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027-290-037
i - c UBBY & VAL CHACON S/S Aha Way, app 100'E Cricr AVc, lot 3 Palermo Permit#5153-80P,E(ukil, MH) ELEC 11 -If -90 GAS //-/ "£'O U SUPPORT STRUCTURE REQ Alt COMPACTION TEST RE Y1 �r - Contr: Li.icoln Vit age Mobile Home,Oro Permit#5676-8 I Issued ZZ -cg —KCD ` 7-29-37 1288c96M�I-I -cto MIRGON, 8193 Grier A Oroville (installation/MH _27-- 7 _ Permit#1182-90P (gas Piping/MH)- - -- . 27-29-37 Permi 8-90E ec service rChg/MH) 027-29-0-037 93-2021 B,P MIRGON, DONALD & ANITA 8193 GRIER AVE, OROVILLE CONTR: FEATHER RIVER MH MH ON PERM FNDN 027-290-037 TRANK,ROBERT 8193 GRIER AVE; Cont: OWNER OPEN DECK' 40000 ww q n i i - c UBBY & VAL CHACON S/S Aha Way, app 100'E Cricr AVc, lot 3 Palermo Permit#5153-80P,E(ukil, MH) ELEC 11 -If -90 GAS //-/ "£'O U SUPPORT STRUCTURE REQ Alt COMPACTION TEST RE Y1 �r - Contr: Li.icoln Vit age Mobile Home,Oro Permit#5676-8 I Issued ZZ -cg —KCD ` 7-29-37 1288c96M�I-I -cto MIRGON, 8193 Grier A Oroville (installation/MH _27-- 7 _ Permit#1182-90P (gas Piping/MH)- - -- . 27-29-37 Permi 8-90E ec service rChg/MH) 027-29-0-037 93-2021 B,P MIRGON, DONALD & ANITA 8193 GRIER AVE, OROVILLE CONTR: FEATHER RIVER MH MH ON PERM FNDN 027-290-037 TRANK,ROBERT 8193 GRIER AVE; Cont: OWNER OPEN DECK' 40000 ww q n NOTES 1; f RESIDENTIAL V 3_-,0 7?Z 027-290-0137 PERMIT NO. TRANK, ROBERT _ I 8193 GRIER AV , OROVILLE Cont: 0\VNER OPEN DECK 3 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED Date _ � r ll � Signature J=OK 0 = • 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 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test-Anchors-Regulator-Seryice Test 12. Electric Underground, 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s - 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23: Fire Sprinkler; Test 57. f Date 58. Card B-1 Date Card B-1 Date 59. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Shear Walls; Nailing -Bolts 24. Fixture & Transformer Clearance -Ins. Protection t Brace Interior/Exterior Wall Panels 25. Elec. Receptacles Spacing -Lights & Switches at Doors Insulation -Walls -Ceilings 26. Size Boxes & No. of Conductors Stapled t Infiltration -Walls -Windows 27. Romex Installed Close to Edge of Studs & C.J. Card B-1 Date Card B-1 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water, Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 1 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. r 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 70. Stairs & Rails Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s ' Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 36. A.C. Ducts Insulation & Support Elec. Outlets & Receptacles at Kit. Counter 37. Vent Fan, Exhaust above insulation Garage Fire Door; Swing -Landing -Closure 38. Condensate Drain & Overflow, Size & Grade A.C. Duct in Garage -Damper 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 81. 41. Sills Proper Materials & Anchors 82. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 83. 44. Draft Stop in Walls (rat proof) 84. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 85. 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65, Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements _ 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy ISCELLANEOUS ., Date , COVERS, CARPORTS, GARAGES (Plans) OK except #'s Date Z ing . equirements-Setbacks-Easements o i gs; Soils -Size -Depth -Spacing -Connectors -Steel Card B-1 Date Card B-1 Date Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) j 7. Elec 1. Zoning Requirements -Setbacks -Easements " 9. Siding; Nailing -Veneer -Stucco -Mesh 2. Footings; Size -Spacing -Marriage Line 11. Ext.; Steps -Doors -Landings 3. Blocking 6 6. 4. Gas; MH Test -Demand -Valve 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 5. Electricity; MH Test Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards- Ins. to Main Conduit 1 6. Water; MH Test 10. Plumb.; Cir. Test -Water Supply Test 7. Water and Sewer Connected Light Niche tr 8. Gas and Electricity Tagged 9. Exits Card B-1 Date Card B-1 10. License Decals Card B-1 Date - Card B-1 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ISCELLANEOUS ., Date , COVERS, CARPORTS, GARAGES (Plans) OK except #'s . 2V Z ing . equirements-Setbacks-Easements o i gs; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing l 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors j 7. Elec - mg.; Sills-Anchors-Studs-Rftrs-Trusses " 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings i 12. Braced Wall Panels 'Date 1 Card B 1 Date Card B-1 i Date Card B-1 Date Card B-1 Date POOLS (P s) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6 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- Panel boards- Ins. to Main Conduit 1 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche tr 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date - Card B-1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. rkk� PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS 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 Issued Date: 05/06/2005 APN: 027-290-037-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: $193 GRIER AVE PAL:. Date: Contractor: Map Index: 416 OPEN DECK Description: ( ) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: ROBERT M. TRANK AND CHRISTINE M. to its issuance, also requires the applicant for such permit to file a TRANK signed statement that he or she is licensed pursuant to the provisions of $193 GRIER AVE the Contractor's State License Law (Chapter 9 commencing with Section , 7000). of Division 3 of the Business and Professions Code) or that he or OROVILLE CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): (530) 533-0737 _ MIZI, as owner of the or my rtrank@pacbell.net property, 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' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: ROBERT M. TRANK AND CHRISTINE M. such work himself or herself or through his or her own employees, TRANK provided that such improvements are not intended or offered for $193 GRIER AVE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE CA proving that he or she did not build or improve for the purpose of 95966 sale.): (530) 533-0737 ❑ I, as owner of theroe p p rty, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article yf t Busines rand Profes 'ons Code Date! -_&Own WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance Engineer: g carrier and policy number are: Carrier: Policy #: Total Square Ft: 416 S. F. 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 Valuation: $4 160.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 1 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject a( employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of of • � / r /, /J ,+.% �) � � -/ /�/� (Vt7 S compensation, damages as provided for in Section 3706 of the Labor /,� code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This pm.nit in hereby issued u er the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to fo work indic to above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY f 4 / Date:�1 Name: PERMIT EXPIRES ON: Date Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ , Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. 1 acknowledge it is unlawful to alter the substance any ficial form o document of Butte Co nty. I hereby suthorize repre7ta 'ves of Butte County to enter uponthe ab ve mentioned property for inspection purpo Print Name: �lJ %'L�/ i Gl /L Signature: Date: wner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor 7r--= COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER _ r PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. 2 1. i. 1 ).. 6 Date �� 3 Inspector REV 4/05 Phone # 4 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. P050772 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. . LICENSED CONTRACTORS 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 Issued Date: 05/06/2005 APN: 027-290-037-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 8193 GRIER AVE PAL; - Date: Contractor: Map Index: Description: OPEN DECK (416) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: ROBERT M. TRANK AND CHRISTINE M. to its issuance, also requires the applicant for such permit to file a TRANK NK signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 8193 AVE 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit. subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): (530) 533-0737 _ I, as owner of the property, or my employees with their rtrank@pacbell.net wages as sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: ROBERT M. TRANK AND CHRISTINE M. such work himself or herself or through his or her own employees, TRANK provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 8193 GRIER AVE year of completion, the owner -builder will have the burden of OROVILLE CA proving that he or she did not build or improve for the purpose of 95966 sale.). C3 1, as owner of the property, am exclusively contracting with (530) 533-0737 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed r pursuant to the Contractors' State License Law.).: Contractor: ❑ 1 amE�Exempt under Article f t Busines nd Profes 'ons Code Date�9sL4.!rOwn WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 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 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance Engineer: 9 carrier and policy number are: Carrier: Total Square Ft: 416 S. F. Policy #: 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 Valuation: $4 160.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dater Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of a 4301-1114 PC-�/}�j �) f-r !�./ i)r `�/ �S O )�O /) // /j �(/ compensation, compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. /7 + 4 `GU!'f� u? i / GU CONSTRUCTION_ LENDING AGENCY This -permit is hereby issued ethe applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to o work Indic which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 2(telarbove'for By: Name: Date: � Chi i Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ , Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ . Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance any ficial form or document of Butte Co nty. I hereby 've/s authorize repre Pta of Butt County to enter upon,Lthe b ve mentioned property for inspection purpo Print Name: i / l 1 !�Z Signature: Date: 10wner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor n BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Namev-�A U_ 10 first me Address l C -z ; Q__' k `, e City o \ State zip Phone S3 7 37 Fax E-mail V U,C.A \ CS P lc.(—�e tAC -t Name CONTRACTOR Name Address Address State City Zip State Zip Phone E-mail Fax E-mail Map Book Lic. # Class Name ARCHITECT/ENGINEER Address Address City State tate Zip Phone E-mail V__ � V— Fax E-mail Subdivision Name State License Number APPLICANT NAME Name Zoning Address City 0V Oo 1 l State Zip C316(' b Phone 0 ` '5-5 3073 Fax E-mail V__ � V— . 1 Vl� mac: e -I- APPLICANT APPLICANT SIGNATURE X �7 For office use onl LOCATION Zoning 1-a ac 4 Flood Zone SRA I Yes I No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Name Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. Gs-d7!