HomeMy WebLinkAbout028-330-049i
0
AP
rl-John W. Jones r
Off w/s Los Verjeles Rd., 8/10 mi. so.
of Bangor
OF "A"_ FRAME BUILDING _
CONSTRUCTED BY OWNER W/0
PERMITS
�/ Vh(y�28- 33-27
�John�W. Jones.
E/S Gravel Rd., 1400'off S/S Los'Ve*lm
Rd., 8/10 mi.S.of Bangor
i
028-330-049 01-2762
FRANK, CELESTE
115 DAMRON, BANGOR
CONV COV DECK TO
SUNROOM
Permit 1P1 10-79P,E(util.,MH) - '
ELEC . '�f/9�79 Gobs - 3rl�m- �bP. G-Fz7o
GA S T -7.
SUPRRT sfrgucnju REQ. -u
COMPACTION TEST REQ. -xz-e-)
28-33-27
Permit,#1244-79B,Ek''hew priv to
storage bldg.),,
FIA I �q�/ b
28-33-27 tf
Contr: McMitlan"IMH, Paradise
PErmit #2079-79MHI'
I ss u d
28-33-27
c tr: Holmes Mohile Home _Serv.-,'Or
o.
Perm �t3096-79B(new deck & awning%MH)
28-33-27
Permit#1557-•OB(lst renewal
1244-79) storagOil
28-33-27
`.Permit#103'-81B(2nd renewal/1233-
�79)store bldg
28-33-27
71244-79)
mit #894-82B(3rd renewal/
028-330-049 :BANGOR
589
FRANK, CELESTE A
115 DAMRON RDCONT: PHIL DECEX MH EX SITE PFNDN
Sr
V
(Nara
r
r
NOTES RESIDENTIAL
PERMIT ,':1028-330-049 a 01-2589
FRANK, CELESTE
115 DAMRON RD, BANGOR
CONT: PHIL DECANN
` EX MH EX SITE PERM FNDN
�i
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
k �y (2) STATEMENT OF FACTS (ONLY ON
NEW MH'S).
. INSPECTOR TO VERIFY SERIAL & LABEL #'S.
I
11 SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
CHECKED
BY
JOB FINALED (Date)
Signature
I
_ I
11 SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
CHECKED
BY
JOB FINALED (Date)
Signature
I
= OK
0 = N6t OK R
- = Not Applicable MOBILE HOMES
• = Not Ready
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ /'LPG
7. Well Clearance 8 Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
,yeloning
Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
PesrMH Test -Demand -Valve -Connector
4.
Ele tricity; MH Test -Crossovers -Breakers -Clearances
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
er and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and lectricity Tagged
9.
Ti owns -Type -Installation Cert.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
. Exits:InsD.-Sketch
11. Cert. of Occupancy
12. Permanent Foundation Only; License Decal
Dote 1141 Card B-1 Date Card B-1
Date ff IV Card B-1 Date Card B-1
6/�t 61 0-7
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams- Rftrs.-Connectors
Shthg.-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
I 3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
( 6.
Elec.; Enclosures; Conduit Entries -Terminals -listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
= OK
0 = Not OK
- = Not Applicable =Not Ready
RESIDENTIAL (;
Date
FRAMING (Continued)
Underfloor (Plans) OK except #'s
46.
1.
Zoning-Setbacks-Easements-Flood-Slope
47.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
48.
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
49.
4.
Ftg., Porches & Decks; Soils-Steel-/ /" Ftg. Depth
50.
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
51.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
52.
6a.
Hold Downs and Special Anchors
53.
7.
Slab, Steel-Wrapped
54.
8.
Piers-Fireplace Ftg.-Steel
55.
9.
D.W.V.; Fall-Fitting-Test-2 Way C/0-Sewer Test
56.
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
57.
11.
Water Pipe; Test-Anchors-Regulator-Service Test
58.
12.
Electric Underground
59.
13.
Plenums & Ducts; Clearance-Material-Support-Ins.
60.
14.
Girders-Sills-Anchor Bolts-Joists-Vents-Crippies
61.
15.
Access & Ventilation
62.
16.
Insulation
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
PLUMBING (Permit) OK except #'s
63.
17.
Water Hir.; Vent-Access-Combustion Air Baffle
64.
18.
Water Pipe; Test & Anchor-Nail Protection
65.
