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028-110-013
^ . -_- - 28-11-13 �Drobish Rd Ban or Permit 703-74B (demolition Permit #5687-79fyEju , r e 3 eco"A ELEC.— 4 W ILI COMPACTION TESI (P 281,11-0-013 96' Road, Bangpr' 91, 028-110�013 PERMIT# 97-15y 113 SUTTQN, Gail, Donna, , Cont: Phil DeCAnn MH on Perm Fnd/Ex site / � 516 Lapor e SErl | (r n decks)'Jacus � N 13 ME S, Walter 1248-72PIE 8-11-1 2 CONTA: George W. Smith..' Oroville (utilities for m8bile home) " a l f '3C) T-7 -j K�. I � RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 x'97-032812- 197-032812 97-032812 I 971'-0;328121 Req. -Fee -00 I Total .00 Recorded 1 Official Records I 1 nty of I w utte t- Car CJ. Grubbs I - 'Recorder �I 3:36pm 3-Sep-9,Z�1_1 C 0 M S XX 3 I SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded; this document shall be indexed by the county recorder to the named owner of the real property and shall he deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. GAIL D. AND DONNA J. SUTTON BUTTE COUNTY BUILDING DIVISION MANUFACTURER'S NAME LOCAL AGENCY ISMANG PERMIT and CERTIFICATE OF OCCUPANCY 5164 LAPORTE ROAD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS BANGOR, BUTTE, CA 95914 OROVILLE, BUTTE, CA 95965 CITY COUNTY • STATE ZIP CITY COUNTY STATE ZIP SAME 97-1511 (916) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENTZ;@7A� TELEPHONE NUMBER 9/3/97 CITY COUNT)' STATE ZIP SIGNATURE OF LOCAL. AGENCY FICIAL DATE SAME NONE UNIT OWNER cif also property owner. Mite "SAME"t DEALER NAME of not a dealer sale. write "NONE't MAILING ADDRESS DEALER LICENSE NO CITY COUNT)' STATE ZIP UNIT DESCRIPTION MARLETTE HOMES 1977 MARLETTE MANUFACTURER'S NAME DATE OF SIANUFACTURE MODEL NAME/NUMBER 70465A/B 64'X24' ORE 014895/016164 RIAL NUMBER(S) LFVGI'H N WIDTH INSIGNIA I.A11FL NUMBF.RIS1 REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NI,>II11iR A.P. #028-110-013 SEE ATTACHED LEGAL DESCRIPTION. FICD FORM 433(.x) REV. 8/91 WHITE - Counn' Recorder CANARY - HCD PINI: -Applicant GOLDS•NROD - Building - Dept. LEGAL DESCRIPTION A.P. #028-110-013 All that certain real property situate in the County of butte, State of California, being more particularly described as follows: PARCEL L A PORTION OF THE NORTHWEST QUARTER OF SECTION 4, TOWNSHIP 17 NORTH, RANGE 5 EAST, M.D.B.&M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS; TO WIT: BEGINNING AT A POINT ON THE CENTER LINE OF THE MARYSVILLE BANGOR COUNTY ROAD, BEING ITS INTERSECTION WITH THE NORTH AND SOUTH CENTER LINE OF SAID SECTION 4, AS SHOWN ON THE MAP OF THE BANGOR TRACT UNIT NO. 1, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, SEPTEMBER 25, 1911 IN BOOK "7" OF MAPS, AT PAGE 50 AND ALSO SHOWN ON "MAP SHOWING PROPERTY OF WYANDOTTE LAND COMPANY" FILED IN SAID COUNTY RECORDER'S OFFICE, SEPTEMBER 14, 1917 IN BOOK "A" OF MAPS, AT PAGE 9, AND RUNNING THENCE ALONG SAID COUNTY ROAD CENTER LINE AS SHOWN ON SAID MAP, SOUTH 42 DEG. I P WEST 463.20 FEET AND SOUTH 64 DEG. 09' WEST 114.00 FEET TOA POINT: THENCE SOUTH 53 DEG. 47' EAST A DISTANCE OF 307.56 FEET TO A POINT; THENCE SOUTH 37 DEG. 30' WEST A DISTANCE OF 211.20 FEET TO A POINT; THENCE SOUTH 52 DEG. 4T EAST A DISTANCE OF 397.64 FEET, MORE OR LESS, TO A POINT IN THE NORTH AND SOUTH CENTER LINE OF SAID SECTION 4, THENCE NORTH 1 DEG. 19' WEST ALONG THE NORTH AND SOUTH CENTER LINE OF SAID SECTION 4, A DISTANCE OF 983.2 FEET TO THE POINT OF BEGINNING. PARCEL II: A PORTION OF THE NORTHWEST QUARTER OF SECTION 4, TOWNSHIP 16 NORTH, RANGE 5 EAST, M.D.B.&M., PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT IN THE CENTER LINE OF MARYSVILLE BANGOR COUNTY ROAD, BEING ITS INTERSECTION WITH THE NORTH AND SOUTH CENTER LINE OF SAID SECTION 4 AS SHOWN ON THE MAP OF THE BANGOR TRACT UNIT NO. 1 FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, SEPTEMBER 25, 1911 IN BOOK "7" OF MAPS, AT PAGE 50, AND ALSO SHOWN ON "MAP SHOWING PROPERTY OF WYANDOTTE LAND CO." FILED IN SAID RECORDER'S OFFICE, SEPTEMBER *14,1917 IN BOOK "A" OF MAPS, AT PAGE 9 AND RUNNING THENCE ALONG SAID COUNTY ROAD CENTER LINE, AS SHOWN ON SAID MAP, SOUTH 42 DEG. I F WEST 463.20 FEET AND SOUTH 64 DEG. 09' WEST 114.00 FEET TO THE TRUE POINT OF BEGINNING; THENCE CONTINUING ALONG SAID COUNTY ROAD CENTER LINE, SOUTH 64 DEG. 09' WEST 231.00 FEET; THENCE LEAVING SAID ROAD, SOUTH 52 DEG. 47' EAST 41.1.18 FEET, THENCE NORTH 37 DEG: 30' EAST 211.20 FEET; THENCE NORTH 53 DEG' 47' WEST 307.56 FEET TO THE TRUE POINT OF BEGINNING; EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL OF LAND; BEGINNING AT A POINT IN THE CENTERLINE OF THE MARYSVILLE-BANGOR COUNTY ROAD, BEING ITS INTERSECTION WITH THE NORTH AND SOUTH CENTERLINE OF SAID SECTION 4 AS SHOWN ON THE MAP OF THE BANGOR TRACT, UNIT NO. 1, RECORDED SEPTEMBER 25, 1911 IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 7 OF MAPS, AT, PAGE 50, AND ALSO SHOWN ON "MAP SHOWING PROPERTY OF WYANDOTTE LAND CO." FILED SEPTEMBER 14, 1917 IN BOOK "A" OF MAPS, AT PAGE 9. RECORDS OF SAID BUTTE COUNTY, THENCE ALONG SAID COUNTY ROAD CENTER LINE SOUTH 42 DEG. 1 I' WEST 463.20 FEET, THENCE SOUTH 64 DEG. 09' WEST 192.50 FEET TO THE TRUE POINT OF BEGINNING FOR THIS DESCRIPTION; THENCE CONTINUING ALONG SAID ROAD CENTERLINE SOUTH 64 DEG. 09' WEST 152.50 FEET; THENCE LEAVING SAID ROAD SOUTH 52 DEG. 47' EAST 371.64 FEET THENCE NORTH 51 DEG. 18' EAST 140.21 FEET; THENCE NORTH 52 DEG. 47' WEST 336.64 FEET MORE OR LESS TO THE TRUE POINT OF BEGINNING. ................... ..................................... ...................... .. ............................................ .. ........... . . ........ ...... : .. ...... :::: ............................ ...... .... .............. * .......... ................ ..... ..................... ....... ....... ...... ... ...... ... .... .... .... . ...... ..... : ................ ..................... ... . ........ . ...................... ...... ...... ....... ........... ........ ........... ......... ........... . ... . . . . . . . ... , ": :::: .......... ............................................. ............................. ........................ : .................... ...... ............................... ii�:ii�i;:�i�:�i�i�:i ..................... .............................. ............................................... .... ........ . .................................................. ....... ..... . ....... ......... ...... ................ . MT. ......................... ................... ................................ ........................ ................................. . . .. - - - - - . . ... - - M. -I..." :; : : : : : : : ..". . . . . . . . ....................... SZ - IF: ................................ .......................... ..................... .. v 11 . ........ ............ ......... .... ........ ......................... X: ......................... ............ ...................... ......... ....................................................... .............. .............. ............. ... ........ .... .. . . ....... ........... .. ......... .................. .......................... ........ .... ........... ......... .......... ...................... . ............... ... .. ................................................... . .......... . ................. .... .......... ** .............. ....... ...... ............................. ............................................. ... .......... ........... . ..................................... ...... ............... . ........ ....... .............. .................................. . ... . . . .................................... ...... . . . ... . ................ ...... .. ....................... . ................................ .... .... ........ ..... .... ... BUILDING PERMIT NUMBER: 97-1511 Address or -location of unit: 5164 LAPORTE ROAD;rBANGOR Legal D escription of Real Property: A.P. #028-110=013 SEE ATTACHED LEGAL DESCRIPTION. (x) Mobilehome/Man ufactu red Home O Commercial Co_ach Has beenaffixed- to theireal property above by installation on a foundati6n..I.sytem pursuant ' to'Health and Safety Code Section -18551. '-Owner's name: GAIL D. AND DONNA SUTTON Owner's address: 5164 LAPORTE ROAD, BANGOR CA 95914 INSIGNIA OR HUD NUMBER: ORE 014895/016164 ry SERIAL NUMBER OR V.I.N. 70465 A/13 MANUFACTURER'S NAME: MARLETTE HOMES YEAR: 1:077 OFFICIAL APPROVING INSTALLATION: DATE: 9/3/97 PHONE: (916) 538-7541 'H.C,,D. 513C _41 VF 9/3/97 OWNER GAIL.D. AND DONNA J SUTTON LOCATION: 5164 LAPORTE ROAD, BANGOR CA 95914 1977 MARL'ETTE SERI AL.,;#70465 A/B HUD #ORE 014895/016164, Page No. 4 0819/97 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION RECORD OF PERMIT FINALS JULY 1997 A.P. # PERMIT # REMARKS FINALED 065-14-0-017 97-0295 COV OVER EX DECK MH 07/08/97 038-09-0-026 97-0329 ELEC SER 07/01 /97 030-02-0-103 97-0401 NEW SINGLE FAMILY 07/01/97 027-08-2-016 97-0415 ELEC SER/WELL 07/15/97 043-72-0-007 97-0461 NEW PRI SWIMMING 07/09/97 POOL 029-25-0-037 97-0547 ADD GARAGE/SF 07/01/97 065-05-0-007 97-0614 NEW SINGLE FAMILY 07/25/97 071-37-0-014 97-0625 ADD LAUNDRY AREA 07/17/97 064-61-0-014 97-0718 ELE-SER CH/SF 07/24/97 039-23-0-005 97-0781 HVAC/SF . 07/14/97 056-22-0-013 97-0789 REPAIR STORM 07/08/97 DAMAGE/SF 047-37-0-032 97-0852 CONV PORT GARAGE TO 07/28/97 STG 036-02-2-026 97-0860 MH ON PERM FND 07/22/97 041-14-0-014 97-0874 COMM MH INSTALLATION 07/22/97 064-34-0-020 97-0896 CONV DECK TO 07/17/97 SUNROOM/SF 047-10-0-105 97-0902 CONY GARAGE TO 07/29/97 LIVING/SF 007-10-0-048 97-0941 REROOF/SF 07/14/97 043-25-3-009 97-0942 REPLACE HVAC & 07/09/97 GAS/SF 047-19-0-030 97-0943 MH ON PERM FND 07/08/97 039-56-0-008 97-0949 MOBILEHOME UTILITIES 07/16/97 039-56-0-008 97-0950 MOBILEHOME 07/16/97 INSTALLATION 033-06-3-006 97-1009 RETAG ELE SER/SF 07/24/97 073-12-0-043 97-1014 ELE FOR WELL & LOT 07/02/97 DEVEL 043-04-0-023 97-1024 REMOVE GARAGE 07/24/97 DOOR/SF 036-37-0-027 97-1032 MISC ELE/COMM 07/07/97 028-27-0-157 97-1037 MH ON PERM FND 07/09/97 036-64-0-026 97-1054 GAS LINE & HVAC/SF 07/10/97 011-31-0-030 97-1059 NEW PRI DET GARAGE 07/16/97 011-31-0-030 97-1060 OPEN DECKS/MH 07/16 97 041-36-0-085 97-1073 MOBILEHOME UTILITIES 07/24/97 036-65-0-045 97-1078 EX MH ON PERM FND 07/09/97 036-65-0-045 97-1079 OPEN & COV DECK/MH 07/17/97 040-02-0-142 97-1082 ELE SER CH/COM 07/09/97 028-09-0-011 97-1083 TEMP ELE WELL & LOT 07/01/97 DEV 030-13-1-044 97-1138 MOBILEHOME 07/16/97 INSTALLATION 065-28-0-033 97-1149 REPLACE DECK & 07/15/97 COVER/SF ❑ Main Office ® Oroville Bidwell500, Wall Street 1835 Robinson St. Title & P.O. Box 5173 P.O. Box 811 LaDonna Joyner Chico, CA 95927 Oroville, CA 95965 Escrow President (916) 894-2612 (916) 533-2414 Executive Officer (916) 533-2553 FAX (916) 533-1589 C�tfChief j' (916) 846-4583 Serving the north FAX (916) 894-0713 state since 1929 July 17, 1997 ❑ Paradise •7126A Skyway P.O. Box 490 Paradise, CA 95967 (916) 877-6262 FAX (916) 872-5129 ❑ Gridley 560 Kentucky St. P.O. Box 949 Gridley, CA 95948 (916) 846-4005 FAX (916) 846-0584 Butte County Public Works Building Division re: Mobile Home Decal #LAU9448 Dear Sir/Madam, The above described mobile home will be transferred as follows upon close of escrow: Registered owner: Gail D. Sutton and Donna Sutton P.O. Box 159 Bangor, CA 95914 Legal owner: Land Home Financial 1355 Willow Way, Ste 250 Concord, CA 94520 The above mentioned transfer would release the interest of George Gallant as the prior registered owner and Ford Consumer Finance as the prior legal owner. Tha you, Cindy Cost, Escrow Offi er Affiliated with the Chicago Title and Trust Family of Title Insurers BTEClletterheed Chicago, Ticor and Security Union Title Insurance Companies 0 ='a RECOROING REQUESTED BY: Fidelity National Title Company When Recorded Mail Document and Tax Statement To: Gail D. Sutton Donna -J. Sutton 25% Pailroad A%Er e Y a CLty, Ca. 95991 Escrow No. 157306-LWC Title Order No. 1-57306 APN:028-110-013 JPN The undersigned grantor(s) declare(s) 96-028379; Rea Fee 12.00 1 DOC 54.45 Recorded I Check 66.45 Official Records I County of I Butte 1 Candace J. Grubbs I Recorder I 8r00aa 31 -Jul -96 I FHTC VS 3 SPACE ABOVE Da UNE FOA FE00MERS USE ONLY GRANT DEED Documentary transfer tax Is $ 54.45 City tax $ I xx j computed on full value of property conveyed, or I j computed on full value less value of liens or encumbrances remaining at time of sale, (xx j Unincorporated Area City of FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Ellen Meyer, as Trustee of The Ellen Meyer Trust, under Declaration of Trust dated March 29, 1993 hereby GRANT( aGail D. Sutton and Donna J. Sutton, husband and wife, as Joint Tenants the following described real property In tfJRkftRf the unincorporated area of Bangor County of Butte Stato of California: See attached Exhibit "One" DATED: July 25, 1996 STATE OF CALIFORNIA COUNTY OF ft:tte ON illy 26, 1996 before me, I irda F. G119M personally appeared F3 an M -,yr. t¢t&-- P0;WA(jN (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Is/are subscribed to the within In and acknowledged to me that he/she/they executed the same In hls/her/their authorizod capacity(les), and that by his/her/their signature(s) on the Instrument the person(s), or the entity upon behalf of which the porson(s) acted, executed the Instrument. WITNESS my hand an clal seal. Signature iL— ~'~-- Unda F. ViLscn FD -213 (nev 3/94) Ellen Meyer, Trustee MAIL TAX STATEMENTS AS DIRECTED ABOVE GRANT OEEO Go�mns,:Ojcq r,% crq, P%y N, i;,a„iu;al u;: W.. -R 31.--n MAIL TAX STATEMENTS AS DIRECTED ABOVE GRANT OEEO Order No.: 1-57306LWC LEGAL DESCRIPTION EXHIBIT "ONE" All that certain real property situate in the County of Butte, State of California, being more particularly described as follows: PARCEL I: l� A PORTION OF THE NORTHWEST QUARTER OF SECTION 4, TOWNSHIP 17 NORTH, RANGE 5 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS, TO WIT: BEGINNING AT A POINT ON THE CENTER LINE OF THE MARYSVILLE BANGOR COUNTY ROAD, BEING ITS INTERSECTION WITH THE NORTH AND SOUTH CENTER LINE OF SAID SECTION 4, AS SHOWN ON THE MAP OF THE BANGOR TRACT UNIT NO. 1, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA; SEPTEMBER 25, 1911 IN BOOK "7" OF MAPS, AT PAGE 50 AND ALSO SHOWN ON "MAP SHOWING PROPERTY OF WYANDOTTE LAND COMPANY" FILED IN SAID COUNTY RECORDER'S OFFICE, SEPTEMBER 14, 1917 IN BOOK "A" OF MAPS, AT PAGE 9, AND RUNNING THENCE ALONG SAID COUNTY ROAD CENTER LINE AS SHOWN ON SAID MAP, SOUTH 420 11' WEST 463.20 FEET AND SOUTH 640 09' WEST 114.00 FEET TO A POINT: THENCE SOUTH 53° 47' EAST A DISTANCE OF 307.56 FEET TO A POINT; THENCE SOUTH 370 30' WEST A DISTANCE OF 211.20 FEET TO A POINT;. THENCE SOUTH 52° 47' EAST A DISTANCE OF 397.64 FEET, MORE OR LESS, TO A POINT IN THE NORTH AND SOUTH CENTER LINE OF SAID SECTION 4; THENCE NORTH 10 19' WEST ALONG THE NORTH AND SOUTH CENTER LINE OF SAID SECTION 4, A DISTANCE OF 983.2 FEET TO THE POINT OF BEGINNING PARCEL II: A PORTION OF THE NORTHWEST QUARTER OF SECTION 4, TOWNSHIP 17 NORTH, RANGE 5 EAST, M.D.B. & M., PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT IN THE CENTER LINE OF MARYSVILLE. BANGOR COUNTY ROAD, BEING ITS INTERSECTION WITH THE NORTH AND SOUTH CENTER LINE OF SAID SECTION 4 AS SHOWN ON THE MAP OF THE BANGOR TRACT UNIT NO. 1 FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, SEPTEMBER 25, 1911 IN BOOK 117" OF MAPS, AT PAGE 50, AND ALSO SHOWN ON "MAP SHOWING PROPERTY OF WYANDOTTE LAND CO." FILED IN SAID RECORDER'S OFFICE, SEPTEMBER 14, 1917 IN BOOK "A" OF MAPS, AT PAGE 9 AND RUNNING THENCE ALONG SAID COUNTY ROAD CENTER LINE, AS SHOWN ON SAID MAP, SOUTH 420 11' WEST 463.20 FEET AND SOUTH 940 09' WEST 114.00 FEET TO THE TRUE POINT OF BEGINNING; THENCE CONTINUING ALONG SAID COUNTY ROAD CENTER LINE, SOUTH 640 09' WEST 231.00 FEET; THENCE LEAVING SAID. ROAD, SOUTH 520 47' EAST 411.18 FEET; THENCE NORTH 370 30' EAST 211.20 FEET; THENCE NORTH 530 47' WEST 307.56 FEET TO THE TRUE POINT OF BEGINNING CONTINUED "•' PARCEL II (CONTINUED) ORDER' N0. 