVP. 3.SCxi 0R AOa+s. i ACC. RDS. FT. HoNNES10. YULri01lnET 1@7.50 FOWOk AFPAPATM/ a mmz ounzr cuk 70 1 1.00 Ex. Occup. OUTLET 011 RXiUIEE aAL eo APPIM 04 mro G 5.00 Ex. Occup. ounFrst...6. Temporary Service 23.00 Mobile Home Facilities 20.00 Wirin 23.00 PERMIT F E _ MECHANIC ERMIT Filing Fes 20.00 Coolie Hood 50 Ventilation PERMIT FEI: S Home Installation Fee S Energy Inspectbn F I = °C CO"T TY" TOTAL FEE $ KAZ. o. rm NP K000 I OW FOAM ro w ssu This permit is hereby Issued under the apPkdbl* provisions of the Butts County Code and/or Resolutions to do work indicated above for which fees have been Paid. By PERMIT EXPIRES ON Date �— O'x 4 �b Zo otp 27-28-32 - - ohn reemat5 ` � `} E/S Grier Ave.,app.300'N.of McIntosh - Ave., Palermo Permit #4728-79P E(util.,MH) ELEC. GAS car l�� SUPPORT STRUCTURE REQ, i2a COMPACTION TEST REQ. - 27-28-32--_._— LPermit #4729-79MHI sued 27-28-32 LO H. SIMMONS Permit 427-84P,E(util, MH) relocate ELEC��� S 20y yeti Gr!ell ; GAS -/�f _ Z7 ' o.fJ 'z -R& SUPPORT STRUCTUEc��� f r - - COMPACTION TEST 01 iV0 �-_ ------------------- 27-28-32 Pontr, ne Schmitt ermi 2705-84T!HI (install, MH) 1z is D r 27-28-32 - -- 8079 Grier Ave, Orovi �� t ��� �� SL Contr: Gene Schmitt Permit#3399-84B(new awnings & decks/MH) 11 ? sr. �ti-PEF?MIT NO. PERMIT EXPIRES. OWNER John Freeman I owner i CONTR. ' LOCATION (A.P. 27-28-32 E„'S Grier Ave., app.300'N.of McIntosh.Ave., Palermo ,s t Temp. Power Pole Called PG&E j Temp. Elec. Serv.—., Called PG&E Temp. Gas Serv. 1 ' Called PG&E P JOB I FINALED (Date) (Signature) COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS Diin nnlf+ I\I@Drf%'rIA\I nrAnnn DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: t- i Owner �' - F i ✓. r c����ffz �t �a Owner's Address Mobilehome Mfg. Model ' Year J Insignia No. `� Serial No. - It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with`p—equired separation from lot"lines and buildings and generally conform to plot plan? Yes_ o 2. Does the mobilehome have required clearances above ground? (S'ec.5085) Yes 3. Are footings and supports properly sized, spaced, and braced as per pproved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ o 4. Is the mobilehome level? (Sec. 5088) Yes No_ If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexikfle connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ No B.- Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_AZNo Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes l_�No B. Does it have minimum k" per foot slope and is it properly supported? Yes, ,__ �,• C. Are any leaks detected in drainage system after running 3- lions of water through each fixture including washing machine standpipe?.Yes ' No D. If coach is not State of California approved; does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as.the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes_lzl�o_ B. Test OK as per following procedure? Yes_ZNo 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound•increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C.. Are all appliance vents properly installed? Yes_,//No_ -� 0-e 01 l' 9. Electrical A. Is service large enough,to prdvide adequat,e_amperage-to mobilehome (must equal rating of mobilehome with a minimum of 10 amp) and other facilities on lot, i.e., water pump's, garage, cabana, etc.? Yes_ No_ B. Is there proper clearances around panels? Yes No_ C. Is power supply cord or feeder assembly properly fused? YesNo D. Is continuity test satisfactory as per the following procedure? Yes 1. De-energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA / �G Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identification No. ✓ 4/95— Additional Information or Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS %•'.t • 7 County,Center Drive - Orov'ihe, California 95965 Telephone: 5�4-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X e,y4tit"yn441,*� Date 7 Sign t re of PPerrmmiitee or Agent Receipt No. 2- te White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated aboy,�far which fees have been paid. ADIREAMOR OF FAJBLIC WORKS /- - BUILDING Owner �77— D�N I`�-C SO. FT. OCC. BUILDING VALUATI Mailing Address Flo, �� Q5 n, ,�O --T—Telephone 5� 1 ContractorAbs Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address C—/_S �o/��,e All-: MMA Planng Fee&/or Penalty Permit t Fee 17 o ' N bA Mc TAITO" 4o6 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 , Each Trap 1.50 /j71d Repair drainage or vent piping 1.50 A. P. No. �� 2� ^� Planning Water piping 1.50 (O pp Each gas water heater or vent 1.50 FI vv S®I=on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 W EQA Parking Plan Declaration I Parcel Map 60' R/W Improveme Building sewer 5.00 (O tD Bldg. lane Recd Parceproval la pprov.1 Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ 3.�CJC7 ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Oe) Main service 600V OR LESS C w.iA 100 AMP OR LESS 5.00 7} G.(J Single Family ❑ Duplex ❑ Mobil Home Eir Others ❑ Main service EA. ADD•L 100 AMP 2.50 Z Q Main service OVER s O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 OR ADDNSNEW // CONST. ACCDWELBLDGS.LING CCUP. 