19.
D.W.V.; Test Fittings & Anchor-Nail Protection
66.
20.
Shower Pan; Test, First Floor-Tub Access
67.
21.
Test Tub & Shower, Second Floor-Tub Access
68.
22.
Gas Pipe; Sixe & Anchors
69.
Stairs & Rails
Date
Fireplace or Stove, Clearance -Hearth
Card B-1 Date Card B-1
Date
Elec. Outlets at Wood Panel, Int. & Ext.
Card B-1 Date Card B-1
Date
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
ELECTRICAL (Permit) OK except #'s
73.
23.
Fixture & Transformer Clearance-Ins. Protection
74.
24.
Elec. Receptacles Spacing-Lights & Switches at Doors
75.
25.
Size Boxes & No. of Conductors Stapled
76.
26.
Romex Installed Close to Edge of Studs & C.J.
77.
27.
Equip. Ground made up w/Mech Fasteners-Bond Gas & Water
78.
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
79.
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
80.
30.
Range Circle / / ga Cu or AI-Oven Circ. / / ga Cu or At
Insulated Neutral ❑ Yes ❑ No
81.
31.
Service-Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
82.
33.
Clothes Closet Light-Shower Light-Spa Light
83.
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Exterior Elec. Trim, G.F.I. Receptacle -Underground
35.
A.C. Ducts Insulation & Support
Ventilation Throughout House
36.
Vent Fan, Exhaust above insulation
Glass Protection
37.
Condensate Drain & Overflow, Size & Grade
Corrections from Previous Inspections
38.
Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet
Gas Test -Meters Tagged, Gas -Electric
39.
Attic Access & Platform if Furnace in Attic
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
FRAMING (Permit) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs-Nailing Spacing & Braces-Plates-Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs
45.
Headers & Beams-Size & Bearing
t ,
jingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rttr. Ties- Purl in- Roff Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
_
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor E) Yes
82.
Following Instld./Drive :3 Yes J No/Walks J Yes J No/Planters 0 Yes J No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
BUILDING PERMIT NUMBER: 01-2589
Address or location of unit: 115 DAMRON ROAD, OROVILLE, CA 95966
Legal Description of Real Property: A.P.028-330-049
SEE ATTACHED
(x) Mobilehome/Manufactured Home
O Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: CELESTE FRANK
Owner's address: P.O. BOX 5392, OROVILLE, CA 95966
INSIGNIA OR HUD NUMBER: CAL107958/59
SERIAL NUMBER OR. V.I.N.: 2721A/B
MANUFACTURER'S NAME: MOUNT -A IN HM YE : 1978
OFFICIAL APPROVING INSTALLATION
DATE: 11/5/01
PHONE: (530) 538-7541
H.C.D. 513C
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
06 -Nov -2001 2001-0051668
Has not been compared with
original
BUTTE COUNTY RECORDER
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 be deemed to give constructive notice as to its contents
to all persons thereafter dealing with the real property.
CELESTE A. FRANK
BUTTE COUNTY BUILDING DIVISION
REAL PROPERTY OWNER/LESSOR
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
P.O. BOX 5392
7 COUNTY CENTER DRIVE
MAILING ADDRESS
MAILING ADDRESS
OROVILLE, BUTTE, CA 95966
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE
ZIP
Y COUNTY STATE ZIP
115 DAMRON ROAD
(530)538-7541
INSTALLATION MAILING ADDRESS, IF DIFFERENT
(11-2589
I N ISR\ IT �/ TELEPHONE NUMBER
OROVILLE, BUTTE, CA 95966
\
GJ` 1/5/O1
CITY COUNTY STATE
ZIP
SIGNATURE OF LOCAL AGENCY OFFICIAL/ DATE
SAME
NONE l
UNIT OWNER (if also progeny owner. %erite "SAME")
DEALER NAME (if not a dealer sale. write "NONE")
NONE
MAILING ADDRESS
DEALER LICENSE NO.
ZIP
CITY COUNTY STATE
UNIT DESCRIPTION
MOUNTAIN HM
1978
UNKNOWN
SIANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NASIEJNU,%IBER
2721 A/B
24'X 62'
CAL 107958/59
SERIAL NUMBER(S)
LENGTH x WIDTH
INSIGNIA/LABEL NUMBERS)
REAL PROPERTY LEGAL DESCRIPTION
ASSESSOR'S PARCEL NUMBER
A.P. #028-330-049
SEE ATTACHED
HCD FORM 433(A) RE -V. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept.