�A BIN # /\ Descri tion or S ope of Work: V 7T&A &�� Foot g H ( b cture Built wy O Propo ange of Occupancy o e previous use): EXPIRATION—OF APPLICATION Applications for which a permit has not been iss �i will expire one year after the date ea4 n or er to renew action on an a ea er expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. by: Amount: Lelk_j Bldg Receipt #: 9 xgli SRA Sheriff SMIP oL 6 j O Other Date: (V V Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 LOCATION AP# 0�� 1-a ac 4 Property Address 1 City Cross Street 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 Ares /\ Descri tion or S ope of Work: V 7T&A &�� Foot g H ( b cture Built wy O Propo ange of Occupancy o e previous use): EXPIRATION—OF APPLICATION Applications for which a permit has not been iss �i will expire one year after the date ea4 n or er to renew action on an a ea er expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. by: Amount: Lelk_j Bldg Receipt #: 9 xgli SRA Sheriff SMIP oL 6 j O Other Date: (V V Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 IN SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations, ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 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: 1 l Q� ASSESSOR PARCEL NUMBER v4.31 - cy,� Proposed Building Use: 69 (-'J Permit Technician: Date: J- Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in ord r o apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. Arx, 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0 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. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: ' .'' l Date: ✓ t 1. Index permit app ication f e o i u \ Plan Check Letter 2. Additional items re Contractor, designer owner adv s abo a by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, o er, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: 4 0, Date: zg Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. 20. Erosion Control Plan Required........................................................................ Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. Cl 23. 24. California Department of Forestry plan approval ❑ paid. Sent by: ........ Pianning approval for (A) Use: (B)Parking: (C) Parcel Check:........... ❑ 1' 25. 26. Contact Land Development about _ Improvements, _ Drainage ........................ NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... 0 29. 30. Worker's Compensation Carrier and Policy Number. umber.......................................... Owner -Builder Verification (__ Given to owner, _Mailed to owner) ..................... 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ ❑ 33. 34. Existing violations and/or expired permits......................................................... Deed Restriction.......................................................................................... ❑ ❑ 35. 36. 37. ❑ Lega description, ❑ M.H. Title, titl search, registration or MCO ......................... Other: o - Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: ' .'' l Date: ✓ t 1. Index permit app ication f e o i u \ Plan Check Letter 2. Additional items re Contractor, designer owner adv s abo a by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, o er, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: 4 0, Date: zg Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 N ) SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE All: BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=s # Units Amt. Commercial (sq. ft.) ............ -x_=$ Sq. ft. Amt. _ 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after P1an.Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) DATE RjE�CEEIIPTT # DATER�EC�.. 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10.OTHER�S j At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during thS plan checking process. APPLICANT ' V ( DATE 7 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) 0111"" � Department of Public Works .0 o u n t y o f B u t t e C 10)1. Michael Crump, Director LAND DEVELOPMENT DIVISION p / Storm Water Management Program 7 County Center Drive Oroville CA 95965 ASCI 5 (( ) 305 538-7171 -266 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN I ACRE1 Project Description: C- VG ✓y� p `-� `�- Project Location and/or Parcel Number: 2-q D-- O 3? o 0 0 By signing below, I, the project owner/owner's 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 build -outs 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 Control 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 a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: 6 a) kc- Date: cDate: I �`� C Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 �t� RRBfII�I3�Y��I`I}C'I ION, �xT'�1.."'�^.�".ir..�s..S'?`....�:± :9ae�i'i�..,...,.=L :�'�. .. ;e•.__. s.�`:��cr... ..z rX<...«_.... .....�li'•�..,. ,. �:��.. a:i.::`:.. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES ['�, ] NO [ ]. 2. I HAVE [ ] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. 'I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO:' 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: n� is NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department ofDevelopment Services ADMINISTRATION t BUILDING' GIS `' PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building pen -nit 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 pen -nit. 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o 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 their"own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building pen -nits 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 in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Mic el C. Vieirq, C.B.O. M ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Butte Coun[yDepartment ofDevelop7ielit Sel-vICCS 0�`3,'r�0 7 County Center Drive ° Oroville, CA 95965 1GY Y (530) 538-7601 Telephone (530) 538-7785 Facsimile-�Ny BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: 9 I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I an: required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones; and habitat/species). Please print: Applicant Name: � O be.FV V- T f `t V\, b-- APN: b Z7 , ZcC_D 03?—oc.� /j Building site address: �� G `� e f ' I ' e- Permit No.: ��� 0V0\)\'UC3 CCA -j Ci5�66 I have read, understood and accept the terms and conditions as expressed herein as indicated by my submissi of the above -referenced building permit application and my signature below: Z � C� 5 SIGNATURE OF APPLICANT DATE r,,..., t„ An„ ui t/ptvpat K:Forms/Bld2PermituithoutClearances 020705 E.N.d1SE ONLY Pilot Plan Anscliod". Floor Plan Attached w Sana to 8.0. TO: Building Department v� FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# . Plan Approved for: Sewage Dispose -L Water Supply: Public,T Private Well "N Clearance for dwelling. Other f 0, Hold final for: Final clearance O.K. for: NOTE: N ronmental Health Spelr list 8/96 Date The hiab ,uid rill he aho ut 4 ° off the g,uryivad . Ile, Ecviver &Ck wilt Iia'! 1.2. °° off the ground. The a affing Auilll he 36. " aiwon d Cli¢ Il Igher dock. 17he, steps w-11 be 4 s1:a p.$ trai ii1ore fire 8 °° high for each Oejll . stl.�i (ra]ltlu Irl' EI E�a•r ala el tan tll laiai a?tP eek. .�'�e .gt ops wjfl be 3" -wide with 'nie: tltvk mid I :lily: v -PRI too cOiittPOSRO deckotig Icy'Rh1fla E)ve> ing hfftidrail on eaeh. side. i9 RECORDING REQUESTED BY Mid Valley Title &.Escrow Company AND WHEN RECORDED MAIL TO: Robert M. Trank and Christine M. Trank 2320 Juanita Lane Sacramento, CA 95825 A.P.N.: 027-290-037-000 2�II�bS—G�O�bt+ i 5E& Recorded Official Records County Of BUT CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 03:500 21 -Jan -2005 REC FEE 13.00 TAX 310.75 Kathy Page i of 3 Space Above This Line for Recorder's Use Only File No.: 0403-1714681 (AM) GRANT DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $310.75; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, 'I L r X 1 unincorporated area; [ ] City of Oroville, and M1 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Donald R. Mirgon, an unmarried man hereby GRANTS to Robert M. Trank and Christine M. Trank, husband and wife as joint tenants the following described property in the unincorporated area of Oroville, County of Butte, State of California: PARCEL I: LOT 3 IN BLOCK 150, BEING AN ADDITION TO SUBDIVISION NO. 3 OF THE PALERMO CITRUS TRACT, BUTTE COUNTY, CALIFORNIA, ACCORDING TO THE OFFICIAL MAP THEREOF RECORDED IN THE.OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 10, 1894, IN BOOK 1 OF MAPS, AT PAGE(S) 20. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF THE FOLLOWING DESCRIBED PARCEL: ALL THAT REAL PROPERTY DESCRIBED AS A PORTION OF LOT 3, BLOCK 150, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ADDITION TO SUBDIVISION #3 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 10, 1894, LYING IN THE NORTHEAST QUARTER OF SECTION 22, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: Mail Tax Statements To: SAME AS ABOVE A.P.N.: 027-290-037-000 Grant Deed - continued File No.:0403-1714681 (AM) Date: 01/14/2005 COMMENCING AT THE SOUTHEAST CORNER OF SAID LOT 4, SAID POINT BEING THE EAST ONE-QUARTER SECTION CORNER OF SAID SECTION 22 AND BEING MARKED UPON THE GROUND BY A ONE AND ONE-QUARTER INCH IRON PIPE STAMPED LS 4208; THENCE NORTH 01 DEG. 15'56" EAST, ALONG THE EAST LINE OF SAID LOT AND SAID SECTION, 662.46 FEET; THENCE NORTH 89 DEG. 53' 39" WEST, LEAVING SAID EAST LINE, 199.95 FEET, TO THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED PARCEL OF LAND; THENCE NORTH 01 DEG. 15' S6" EAST, 145.44 FEET, TO A ONE- HALF INCH REBAR TAGGED LS 4208; THENCE NORTH 43 DEG. 18' 21" WEST, 197.43 FEET, TO A ONE-HALF INCH REBAR TAGGED LS 4208; THENCE SOUTH 55 DEG. 45'25" WEST, 511.90 FEET; THENCE SOUTH 89 DEG. 53' 39" EAST, 555.37 FEET, TO THE TRUE POINT OF BEGINNING. PARCEL II: ALL THAT REAL PROPERTY DESCRIBED AS A PORTION OF LOT 4, BLOCK 150, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ADDITION TO SUBDIVISION #3 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 10, 1894, LYING IN THE NORTHEAST QUARTER OF SECTION 22, TOWNSHIP 28 NORTH, RANGE 4 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF SAID LOT 4, SAID POINT BEING THE EAST ONE QUARTER SECTION CORNER OF SAID SECTION 22 AND BEING MARKED UPON THE GROUND BY A ONE AND ONE. QUARTER INCH IRON PIPE STAMPED LS 4208; THENCE NORTH 01 DEG. 1S' S6" EAST, ALONG THE EAST LINE OF SAID LOT AND SAID SECTION, 210.87 FEET TO A ONE HALF INCH REBAR TAGGED LS 4208 AND THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED PARCEL OF LAND; THENCE NORTH 01 DEG. 15' S6" EAST, CONTINUING ALONG SAID EAST LINE, 451.59 FEET; THENCE NORTH 89 DEG. 53'39" WEST, LEAVING SAID LINE, 199.95 FEET; THENCE SOUTH 01 DEG. 15' 56" WEST, 451.59 FEET, TO A ONE HALF INCH REBAR TAGGED LS 4208; THENCE SOUTH 89 DEG. 53' 39' EAST, 199.95 FEET, TO THE POINT OF BEGINNING. Dated: Donald R. Mirgon Page 2 of 3 A.P.N.: 027-290-037-000 Grant Deed - continued File No.:0403-1714681 (AM) Date: 01/14/2005 STATE OF California } )ss. COUNTY OF Butte } On before me, O GL '-'1. personally appeared personally known to me (or proved to rr on the basis of sat' factory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument'and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. TOSH;A M RYMEL This area for ohiciai Commisslon # 1487649 notarial seal • Notary Public - CaAfornla - .A.. Butte County Signatu My Comm. En*es Mayo, 2008 My Commis Expires: �J Ua Notary Name: 76fJ/-c `r 1'--7 • %%ZIe/Notary Phone: 53o Notary Registration Number: %CD . Gi County of Principal Place of Business:�Z`YO Page 3 of 3 W Y I It The higher decking thal is next tothe- house exte-adim 4 "wide.. acid wall he about 4 ' off the. gpvuFL-d The lower dick will, he 12 " off the ground. The, rainting mviMl be; 36." arou mid th*; IfLigher dock. The Ste ps wil be 4 steps no mare the 8 high for each sie surfing from, the higher- dock. to the lower deelL. The naps will be 3�' wide with handrail0-y-L each. side, U. The deckand raflswiflbe;coln ash deAddib m 'P. VOY'Rhino Deckin .9 --rft= CONN ";a _Tt AUILDIMG DEPAB P P0\ e)N 1 J61s.l. sp-maiing h a. MEAsirmum of I'S " spari widt, A orroa PROAk.4v in tonfel'. Mie pbmkir will be ls:,G woo& The 140*1,rdit CIO Ptst dr lfho M"t &CN 901! bkO Jj6 tteatOd 'Aibdd 3LJT-fE COUN I'l 1L ff MING DEPAFIT'-'F--,j A p p 0 v m rri 10.00 >c <'MZ 1 —.4 45 Decking and guardrail material is composit decking by Rhino or a simular product ..: GUARDRAIL: ' j DECKIU ' —� GIRDER 1. 