1-57306LW �^ EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL OF BEGINNING .AT A '= ,LAND: POINT IN THE CENTERLINE OF THE MARYSVILLE -BANGOR COUNTY ROAD, BEING ITS INTERSECTION WITH THE NORTH AND SOUTH CENTERLINE OF SAID SECTION 4 AS SHOWN • ON THE MAP OF THE BANGOR TRACT, UNIT NO. 1, RECORDED SEPTEMBER 25, 1911 IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 7 OF MAPS, AT PAGE 50, AND ALSO SHOWN ON "MAP SHOWING PROPERTY OF WYANDOTTE LAND CO." FILED SEPTEMBER 14, 1917 IN BOOK "A" OF MAPS, AT PAGE 9, RECORDS OF SAID BUTTE COUNTYf THENCE ALONG SAID COUNTY ROAD CENTER LINE SOUTH 420 11' WEST 463.20 FEET; THENCE SOUTH 640 09' WEST 192.50 FEET TO THE TRUE r` ,.�.5. POINT OF BEGINNING FOR THIS DESCRIPTION; THENCE CONTINUING ALONG SAID ROAD CENTERLINE SOUTH 640 09'•. WEST 152.50 FEET; THENCE LEAVING SAID ROAD SOUTH 520 47' EAST 371.64 FEET THENCE NORTH 510 18' EAST 140.21 FEET; THENCE NORTH 520 47' WEST 336.64 FEET MORE OR LESS TO THE TRUE POINT OF BEGINNING. 1 eeltlf� under' pee•Il► of fleev dlWent We t• -hill, thle •tatewenl li 1"011411 leads'a•to sitiie Hewn of net•ry LINDA F. WILSON V31/2= enwwl••Idw toe 1x13173 e--_.nenlre.....,• Out CI151 levntt CAIII•tl r Floe@ of eeeevilen of lhle 0•el•,etlonO[W1111_ 'ool#pi---, '�; FNr fac_ � in• v e • 1.•w �nf i End of Legal 1 ,.��r,. .i..�i•r.l�)�•.r.'r•�i�i ''A%l.;Ii'!Ybir: r:ri" :,i:,,u ..l i,''1 :1'� � ",�".L',••:1 �:,• f 'sf�:' . �'• d•_ �', _ � ,ice':-. 'ii .l 9.l/' qY NRY-12-1997 16:48 g 314 tQ 916 224 4817 P.02iO3 STATE OF C:ALJ FOKNTA DEPARTMENT Of: HOUSING AND COMMUNITY DZVF.LOPMENT TITLE SEARCH - REQUESTED ON 05-17.-y7 AT 16:10 BY CD*RE1)02 DECAL: LAU9448 MAN'UF: MARL.ETTE HOMES TRADENAM: MARLETTE MODEL: MAkLETT$ MANUFACTURED ON: 00-00-77 FIRST SOLD ON: 00-••00 RAPING YR: NONE If3 ORIGINAL PRICE, CLASS: AWL REG EXPIRATION I]ATE: NONE It;T EXEMPTION: NONE: USE: MH SNGI.E E'AMl'I,Y TAX TYPE: LOCAL PROPERTY SI+RIAT., NU11T3ER(S) 70465A LABEL/INSIGNIA NUMBER(S) LENGTH 70465$ ORE0 148 9 S WI 11TH 016164 768 144 RECORD COND: 47 NO PARK PURCHASE; FUND EXEMPTION EST 768 144 35 UNIT TRANSFERRED TO T,P'C UPON VOLUNTARYREQUESTREGISTERED OWNER: GALLANT GEORGE 2920 CLARK RD Sp 12D. PAST REG CARD: Di -19-95 OROVILLE CA -95965 LOCATION ADDRESS: 2920 CLARK RD SP 12D OROVILLE CA 95965 BUTTE COUNTY LEGAL OWNER: FORD CONSUMER FIN PO BX 1.690 . ' LAST TITL.t:: 01-19-95 CLACKAMUS OR 97015-1690 LIEN PERFECTED ON: 11-7.8-94 AT: 12:35:00 END OF TITLE SEARCH** DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Division of Codes and Standards *DvgING oil ,�O 9 } Title Search � G'h Dv0 Date Printed: 06/12/2015 i Decal #: LAU9448 Use Code: SFD Manufacturer: MARLETTE HOMES Original Price Code: AHL Tradename: MARLETTE Rating Year: Model: i MARLETTE Tax Type: LPT Manufactured Date: 00/00/1977 Last ILT Amount: .Registration Exp: Date ILT Fee Paid. First Sold On: 00/00/1978 ILT Exemption: NONE Serial Number HUD, Label / Insignia Length Width 70465A ORE014895 64' 12' 704658 016164 64' 12' Record Conditions: Permanent Foundation - 18551 Voluntary Conversion to LPT Last Reported Owner: GEORGE GALLANT 2920 CLARK RD SP 12D OROVILLE, CA 95965 Last Title Date: CANCELLED Last Reg Card: CANCELLED Sale/Transfer Info:; Price $23,000.00 Transferred on 09/02/1994 Situs Address: 2920 CLARK RD SP 12D OROVILLE, CA 95965 Situs County: BUTTE Inactive Decal/DMV: DECAL AAE2888, DMV SP7341, DMV SH5391, DMV SH53.92 ! *** END OF TITLE SEARCH`"c* 010 �er,ws�,°�- � g6 ,. � (tel . • C014Y OF BUTTE l)EPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIStw 7 COUNTY CENTER DRIVE - OROVILLE, GALIPORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLIC$TION DATA SHEET OWNER: C t%� ASSESSORPARCEL ER: J —0/j Proposed Building Use: 111,q Arn,F inspector: spector: Dater Vk� At time of permit application, I was advised the following data must be submitted `prior to permit processing and/or issuance: Date Received By 111. All items have been submitted. ------------r---------------------------- -- ---------------------------------------- Plot plans,sets, signed by the preparer of plans. ------------ -- ------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ------;'------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All `engineering must be shown on plans. -------- ❑ 5. Engineered tru s details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ Manufactured Home data and installation instructions sluding—Tk-DQvm.Spe> bi®ns------------------ Feoaj,es of $ ..s ------------------------------------------------------ ---------------------- pact fees as shown on theLattached schedule: --- -- ----,---- --LL--------- - -- _�1___ -�1 -- Califomia Department of Forestry plan approv fees. -- - --------------------- 1113. ---------- ❑13. Flood elevation certificate. -------------------------------------------- : -------------------------------------------- Sanitation and plot plan approval�Health-Department- ----------------------------------- F ------- Ell 5. ------ ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --- 1120. Pre -inspection for required Request to Building Inspector on 112 1. Contractor's license information. (Number, Name Style, Classification)- ------------------------------------ El 22. Workers' Compensation carrier and pol icy number. --------------h ------------------------------------------ E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -------------------------------------- ❑?4. Letter of signature authorization. ------------------------------------------------------------------------------ 25 . Recorded qf A� i�ultural Acknow ed ent tate a ------ sP; - ----, =--- t n 6. Letter of intent on -g use. --- �--- --- �-`-'c-- ��------------------------------- cn 027. Manufactured Home utilityclearance.--------------------------------- ------------------------------------ ------------------------------------ 0 28. Existing violations and/or ex fired p -----:to r-;,-------------------------- ----------------------------- Id29. 3 A jGrant Deed H. Title, ChecH.C.D $ 'o'jo7 � ��--------------- ❑30. Other: _______ Wo /C a _ (Dat. , 4 When you issue the crnrit, process as follows ❑ Mail to owner, ❑Mail to c tractor. Telephone V 1-,��o and hold for pickup at �D d i Q office. ❑ D *ver ' inspector. Applicant' Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered:: ❑ Plan Check List 2. Additional items required: + Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ B ildin sion counter, by Date: Plans reviewed by: Date: Plans approved by: Date: — 2 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: T Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance S-�-t TZ-Yj 6. Owner E.H. USES Plot Plan Attached Floor Plan Attacqjd—�� Sent to B. . — 7 Location AP# Plan Approved #,or:w1geDi��osal _ Clearance for dwelling. Uther Hold fin fo . Final c arance O.K. for: NOTE: Environmental Health Specialist 8/96 Water Supply: T Public Private Well \�r,0"vk5 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville California 95965 - Tele hone (916) 538-7541 (Rev. 12/96) L r APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER d�or3 ZONING �9S BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION r5 T 524 7 OWNER'S74ALt ! RESSY'a DI'� - Aln r 0A Q�/ / CONTRACT 'S NAM d 144 TELEPHONE VV C CONTRACTORS MAILING ADDRESS CONSTMOWLENDER �e Fireplace LENDERS MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER Xi LICENSE NO. Filing Fee$ 20.00 Permit Fee 3J 6 a-- ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ , Cj BUILDING ADDRESS / ` Gy /fn� I Energy Plan Checking Fee $ . qPUC, $ PERMIT FEELOT No. SUBDIVISIONS NAME MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex O Mobilehome Af Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 /S,©p Each gas water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities O Installation /O Other PC Describe Work: �C'rkv'\ f`c( C x lO 4, Gas piping system 1 -5 outlets 15.00 /S.