Oct -29-01 02:04P Oi-oville Surgical Gr 9165349663 P.04
ORDUR NO, BU -168494-3
DRSCRIPTrou
THE LAND REFERRED TO IN THIS REPORT I8 SITUATED IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS:
EMCN I—AL
THE EAST HALF OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF
THE NORTHEAST QUARTER OF SECTION 34, TOWNSHIP 18 NORTH, RANGE 5
EAST, M.D.B. M.
XMc-He
ALL THAT REAL PROPERTY LYING
34, IN THE NORTHEAST QUARTER OF SECTION
TOWNSHIP 18 NORTH, RANGE 5 EAST, M.D.B. & M., BUTTE COUNTY,
CALIFORNIA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT THF SOUTHWEST CORNER OF THAT CERTAIN PARCEL OF LAND
AS DESCRIBED
23374, IN DM TO CHARLES E. BECK, ET UX, RECORDED IN BOOK
PAGE 569, OFFICIAL RECORDS, SAID SOUTHWEST CORNER BEINGS
MARKED UPON THE GROUND BY A ONE-HALF INCH R8 -BAR
SHOWN ON THAT CERTAIN RECORD ?AGGER LS 4208 AND
OF SURVEY, R EBARIN THE OFFICE OF
THE RECORDER OF THE COUNTY OF BUTTE, D
STATE OF CALIFORNIA, IN BOOK
84 OF MAPS, AT PAGB(S) 26, 27 AND 28, SAID SOLMMST CORNER BEING
THED% TRUET�U?POINTNCE OP BEGINNING FOR THE HEREIN DESCRIBED PARCEL OF
NORTH 00 DEG. 29' 38" EAST, ALONG THE WEST LINE OF
SAID PARCEL, 128.50 FEET TO A ONE-HALF INCH RE -BAR TAGGED LS 4208)
THENCE LEAVING SAID LINE, SOUTH 84 DBC48' 20" BABA, 392.07 FEET
TO A POINT ON TiiB EAST EDGE OF AN OLD , STONE WALL, SAID POINT BRING
INCH RE -B
MARKED HY AON$-WALE AR TAGGED LS•4208; THENCE SOUTH 00
DEG. 55 05»WEST ALONG THS EAST EDGE OF SAID WALL, 26.16 PEET TO
A ONE-HALF INCH REBAR TAGGED LS 4208; THENCE SOUTH 00 DEG. 09' 18p
EAST, 70.17 FEET TO A POINT ON THE SOUTH LINE OF THE NORTH HALF OF
THE NORTHEAST QUARTER OF SAID SECTION, SAID POINT BEING MARKED BY
A ONE-HALF INCH RE -BAR TAGGED LS 4208 AND SHOWN ON SAID RECORD OF
SURVEY; THENCE NORTH 89 DEG. 30' 45" WEST ALONG SAID SOUTH LINE AND
LEAVING SAID WALL, 391.36 FEET, TO THE POINT OF BBGINNING.
PARCELS I -A AND I -B ABOVE ARE PURSUANT TO A BOUNDARY LINE
MODIFICATION BY DEED RECORDED MARCH 4, 1983, IN BOOR 2802, PAGE
417, OFFICIAL RECORDS, AND CANNOT BE SOLD SEPARATELY.
PA$CBL ZI :
A RIGHT OF WAY FOR INGRESS, EGRESS AND PUBLIC UTILITY PURPOg85 OVER
A STRIP OF LAND 30.0 FEET IN WIDTH, LYING WESTERLY OF AND ADJACENT
TO THE WEST LINE OF PARCELS I—A AND I—B, DESCRIBED ABOVE.
CONTINUED
Oct -29-01 02:04P Or-oville Surgical Gr 9165349663 P.05
ORDER NO. BU -168494-3
DESCRIPTION — CCopTIpt m
FARM III
A RIGHT OF WAY FOR INGRESS, EGRESS AND PUBLIC UTILITY PURPOSES OVER
THE NORTH 60.0 FEET OF THE SOUTHEAST QUARTER OF THE NORTFIWT
QUARTER OF SAID SECTION 34.