2x6 Joist _ Decking---,., PAEB45T .4-IK9" POST 12" EK _ -ADW14M DIAGONAL % ° _ 6 Its• � Df;ACING. " " A? 2x6 jois1r14". Decking and guardrail material is composit decking by Rhino or a simular product b --= GUARDRAIL: ' cj DECKIU 1. rQ 'Joist Decking PRECA`POST 12"�Qfr �GDIA�ONA4 2x6 joist W1 'MIN. oncrete slab Steel braces bolted stud to concrete=®U`I UILDING DEPART �" R Y 4' to 6' 2'd(m' Jo 'l 15/4*NtV DECI(JUG r Cc�d%N I qul�I�� bEFAR�* P P c AUL81I NU LJr—r"'dl-3 A !tea " 0 V IF f.. Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX. HANDRAIL DETAIL HANDOUT Nailing shall comply with Table 23 -II -B-1. Minimum underfloor clearances from finish grade to wood joists is 18"; (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood is required. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Stairs serving 3000 sq.ft.and greater, risers shall be 7" max and treads 11" min. The dimension difference between the smallest and largest tread run or riser height within any flight of stairs can not exceed 3/8" (UBC 1003.3.3.3.3) Stair stringers shall be anchored to primary structure. Toenails subject to withdraw are not acceptable anchors (2320.13). 4' Max. 36" Min. Top of 4, MaX Top of peck 1y JoistyTl72lF Anchor stair stringers to the primary structure with an approved joist hanger and screws, lags, M.B. Pier posts greater than 3 feet in height need to be diagonally braced between posts. 4 - 16d nails or an approved post base connection If using precast piers, wet set precast pier into concrete footing. C 3-12 1-114- 3-12 Max. ro • Max -1 -12 • Min. 2-1/2' i Intermediate rails 4' Maxk8'Min. spacing shall prevent 1 -1rz the passage of a 4" 3-12 max diameter sphere. 1-1/4• to 2-12 - 4" Max. HANDRAILS 1 -1f2" Min. Handrail height 34"-38" 4•- r--, Not Acceptable 9•Min ®1 � iiaa�ic An approved post cap connection or connect girder & post with 1/2" plywd gussett & 3 - 16d nails top & bottom 3-2x12 6" Min. Stringers r 1 i �- 12 x 12 footing 8" Min. embedment TYPICAL PIER FOOTING V"yWa-- - - - — snge�rr-n,yo (� sillplateiwith p angle clip .4 x 4 post min. Min. clear width at stairs shall be 36" Min. 2'- 1/2" dia. thru b/olts required J Min. 2x pressure treated sill plate Handrail 1997 UBC.xIs V Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX . GUARDRAIL DETAIL HANDOUT Nailing shall comply with Table UBC 23 -II -B-1. Lumber shall be at least Douglas Fir #2 or better (D.F. #2).. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3) . and minimum 12" from the finish grade to wood girders or treated wood js required. No wood shall be placed closer than 6" to earth unless it is foundation grade or pressure treated. (UBC 2320.13) 4- Max] . 4- ! Max. 36" Min. m Top of Deck SIDE VIEW Min. 2x pressure treated ledger Min. 2 — 3/8" xlag bolts, or screws. TYPICAL LEDGER If the deck/porch is 30" Pier posts greater or greater above the than 3 feet in height finish grade a guardrail is need to be diagonally required. braced between posts 4 - 16d nails or an approved post base connection Min. 4 x 4 post @ 5'- 0" o.c. Intermediate rails spacing shall prevent the passage of a 4" diameter sphere. U 4' Max. Top of 3/4" clearartce Joist to the edge of -- �he wood member joist Min. 2 - 1/2" dia. thru bolts required. \ GUARDRAIL An approved post cap connection Girder or connect girder and post with 1/2" plywd gussett Post and 3 - 16d nails top & bottom 6" Min. ----------- If using precast piers, 12" x 12" Footing �" sn CPaV N 1--* wet set precast pier � l � �i � into concrete footing -"� ®���� ! la�gi A. P P R 0 V F TYPICAL PIER FOOTING Guardrail 1997 UBC.xls 4 The higher decking thatcid nest to ft. house extending 4 'widet and will he a -bout 4 " off the; aro and The lovver de-ek will be 12 " off the ground. The routing will be; 36"" orotuld the. higkoe deck The . sle s wil he 4 steps ne more, the 8 99 high for eachste v. star-Iming frog n the higher dock- to the lower declL. `Mem stops will be 3' wide with- h tdrait OLr The det k mbd r0s twill be; con-uposite dcogludag bY'Rhino Mcking 1:11M BUTTE COUN 1 -4 oa each side, qUILDING DEPART.. Jaim: spattibg is a. intmicuum of 16 'I'spare %vidiva enos VRMk W h2 tel3ten Ili# irks wiEl kw. U6 waiW_ Th` OftrAgs far 116 OtSt at fibb DaWer deck i0i W2-16 WCOW iA',Wd i3-tjT[E COUN i't jjLDING 0 Polito DEPAtA % 9 F1 C IV 4'. was wo oqi ot cpals mang sqipq soxuq I.miS pub(a of ftil ". it t xji qlj- siald -w&-o* oft -nom j3L)T[E COUNT,"t ,10ILDING I)EPAi W3r--- a v Iiii t s Decking and guardrail material is composit decking by Rhino or a simular product • • ' b ,,_:—=- GUARDRAIL: - c j DECKIIJ 2 y-4 . GIRDER - 2x6 Joist _ Decking --,,,,PRECAST ° 4 9' POST 12" fEPi _ AWOU47r DIAGONAL OWING. Z.•&? Ar 2x6 joist x1 '`MIN. ' MIN. • rooT irm Decking and guardrail material is y composit decking by Rhino or a simular product ' b GUARDRAIL: -' c j DECKIN 2"� 1. OVER ff IV • 2x6 Joist _ Decking----,,, 49" POST 12" ,P�R�ECAST A U47r DIAGONAL L AGNG. 2X y' 1 6 1 t p ` �i 'r �o� C [<teSla'ba�d 1 t joist Steel braces bolted stud to concrete'' v4j���-�l P I 4' to 0' Tyr. U� UI r n t �► a.m. eut Vee Joists 5/4*x!a' DECCUIMG r4W. tl �qlu lxk P p ♦ 'l Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX. HANDRAIL DETAIL HANDOUT Nailing shall comply with Table 23 -II -B-1. Minimum underfloor clearances from finish grade to wood joists is 18"; (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood is required. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Stairs serving 3000 sq.ft.and greater, risers shall be 7" max. and treads 11" min. The dimension difference between the smallest and largest tread run or riser height within any flight of stairs can not exceed 3/8" (UBC 1003.3.3.3.3) Stair stringers shall be anchored to primary structure. Toenails subject to withdraw are not acceptable anchors (2320.13). 3-12 1-114• 3-12 • Marz. to • Max. 1 -1/2 'Min.. 2_12•\- 1 4' Max. • Intermediate rails 4" Max. spacing shall prevent the passage of a 4" 3-12 Max diameter sphere. 1-114• 36" Min. m 2.12 4" Max. HANDRAILS 1.1/2 Min. Top of 4" Max. Top of Deck W Handrail Joist ® height 34"-38" Anchor stair stringers to the 4-• 8 -Min. Not Acceptable primary structure with an approved 4 x 4 post min. joist hanger and 9"Min screws, lags, M.B. Min. clear width I -111P. •• Girder at stairs shall Pier posts greater 6•Max be 36" than 3 feet in height need to be diagonally Past Min. 2 - 1/2" braced between dia. thru posts. , An approved post cap connection or bolts required connect girder & post with 1/2" plywd gussett & 3 - t 6d nails top & bottom 4 - 16d nails or an approved 3 - 2 x 12 ® Min. 2x pressure post base 6" Min. Stringers treated sill plate connection If using � � yv •N� precast piers, 12 x 12 footing $" Min. embedment �zt-�C yLDI* aG DEp /i, RTw /j l�� wet set Atta N r/1 l EYk precast pier stringer I` P R ^ V F into concrete sill p �! footing.TYPangle clip ICAL PIER FOOTING Handrail 1997 UBC.xIs Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX-. GUARDRAIL DETAIL HANDOUT Nailing shall comply with Table UBC 23 -II -13-1. Lumber shall be at least Douglas Fir #2 or better (D.F. #2).. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Minimum underfloor clearances from finish grade to wood joists is 18"; (UBC 2306.3) . and minimum 12" from the finish grade to wood girders or treated wood js required. No wood shall be placed closer than 6" to earth unless it is foundation grade or pressure treated. (UBC 2320.13) - 4 - Max. 4' Max. 36" Min. R v U) LL1 Top of Deck 1077771 V SIDE VIEW Min. 2x pressure treated ledger Min. 2-3/8"x" lag bolts or screws. TYPICAL LEDGER If the deck/porch is 30" Pier posts greater or greater above the than 3 feet in height finish grade a guardrail is need to be diagonally required. braced between posts 4 - 16d nails or an approved post base connection If using precast piers, wet set precast pier into concrete footing Guardrail 1997 UBC.xls Min. 4 x 4 post @ 5'- 0" o.c. Intermediate rails spacing shall prevent the passage of a 4" diameter sphere. 4" Max. Top of 3/4" clearance Joist to the edge of -- �he wood member joist II F -----------a \Min. 2 - 1/2" l� dia. thru bolts required. GUARDRAIL An approved post cap connection Girder •• or connect girder and post with 1/2" plywd gussett Post and 3 - 16d nails top & bottom 6" Min. 12" x 12" Footing embedment COUNi-* Y a�� ®L PA WPM; TYPICAL PIER FOOTING P R 0 v AM WHEN RECORDED MAIL TO: a BE BUILDING 7 COUNTY mT' OROVILLE Dam ATF. as DIVISION CENTER DRIVE CA 95965 '3 -0369571 1 Recorded I Official Records I County of I Butte I Candace J. Grubbs 1 IRecorder I 10:27am 27 -Aug -93 I #93-36951 Total .00 COUNTY OF BUTTE BUILDING DEPT SEP 0 9 1993 COMS XX 3 SPACE ABOVE THS LK FOR RECORDER NOTICE OF MANUFACTURED HOME, (MOBILZHOME), OR COMMERCIAL COACH, INSTA J -;TION ON A FOUNDATION SYSTF-4 Recording of this document at the request of the locai agency indicated is in accordance with California Healy and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon. upon the real property described with certainty below, as of the dote of recording. When recorded. this document shall be indexed by the county recorder to the named owner of the reef property and shall be deemed to give constructive notice as to its contents to all per- sons thereafter dealing with the real property. DONALD R AND ANITA K. MIRGON REAL PROPERTY OWNER/LESSOR 8193 GRIER AVE. MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS. IF DIFFERENT CITY COUNTY STA rE ZIP SAME AS PROPERTY OWNER UNIT OWNER (If also property owner, write 'SAME') MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION . LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DR. MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE. ZIP 93-20(916) 538-7541 GUILD IT NO. TELEPMOrvE NUMBER •8/20/93 SIGNATURE OF LOCAL AGENCY or -F CAL DATE FEATHER RIVER HOMES DEALZR NAME (If not a dealer sale, wr:ce 'NONE^) 91179 DEALER L.1C=.4SE NO. FLEETWOOD 1992 SPRING HILL 560-3A MANUFACTURER'S NAME DATE OF MANUFACTURE MOOEL NAME/NUMBER 14639SHA&B 26'X60' RAD 668290/668291 SERIAL NUMBER(S) LENGTH-X-WIOT)4— INSIGNIAi GEL NUMBERS) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER? A.P. #027-290-037 SEE ATTACHED LEGAL DESCRIPTION. HCD FORM 433(A) 4/.86 93-36957 151 2 0� ORDERBU-110763�3w DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I:' LOT 3 IN BLOCK 150, BEING AN ADDITION TO SUBDIVISION NO. 3 OF THE PALERMO. CITRUS TRACT, BUTTE COUNTY, CALIFORNIA, ACCORDING TO THE OFFICIAL MAP THEREOF RECORDED IN THE OFFICE -OF THE RECORDER_ -OF;. THE COUNTY' OF BUTTE, STATE OF CALIFORNIA, ON MARCH _'10'!-_-1894:'_l_IN ="=-_=r" - BOOK 1 OF MAPS, AT-PAGE(S) 20. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF THE FOLLOWING DESCRIBED PARCEL: ALL THAT REAL PROPERTY DESCRIBED AS A PORTION OF LOT 3, BLOCK - 150, AS SHOWN ON, THAT CERTAIN MAP ENTITLED, "ADDITION TO SUBDIVISION #3 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 10, 1894, LYING IN THE NORTHEAST QUARTER OF SECTION 22, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF SAID -LOT 4, SAID POINT BEING, THE EAST ONE-QUARTER SECTION CORNER OF•SAID SECTION 22 AND BEING MARKED UPON THE GROUND BY A ONE AND ONE-QUARTER INCH IRON PIPE STAMPED LS 4208; THENCE NORTH 01 DEG. 15' 56" EAST, ALONG THE EAST LINE OF SAID LOT AND SAID SECTION, 662.46 FEET; THENCE NORTH 89 DEG. 53' 39" WEST, LEAVING SAID EAST LINE, 199.95 FEET, TO THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED PARCEL OF LAND; THENCE NORTH 01 DEG. 15' 56" EAST, 145.44 FEET, TO A ONE- HALF INCH REBAR TAGGED LS 4208; THENCE NORTH 43 DEG. 18' 21" WEST, 197.43 FEET, TO A ONE-HALF INCH REBAR TAGGED LS 4208; THENCE SOUTH 55 DEG. 45 '25" WEST, 511.90 FEET; THENCE SOUTH 89 DEG. 53' 39" EAST, 555.37 FEET, TO -THE TRUE POINT OF BEGINNING. PARCEL II• ALL THAT REAL PROPERTY DESCRIBED AS A PORTION OF LOT 4, BLOCK 150, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ADDITION_TO� SUBDIVISION #3 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 10, 1894, LYING IN THE NORTHEAST QUARTER OF SECTION 22, TOWNSHIP 28 NORTH, RANGE 4 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA, BEING MORE PARTICULARLY DESCRIBED. AS FOLLOWS: CONTINUED 93-36957 -1157 U x�.ave..