(9 Building sewer 15.00 IS. Mobile Home ISI GI W @20.00 PERMIT FEE $ d Q ELECTRICAL PERMIT Fling Fee 20.00 500V OR LESI Main Service .OL LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I. as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service TO 46.00 NEW CONST. OWE].EL DWELLING OCCUCUP. OR ADONS. a ACC. SLDS. SO 3.5¢FT. I,p=R.,p T. MULTI -OUTLET @7.50 PSG= APPARATUS 8 WG.OUTLET CIR. Ex. Occup. OLrTLEr OR FIXTURES 20 SAL Ex. Occup. G�.ED APPMES ,DE, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 $ PERMIT FEE 4(3.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE i Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. X Date Signature of Applicant - O Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ I HAZ. 1 D FEES IMP_J FLOOD COF PARCEL PD HD ssUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ate ReceiptNo. J 0 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PIN NSPECTOR GOLDENROD -APPLICANT C_ /,//U vn/ y�) TCOUNTY OF BUTTE 'BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE 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, pleases contact this office immediately. U AMERICAN FOUNDATION SYSTEMS, INC. 1173-D EI Camino Real - Arroyo Grande CA 93420-2554 805/489-5380 805/227-4547 a r�J SEP 0 8 997 3 September 1997 Bu?' -12 C®i;N-'r I�1 des v� I� ��( Fax Copy To 916/538-2140 Original Mailed County Building Official County of Butte 117 County Center Drive Oroville, CA 95965 Attention: Mr. Dave Wasnuy SUBJECT: Permit 1197-1511, Extra Tall AFS-EL9 Stand Dear Sir: Enclosed is a reduced copy of Sheet 4 of our Permanent Foundation System drawings. The 36" extra -tall stand should be installed with the angle braces, as shown on Sheet 4. In that configuration, I certify that the stand is safe and capable of carrying all the loads which can be imposed upon it. In the extra -tall configuration, the bottom 24" OD Schedule 80 pipe is extended to 24" in height. This allows a vertical adjustment to 36" maximum. It is my understanding that the subject installation on the Sutton property in Bangor is set at approximately 3312". Provided the angle braces are installed, there should be no problem of any kind with this installation,— Yours nstalla ;o Yours very truly, William A. Sommernieyer' RCE 11658 exp.12/31/00 WAS/smw Enclosure � Y-,-- / / -i 3 PROFESS10 5 F� c\ 16--33 z Jl�Ivti�� NOISIAIQ XIQ'IIflEl Almfloa Elm L661 9 0 d3S CIE[Dall DESIGN LISTED AND TESTEDBY BSK 8 ASSOCIATES WAYNE T. POLVAOO. PE - LISTING NO. F01600438 TYPICAL CHANNEL SUPPORT OQRQFESS/py, 00 _ _ w NO'C 051110 m r •— ' * Exp. 011 ipig-1 6"X6" TOP PLATE (TYP), 7 CIVIL \Q ADJUSTMENT BOLT OMITTED 9/16" HOLES 9TE'pF �FQR� FOR CLARITY CA�- FOR MB - TYPE STD.GRIPPER /J . PLATE � —2-1/2"X6"X1/4" ALTERNATE ATTACHMENT SYSTEM FOR CHANNEL SUPPORTS lir BASE PLATT ` 1/2"X2" MB - TYP NO SCALE 2"X2 -1/2"X1/4" P ATE S E C T I 3N A- A NO SCALE �00\0 ATTACH SECURELY TO y l0 ,1Q • MOBILE HOME SUPPORT 1% GIRDER - TYP LN Svt' �O - ' D �ZP OP1 C.\PO EQ' P JQQ i SJQQO�'( OF \1/2" X 3" STEEL PIN WITH LOCKING KEY B AFS -PCP PAD SHOWN o �� P• SO -if \`�\ f 9� 1 I} 7R vL CALI PERMANENT FOUNDATION SYSTEM AFS - E L 9 FRONT VIEW TYPICAL INSTALLATION DETAIL NO SCALE NO SCALE CC CONFIGURATION OPTIONAL BRACING SYSTEM NO SCALE -PATENTS PENDING -- AFS - EL9 STAND AFS -WP, AFS -CP. AND AFS -PCP PADS WILLIAM A. SOMMERMEYER CIVIL ENGINEER 1173-D EL CAMINO REAL - ARROYO GRANDE CA 93420-2554 RCE 11658 exp.12/31/00 (805) 489-5360 APRIL 1997 SHEET 4 OF 4 SHEETS 09-03-1977 11:36AM FROM J M McGillis PLS 4442 TO 19165382140 P.01 Jfi - .AMERICAN ']FOUNDATION SYSTEMS, 2NC , 1173-D .El. Camino Real - Arroyo Grande, CA ;93420-2554 805/489-5380 805/227-4547 3 September 1997 Fax Copy To 916/538-2140 Original Mailed County.Building Official County of 'Butte X17 County Center Drive Oroville, CA 95965 Attention: Mr. Dave Wasnuy SUBJECT: Permit X197-1511, Extra Tall AFS-EL9 Stand Dear Sir: Enclosed is a reduced copy of Sheet 4 of our permanent Foundation System drawings. The 36"extra-tall stand should be installed with the angle. braces, as shown on Sheet 4. In•that configuration, I certify that the stand'is safe and capable of carrying all the loads which can be imposed upon it. In the extra -tall configuration, the bottom 24" OD Schedule 80 pipe is extended to 24"'inheight. This allows a vertical adjustment to 36" maximum. It is my understanding that the subject installation on the'Sutton property in Bangor -is set at approximately 332". Provided the angle braces are installed, there should be no problem of any kind with this install •!� pROFfS�: Yours very truly, 1633 William A. SoaaBermeyer, RCE 11658 exp.12/31/00 N,, jf, C; _VA 0. � {,IAS/smw CiU_�Oy/ Enclosure EWE COUNT V. j'V µ•ms � -�: �^ 1YPICPL CNPN9El SUPPORT 6"K6• TOP PLATE fTYP) ` 9116" MOLES 7ADJUSTPE#IT BOLT ORIITED IcR PB TYP, OR CLA.RITY SfO.CRIPPER PLA It BASE PLA 117"A6"K1/0' ALTERNATE ATTACHMENT SYSTEM FOR CHANNEL SUPPORTS `/+ if. ` 1/t"R7" NB • TYP NO SCALE 7"K7-117"XIA" o.AIE �( SEu E C x0 RAVE A- A mw ND SCALE CC CONFOG A74CR. - Al1ACN SECIARELY 10 0,•661005 { A S,R • MOBILE HL*E SUPPCILN 504; •._ � GIRDER TYP S`SY` ' Ng \•117"E 3• STEEL. PMN VIII LOCKING KEY - ASS -PCP PAD SNOY:! TYPICAL INSTALLATION DETAIL Lb SCALE OPTI ONAL. BRAC I NG SYSTEM NO SCAL£ --PATENTS FINDING, - DESIGN IISTEO ANO TEifCO -BY EASY. d ASSOCIAI(S WAYNE 1. VOLVADO. AE - LISIINc NO. F0160W18 PERMANENT FOUNOA,TION SYSTEM APS -864 STAND AFS -WP, AFS -CP AND AFS -ACP PADS WILLIAM A.SOMMERMEYt3Tt CIVIL_ t3NG1 NB ER ' 111]•0 EL CANINO REAL ' -ARROYO ORABUE CA 911T0•ml Act Iota$..P.ltfl Doo- I4011 189•SWO APHZL 1997 01111310T A OF A SiHBETS COUNTY OF BUTTE Oroville, California GENERAL CLAIM, CLAIMANT: GAIL & DONNA SUTTON ADDRESS: PO BOX 159 CITY & STATE: BANGOR, CA 95914-0159 DATE OF CLAIM: 9/28/98 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.• SEE INSTRUCTIONS nPl RF%1PQQC eine DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) . AMOUNT OWNER DECIDED NOT TO BUILD. A.P. #028-110-013, BP497-1911 DATEDRECEIPI #224396, 3 97, OWNER: GAIL & DONNA SUTTON.) TOTAL AMOUNT PAID ,,,,,,,,,,,,,,,,,,,,,,,,,,,,$76.00 RETAIN RFFTIND PROCFRUNC FFR nn RETAIN BULIDING PERMIT FILING FEE ....... $20.00 TOTAL AMOUNT TO BE RETAINED... . .............$68.00 TOTAL AMOUNT TO BE REFUNDED ,,,,,,,,,,,,,,,,,,$ 8,00 TOTAL I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this a%3 day of�, 192, at D�'1i19Z'7iCGt� , Calif. —AZA794"�<— nature of Claimant 6 the undersigned, hereby certify that, to the best of my knowledge, the services or arti specified above ve bee performed or delivered and that there is a Budget Appropriation I ) or Specific Board Approval I; ) (Check one) for he Dated this 28TH day of SEPT. , 1998, at OR LLE , Calif. De artment Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRi1CIMN PFRMTTS FUND Dept. Code Exp. Code PAYABLE FROM FUN i Dept Code Exp. Code PAYABLE FROM FUN DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY I DEPT. &SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. i ' Ti � � • r r .:'t.