A RIGHT OF WAY FOR INGRESS, EGRESS AND PUBLIC UTILITY PURPOSES OVER
THAT PORTION OF THE BUT 30.0 PEET OF THE WEST HALF OF THE EAST
HALF OF TBE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER; AND OVER
THAT PORTION OF THE WEST 30.0 FEET OF THE EAST HALF OF THE BAST
HALF OF THE SOUP MEET QUARTER OF THE SOUTHEAST QUARTER OF SECTION
27, TOWNSHIP 18 NORTH, RANGE 5 FAST, M.D.B. & M-; AND OVER THAT
PORTION OF THE BUT 30.0 FEET OP THE WEST HALF OF THE EAST HALF OF
THB NORTHWEST QUARTER OF THE NORTHEAST QUARTER; AND OVER THA T.
PORTION OF THE WEST 30 FEET OF THE EAST HALF OF THE BAST HALE OF
THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 34,
ALL LYING SOUTHERLY OF THE LOS VBRJELS ROAD, AS SAID ROAD EXISTED
ON JANUARY 22, 1959.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCELS I—A AND I—B, DESCRIBED HEREIN.
i w.�
A RIGHT OF WAY FOR INGRESS, EGRESS AND PUBLIC UTILITY PURPOSES OVER
THE EAST 60 FEET OF THAT PORTION OF THE NORTABAST QUARTER OF THE
NORTHEAST QUARTER OF SAID SECTION 34, LYING SOUTHERLY OF THE LOS
VBRJELS ROAD, AS SAID ROAD EXISTED ON JANUARY 22, 1965.
Oct -29-01 02:03P Oroville Surgical Gr- 9165349663 P.03
rr
Reoord Ila the Request of
AW VA11O► Tft A Eaarow Coetperly
Order No.
Escrow N0. 168494PE
Loan No.
WHEN RECORDED MAIL TO:
CELESTE A. FRANK
P.O. BOX 593
BANGOR, CA 95914
MAIL TAX STATEMENTS TO:
SAME AS ABOVE
INN1111B'10111
1998-004 306
Rtcordtd I NEC FEE I&*
Official RICO 5 1 TAX fiLls
RKW*CA1N1tL1 Jtt6a1�
r I
I
rAly
l3t011pN f9 -Oct -1998 I Pilot of 3
ePAM AWA THS LLE KA F&COMM WE
DOCUMENTARY TRANSFER TAX MR
X CWVubd an tw oonsldswlon a. woe d prapp,llr as^wree: Oa
Cornpurd an to sanida ADO ar va o less Mir & wamibraneu
wramhe Y arm d sale.
Thm ►alt Island Pramor dtedamn
ORO—C Sin d D@CbAN m Apart 00*MhN tax - FWM Name
GRANT DEED
FOR A VALUABLE CONSIDERATION. rgcW of wttkh to haroby acknowledged,
CHRISTINE ANN LYNCH, SUCCESSOR TRUSTEE OF THE JOHN W. JONES AND MARILYN A. JONES
REVOCABLE LIVING TRUST DATED DECEMBER 18,1984, WHO ACQUIRED TITLE AS JOHN W. JONES,
TRUSTEE OF THE JOHN W. JONES AND MARILYN A. JONES REVOCABLE LIVING TRUST DATED
DECEMBER 18, 1994
hereby GFAWM to
CELESTE A. FRANK, A MARRIED WOMAN, AS HER SOLE AND SEPARATE PROPERTY
the Mal PMP&ty In Ow Unlrrcarporsted Area o/ the
Courdy of BUTTE
dswrlbed as
SEE ATTACHED LEGAL DESCRIPTION
oared 0dalmr 7, 19AR
STATE OF CAUFORMA
COUNTY OF BUTTE
o„ OCTOBER 7, 1998
betonm4 PEM' C. ENGLAND-..-UOYA$Y PUBLIC
o mormWy aooaamd CHRISTINE ANN LYNCH
Pwmm alt luiorn b we (o pt a L b ma an tM b" G1 WOW"
ftulwy to be Ifo pwam(s) wbosa nam(s) blue subw&W b to
w" mkwf at and edmw %ted to rrla tkal halahw" ==And
" Mme in ktsllerAt+w aut"*" cmpadMi*. and ow M
hW%w/th U sIgnsturs(N an Vw lmwmwA ttr parsonts) or tte mmy
upon behalf at wry eta persons) acted. euoeuatl ttw havwrertt
wme m myARA at f told omcw sspL /
ice0i/—!1m
. Side of California.