�....�..�.«.'-..-......_..�.`....�...___.-....y_...�i..c..:..,w.::..c-�� r _.�.._.»a.'ar.-= -- z.....^>':.�i_ - _ _..�'�� ORDER`NO`: `'BU=110763°'=3 J PARCEL II• CONTINUED COMMENCING AT THE SOUTHEAST CORNER OF SAID LOT 4, SAID POINT BEING THE EAST ONE QUARTER SECTION CORNER OF SAID SECTION 22 AND BEING MARKED UPON' THE GROUND BY A ONE AND ONE QUARTER INCH IRON PIPE STAMPED LS 4208; THENCE NORTH O1 DEG. 15' 56" EAST, ALONG THE EAST LINE OF SAID LOT AND SAID SECTION, 210.87 FEET TO A ONE HALF INCH REBAR TAGGED LS 4208 AND THE TRUE POINT OF BEGINNING FOR THE.HEREIN DESCRIBED PARCEL OF LAND; THENCE NORTH O1 DEG. 15' 56" EAST, CONTINUING ALONG SAID EAST LINE, .451.59 FEET; THENCE NORTH 89 DEG. 53' 39" WEST, LEAVING SAID LINE;" 199.95 FEET; THENCE SOUTH O1 DEG._ 15' 56" WEST, 451.59 FEET, TO A ONE HALF INCH REBAR .TAGGED LS 4208' THENCE - SOUTH- 89�-DEG!` 53' 39' EAST, 199.95 FEET,, TO THE POINT OF BEGINNING. f ,j r t RESIDENTIAL 027-29-0-037 93-2021 B,P MIRGON, DONALD & ANITA 8193 GRIER AVE, OROVILLE CONTR: FEATHER RIVER MH MH ON PERM FNDN _ J .t9C�L ft I \ v JOB FINAtA Signature 4 7 V=OK O = Not OK - = Not Appl = Not Raw Main; Soils-Elec. RESIDENTIAL (Single & Duplex) 3. Ftg., Garage; Soils-Steel-Elec. Grn&.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth . Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Teat -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test ater Pipe; Test -Anchor -Regulator -Service Test lectric; Underground NJ 13. Plenums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16, Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ina. 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/Mach. 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 Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials 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/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells 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/Initials FRAMING (Continued) 45. Hangers -Post Ceps -Anchors -Connectors 46. Ong. 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 -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. 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 -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instid.; Drive O Yes O No; Walks O Yes 0 No; Planters 13 Yes O 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 Comments at Final: V=OK O=Not OK = Not Reeaa.vy ble MOBILE HOMES I Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"Uft. / /"Nat. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MO HOME INSTALLATION Plana OK except #'s 1.J,oning Requirements -Setbacks Easements 2. Fps; Size -Spacing -Marriage Line t,-Demand-Valve—Connector F/Jr-Elloctricity; MH Test -Crossovers -Breakers -Clearances I -,,r Drain: MH Test -Fall -Flex Connector _J,o- ,i!Water and Sewer Connected -C/O to Grade -HD Approval and Cert. of °i, MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Caroorts: 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/Initials POOL Plans OK except #'s Setb s -Easements oils; 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-PaneIboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 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 PERMIT A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Cd -1^ J�1z2 �rr�9-�v�w7" S QTS t-Aloiy 7— Inspector Inspector REV COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 89172751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 „ CORRECTION NOTICE : _ l . OWNER PERMIT NO...' A routine inspection indicates that the following violations of Butte County Ordinances exist at:' , the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office �immediately. bJ %� A ale. + F l r Date /(j /inspector REV 10/92 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC / 7 County Center Drive - Oroville, California 95965 - Telephone. APPLICATION _AWRERMIT WORKS PERMIT N0. 916.'538-7541 ASSESSOq-PARCEL NUMBER 027-290-037 ZONING A-5 BUILDING PERMIT OWNER Donald & Anita MIr on TELEPHONE 534-7776 SQ. FT. OCC. BUILDING VALUATION 1,540 R 83 160.00 OWNER'S MAILING ADDRESS ' 8193 Grier Ave. Oroville 95965 CONTRACTOR'S NAME Feather River HOmes TELEPHONE 673-3614 CONTRACTOR'S MAILING ADDRESS 880 Onstott Rd., Yuba City 95991 Fireplace CONSTRUCTION LENDER UNKNOWN p Total Valuation $ 83 160.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee 525.50 2 $ 262.75 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 131.35 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 409.10 PLUMBING PERMIT Filing Fee 15.00 81()3 Grier Ave-, Orovillp Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 l Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ AdditionlJ Remodel❑ Utilities❑ Installation❑ Other ® Describe work: MH on Perm Foundation _ Permit Fee $48-90 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 18,50 200A OR LESS Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License .Jo. 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 OCCUPM 3.66sq.ft. OR ADONS. ACC. SLOGS. // NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS N) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 764 FIXED RESID )EA.) I 3.00 Ex. OCCUp. OUTLETS PR Temporary service 15.00 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. I shall not employ any person in any manner so as to become subject �1 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 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also a to save, indemnify and keep harmless the County of Butte against all liab i e es, judgrgots, osts, and expenses which may in any way accrue agains d Coun y I I c quence of the granting of this permit. X ` Date Signature of Applicant — Owner LraL ractor ❑ Agent ❑ An OSHA Y permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL EE $ HAz DFEES IMP F 0 PARCEL PDIssU This permit is hereby issued under the applicable provi sions of the Butte County Code an d/or-resolutions -. to do work indicated above for which fees have been pa d. TO DI ORKS By ate PERMIT EXPIRES Date Receipt No. $191.35 PC 143439 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT `.f�q�.�- _ 1fi..•5... �Y,,• ,th.,,v-.Ir'.,.f''N�sii'[r^.V.vYi�'h..,-"1f"..w+ri�ly�p'.r,ft.:+../"^"'(-x'13 fT�t^j�"�Y.��{.,'Y+v+�!`'i^vV'�va`-1�.��•.a -. .''+. i1�.. E -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING ILDIN - � U G DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAl`'IFO N A 95965 -TELEPHONE (916) 538-7541 (� !/ PERMIT APPLICATION DATASHEET OWNER SON . 14y/7` A. P. Proposed Building Use 1*06Ly% Building Inspector Date 6P At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 0�' . All items have been submitted . ..................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . ........................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5.. Hazardous Material Form . ............................................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9_,,.Mobilehome t nd ufacturer's installation instructions, 2 sets. ........... >Fees of $ ......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by_California Engineer................... 14. Sanitation and plot plan approval flood Health Department. . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: ....... _J 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . �19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. o Build 9 �speao� (Date) 21. Contractor's license information. No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). . ` .......... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ............................................ 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ..................................:'.. . Pla eck elf« FOR, X1/ / �4C_ H �3 When you issue the ermit, process as follows: Mail toowner. Mail to contractor. Telephon nd hold for pickup at D/office. Deliver with inspector. Other Parcel Creation / Acreage Applicant Date 6 7,��7, - 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). 1. Index permit for above items xc (, 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Plans checked by Date Plans approved by 1l )A f Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public WorRs N TO: 1hilding Deliaftmont FROM: Environmental Health SUBJECT: Sanitation Clearance Hoi Hail Au'adicd t koui ilkii Muidikod VX -L X 1 P3W7-0-57 A�4 IA', Owner 1. Location AP# Plan Approved for: Sewage Disposal V"' Water Supply: Public Private Well ly Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Environmen 8/92 th Specialist I I ACL14 g1p j ate COUNTY OF BUTTE - DEPARTMENT OF .PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER D / v A. P. No. -37 PROPOSED BUILDING USE IV- ��//�-L� ��DATE �� Ap� REC. # DATE REC 1. Al 2.. School District Fees O (paid at District Office) Sheriff Fees (paid at Building Department) Residential ..........X��0 =$360 unit amt. Commercial(per sq.ft.) R =$ sq.ft. amt. �3. Urban Area Fees (paid at Building Department Residential (per unit) X _$ # units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) &14 5. Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other At time of permit. application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE ,i�"_• ,- v.-Fr�'&4TJ�1,"" ,t-. `-Ny� �7,,,. } a. ;�,t P>ri':�t �•i�gs`_f4rA�`• Vita 'a,,*-: T' a ' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One,Form Per Building) School District e/� ��Q Building Department No. A.P. Number (' 06 l Jurisdiction 0 City County Property Owner Property Location/Address n 1Y_:5 le Subdivison Residential Development No. of Living MHI Units Commercial/Industrial 0 New Lot No. 0 Sq. Footage A Addition (Group R) FLW�M I� A4 14 ° kP 0 Sq. Footage Addition (Floor Plans reviewed by School District Personnel) , Date (Including Exterior Roofed Areas) . District Identificati:6 NO: j r, 4f' srw �+c �-i•u School District certifies that (Applicant) t1 (Street Address) (Phone Number) (City) (State)),) (Zip Code) has complied with the requirements of Resolution No. q0- I 14,by payment of $ representing /, k) square feet. School District Representative �f Paid by Check Number Bank Number 4 Paid by Cash Remarks: 61,;2, J93 Date If; subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this -project may be subject to additional school fees to fully mitigate its impact on the school district's schools. a.• White (applicant), Yellow (building department), Pink (school district) feeformmkt (4/92) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK- 6/`'/ 7 County Center Drive - Oroville, California 95965 - Telephone: 91G '538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER e!9217 _ 4Z D _ J ZONI , BUILDING PERMIT OWNER I DOVA LU A tl i T-�4 G? 6O iU TYLE SQ. FT. OCC. BUILDING VALUATION OWNER'S I ADDRESS + V V CON'r CTOR/t/NAME /.�J,o �C V X TELEPHONE CONTRACTOR'S MAILING AESS u� j�fl(y/) KCJ/ F i rep I ace CONSTRUCTION LENDER X UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee tea. , -' — Z $ cC ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPermit fee $ r PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 r O Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 �Q Building sewer 15.00 Q Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ` Remodel ❑ Uti lities ❑, )nstallationC Other ❑ Describe work: !