-. 2�� �; > ,- REFUND CLAIM APPLICATION CLAIMANT'S NAME `L MAILING ADDRESS X-7 • L ',/ �S% ASSESSOR PARCEL #: RECEIPT NUMBER(S)a Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) ( ) Building Permit Fees ( ) SRA Fees (CDF Fire Planning) Disposition of Plans: Plans returned to me at counter ( ) Sheriff Fees ( ) Urban Area Fees ( ) Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATURE DATE �"a-T -gz- PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califdrnia 95965 - Telephone (916) 538-7541 27-- ERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER 28-11-13 ZONING A5 BUILDING PERMIT OWNER GAIL & DONNA SUTTON TELEPHONE 673-3074 S FT. OCC. BUILDING VALUATION 0 1344 OWNER'S MAILING ADDRESS PO BOX 159 BANGOR CA 95914 CONTRACTOR'S NAME JACKS MOBILE SERVICE TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ 1344.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20'• Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 5164 LAPORTE RD. Energy Plan Checking Fee $ $ BANGOR PERMIT FEE $ 76.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE `, SPECIFY SF ❑ Duplex A7 '` Mobilehome l� Other Each Trap 7.00 Solar or heat pumpwater heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other 7 Describe Work: 2 OPEN DECKS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service Toon OR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONs. ( a ACC. BLDS. s0 3.5QFT: rN,o RESIDT CONS-MULTI.O RCU 97.50 POWER APPARATUS b SINGLE 0, , CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1'00 BAL p ,50 Ex. Occup. OUTLETS [RES D APPLNSOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring'23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwit comply with thos provisions. X _ Date ��� ��_ Sig lure of Applicant - 111,lbwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 70.00 HAZ. D. FEES IMP .-- FLOOD CDF PARCEL PD HD SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �y ate 7 7 By ?-// PERMIT EXPIRES ON / i Def, Receipt No. 224396 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF.DA*LOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILi E, CAII ORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ` j ASSESSOR PARCELER: Z Proposed Building Use: Building Inspector: /, Date: At time of permit application, I was advised the following data must be submitted prior to per ❑ 1 1 items have been submitted .-------------------------------: ------------------------------------------ lot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- omplete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑6. Energy Design Compliance and supporting documentation. 07. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $---------------------- ---=-------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approval/fees.---------------------------- ---------------------- 1 . Flood elevation certificate.---------------------------------------------------------------------- - anitation and plot plan approval Health Department. -0------------------ 5. City of Chico plumbing penrlit.------------------------------------------------------------------------------ ❑ 16. Plot plan and business license approval from the City. of Biggs. ------------------------------------------ ❑ 17. Planning approval for (A) Use: (B) Parking: --------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -------------------- 1119. ------------------ ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------- 020. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). C3 22. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -• 024. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. -------------- 1126. Letter of intent on building use. ---------------------------------------------- 027. Manufactured Home utility clearance. --------------------------------------- 028. Existing violations and/or expired permits. -------------------- 1129. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: A and/or issuance: Received By (Date) b S i."1 j_�Z �_ �en you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contrac'to'r. elephone7' Sh and hold for pickup at e. C3Deliv with inspector. Applicant:i;, Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ ffr Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: Cl Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: r— Z Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E. Hi, US ONLY Plot Plan Attached Floor Plan Attched Sent to B.D. ^ •,I , V YV TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other. 2'DELVIS , /Z XIS, rojxT AND jjPt 1/_ Hold final for: Final clearance O.K. for: NOTE: 010A Wa A 4 , . -/ Environmental Health Specialist 9-S Date (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING ^ BUILDINGPERMIT�J`I1/3 OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER M/AI/�1,NG AD SS �-�` _V 45� 1 / r CONTRACTORrE mc TELEPHONE ' CONTRACT090 MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ -••• ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ .i BUILDINGADDRESS19 ' Energy Plan Checking Fee $ 'PERMIT FEE S LOT NO. SUBDNspNS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ DuplexN, Mobilehome ❑ Other SPECIFY Each -Trap 7.00 Solar or heat -pump water heater 23.00 Water piping15.00 Each gas water heater or vent 15.00 TYPE OF WORK /❑ Installation ❑ Other G� New ❑ Addition ❑ Remodel ❑ Utilities Describe Work: m Gas piping system 1 - 5 outlets '15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2�olov� oa LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby' affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I,am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work• and the structure is not intended or offered for sale. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. , Business and Professions Code for this reason ' WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy'number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. owELLING oceuP. so OR ADONS. ( b Acc. mss. 3.50 =R.,D MULTI.O,,ZE @7.50 POWER APPARATUS a swoLE oLrrLEr aR Ex. Occup.OUTLET OR FIXTURES 20 ® 1.00 SAL o .50 Ex. Occup. ounces qID°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling' Hood 6.50 Ventilation PERMIT FEI: t Policy Number (The above sections need not be completed 6 the permit is for work of a valuation of one hundred dollars ($100) or less.)-. ❑ 1 certify that in the performance•of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if1 should become subject to the workers' compensation provisions of section 3700 of the Labor -Code, I shall forthwith comply with those provisions. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. 0. FEES IMP FLOOD CDF PARCEL PD HD ssuE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do woek indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Te ReceiptNo. WHITE-D.D.S.