JOHN W. JONES AND MARILYN A. JONES,
REVOCABLE LIVING TRUST DATED
DECEMER 18, 1 94
i�N C. 04GL ND
C
wt ��r►1107'41lZMrCVl1
�Mm a butt
Oct -29-01 02:04P Oroville Surgical Gv 9165349663 P.04
ORDER NO, BU -168494-3
DXSCRXPTzou
THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS:
SSL I -AL
THE EAST HALF OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF
THE NORTHEAST QUARTER OF SECTION 34, TOWNSHIP 18 NORTH, RANGE 5
EAST, M.D.B. & M.
M MLZ_-Be
ALL THAT REAL PROPERTY LYING
34, IN THE NORTHEAST QUARTER OF SECTION
TOWNSHIP 18 NORTH, RANGE 5 EAST, N.D.B. & M., BUTTE COUNTY,
CALIFORNIA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT THE SOUTHWEST CORNER OF THAT CERTAIN PARCEL OF LAND
AS DESCRIBED IN DMW TO CHARLES E. BECK, ET UX, RECORDED IN BOOK
2374, PAGE 569, OFFICIAL RECORDS, SAID SOUTHWEST CORNER BRING
MARKED UPON THE GROUND BY A ONE-HALF INCH RE -BAR TAGGED LS 4208 AND
SHOWN ON THAT CERTAIN RECORD OF SURVEY, RECORDED IN THE OFFICE OF
THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK
84 OF MAPS, AT PAGES) 26, 27 AND 28, SAID SOUTHWEST CORNER BRING
THE TRUE POINT OF BEGINNING FOR THE HERRIN DESCRIBED PARCEL OF
�DJ THENCE NORTH 00 DEG. 29' 38" EAST, ALONG THE WEST LINE OF
SAID PARCEL, 128.50 FEET TO A ONE-HALF INCH RE -BAR TAGGED LS 42081
THENCE LEAVING SAID LINE, SOUTH 84 DEG, 48. 20% EAST, 392.07 FEET
TO A POINT ON THE EAST EDGE OF AN OLD STONE WALL, SAID pOjW BRING
MARKED BY AONE-HALF INCH RE -BAR TAGGED LS 4208; THENCE SOUTH 00
DEG. 55 OS"WEST AWNG THE EAST EDGE OF SAID WALL, 26.16 FEET TO
A ONE-HALF INCH RBBAR TAGGED LS 4208; THENCE SOUTH 00 DEG. 09' 18"
EAST, 70.17 FEET TO A POINT ON THE SOUTH LINE OF THE NORTH HALF OF
THE NORTHEAST QUARTER OF SAID SECTION, SAID POINT BEING MARKED BY
A ONE-HALF INCH RE -BAR TAGGED LS 4208 AND SHOWN ON SAID RECORD OF
SURVEY; THENCE KOM 89 DEG. 30' 45" WEST ALONG SAID SOUTH LINE AND
LEAVING SAID WALL, 391.36 FEET, TO THE POINT OF BBGINNINp.
PARCELS IAND I-8 ABOVE ARE PURSUANT TO A BOUNDARY LINE
MODIFICATION BY DEED RECORDED MARCH 4, 1963, IN BOOK 2802, PAGE
417, OFFICIAL RECORDS, AND CANNOT 8E SOLD SEPARATELY.
A RIGHT OF WAY FOR INGRESS, EGRESS AND PUBLIC UTILITY PURPOSES OVER
A STRIP OF LAND 30-0 FEET IN WIDTH, LYING WESTERLY OFAND ADJACBriT
TO THE WEST LIMB OF PARCELS I -A AND I -B, DESCRIBED ABOVE.
CONTINUED
Oct -29-01 02:04P Oroville Surgical Gr 9165349663 P.05
ORDER NO. BU -168494-3
DESCRIPTION - ConTzNM
SBL IIIs
A RIGHT OF WAY FOR INGRESS, EGRESS AND PUBLIC UTILITY PURPOSES OVER
THE NORTH 60.0 FEET OF THE SOUTHEAST QUARTER OF THE NORTHEAST
QUARTER OF SAID SECTION 34.