✓ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20000AA OR LESS 2OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I. as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUPM OR ADDNS. ( ACC. BLDGS. // 3.6dsq.ft. NEWCONSTR. ULTI.OUTLET NON . RES ID BRANCH CIRC ITS @ 5.00 POWER APPARATUS (SINGLE OUTLET CIR.6 Ex. Occup( OUTLETS OR FIXTURES 20 46d FIXED APPLNS. OR EX. Occup. OUTLETS (RESIO.) EA. 1 3.00 1. Temporary service 15.00 Mobile Home Facilities 15.00 , 0 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. ❑ 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 Filing Fee 15.00 Heating Cooling LHood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this per 't. X DateYlq Signature o4 Applicant — Owner Contractor ❑ Agent permit is required For excavations over 5'0" de and demolition or construct- An OSHAq ion of structures over 3 atones in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE$9 HAz 1 0FEES IMP I FLOOD I COF I PARCEL PO Ho ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date i applicable provi- resolutions to do have been paid. WORKS Date I Receipt No. 3 ZZ WHITE-O.P.W.. YELLOW- ASO E330R. PINE -INSPECTOR. GOL E ROD -APPLICANT cm ATO W(n RECCROG MAA TO: BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 93-036957'. 193-036957 s 1 +-:3 9 ��7 I, Ota �r 1 Recordad I "pMX.icj,al- Records I County of I ;tte I Candace J. Grubbs I Recorder I 10 t 27an 27°-A'ug-93. 1 3-036957 C. ans NOTICE OF MANUFAC':UREJ HOME, (MOBILEHOME) , OR COMMMACIAL COACH, INSTALLATION ON A FOUNDATION SYSTMM Recording of this document at the request of the locai agency indicated is in accordance with California Health and Safety Code SeGion 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of file unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to ail per- sons thereafter dealing with the real property. DONALD R AND ANITA K. MIRGON BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 8193 GRIER AVE. 7 COUNTY CENTER DR. MAILING ADDRESS MAILING AOCQM OROVILLE, BUTTE, CA 95965 OROVILLE, BUTTE, CA 95965 Cm COUNTY STATE ZIP CTTY COUNTY STATE . ZIP SAME 93-20 (916) 538-7541 INSTALLATION MAILING ADDRESS. IF DIFFERENT BUILD IT NO. TELEPHONE NUMBER CITY COUNTY STA TE ZIP SAME AS PROPERTY OWNER UNIT OWNER (ZZ also property owner, write "SAat_"1 MAIL:14G ADDRESS C:TY COUNTY STATE ZIP UNIT DESCRIPTION / .8/20/93 SIGNATURE OF LOCAL AGENCT OFFtCTAL DATE FEATHER RIVER HOMES DEALS NARE (:F not a dealer sale. wr:ce "NONE") 91179 DEALER L:C=NSZ NO. FLEETWOOD 1992 SPRING HILL 560-3A MANUFACTURER'S NAME DATE OF MANUFACTURE" MOM NAME/NUMBER 14639SHA&B 26'X60' RAD 668290/668291 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL HUMBER(S) A.P. #027-290-037 REAL PQ0PERTY LEGAL DESCRIPTION ASSESSOWS PARC_L NUMBER SEE ATTACHED LEGAL DESCRIPTION. DEMI Cr - HCO FORM 4 3 3 (A ) 4/86 07 K '., I j 4 O ORD -Elk NO. BU -110763 -3 ------ DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: IAT 3 IN BLOCK 150, BEING AN ADDITION TO SUBDIVISION NO. 3 OF THE PALERMO. CITRUS TRACT, BUTTE COUNTY, CALIFORNIA, ACCORDING TO THE OFFICIAL MAP THEREOF RECORDED IN THE OFFICE OF THE RECORDER...:OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH '10, 1894, IN BOOK 1 OF MAPS, AT . PAGE (S) 20. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF THE FOLLOWING DESCRIBED PARCEL: ALL THAT REAL PROPERTY DESCRIBED AS A PORTION OF LOT 3,' BLOCK, 150, AS SHOWN ON, THAT CERTAIN MAP ENTITLED, "ADDITION TO SUBDIVISION #3 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 10, 1894, LYING IN THE NORTHEAST QUARTER OF SECTION 22, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF SAID LOT 4, SAID POINT BEING THE EAST ONE-QUARTER SECTION CORNER OF SAID SECTION 22 AND BEING MARKED UPON THE GROUND BY A ONE AND ONE-QUARTER INCH IRON PIPE STAMPED IS 4208; THENCE NORTH 01 DEG. 15' 56" EAST, ALONG THE EAST LINE OF SAID LOT AND SAID SECTION, 662.46 FEET; THENCE NORTH 89 DEG. 53' 39" WEST, LEAVING SAID EAST LINE, 199.95 FEET, TO THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED PARCEL OF LAND; THENCE NORTH 01 DEG. 15' 56" EAST, 145.44 FEET, TO A ONE- HALF INCH REBAR TAGGED LS 4208; THENCE NORTH 43 DEG. 18' 21" WEST, 197.43 FEET, TO A ONE-HALF INCH REBAR TAGGED LS 4208; THENCE SOUTH 55 DEG. 45' 25" WEST, 511.90 FEET; THENCE SOUTH 89 DEG. 53' 39" EAST, 555.37 FEET, TO THE TRUE POINT.OF BEGINNING. PARCEL II• ALL THAT REAL PROPERTY DESCRIBED AS A PORTION OF LOT 4, BLOCK 150, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ADDITION., TO SUBDIVISION #3 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 10, 1894, LYING IN THE NORTHEAST QUARTER OF SECTION 22, TOWNSHIP 28 NORTH, RANGE 4 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: CONTINUED ORDER -NO: BU-110763=3'`�� " PARCEL II• CONTINUED COMMENCING AT THE SOUTHEAST CORNER OF SAID IAT 4, SAID POINT BEING THE EAST ONE QUARTER SECTION CORNER OF SAID SECTION 22 AND BEING MARKED UPON THE GROUND BY A ONE AND ONE QUARTER INCH IRON PIPE STAMPED LS 4208; THENCE NORTH 01 DEG. 15' 56" EAST, ALONG THE EAST LINE OF SAID LOT AND SAID SECTION, 210.87 FEET TO A ONE HALF- INCH-REBARTAGGED LS 4208 AND THE TRUE POINT OF BEGINNING FOR THE.HEREIN DESCRIBED PARCEL OF LAND; THENCE NORTH 01 DEG. 15' 56" EAST, CONTINUING ALONG SAID EAST LINE, 451.59 FEET; THENCE NORTH 89 DEG. 53' 39" WEST, LEAVING SAID LINE, 199.95 FEET; THENCE SOUTH 01 DEG. 15' 56" WEST, 451.59 FEET, TO A ONE HALF INCH REBAR .TAGGED LS 4208; THENCE SOUTH 89- DEG!" 53' 39' EAST, 199.95 FEET, TO THE POINT OF BEGINNING. PAGE -5-, E,,40 OF DOCUMENT BRte ss Addreor location of 8193 GRIER AVE., OROVILLE rc legol Description of A.P. #027-290-037 Real Property SEE ATTACHED LEGAL DESCRIPTIONS `e NO. 93-2021 A EK-Mobilehome/Manufactured Home ElCommercial Coach has been affixed to the real property described above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name. DONALD R. AND ANITA K. MIRGON Owner's address: 8193 GRIER AVE. , OROVILLE CA 95965 RAD 668290/668291 14639SHA&B INSIGNIA OR HUD NUMBER: SERIAL NUMBER OR Y.I.N. MANG R 5 NAME FLEETWOOD 1992 YEAR OF MANUFACTURE: - 8/20/93 (916) 538-7541 (OH" ArWo V wca a, x edea, pAY►-O�r, C�n���nwln«. M.�-OKw ri. STATE OF CALIFORNIA DEPARTMENT OF HOUSING. AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION,AND TITLING SECTION STATEMENT OF FACTS This unit is a: obilehome [] Commercial Coach 0 Floating Home Truck Camper Decal (License) No.(s) Trade Name / Serial /No.(s) 1�q I/We, the undersigned, hereby state that the unit described above: Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on at ate) (City) (State) Signat of each of ant ddress w� c; ty �i�� HCD 416.6 (Rev 11/86) Printed name of each affiant State MID VHLLEY 1ITLE �Sr-rtPjd:"<7e�S:r,e (�jjyeigtiFiW- #-'.+; Requested By: mid Valley Title Co- -2 O,de. N'Q' - CwgwNo. 110763-3 ' Loon he. MIEN RECORDED MA'k,iO, Donald R. E Anita K. Mirgon 3533 Scorpio Drive Sacramento, CA 95827 APU 27-•29-37 MAIL, TAX STATE&I[NTS TO - Some as above 90^-01510@ 1 Reo Foe, 8.00 . DDC. 34,10 Recoraad ; Total 43.10 Officibl Records ; County ol` 1 Butte 1 Candace J. Ctubbe 9 Recorder 6t00aft 17 -Apr -20 ; dl{ 3 GARY TRN6FER Trac lt_3 4 - 10. . . C -VV wd — ehe vo%,v of prmv" GR it,e vc-�atie/n w V" 1pia%t/sjo�of�w� raevp� ns7.ro oa omc4 ;y�.i a` m{ _'Aa,,, weme _ `MID VALLL71 TITLE AND ESCROW COMPANY GRAN' DEED FOR A VALUABLt CONSIDUTATlON, rec*ipt of wAik s is hcrzby w*f*me4Bed, DOROTHY H. DUprit, A WIDOW! bdtby GAAfiT1Sj to DONALD R- BSXRGON AND A_NITA K. MIRGOU, NUSaMD AND WIFE, AS JOINT TENANTS Ow fcmt QroPerry In xhe o6 Unincorporated area of the c4urtIV C4 :butte Sure pi Ctdoorrila. de$vita'(1 .4 SEE 7147rACHED IXGAL DESCRIPTION # ''t';cs�;;;..•';,(:; 340 X � tj: #�}<rii{x11•1 �{F;:': j. {jal6a9._ arc il...i lt M ..-! - _. L ,� % ^•�� �-4- . SPATE tti C,�LlfOA :In 1 (vs. t Wim• r -a me Mtir7;,N d. v Not f•vtAc n erd k, sn.d $e.:e W.i � � •. • _.• .•_.:..�.._. _—__ _— ..—_.—___ _._.—. aia,e.a �e vod_ horoLh lt. Dunn .. _ .. _._ ..__--- -- -- •- -•-•• -•---- ----- `Q 9tY3�}:a"XPMz7:'R u= f„rr ' to —r c., tree W.9 of se,•s+a 1,Xv m �.'. _•: Ti 11 NUY A. STACK �•.>aRe , tQ I*v t-rrs.r��wn.�sc, n.. ��,.i6t n:,p7y�.ut,�:.:tw,J q6wt' v�, NOTARY FVOI:GCAUFWklA , ♦,T.•-% P, O4d fN',r 7r A; l 7 . Case► I n-i��. .,cr,,,•w �! •M a:e.r,a.•�: ,y p:7 r:. n,,. ver M.lL :'.ei1 Jt%f. ..,ed - �•' LRS 7 t - i�J tli: j' hi :+CJS % • Ip,^!9 i6,t121 %W1 TAP, `.I ;.•: I ,17 11 `.f p},,•!:,j IIID VALLE'Y' TITLE TEL 1 ?1-1�` '; Cly ' : 'Yr.7�;.1 "?�` ` 3 1. 5'� PJr .r�?(j P.02 :* COVT l IUFD iY�•3�P4�f.i`r'. 1 - �.i Y I a c • a• ORDER NO- SU -110763-3 139SCRI'P ION ,�. ALL THAT CLRTAIN2 RE.ALL PROPERrTY SITUATE IN TEM STATE OF .I,IFOIiAFIA, COUNTY OF BUM, DESCRIBED AS FOLLOWS: LOT 3 IN B14CK 150, BlaWG AN ADDITION To SUBDMSION NO.. 3 OF M PALERMO CITRUS TRACT, BUTTE C0t1rNB'Y, CALTrORUXA, AccoRDING To THE OFFICIAL MAP TFM 'OF RECORDE9 IN THE OFFICE Of THE RE0ORDER OF TETE COUNTY OF BU=' STATE OF CALIFOPY A, ON Il.RRCS 10, 1894, XN BOOK I OF MAPS, AT PACE(S) 20. EX4''EPTING TItMEFROR ALL THAT PORTION LYING RMIN TEM BO NW OF THE FOLLOWING DESCRIBED PARCEL. ' XLL THAT REAR, PROPERTY DESCRIBED AS A PORTION OF LOT 3, BLOCr, 150, AS SHOWN ON 4.T CZRTA.YN HILL MiTITLED, "ADDITION TO SUBDIVISION t3 OF THE PALERMO CITRUS TRACT °, WHICH N•Ap WAS iZECORDED IN 1'}IE; OFrICE OF TFiE RECORDER OF TETE COUNTY OF SIlnE, STATE OF CALIFORRIA, ON MARCH 10, 1894, LYING IN THE NORTH EAST QUARTER OF SECTION 22. TOW.KSHIP 18 NORTH RANGE R A1. ,' BUM COUNTY, CALIFORNIA, FILING Mon PARTICULARLY DESCRIBED A.S. FOLLOWS: COXIIENCING AT THE SOUiMiEAST CORNER OF SAID IAT 4 , SAID POINT BEING THE EAST -Z ONE -QUARTE, SECTION COS•NER OF SKID SEC:ZON 22 AND 5EII7G HAQ7�ED UPON THE CkOUND 3Y A ONE A1iD ONE --QUARTER INCH IRON PIPE STAXIIED LS 4209: TREIICE NORTH 01 DEG. 15' ON r 56^ EA;T, ALU THE EAST LINE OF SAID LOT ltJD SRIp SECTION, 662.46 FEE -PI THENCE NORTH 89 DEG. `•:;;'''::;:;':''' ::`.. '.'%?'. , , 53' 39" WEST TEXN 9 TO THE TRUE POINT OF BEGINNINGOR THE NDESCRIBEDPARCELLor 1:.N0; TftENCE NORTH 01 DEG. 154 560' EAST, 145.44 1 FET, TO .. • A ONE HALF INCH REBAR 'TAGGED 45 4208; THF,NCF NORTH 43 DEG. 184 2141 WEST, 197.43 FEET, TO A ONE-�HAIF INCH REBAI TAGGED LS 420S - THENCE SOUTH 55 DEC. 4 S 4 25" WEST, IE 1} DEC. 53' 39- rA„T, 555.37 FEET, TO THE TRUE POIINT OF BEGINT, THENCE NT G.�9 `� PhIiCPC, 7x. f. ALL THAT RrAC, PROPERTY DE:SCRIVED AS A PORTION OF IAT 4, BLOCK 150, AS. SHOW14 `'. Oto THAT CERTAIN MAP ENTITLED, "ADDITION TO SUBDIVISION 03 OF THF PAIX;U10 CITRUS !. ' TRACT", WHICH MAP WAS PECO RDED III THE OFFICE OF THE kECORDER OF Tf E 'i 5TAT CO"I Of' BUTTES F, of CALIFORNIA, oN FJARc8 10, 1894, LYI;;G IN THF 1Jor?IrFAST QUARTER 01' S£CT ION 22, TOWN :HIP 28 hU}ZTIt, RAID; E 4 EAST, M. D, B. b M., BUTTE COUNTY, CALIFORNIA, 13EIF'G MORE PA.R ' AS FOLLOWS. IC11L1RLY DF.:,CRIF3F•0 COVT l IUFD E C-Cacau-us .opt 3mugo HoL74 =23a So �'rA T8 WAT HI A'a'AI9TIL' Y'i'3=C)=�,IAL3 :=!6'1`fM-1 T4H .2•IA 18+;QI oIT ?.A 08UM2313 4nr'Mri0 NIKOW tAIMI' 7''IWAD =^a ":O C .011 140121VTOUVa 03' HOZTraaA XI �;KMa .Ost1 "Wo W C T0:2 b'T 3C!T aGf1C,SICYoA •AYN530gi L4* , "+��;i-r.'L� ST,'aIX �" XIAT ZIMTIO (tiAI A'i ,70 fs3c13:00ag S%T. 10 =x3%I0 SiiT RM X T.OI9gO '.41 ,0081 ,Ox SOAILW HO If'IHRO'�I.LO SIO k a'i ' .SIi.� '40 yTtft 0'J SR": .01 C3)271. t TA , WIAK 'I0 t 700, t �o gmsnoa Srr HIRTIt+ ORIYa RoYTACK W4 44 >:osrqmm omTTgao-v%1 :.I�R,Isi t.'s�s���a. �4LTt4!0.t •4 : �' 7l tttil8 . Tal 10 Kol "tio4 A 2� C3eisI32`3iI TTN g4ii4 ,IX.fR T. HT J AA OT HOi rYOCIhf' oa3.I'TZTi3 'I.�K t�IhTfI T/.Frt :Ick tl'r3+7Kc+ 2 , ,a;° L HAV qAX R,:)r tTrf wTOAS�'i' ZUAT10 O.ti"..3tiY.•�" iiFfl' `"� t3 14QX�:,/xa :'J� ,3'i`TtSB 40 YTi'luor) 23T 40 - A30A0037I 91i'i' '10 4315 IO SM i!I C '•'3}it��3 z 7AMIROSI 311T ISI DIUY•I ,Peet .Ot 105Wi LO r TK.ROIrJA0 ,' 3T.4 .- a .H.O.M ,TZA3 A 20MAX .HTAOM HI '41IM. ".iCri ,SS VIQIT'S3c . RQ '41TP- % 038I9"DZJU Y.ISiAJ=. ITaAq 3,%.4 aiflS.9,!i?3L�vyLi:.7 ,YTAUO:31 . 4 ( F.J1b1t Tztloq GTA2 14N Tod viiia �0 A3,Ljw T:r[:,t,'rMrg "T '1A �tiI] 7k• M OHA gS HtiX+032 OTAZ %* T,' '�f:GO 3tOTYr38 R3TR.iI,!7-:iYU TaJ:3 3F P 0:iI3K HOA I H'JU1 X 94T.nAUg-3110x~ a` i 3 �1U Q X8 OiT:. t i.) 3is'r RMtl :tS'r rig l ,?LiiXIA �T21Li ^d2 'L'.'� �s r SSI +tiH(3}! 3._; ifii •a?