-B.D. CAN Y- SS OR PINK -INSPECTOR GOLDENROD -APPLICANT V- -.1-1 _ P_ L A N D O F NATURAL WEALTH A N D BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: 1916) 538-7541 FAX: 1916) 538-2140 Dear Property Owner: We have issued a permit to construct a new building, an addition, or to do remodeling on your property. This letter is to inform you we have approved the building plans submitted for conformance with code requirements. We will only inspect the construction for conformance with code requirements. It is your responsibility to see that the building conforms to your plans and expectations. Should you have any questions concerning this letter or any other matter pertaining to the construction, please do not hesitate to contact this office. MCV:ahb Yours very truly, Michael C. Vieira-, C.B.O. Manager, Building Inspection RE: Attached Building Permit Dear Permittee: 161(tte Count, LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: 1916) 538-2140 Attached is your building permit along with the approved set of plans and a job card. Please post the job card on the job site in a conspicuous location for the inspector to sign during the various phases of construction, and also have the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of inspection. Please review the approved set of plans before construction and make note of any corrections made in red. If any of these notes or. corrections are not clear to you, please contact this office - do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should he not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy this building or portion of building for which this permit is issued without approval from this office. On certain occasions a temporary occupancy will be permitted. Please do not confuse gas or electrical service to the building as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector or special permission given. Your permit expires one year from date of issuance. If the work has started, but is not completed and finaled by the expiration date, a renewal permit is required. If the renewal application has not been made within 30 days of the original permit expiration date, or if the work has not commenced, a new permit application and fees will be required. Upon completion of the work covered by this Rgrmit please contact this office for final inspection. Should you have any questions concerning this letter or any other matter pertaining to building construction, please do not hesitate to contact this office. Micliael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments OL RESIDENTIAL xo 028-110-013 - PERMIT097-1511 ' SUTTON,. Gail & Donna 5164 LaPorte Rd.,, Bangor { Cont: Phil"ID'eCann fi PERMIT N H_on-.Perm Ind -Ax— Site PERMIT EXPIRES -�� 10q Ncing je--' 0 en - *OWNER 30/4 CONTR. ASSESSOR PARCEL !LOCATION t ' THE HCD FORM•433k.'FOR THIS,'. MH CANNOT BE `� RECQRDED'eUNTIL�-ONEMOF�THE`µFOLLOWING-HAVE p� BEEN *.TURNED IN, TO)' THE. BLDG DIV'-' � 1) LICENSE`PLATE(;S) OR DECAL (THEA ;, INSPECTOR MUSTI1146 RETRIEVE xINSPE OR MUST VERIFY SERIAL &'L'ABEL �', IL Temp. Power Pour - OFFICE ~�_~u COPY Called PG&E Address 'Temp. Elec. Servl G AS Meter By Dat Called PG&I ELECT x Meter y Date _� tTemp. Gas Sent Called PG&E 'JOB FINALED (Date) Signature COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT g7'�� ASSESSOR PARCEL NUMBER ' ZONING BUILDING PERMIT OYYN — — — TE E .11NfA4=*=Eft9NNk8SUTTE)N673 3874 5164 LAPORTE ROAD BANGOR CA 95914 SO. FT. OCC. BUILDING VALUATION 2,944 CONTRACTOR'S NAME PHIL DECANN TELEPHONE ' 589-3626 CONTRACTOR'S MAILING ADDRESS 169 BORDOLINO LANE OROVILLE CONSTRUCTION LENDER NONE Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 281.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9164 LAPORTE ROAD, 'BANGOR Energy Plan Checking Fee $ $ PERMIT FEE LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome P( Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other d§X Describe Work: MOBILEHOME/PERM FDN EX SITE Gas piping system 1 - 5 outlets 15.00 15 on Building sewer 15.00 15. 00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oRR mss 23.00 3.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i full for and effect. License Class Lic. No. �/D Y ? NER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier T rPERMIT Main Service 200A To ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. SO 3.50FT. NEW NON-RESI'DT �S.I CI CUUTITS @7.50 POWER APPARATUS 8 SINGLE OUTLET C1 R. Ex. Occup. OUTLET OR FIXTURES 20 BAL @' 50 Ex. Occup. oinELErs PRM.OE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s 43.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation FEE $ Policy Number 1 �2 - /'. (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall �fortthhwithhly tprovisions. X Date =f Signature of Applicant - ❑ Owner P Contractor ❑ Agent An OSHA permit is required for excavations over 60" deeD and demolition or constructionft_ml of structures over 3 stories in height. It 04;_;, i Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE. T T FEE $ 50 HA2. D. FEE IMP FL00D CDF PARC PD I HD ISSUE 1z This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. p�j By D e p / 1 PERMIT EXPIRES ON Def, Receipt No. WHITE-O.D.S.-B.D. CANARY -ASSESSOR NK -INSPECTOR GOLDENROD -APPLICANT V=OK O = Not OK = Not Applicable Not Ready MOBILE HOMES I Date MO E HOME UTILITIES(Plans) OK except #'s tI Card B-1 ing Requirements - Setbacks - Easements _ Date i s; Ppecial MH Support Sketch Location-Test-Fall-C/D-Concrete f Location -Test -Easement Needed (Sketch) tncity; LocatiO rances-Cmd-/ /Amp -Concrete } l p; / IL9t — I as: LocationIt/ / /Nat. or/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance f Date Card B-1 Date Card B-1 Date Card B-1 Date a 'Card B-1 Date MOKLE46ME INSTALLATION(Plans) OK except #'s Hing Requirements- Setbacks Easements Footings; Size -Spacing -Marriage Line s; MH a 14�feqwcity; st-Crossovers-B rs-C s ain; MH Test-FalWlex Connector ffiWater, MH Test -Regulator -Connector 7 Water and Sewer Connected -C/O to Grade -HD Approval Gas and Electricity Tagged 9. TDowns-Type-Installation Cert. Exits; Insp.-Sketch 11 Cert of Occupancy.QV j Pemtanent Foundation Only: License Decal i 3,) ! Date s–29,4?7 Card B-1 Date, 1 Card B-1 Dateq 7 _ � Card B-1 K41Q_ -Date Card B-1 i i z 1 MISCELLANEOUS Date DECKS, C4 -M; CARPORTS, GARAGES(Plans) OK except #'s 1. Zoning RegLArements-Setbacks�Easements 2. Footings; ShcsSia-Deplh,Spacing-Connectors Steel 3. Decks; Girders and/or Joist§ -Decking -Bracing -Stairs -Rails' 4. Woo) Awn.; Posts•Sea_ ms-Rftm.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Arm.; Cofumns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg:: Sls-AnchorsStuds-Rftrs-TFusses 9. Siding; Nailing-VeneerSh�co-Mesh 10. Roof;.Shthg-Roofing 11. Ext; Steps -Doors -Landings 12. Braced Wall:Panels Date Card B-1 . Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Ptans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.: Receptacles and Lighting, Distance-GFI 5. Elec.' Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip.-tieater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TestWater Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card 8-1' Date Card B-1 l A V = No OK RESIDENTIAL (Single & Duplex) - - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except it's Date FRAMING (Continued) 1. ZoningSetbacks-Easments-RoodSlope 46. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 47. Cling. Joist-Rttr. Ties-Purlin-roll Brac: TrussShting: Rfng. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ / Ftg. Depth 4. Ftg. Porches & Decks: SoilsSteel-/ t Ftg. Depth 5. Stemwalls, Main;'Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors . 7. Slab, Ste"rapped 8. Piers -Fireplace Ftg.Sted 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts- Joistsa/ents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except ft 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; Sae & Anchors Date Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except alt's 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28, 2 Appliance Circuts in Kitchen & Conductor Size GFl 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or Al -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except alt's 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exlerior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except S's 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Donector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int & Ext 72. Kit Fat. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector4?R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instkd./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No W. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DTVI ON 7 County Center Drive - Orovillet-CalifoFnia 95965 - Telephone (916) 538-7 1� / PERMIT N0. APPLICATION AND PERMIT (Q ASSESSOR PARCEL NUMBER 028-110-013 A5 ZONING BUIL ING PERMIT OWNER ELLEN MEYER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 12236 ROBINSON ST GRIDLEY, 95948 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNMOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 5164 LA PORTS RD PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 BANGOR Each Trap 7.00 LAT NO.SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping . 15.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome Y] Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �/1�f � Mobile Home S G FW @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( 600V OR LESS 200A OR LESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. ) SO. 3.50 FT. NEW CONST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) b SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL Q .50 EX. Occup. (oFFIXED ELETS (RES D.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S 43.00 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X i �Date Signature of Appli a t - Owner ❑ Contractor ❑ Ager( An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43 Qn HAZ. 1 0. FEES I IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicatenbove for which fees have B PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date L5 (Date) Receipt No. 195392 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT v Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. . Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will" be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES [A NO[ ]. --2. I HAVE[A 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: NAI'V E: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAI E: ADDRESS: CTIY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (lured) the following persons to pro,,ide'the work indicated: N .ME. ADDRESS PH0N7E TYPE OF WORK SIGNED: _PROPERTY OWNER: SOCIAL SECURITY NUMBER: 1x DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19332 of the California Health and Safety Code. This verification must be completed and returned to our office before f- we are permitted to issue the permit. OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroviller-Calife.nia 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSES5QH�[�R� NUMB O/� dd11-I- L/ ZONING S BUILDING PERMIT OWNE((ij�sJ 10 0 �� ^ r TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERCy�slw6/LJ ADDRESS �/© ) rI JoYI �v\� 'l CONr/IRA��. )O/R'1'-8 NAME C! L.0 C� TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT QR ENGINEER /ENGINEERS LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR MAILING ADDRESS Penalty $ BUILDING ADDRESS L -n Q ©� V PERMITFEE $ PLUMBINGPERMIT Fling Fee 20.00 Gy y) /^ Each Trap 7.00 LOT NO. SUBDNISIONS NAME ARCEL MAP ,solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome Other i SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other t� _ _1a E �1' i Describe Work: /C I ��' ►� t/ i C� Mobile Home I S I GI W I @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( 000v OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IODDA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over/3 stories in height. NEW CONST. / DWELLING OCCUR OR ADONS. \ 8 ACC. ) so. 3.5¢ FT. UTDS. NEW CONST, MULTI.OUTIET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR ) Ex. Occup. (OUTLET OR FIXTURES) aAL O L:w Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $0, KO HA2. I D. FEES I IMP I FLOOD I OF I PARCEL PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. l �'1/in WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District /)A, D,� Ns Building Department No. t A.P. Number D„� � % 0/ j Jurisdiction: City � County Property Owner /)k N n Q 914 (/ Q Property Location/Address Subdivision Lot No. Residential Development ® Sq. Footage 3 No of Living Mobile Home Addition (Group R�)y Units Installation uvlo P es oX I s 1J ; n g //� �— 1150 ) Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) 7�/2/92% Date 41 ^(Fl000r Plans reviewed by School District Personnel) rict Identification N- 7 80009 19 .IStreet Address) (City) has complied with the requirements of Resolution No representing School District Representative Paid by Check # square feet. 44 (Phone Number) (State) (Zip Code) 7- 21 by payment of $ JiAB 2926 $ ULL MITIGATION $ Date Remarks: WSJ fLbL& J dit.,, ^- /9/ ? ` r7,) Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm y a.�.... �� "_ � .. � � •> . �..._. Y PERMIT NUMBER B 703-74B �• 1 } P i r ' ' E t y t� PERMIT EXPIRES l� - OWNER Frank W. Meyer CONTR: 0wner ` LOCATION (A.P. 28-11-13 ) S/S LaPorte Rd., i mi. E.. of Drobish Rd., Bangor t r� i DATE REMARKS OR CORRECTIONS 0. T r COUNTY OF BUTTE Department« of Public . Works ' BUILDING INSPECTION RECORD C � p Zoning Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping,& Test_ Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary e Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS 0. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965 t_ Telephone: 534-4541 APPLICATION AND PERMIT t aurriunce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. \'Xza"2."Wz ADate nature offermitee or Agent Receipt No.// / y? ( White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 06)PUBLIC WORKS By Date B Iding permit expires Date .......... .z...7............ BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ ac Building Address 7 ,. �- � � l- � PLUMBING No. @ FEE PERMIT FILING FEE $2.00 04x7 y Y /t L -S Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. o.Z oning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes I Uel men I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Blc� Parcel Approval I Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 tJ Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 25 bal__01 Receps., switches & fix outlets ;euP25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring �,❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE S QC aurriunce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. \'Xza"2."Wz ADate nature offermitee or Agent Receipt No.// / y? ( White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 06)PUBLIC WORKS By Date B Iding permit expires Date .......... .z...7............ �- `t PERMIT NO. 5687-79P,E PERMIT EXPIRES OWNER Frank Meyer CONTR. owner LOCATION (A.P. 28-11-13 ) S/S LaPorte Rd., i mi.E.of .t Rd-, Bangor i. I 1 . Temp. Power Pole Called PG&E Temp. Elec. Serv� Called PG&E . Temp. Gas StIv. Called G&E JOB / FINA ED (Date) (Signature) COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING SeibackF ewall S At Piping Forms Parxpets 1 Floor Mafn\\Bldg. ResAsom Finish 2n Floor . Footings Wind o 3rd hoor Stem jll sldirig X To out Slab \ Roof Shea Ing Water Pip"kig Piers i Roofing Sewer, X Jr Garage Fdn. Vents X Fixtures Footin s Garage, Vents Water Htr. Stemwa l l Insulation Heaters Slab Prov. for ph yslca Appliances Carport �� handica edd Conformance of ex. Gas Piping & Test Footings structure `Tem . Gas Slab Final X Sanitation , Patio �+� FI EP ACE Final Footings Footing I E CTR AL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea4 IRE SPRINKLEAS Motors ` Fra 11nTest Water Htr. Stucco Final 44 Sub eiv. Mesh - MECHANICAL Grd. Fault Prot: Scra h Heatint Servic B n Coo g T940; Pole F Ish Du is nder round . In rior Lath ntilation Permanent door Closer i anal inal MOBILEHOME UTILITIES ---------------- Elec_.Service Elec. Pedestal Water Piping j Sewer Gas Piping MOBILEHOME INSTALLA 410N - - - - - - - - - - - = - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPAWTMENT OF PUBLIC WORKS w 7 County Center Drive — Oroville, California 95965 ' Telephone: 534-4541 1 APPLICATION AND PERMIT _ BUILDING IV I SQ. FT. I OCC. I BUILDING ALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Re air drainage or vent piping ater piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600v OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. / DWELLING OCCUP. 