Iy s
A RIGHT OF WAY FOR INGRESS, EGRESS AND PUBLIC UTILITY PURPOSES OVER
THAT PORTION OF THE BUT 30.0 FEET OF THE WEST HALF OF TA8 EAST
HALF OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER; AND OVER
THAT PORTION OF THE WEST 30.0 FEET OF THE BUT HALF OF T1M BAST
HALF OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION
27, TOWNSHIP 18 NORTH, RANGE 5 EAST, M.D.B. 6 M.; AND OVER THAT
PORTION OF THE BUT 30.0 FEET OF THE WEST HALF' OF THE EAST HALF OF
THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER; AND OVER THAT -
PORTION OF THE WEST 30 FEET OF THE EAST HALF OF THE EAST HALF OF
THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 34,
ALL LYING SOUTHERLY OF THE LOS VERJBLS ROAD, AS SAID ROAD EXISTED
ON JANUARY 22, 1959.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCELS I -A AND I -B, DESCRIBED HEREIN.
A RIGHT OF WAY FOR INGRESS, EGRESS AND PUBLIC UTILITY PURPOSES OVER
THE BAST 60 FEET OF THAT PORTION OF THE NORTHEAST QUARTER OF THE
NORTHEAST QUARTER OF SAID SECTION 34, LYING SOUTHERLY OF THE LOS
VERJELS ROAD, AS SAID.ROAD EXISTED ON JANUARY 22, 1965.
Oct-29-01 02:03P Or•oville Surgical •Gr 9165349663 P_O2
STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND MOUSING AGENCY GRAY DAVIS, Governor
DEPARTMENT OF HOU§INd AND COMMUNITY DEVELOPMENT
DMefon of Codas and SUnd3rds �uEKTgc
Title Search '
Date Printed : 04/10/2000 iry>
Decal #: LAV5680 Use Code: SFD
Manufacturer: Original Price Code: AHL
Tradename: MOUNTAIN HM Rating Year: 1979
Model: Tax Type: LPT
Manufactured Date: 00/00/1978 Last ILT Amount:
Registration Exp: Date ILT Fee Paid:
First Sold On: 04/30/1979, ILT Exemption: NONE
Serial Number HUD Label / Insignia Length Width
2721A CAL107958 62' 12'
2721E CAL107959 62' 12'
Record Conditions: Voluntary Conversion to LP`[
PPF Exempt
Registered Owner:
CELESTE A FRANK
115 DAMERON RD
OROVILLE, CA 95966
Last Tide Date: Pending Title
Last Reg Card: Pending Reg Card
Sale/transfer Info: Price $30,000.00 Transferred on 19 -OCT -98
Situs Address:
115 DAMERON RD
OROVILLE, CA 95966
Situs County: BUTTE
Legal Owner:
NEW AMERICA FINANCIAL
340 N SAM HOUSTON PKWY E #100
HOUSTON, TX 77060
Lien perfected On: 04/06/2000 16:25:36
Inactive DeeaVDMV:
DMV SM9739, DECAL ABF9273
*** END OF TITLE SEARCH ***
0
��� •t.h �- �, 'k� ��-. � .`•..._ _. ...... � i fid i
ti
,: ,�.
..•
CQUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 1'2166) ' APPLICATION AND -PERMIT'
ASSESS06NpA 8L !:T1l!ER 049
ICJ LELLSEJSJTIEJ�
ZRTII
BUILDING PERMIT
OWNER
FRANK
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
1,48880,352.00
OWNERS ff"5rE�392 OROVILLE 95966
cONTRAMff DECANN
7674+°N4880
CO"TRAC794"A(jMEINO LN, OROVILLE 95966
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 80
352.00
ARCHITECT OR ENGINEER
LICENSE NO:
Film Fee $
20.00
Permit Fee 554, OOZ2$277.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $91-00
BUILDINGADDRESS
115 DAMRON RD, BANGOR
Ener Plan Checking Fee $
sv s
$
PERMIT FEE S
320.00
LOT NO.
S UBDNIS IONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome IX Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 15,00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other]
Describe Work: EX MH (EX SITE PERM FNDN
Gas piping sy2tem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I WF_
@20.00
PERMIT FEE :
50.00
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2o0A 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 fu force and effect.