�P 2.1 t73iIhtiF2 39l.x SWSHT t1131 �t+.5,l "`+, Z 32 qzn? OStI. TW 0"; •ICJ a"I1 1'•413 '3HT IT33T ii ..4 t ,aKT:t','1 �3 C3IAZ :,AI w3J rau ""L ' £d .03C (O ii'rPC i 10 .130AI-cl 02HIAO83 IdIsmH 3Il;i 901 �JHD.S AOS3 iQ. TtlIO`Z 3tJA" ;�H'I' 7i' -340 1. OZ` ,T331 64-Z�I •^ZAI "bt 'ZI ;030 I) .MvOrf 30111 t' triLi, t "1S 'Ni .030 t' HTAO:t 3^,tl3Ha ;ai?SA 'moi QyOa.tt RA93A Fi:.tI 'IZr BQSO Z..I 03DOAT RA839 HIM i All^3'!J A '7T X33 CA.ttl ,"' i ea ti•i`UC a A! U63KT 3'1'33; 174" f t4 ,T?3N 'vs '?l .030 L'2 IITUO : 3?4f1111 .;Dgrmi:I03d iti 7'Hpi 3Us'T Sar 0'C ,T3 -+-i CC.1;G'. ,Tt:.I "Q£ 'C$ .:t7 3I0"0.18 to TOJ 'i0 HOITii0C1 A a% a.jgtp,.)aaQ Y!'},3't4R'i l�'iR '•A:tY 114 OT VOITIOCA" ,03JTITt13 "M " A"3:r T�Fr:. "0 }twC,}f3 A aer 8/i+I 'iRi Il711SW ,"TO�'IT 2JATi7 G;'4s'ri N 3H? :p C� 141}4 T•1i+t"J ,':I,Tlr n io Y fti:x.I •i0a 3F.T 10 A3li�{O A 3ttr 'NT TIT 11090��:i'1 II^rA'-51IIV,) 1h T3e'tTAOt ]HT 1YI Fti•+'. a..H.C}.M .TaA.1 A 3,t:AR ,iIVQt•t Ci tI1tt'r.'1,4i :i Ubi93.Z ':t' lM2f1AJy? Ciitit;i 3 t1 Y.tsir�.';1`aI: A 3S3o14 +E38 �r.itsI ZI.'t71 ,YTltuo? 3rfi}B' ,.t! I-diD ')ALLEY TITLE T E L I — 3'0j80,'MM",X'ifJUl 227'93 13:c5'2, No.02C-1 P. 03' END Of MOUMENT 108 ORDER M04 BU -110763-3 COHMENCrNO AT TIM SOVMZAJO�T coRmER OESAXO Lor 4. SAID pollrr BEING T. T -M EAST ON -E QUARTER SECTIO.4 CORNER OF SAID SECTION 22 AjjD BEING MAROMD UPON '71M GROUND by A ONE AND ONS QUARTER INC33 H MPED - PIPE STA. IS 4208, TREYM NORTH 01 DEG. 15' 560 EAST, AMI.M. THE Ll�h *E OF SAID LOT AND $A l) SEMOX, 21-0.07 FEET To A ONE INCR REBAR TA=VD LS 4200 AI;D Tn TMM p*XNT OF DEGINNING Mil T7M Rzrxim DUCRISED PARCEL OF LIR-ND,* THM4CX NORTH 01 DEC. 150 56" FAST, COSTUMING AIS 71C SAID BAST' =E, 451.59 rFXT,- 7=NCI MORM 89 MG. 531 39" WEST, LEAVING SAID Iltig, 3.99-95 FEET,' TEENCE SOUTH 01. DEG. 15' 56- REST, 451.59 "=, To A ONE HALF IN= REB" TAGGED M 4208, THENCE SOUTH 89 DEG. 53' 391 EAST, 199.95 FEET, TO VM Polli-T ;'F BZc-IM;jNr,. d4 44 END Of MOUMENT Butte County planning & building Oroville , CA 95965 To whom It may concern This letter is to inform you that Excel Mortgage acting as the broker, representing the lender for the property located at 8193 Grier Ave, Oroville , CA. In order to have insured financing placed on this mobile a permanent foundation will need to be in place an installed according to county building codes. If you have any further questions please contact myself or DeeDee Pryde at (916) 674-1100. Respectfully, Bill Koehler Loan Consultant 913 Clark Avenue • Yuba Ciiy, CA 95991 (916) 674-1100 Residential • Consiruccion • Commercial FAX: (916) 6744101 ("J/ Lo ,-This set of plans and specifications MUST be t (� O kept on the job at all times and it is u!'law ul{ �v ,+ make any changes or alterations on some , ti written permission from the DepaHment of Public �Qo�to Works, County of Butte. ` ^S C" ro e\\\ eat 5.�� II be required for the ect °' - -�� ' tre t I ' R .rjermit will vr\�`\y ck C\e 00\6 a� �,�`t\\P) o{ t�` � tnsthllation of t bile home- A { `. o� be,\. '. S\ae l\e i / . cct\y tre `off ra\4 o\e�o�e. foo so 3 / A Pi V-Lv utte County (�-. enh � Environmtal Health 0/ to sm, li, NOTE.—All Matorinls & Workmanship Shall Be in Accordance with Ric.-cmized Good Practices and of a`�uality prescriLer) Tor the Specified use in the Uniform Building, Plumbing A Machanical Codes and the National Electrical Code. 0 PC. I�A ,41' -2 -7 -..)?-.,37. 4aT ZY3 500 SQ. FT. MINIMUM FOR MOBILES rIl Ir' C. D S A setback of 5 ft. from the ; I S LO P r property lines and a setback I� of 50ft. from the road f4 Icenterline shall be clear of C �✓ structures or equipment except for a 2 ft. eave overhang. Rap __.:._ ... O�OV ► LLQ I Cir~ (F, r . C2 PSF ROOF LOAD PLANT*--L� ,,.. •.L uL l: ��� 7 i SEE •,21- -.SEE Pi•RIMETER PIEF;It:G ' 10U°fE1,'MIS TABLE —SEE MATING UNE PIERING TAE.E FRONT OF SEE PERIMETER UNIT PIERING REQUIREMENTS TABLE ' t�0 E: SEE P;BRING P11h A1;D PIED► L00 COACITY DRAWIt•�GS FOR REOUMEMENTS-OF MAIN F,tiIL SUPPORT &/ ACITYAND FOOTING SIZE. W. '%IWJN. (`.,E FIE:•E F C071t► 3 ;3:2 E ZLI X I g ,bleAd �d�bt�Ad -A d d I: QTc . f oo;ir►�� s'zcs bC <ej or.105DPS= s .: t� ren; VEIJE. If Sa:l Cn_nditionS direr Spe.Lhe.F�Er Lord CcpC (7i)' dfcV:lrin, 0' tne Ho'nE TE :tin;;; ; In�:EIp1,Ern:Irl Ior frici RESIDENTIAL 27-29-37 1135-90P,E ,MIRGON, Don .81q3 Greer Ave, Orovilll7ee I I OFFICE COPY f Address } Me S er By ID ate ELE TRIC ate Meter JOB FINALED (Date) �� G Signature ` ✓=OK O = Not OK - = Not Applicable ' = Not Ready RESIDENTIAL (Single _ & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door &Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation &Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain &Overflow; Size &Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made J=OK O = Not OKNot, = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 27SU s;'Special MH Support Sketch -3-Sewer; Location-Test;Fail-C/o Concrete ater; Location Easement Needed (Sketch) 0G'"Electricity; Location-Clearences-Grnd-/C//Amp-Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. ofW'L"ft.M"LPG 7. Utility Clearance L)e[� C'thc.tuk Datei►/ j_3 -9,6 Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOB LE HOME INSTALLATION Plans OK except #'s tf.-;Wfing Requirements -Setbacks Easements Footings; Size -Spacing -Marriage Line as; MH Test-Demand-Valve—Connector le icity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector Sr-Waier; MH Test -Regulator -Connector a r and Sewer Connected -C/O to Grade -HD Approval as and Electricity Tagged x(ts; Insp.-Sketch wtert. of Occupancy Date Card B-1 Date Card B-1 Date Card B -i Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs: Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 S44 •s inspector (i Date _ . COUNTY OF -BUTTE DEPARTMENT OF PUBLIC WORKS. _ 196 Memorial Way, Chico — Phorie: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 • 4 CORRECTION NOTICE ' r n,y, � •' •.r O N R ERMIT 0. 7 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.a f Z) S42 j.., S44 •s inspector (i Date 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 ER 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. Inspector Date '� � `1V -can 3 A� MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE f DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE " OROVILLE, CALIFORNIA — 534-4541 c� I PERMIT NO. Address or location of mobi lehome rS tt< 9, C' l V-1 E Y Owner's name �A I k- r) n Owner's address Insignia or hud number I' Manufacturer's name_ Serial number of V.I.N. �. (official iC proviri;§ Installation Year of manufacture '' 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. I Ik I ' 513B White - Owner, Yellow - Installer, Pink - D.P.W. rr i _ MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE ' OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobi lehome Owner's name Owner's address Insignia or hud number Manufacturer's name—, Serial number,of V.I.N. Year of manufacture (Official Approving 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. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California.95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. zo ASSESSOR PARCEL NUMBER 27-29-37 ZONING A5 BUILDING PERMIT OWNER Don Mir on TELEPHONE 368-1860 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 8193 Grier Ave. Oroville 95965 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 8193 Gr er Ave. Permit fee 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[] MobilehomeRg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti liti XM Installatio Other ❑ Describe work: s6EQVICE G li i~ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V R 00 AMP ORSLESS 10.00 10.00 Main service EA. ADC'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 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.h OR ACDNS. ACC. BLDGS. / , 2/z¢sgft TLET NEW CONSTRESIO, RANCH CIRCUITS) NO N.R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. ) EOp OUTLETS OR FIXTURES Ex. Occup( 20®s0c 9AL®30 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESIO.) EA.) 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 p, of Consent to Self -Insure. l�yl I shall not employ any person in any manner so as to become subject L� 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 ree to s e, indemnity and keep harmless the County of Butte against all Ii,b'lities, j dements, costs, and expenses which may in any way accrue agai t said Alty in gonsequence a the granting of this permit. Xi aL A Date Signature of Applicant — Owner Contractor ElAgent❑ 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 TOTAL FEE $ 35.00 HAz CUA PARK SCHL FLo ��D ISSUE Th's permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees 1 CTOR PUBLIC BY PE IT E IBES Date the applicable provi- resolutions to do have been paid. WORKS Date P�� Receipt No. 64127 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -rov'Ll2, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 27-29-37 ZONIN9rI BUILDING PERMIT OWNER Don Mir on TEL P ONE 368-1860 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 8193 Grier Ave, Oro 95965 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 8193 Greer Ave Oroville 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 MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S hp 1W 1 ea in nn TYPE OF WORK New Addition❑ Remodel❑ Utilities[:] Installation❑ Other Describe work: Gas Pining _ Mi n ChqrRp 99 -nn 9 -nn 9 -nn Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 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 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 ACDNS. ACC. BLDGS. 2h2sgft NEW CONSTR. RANCH TLET NON•RESID BRANCH CIRC ITS CIRCUITS) 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES 20 @ 80a eAL®30 FIXED APPLNS. OR EX. QCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also ree to save, indemnify and keep harmless the County of Butte against all li i ities, ju ments, costs, and expenses which may in any way accrue again t aid C in onsequenoe of the granting of this permit. X 4'6 rG�`� Date !> ,- � Signature of Applicant — Owndr Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 25.00 HAz CUA —'' PARK SCHL FLD 1 PAR " PO HD '- Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTO"F PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date 4�lf-F� a —/ F—�� Receipt No. 1 f / �J WNIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION. Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property" improvement (yes e* --era) 2. I (have/h��Rt) tf�,1417 `c signed an application for a building permit for.the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired -the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date l9i yD NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orpvi.lie, Cdlifornia 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION ' OWNER'S MAILING ADDRESS CONTRACTOR'S NAME - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 5 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ " PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 55,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome* Other ```""Y SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G 0.00e ` —'�' TYPE OF WORK New ❑ -Addition[] R,re--model Utilities ❑ Installation❑ Other Describe work: C�i> � 10-VA/I C/aQel-<��- Permit Fee $ r Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000 AMP ORV OR LESS10.00 Main service EA. AOD'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 ❑ 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.6 OR ACDNS. (ACC. BLDGS. ) /=¢sgft NEW CONSTR. ULTI.OUTLET NON-RE510BRANCH CIRC IT$ 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES ala 30 2ALO 30 C. FIXED APLNS EX. OCCUp. OUTLETS P(RESIC.)RE..) 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 (va!uation) or less. ❑ 1 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 Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE HAz I CUA PARK I SCHL I FLO PAR I 7HD ISSUE Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. COLDEHROO-APPLICANT T COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Paiifornia 95965 - Telephone: 916/538-7541 9 140 j APPLICATION AND PERMIT / ASSESSOR PAF�CEL NUMBER 27-29-37 ZONING BUILDING PERMIT OWNER Don TEL PHONE 26R-1 R(no S0. FT. Q(.