5 NON-RESID. % BRANCH CIRCUIT NEWCONSTR. POWER APPARATUS NON -RESID. (SINGLE OUTLET CIF Ex. OCCuo(OUTLETS OR FIXTIIR EX. OCCU P• FIXED APPLNS. OR OUTLETS (RESID.) E Temporary service Mobile Home Facilities Misc. Wiring License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. Irt'f that ' th f a f th w k f h' h th' -79 @ FEE $3.00 . O G7 1.50 1.50 1.50 ,C)0 1.50 1.50 /Q. jP49 .30 5.00 d.0 2.00 $3.00 5.00 2.50 25.00 1.00 . (yO FEE OIJ 2.00 10.00 15.00 , QQ 6.25 $23•�v @ FEE $3.00 ce I y In a per orm nce o e or or w Ic Is Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 1 1 2.00 California. $ $ Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 9JX Date .. Signature of Peerrmmiteee000r Agent Receipt No. ` / 9`� -� ' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ 2 !�. 9-0 TOTAL PERMIT FEE 1$91 010 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date_ � "al - 7,9 Building permit expires Date Owner rK_AtJ V_ H E-YEe- Mailing Address �T I 150)( ?j n` Contractor Mailing Address Telephone No. Building Address S S L A Poexe ?_p,4 '/Z M dF b P-06 IS IDP%JA. P. No. 6' ( 1—.13 Zoning & 1 ann' g F ,2 �W�C. Sa ' Ion Fire Dept. Fire Zone Use Permit EQA Parking Plans Parcel Declaration Parcel M 60' R/W Improvements p Bldg. PI d Parcil-4proval Plans Approval NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ �j a_CCA— v Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: _ BUILDING IV I SQ. FT. I OCC. I BUILDING ALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Re air drainage or vent piping ater piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600v OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. / DWELLING OCCUP. 5 NON-RESID. % BRANCH CIRCUIT NEWCONSTR. POWER APPARATUS NON -RESID. (SINGLE OUTLET CIF Ex. OCCuo(OUTLETS OR FIXTIIR EX. OCCU P• FIXED APPLNS. OR OUTLETS (RESID.) E Temporary service Mobile Home Facilities Misc. Wiring License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. Irt'f that ' th f a f th w k f h' h th' -79 @ FEE $3.00 . O G7 1.50 1.50 1.50 ,C)0 1.50 1.50 /Q. jP49 .30 5.00 d.0 2.00 $3.00 5.00 2.50 25.00 1.00 . (yO FEE OIJ 2.00 10.00 15.00 , QQ 6.25 $23•�v @ FEE $3.00 ce I y In a per orm nce o e or or w Ic Is Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 1 1 2.00 California. $ $ Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 9JX Date .. Signature of Peerrmmiteee000r Agent Receipt No. ` / 9`� -� ' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ 2 !�. 9-0 TOTAL PERMIT FEE 1$91 010 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date_ � "al - 7,9 Building permit expires Date I This. set of plant job of all tames a' nJ 61k It 10111 60 oil the m mr a4�to+%Ibnl W1 116M W: �ki§ any chai ':the DOP00MOfif if pubils written permission from Works, County Of Butte. Septic system and location of bU1W ing drain stub -out to be as p0 Butte County Health Dept. quiremen+s. NOTE.—AD Materials & Worinalavip Sa% lik Accordance with Recogniied Good Nowaft "A. of a qualify prescribed for the Specified in 4 6% Uniform Building, Plumbing & Mechanical 100"Wa the National Electrical Code. All utility connectio ' shall be located within 4 ft. 'fside the rear. IV%® third section of e.,mobile home 0 ir on the left (ro side of the mobile horne. The Bldg. Setback shot be 9 ft. from Am 0 o side property line and 60 Ft. from the5. cefiferline of the road, perm ing a max; - EOR MOM mum of a 2 ft. eave overha but entirely ciif of all 'easements. T4992- 7 OUTTE COUNTY C Lck BUILDING DEPARTMENT 1 7 APPROVED: Olt Rlelwito'&* leg/ r e a - ie�i. - - --- - -- - - _ I � "moi. , �� f - � I � s --+--�. - - -. - -- T - - + �,. d. 1 � - — - - _a._,..,,e, • �r � E_._.�.. i, .. - I - - i ..� - - -. — - T"""�'"' f - - - . — - — - - � . �-- - -- i �..�,d '- = -----..e�-- _ I f i� i 0 i { ..,.�t:"3��►'�ti.-,+47;3.c..fi,a'�L"3snF�" .. �'1�<""�+i�i'..,'tw-'`�i1�'Y�"i�+➢1-r"�+'.�r�y,�a'gra-w'+y�rrsilrn=+^��.-�-��;r.�ti:r.:v. COUNTY OF BUTTE.' DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE., O.ROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE y� Q - OWNER 4 �ie HariA.,P. ti 0,) f/O —0%3. PROPOSED BUILDING USE A 1, #Y, /--WPI / �%%DATE99. REC .{i DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ /VKI�CHOOL DISTRICT FEES 000) U h ; nM (y,� (paid at District Office) r *67 6�<3, SHERIFF FEES (paid at Building Division)esidential ........ I x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ k IS1' Sq.Ft. G 4. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #Units Amt. r Commercial (sq.ft:)-.. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required lobe paid prior to issuance of the building permit' These fees m be changed during the plan checking process. APPLICANT G- DATE Original -Owner Copy -Building Div. (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES: BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone(916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 428-11()--0I3 ZONIAG A5 BUILDING PERMIT OWNER ELLIN r» TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2236 ROBINSON ST GRIDLEY, 95941 CONTRACTOR'S NAME owm OWNER TELEPHONE CONTRACTORS MAKING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS 'k Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 5164 LA PORTE RD PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 BANGOR Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PAR(: -EL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF EN Duplex ❑ Mobilehome •O Other SPECIFY Ir Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 1 Describe Work: — Mobile Home S G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20:00 t Main Service OOOV OR LESS ( 200A OR LESS ) 3 00 23-00 23.00 + Vll Main Service ( 200A TO t000A ) 46.00 t LICENSED CONTRACTOR'S DECLARATION R I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. ' OWNER -BUILDER DECLARATION f 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I ® I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ` ❑ 1 am exempt under Sec. Business and Professions,:Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) s0. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 P0 ER APPARATUS (s SINWGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) B20 @ 1.00 Ex. Occup. OUTLETS ETS(RES D.OR / 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43+00 Contractor WORKERS' COMPENSATION DECLARATION I I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Q I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X f �./i 7� . /,coli Date _/l�/),t/ �, �(i Signature of Applicant-- A Owner ❑ Contractor ❑ Agent 7— An OSHA permit is required for excavations over 5'O" dee and demolition or construction of structurs over 3 stories in height. p Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 63.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PO HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated -Above for which fees have been paid. // By w.Yf/WA/i Date 5 {(� PERMITEXPIRESON (Date) f Receipt No. 195392 WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 3 0