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW CONSTR UTL T NON.RESID BRRAANCNCHHCIRCUITS)i 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES 5 L� Ex. OCCU FIXED APPLNS. OR p�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 (j License No. Classification Misc. Wiring 6.25 1%.00 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ 2A.,50 $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances State Laws relating to building construction, and hereby Land Development Fee $ as Op TOTAL PERMIT FEE $ 5-Cand authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X e,y4tit"yn441,*� Date 7 Sign t re of PPerrmmiitee or Agent Receipt No. 2- te White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated aboy,�far which fees have been paid. ADIREAMOR OF FAJBLIC WORKS /- - COUNTY Gr'BU'TTE — DEPARTMENT OF PUBLIC WORKS 7 County Canter Drive — Oroviille, California 95965 Tel ephone ��534-4541 APPLICATION AND PERMIT autnonze representatives or the county or twtte to enter upon the above-mentioned property for inspection purposes. X Date 1?.2 Sign re of Permitee or Agent Rorni ni Aln � �� D V White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOP60F PUBLIC WORKS By ` Date 14, Ing permit expires Date BUILDING IV I Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 9 o, 4LIL-Z 7r) ,/ Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address �- Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1,50 A.PNO. 7 r ��� Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 � te. FVe- Serft[8Tfa1t Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Declaration Parcel Ma p 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd oval Parcel Aval Plans A Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER N Permit Fee $ $ oel' 7V ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 10001 OR LE 0 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home fo Others ❑ Main service EA. AOD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1,00 NEW CONST. ( DWELING OR ADDNS. ACCLBLOGSCCUP. 4) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANC-OUTLET NON.RESID (MULTI BRANCH CIRCUITS/ 2.50ea NEW CONSTR (POWER APPARATUS e NON-RESID. SINGLE OUTLET CIR, Ex, Occur){OUTLETS OR FIXTURES 5 L� FIXED APLNS Ex. Occup. ( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. PERMIT FILING FEE$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 L $ Q CSS TOTAL PERMIT FEE $ p autnonze representatives or the county or twtte to enter upon the above-mentioned property for inspection purposes. X Date 1?.2 Sign re of Permitee or Agent Rorni ni Aln � �� D V White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOP60F PUBLIC WORKS By ` Date 14, Ing permit expires Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County -Center Drive, Oroville,'CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: �I Z4,223� 3. Is.,the. site currently under permit? Yes. / / No /Al (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) 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 /.Arl 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?"------------- �, Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes _% No (If yes, identify the load and size: (Load),., (Amps) .3 9. What is the mobilehome site gas pipe size? ----------------------` 7' (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG / / 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand?------------------------------ (BTU) (This information not required if pipe length less•than 6 ft.. on natural gas or less than 50 ft, on LPG.) r MOB ILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. �, furnish Setup Model No. Year Width_(ft.) Box Length(ft.) Tagalong or Expando Size (SHOW'SUPPORT DETAILS BELOW) 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). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) (ft. (in:) Single 1. Wood either pressure treated or foundation grade. ` 2. Other (specify) x (in.) (in Center sup ort Center upport locations footin sizes Supports (check one) " (i •) 1: Concrete block. C� 2. Other (specify) x (ft.)(in.) (" .) (in.) 4 4 -Tagalong or Expando, show support details. (ft -)(in.) in.) (in.) - -- Typical Support (in.) (in.) Footing Size x (ft.) in.) (in.) in.) -- Max. Pier Spacing (ft.) (in.) x -- Max. Overhang ( t.) (in.) (in.) (in �_ lSUTTE COUNTI BUILDING DEPARTM N! APPROVED � *If center piers are other than drawn above, draw in locations, spacing, and dimensions. • • I I'•� � � ©� �I�• '�� �� �.•� � l•i�• F��•k'F..� �'_-..ae•�Ji' � +} •N. A'`T' J?T'°hdi`�•4y., 1. � � ..� � 'w}t.. F .iw .d � '� ..Y �. • a. y 14 TT' aY t 1, win '' ftp x ,d 6 T-t•.T' R• 1z All utility connections shad bei located v ithin 4 fE-outside"the rear` third • section • of the :mobile .home on tl,e•left.(road) side*of 'he rp9bile home. - _3 _ Sept ic,system and location a#-�- �- to be as per Butte County Health Dept. Re- y quirements. I �o 3` -> 1 . 5� � l/%7� @.'Zetback shall be 5 ft. from he�P4f 4/1 e property line and 50 ft. from Ithe OB iterline of the road, permitting a maxi- k' E- R •60 �. m m of a 2 ft. eave overhang but entiely .ou of all easements. I (► ► C 1- /1�T-o S If n 0 0 K T All Materials & Workmanship Shall Be in NOTE:— Recognized Good Practices and Accordance with for the Spec use in the of a quality prescribed &Mechanical Codes and Uniform Building, the National Electrical Codo. Ths i set of plans and specifications uMUVS ul bo kept on the job at all times and it is lterations on same without make any changes or a permission from the Department of Pubs written lic Works. County of Butte' BUTTE COUNTY 9U11LD1NG DEPARTMENT APPR O V � D 4 PREF AA f.b`7 ...; Yy�y.�C` al":'.i vJ. A..�. r•+a ....b_ . 'r :n.a?r «.J:, +.el'. s... r.: .r .. :� Y_ .i.' 01. wn v T . r _ f 7 f . i t � u 7 z Y ' L ' Y 7 r a ry h _ '> } {� l• N -( h � M,11111111 X017 '. 1.• ,��'r , 1. s \ �`�• fin . r a °� Nic h y• nC• r :Y f+4–_. • � p � ,.. ••. � �' .I�� 1�, � 1- h� o'�+ec�.}a9. 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