`C. BUILDING - ON OWNER'S MAIL G ADDRESS CONTRACTOR'S NAME Own TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap .. 2.00 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[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W ed TYPE OF WORK New❑ Addition [J Remodel; � Utilities5'' j Installation)! Other ❑ Describe work: � g arks _ —10-00 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000 AMP OR1 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.SINGLE 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 ACDNS. ACC. BLDGS. l 2'h¢sgft NEW CONSTR MULTI -OUTLET NON•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS & OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50¢ I.AL® 30 FIXED APPLNS Ex. Occup. OUTLETS ((RESID,)REA.) 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. 'FU I shall not employ any person in any manner so as to become subject Ltw 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 a re to save, indemnify and keep harmless the County of Butte against all liab' ities, j gments, costs, and expenses which may in any way accrue agains aid ty n consequence of the granting of this permit. X f���/�J Date �✓ Signature of Applicant — )4). rA Contractor ❑ Agent ❑ An OSHA permit is required or 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 TOTAL FEE 7 .00 HAZ �H CUA PARK SCHL F PAfl PD PO HD Is u Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PE66 EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date 7�'J ?10_0 L, Receipt No. 64064 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT f♦r11+>-ryM*+syy�v►cwr 1;.'�r� �1Z7°'� . 1� '. '` �, X ��Y'✓"`*'A��*' nnir�" COUNTY OF BUTTE - DEPARTMENT OF�PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE- OA.i3 iLi= arlFORNIA 95965 - TELEPHONE: 916/538-7541 C/ PERMIT APPLICATION DA -f SHEET Permit No. OWNER ij/ _4/ w. < A. P. No. Proposed Building Use 44 Building InspectorDate 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 Ica signed by preparer of plans. . 41Se�i/6 P� 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 ..................................................... X13. School District fees paid .............. 14. Sanitation approval from "' Health Department 15. City of Chico plumbing permit. .. 16. Plot plan and business license ap-Prgval from City of (see City for other requirements)r 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 .................. 3. Owner-Builder Verification (Given to owner ❑, Mail to owner ❑) .... . 4) Recorded copy of Agricultural Acknowledgment Statement ......... O 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 444ZZX-on - �� Applicant - Date 6r,0 Copy of Haz-Mat form sent Health Dept. Fire Dept. Ir 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). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nall—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder.j Copy—DPW =s;. TO .Building Department FROM:- Environmental Health SUBJECT:. Sanitation Clearance Owner 0 Location., AP# r Plan Approved for: Sewage Disposal Water Suppl Hold final for: Final clearance O.K. for: Clearance for .-Z— bedroom mobile home. Other NOTE *** ,Water Supply Water Supply Sanitarian — ---- Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville.,•CvHfomia 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �+ ZONING -- BUILDING PERMIT OWNER 604 TELEPHONE J6v— / SIR:) SO SO. FT. I OCC. BUILDING VALUATION ' OW? W ER'S MAI LING(�D� RE55 ,Z CONTRACNAME T LEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S 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 S Penalty g BUILDING ADDRESS /v Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap '2,00 Solar or heat pump water heater 20,00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehom� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 1 G' AAI 10.00e a1 TYPE OF WORK New ❑ 'Addition ❑ Remodel ❑ Utilitie Installation Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 VAMP ORLESS10.00 EA. 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 F -1I, 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 Main service AOD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.� OR ADONS. ( ACC. BLOGS. , 2/20sgft NEW CONSTR. ULTI.OUTLET NON.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) ( SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES e0@ 0t 2AL@30 Ex. Occup. OUT ETS PRESIC )FIXPLNS.REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee S — �- WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for S100.00 (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 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. X-- ' Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An -OSHA permit is required for excavations over' 5'0" deep and demolition Or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee g occ CONST TYPE �-TOTALEE S`r HAZ CUA PARK SCHL FLD PAR PO HO ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ' Receipt No. Affr4nBy WHITE-D.R.W.. YELLOW-ASSE330R• PINK-INSP ETOR. GOLDENROD -APPLICANT COUNTY OF BUTTE-yDepartment of Public Works 7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your 'signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property "improvement '(yes ox—ae) 2. I (have/+rave—PeylaUG signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City "Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date 16 /yrs/ 9D NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9 0- 1 5 J 5 2 FOR RESIDENTIAL DEVELOPMENT Sey,tion 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 90-015152 Rec Fee 9.00 to land or included within an area zoned Check 9.00. for agricultural 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 chemicals, including, .. Butte but not limited to herbicides, pesticides, -Candace J. Grubbs ." and fertilizers; and from the pursuit Recorder of agricultural operations including, B:Main 1•7 -Apr -90 CD 3 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: Date: 4/ 16/90 PR ERTY WNERS : State of CALIFORNIA On .this the 16TH day of APRIL , 191_Q_, before me, ) SS. the undersigned Notary Public, personally appeared County of BUTTE ) DONALD R. MIRGON OFFICIAL SEAL SANDY A. STACK personally known to me. ®Proved to me on the basis NOTARYPUPLIC-CALIFORNIA of satisfactory evidence. pdnegni offim In BUTTE County mesa I:,DEC71999 o be the persons whose name(5) IS '� 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. Present A.P. No. 02.%-0�- / - 5 % /-, e � 4 . �X� Notary Public This set of_ plans ani! specifications MUST go kept on the job at all times and it is unlawful to matte any changes or alterations on same without written permission from the Department of Public Works, County o e tis Sra\\ e���e� al / rec��O J the te� \3N\ �y° re r�o d\oc e` lie{�) o�� `oe� ds�a 6\iec\y tre C°a / ra�f ok °tee• / N0TE:—Al1 Materials & Workmanship Shall Be in 'Accordance with Recognized Good Practices and of a ,quality prescribed for the Specified use in the UnifooM Building, Plumbing & Machanical Codes and - the - National Electrical Code. le - �v� ` 1 v la Q°* I S L0 pE will 6e required for the n of t�+e mobilehome• (�2 -2 7 ? � 0 5- 'L,07— z&3 500 SQ. FT. MINIMUM FOR MOBILES L AC -9 S A setback of 5 ft. from the S LO P E property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. .516 3 -80 BUTTE COUNTY BUILDING DEPARTMENT APPROVE® BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1: Owner's Name: Aaa- 2. Installer's Name:�� 3. Is the site currently under permit? Yes No ® . (If yes, furnish permit number ) OR Is the site an existing site? Yes ® No F-1 (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 FK No F-1 (If no, clarify E 5. What is the mobilehome electrical rating? --------------- J'3 -o Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- 50 Amps 8. Is there any other electric load to be served by the R1 F-1 mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load)- S0 (Amps) 9. What is the mobilehome site gas pipe size? -------------- NOIVC: in. 10. What is the type of gas service? ------------------- Natural F LPG 11. What is the gas pipe length from meter or tank to the ``�� mo -b lehome?--------------------------------------------- �V (ft.) * ---------------------- a 's the mobilehome gas demand? (BTU) (.his information not required if pipe length less than 6 ft. on ,Mural gas or less than 50 ft. on LPG.) .ty MOBILEROME SUPPORT DATA If other than single wide, Mobilehome Mfr. /Lf�/��1� furnish Setup Model No. YearZ�" Width la (ft.) Box Length s (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) 1:1 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)® 1. Concrete block. R 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE L1A�1e.. Line 1 �Sn � Main Beams Line 2 Line 2r` • — — — — — — — — _ -� — — — — Line 2 Main Beams — — — — — -- �Llne 4 Tag or Triple Line 1 Line 1 Piers: Size-Min.------------ Spacing-Max - ----------- Spacing-Max.---------From Ends -Max .------- Line 2 Piers: Size -Min. ------------ It Spacing -Max. ---------From Ends -Max.------- Line 3 Roof Loads: Size -Mill ------------- .,x „ ,.x „ ,k „ ,k � Location (From Front) _ Line 4 Piers: Size -Min.--------- Spacing -Max.--------- From Ends -Max.------- Line 5 Roof Loads: Line 1 Openings: size -Min .---------------- Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- k o Spacing -Max_______________- ,^ „ From Ends -Max .------------- Size -Min ------------------- „x „ Spacing -Max.--------------- '- n From Ends -Max .------------- Size-Min.------------ ux Location (From Front) _ i_ „ ,_ - „ ,_ „ _ ❑ ,_ n �- a Sti 'PERMIT NO. P,E t PERMIT EXPIRES ! �/� S'/�i OWNER BOBBY & VAL CHACON CONTR. owner ASSESSOR PARCEL 27-29-05port LOCATION SIS Aka Way, app 100'E Grier A e V lot #3, Palermo uu Temp. Power Pole Called PG&E Temp. Elec. Service Called 'PG&E - Temp. Gas Service Cal led PG&E JOB FINAL/EDICDate V Signatulid V = OK 0 = ?Jot' Ort = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBIL HOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's _ o 'ng Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements Soi Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Wa ; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing Electricity; Location—Clearances—Grnd.—/200 Amplioncrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures --6:—taas; tion—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors ility Clearance 7. Elec. Card -BI Date l kOCard-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except H's Date POOLS (Plans) OK except N's oning Requirements—Setbacks—Easements 1, Setbacks—Easements ootings; Size—Spacing—Marriage Line- 2. Soils; Compaction—Structure Stability �.1aes; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI r ; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 4f er and Sewer Corrected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater (jr,k—as and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit xits• Insp.—Sketch O_ -rt. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date and -BI Date Card -BI Date Card -BI Date Card B- Date and -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) Not Ready r 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 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. 4. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 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 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 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 #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. 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 Gas Pipe; Size & Anchors 62. Stairs & Rails _ _19. 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -81 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 #'s _ 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑ Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A1, Insulated Neutral EYes El No 75. Following ❑ instld.: Drive Yes No; Walks Planters❑Yes ❑No ❑ E) Yes E] No; 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Card B -I Date Card -BI Date Date Card -131 Date 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 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-81 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 #'s Comments at Final: 36. Sills; Proper Material & Anchors _ 37. 38. 3_9. 40. Walls; Studs -Nailing, Spacing &_Bracing -_Plates_ -Sound Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthna.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ _ 45. 46. 47. Attic Access; Size & Romex_Protection-Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) e ; MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wit equired separation from lot lines and buildings and generally conform to plot plan? Yes_ No . 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes L111 3. Are footings and supports.properly sized, spaced, and braced as per,,approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes o 4. Is the mobilehome level? (Sec. 5088) Yes_ 5: If mor than a single unit, are crossover connections properly installed? (Sec. 5088) Ye so_ 6. Water A. Is flex' le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yeso B. Test - Does water piping withstand working pressure or 0 lb . air test? Yes piNo_ Backflow - If coach is not State of California approve oes 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- 0 B. Does it have minimum k" per foot slope and is it properly supported? Yes - No C. Are any leaks detected in drainage system after running 3 �lons 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 Wmobilome gas line inlet without reductions other than the mobilehome connectoro B. Test 0 wing procedure? Yes No 1. Open ce 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 for10 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 o' 9. Electrical f' A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 10 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes'. o B. Is there proper clearances around panels? Yest C. Is power supply cord or feeder assembly properly fused? Yes+29o_ D. Is continuity test satisfactory as per the following procedure? Yes ilw_� 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 Manufacturer and/or Namestyle Length Width _ Vehicle Serial No. State Identification No. Additional Information or Comments: ` - COUNTY OF BUTTE { DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroviile — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 C®RRECiI®N NOTICE - BUILDING OR PROPERTY ADDRESS 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 Y &Z'Ie/52 / % S Cbz LS4 - Inspector Date_/.g— Z��gv— i 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 d f„ 7.4— %;;0'7 for the following location: Owner Owner Mobilehome Mfg. `�` l�o�-�_ --_..� Model" Year'/ Insignia No. -IL/ 14 !i Serial No30"I'?"ClO Lr74c-/ 9 It is hereby certified for occupancy at the above described location and may be occupied. _ Director of Public Works Date /,,I —.2 �! gy,f/,� THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White -Owner, Yellow - Installer, Pink - D.P.W. 'COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 "r APPLICATION AUD PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER --77 — 0 me --� ZONING BUILDING PE OWNER y �yA6)7' 1 �1 14 AQ-o,t1 TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADD E S 66 _A It CT)TRACTOR�S NAME VI � / ,g� 1 N. /t'T 0 R ' 5,A1J (/�P/L` �+y / `,fl//A ,fes}• 1 �`(� e . /� Q 9 LR1 RL111LING V l .ALN ESA �o! �/&u It. lt' 0,7`ti [Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OF�_ENGINEER LICENSE NO. Plan Checking Fee $ (� s Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS —�—� Permit fee $ BUILDING DRESS I PLUMBING PERMIT Filing Fee 3.00 V Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New[ Addition ED Remodel❑ Utilities❑ Installation( Other EJ Describe work: // _ A1453 -ALL f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR LESS5.00 / / Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP,&) 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): &;--,,am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s d d my license is in full' f r a d effect. f/] %� License No. �j Classification _L / ❑ 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 U TI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. ( POWER APPARATUS &) NON.RESID, SINGLE OUTLET CIR. 50 @ 250 Ex. Occup(o OR FIXTURES BAL@10S FIXED A FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ave 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 3.00 Heating Cooling Hood 2.00 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 liabil'ties, judgments, costs, and expenses which may in any ay accrue agai st id County in co ence of granting of this permit. Date ® Signature of Applicant — Owne Contractor Agent ❑ An OSHA permit is required for excavations over 5'0deep and demolition or construct- ion of structures ov�err 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I IS �Pe �/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY P T EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date//—?,* �'� p 1//_ ��IJ p �1� (Y3 Receipt No. WHITE-D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT • MOBILEHOME SUPPORT DATA 0 If ,others than single wide,2, � Mobilehome Mfr. `�- "� . - '" --� furnish Setup Model No. -� J ' Year Width? -?'q (ft.) Box Length 6 1D (£t.) Tagalong or Expando Size ft. :�' 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. Footings (check one) Single � Wood either pressure treated or ®` ! x • 1 �} foundation grade. (ft.)(in.0 (in.) (in.) F12. Other' (specify) { Center support locations* Center support,. footing sizes + Supyorts (check one) 1: Concrete block. 2: Other. (specify) (ft.)(in.) Gn.) (in.). �: rr .. y {,+t. r F ----Tagalong or Expando,' '+"`' ' ' show support details. D (ft.)(in.) (in.) (in.) x -- Typical Support ' (in.) (in.) Footing Size x�, , (ft.)(in.) (in.) (in.) �`.� �, -- Max. Pier Spacing (ft.)(in.) x F'; -- Max. Overhang (ft.)j(in.) (in.) (in.) (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT *If drawn ' APPROVED center piers are other than above, ____draw_ in locations, . spacing, and dimensions. 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: J' 3. Is the site currently under permit? Yep No (If yes, furnish permit number ) OR Is the site an existing site? Yes [ No /L (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 / f./ No (This information not required ifrpipe length less than 6 ft. on natural gas.. or less than 50 ft. on LPG.) (If no, clarify ) r 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 siteservice? --------------------------------------------------- Yes l f '` �f No (If yes, identify the load and size: ^'"'�� (Load)` (Amps) 9. What is the mobilehome site gas pipe size? 10. What is the type of gas service? ----------------------------- Natural 7-77- LPG 11. What is the gas pipe length from meter or tank to the mobilehome? r. 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required ifrpipe length less than 6 ft. on natural gas.. or less than 50 ft. on LPG.) 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 1 APPLICATI P AND PERMIT PERMIT N0. 6,2513— �� Aft ASSESSOR PARC L NUMBER 2-7— 2 5 POUT- ZONIN BUILDING PEAPAi 096,613 d /'T'1, 6YA�a/ TELEPH S0. FT. OCC. BUILDING VALUATION Opp( d AI L11�G_pfaVR ESQ, ` V{y. OOR /A'/ 'IfNAiME�,41WAfEel CONTRACTOR'S TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION L DER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILINt ADDRESS Permit Fee $ ARCHITECT OR LICENSE NO. Plan Checking Fee * $ /0"090 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ /0 A�PP/ 0 C` �/�. PLUMBING PERMIT Filing Fee /V00 �'r AVE. l//�' Each Trap 2.00 Repair drainage or vent piping 2.00 �0 Water piping LO�1�J. -r.�_IgiAd SUBDIVISION NAME Li&d PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeD?-,O-ther SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New❑ Addition El Remodel❑ Utilities Installation Other Describe work: — Permit Fee $ ©� 6 Contractor ELECTRICAL PERMIT Filing Fee 0.00 Main service ip0 AMP OR1 OR LESS5.00 cOO Main service EA. ADD'L too AMP 2.50 2_0 NEW LING O OR ADDNST ( ACCLBL GS.CCUP,&) 20sgft CONTRACTORS LICENSE LAW p y p l y (check one): I declare under penalty of perjury ) ❑ 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 R 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 CONSTR. MULTI -OUTLET NON-RESID. BRANCH clRc ITs 2.50 ea NEW CONSTR. /POWER APPARATUS 5 NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 5A@256 BL�tos FIXED APP LNS, OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,pd Misc. Wiring 6.25 WC—LL PUSW.00 Permit Fee $ 3;9-0 Contractor WORKMEN'S COMPENSATION INSURANCE 1 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. [Ck,F 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 Filing Fee 3.00 Heating Cooling Hood 2.00 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 Count in consequence of the granting of this permit. X Date1�, I/i�^ 0 /° g Contractor ❑ Agent ❑ Signature of A li am — Owner An OSHA per it s required for excavations over 5'0" deep and demolition or construct- ion of structur s ver 3 stories i height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ ��,�� OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD 65UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date/_�� / �� I J nr Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT T % BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: l30 NACO�e/ Address: Tenant: Building Location: Type of Inspection requested: AUC APP. 100'E. 6P-1Ce A. P. # 2 - 29-- 2'69 Date of Inspection Inspector 1. Housing. f_['2. Financing LL 3. Change of Occupancy to 4. Other (specify) F/eE PA -10146-.1 ' Present use of building A Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating' facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connectior. to sewage disposal: 12. Connection to wate•r'.supply: 13. Rubbish and garbage facilities: 14. Cum ents B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service i -id ground: 2. Receptac. es: ' 3. Fusing: 4. Comment: s : D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Cam ents• ' E Dither "INI Maintenance and repair: 2- Fire hazards:. 3: Safety haz'.-Ards:* 4. Weatl!er protection: 5. Underfloor and attic ventilation: 6. Cosiuients:- F. Commercial Building 1. Roof covering:_ 2. Distance to property lines: 3. Physically handicapped: 4. Restro= floors anal walls: 5. Exits: 6. Improvements: 7. Zon-Ing 8. G. Field Problems or Vicla�.iorxs 1. Problem or vl.olation "give roinplete. description): 2. What a(,tion taken (give complete -Jescription): 3. What an -Lion reco,=`ended: T7 A. -Infor-.-iation only - fil, / /. B. Hold for ten (10.) days, then wri-iu litter. Wrl.te letter. 77D. "they: T�r Coe— d/ e, FIR" t -n zvwRT FC -18 (1/80) ,trOORIGIN 1! nceTinN" ®®�® 1 ORDER NUMBER LR.U. JINCIDENT NO. L -_L_k _FIRE NUMBER REG.R.U. NO. A- L - - 2 SEC. TOWNSH0tVN RANGE [[ jt Z•Z ytt��[Is ❑W r START MO. DATE , YEAR COUNTY ?. S - -.� - FIRE NAME: hru C,4 A 0,0A1 MILE " IRECTIO XPROM ❑ IN NATIONAL FOREST, FIRE DIST., CITY d STREET NO., a ETC. Number $ DAMAGE (Nearest 100 J 3 INCIDENT TYPE ' WIR ❑ t ALARM TOP GO TO 10 4A RESPONSIBILITY (AT ORIGIN) 46 I IRE T PROT, RESp,(�D.P.R•) STATUTORY Ref. V STATE ZONE RESPONSIBILITY 10 ® WILDLAND BURNED OR THREATENED On SCHEDULE A D.P.R. STATE OUNPROTECTED DISTRICT 4oa OTHER AGENCY D.P.R. ❑CITY LOCAL ZONE ❑COUNTY 0 Lj SCHEDULE A D.P.R. ❑ U.S.F.S. ; 8oQ OTHER AGENCY D.P.R. (Unincorp) B.L.M. FEDERAL ZONE ❑ B•LA' ' 0 ❑ FEDERAL(except Military) D.P.R. N.P.S. O❑ SCHEDULE A •D.P.R. a ❑ OTHER. FEDERAL ® ❑ MISCJOTHERVZONE•) ❑ OTHER tC6AUSE(STARTS INoo g OR ONLY) not start 6n 1 2 g or 8 ❑ SMOKING [XEOUIPMENT HTNING ❑ DEBRIS ❑ PLAY W/FIRE MPFIRE ARSON ❑ OTHER/MISC. 6LAND USE(STARTS IN 1002 ORoONLY) ❑ Did not -tart h0 2 g o►O ❑ FOREST INDUSTRY ❑ DOMESTIC ❑RECR,EATION [� RANCH -FARM ❑OTHER INDUSTRY- COMRCL. 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