License Class 44 J Lic. No. O � � .�
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' compeasation insurance carrind policy number are:
Carrier `,`�?, (C'JYy1-X✓
Policy Number 00 ) - �;L2 'Z—.
(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' ompensation provisions of section 3700 of the Labor Code, I shall
forthwith comp y with th provisions.
%
X Date �� �, Z +
Signature of Applicant�'❑ Owner ❑Contractor 13 Agent
An OSHA permit is n Ired for excavatioer 5'0" deep and demolition or construction
of structures over ns stories in height.
Main Service zooA TO ,000A 46.00
NEW CONST. DWEWNG OCCUP. 3.50 FT.
OR Iff..
�O (
NEW MuNS inc- UTLET
NON-RESID. @7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES eL 3'
Ex. Occup. OFlxuTLFTs .LNS 1 E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $370. 0
HAZ.
,—
D FEES IMP
D
kL
CDF
_
PARCEL
PD HD
tSS
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 v
PERMIT EXPIRES ON G®Z O
I Ae
Receipt No. 336623/$63.00// -n-VV d-7
WHITE-D.D.S.-B.D. CANARY -ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT
I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 _ acP�RMIT No.
(Rev. 12/96)_
APPLICATIONAND PERMIT
ASSESSORPARCEL NUMBER _ =oNNG BUILDING PERMIT
OWNER ^�� �\ � V^ TEllPHON!
,� C 1 O C. BUILDING VALUATION
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
ARCHITECT OR ENOINEEA ,
ARCHITECT OR ENGINEEA S MAILING ADDRESS
BUILDING ADDRESS 1 i v
•OTNO. I SUBDNL4IONSNAME
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
TYPE OF WORK
New ❑ Additions❑ Remodel ❑ Ufifts ❑ InsOdQati
Describe Work:
r ;1//1 % % n
*PERAAIT FEE PAIS
SRA
SHERIFF
OTHER
AMOUNT RECEIVED
Ex. Occup. OUTLET OR FDMJRES 20 0-1 00
SAL .50
EX. OCCU FO(EO APPLNS. OR
OUTLETS ESID. EA 5.00
Tem orar Service 23.00
bile Home -Facilities------- N 20.00
Mi .-Wiri _ LL —` 23.00
LICENSE NO.
Total Valuation 1 b 6u
JD
Flirt Fee b 20.00
Main Service(
Permit Fee
$
7-7
Plan Checkin Fee $
48.00
OR ADONS.T (
Energy Plan Checking Fee
S
NON•RESID.
}
1
07.50
S
CDF
PERMIT FEE
t
' —�
PARCEL MAP
PLUMBING PERMIT
__--
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Fling Feed 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
BPECIFr
Each gas water heater or vent
15.00
❑ Other ❑
%h �('
Gas piping system 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home I S I G I W
020.00
Ex. Occup. OUTLET OR FDMJRES 20 0-1 00
SAL .50
EX. OCCU FO(EO APPLNS. OR
OUTLETS ESID. EA 5.00
Tem orar Service 23.00
bile Home -Facilities------- N 20.00
Mi .-Wiri _ LL —` 23.00
PERMIT FEE t
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service(
800v
20QA OR LESS
tow oR uess
23.00
Main Service
200A TO 1000A
48.00
OR ADONS.T (
DW ACC. BIDSUP.
3.SQFT.
NON•RESID.
BRANCH CIRCUITS
07.50
Ex. Occup. OUTLET OR FDMJRES 20 0-1 00
SAL .50
EX. OCCU FO(EO APPLNS. OR
OUTLETS ESID. EA 5.00
Tem orar Service 23.00
bile Home -Facilities------- N 20.00
Mi .-Wiri _ LL —` 23.00
�/�i�� indicated above for which fees have been paid.
*RECE ��,�. WAAB�. ')(.,(/")lv
*. To 9E PUT V'"o coAA vm
By
PERMIT EXPIRES ON
Date
�1
-'—
7
L ---MECHANIC PERMIT Fling, Fee 20.00
Heating
Cooling
Hood 8.50
Ventilation
PERMIT FES t:
Mobile Home Installation Fee b
Energy Inspection Fee b
Occ
NST. TYPE TOTAL FEES
D. FEES IMP
CDF
PARCEL
PO
HD
ISSUE
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
�/�i�� indicated above for which fees have been paid.
*RECE ��,�. WAAB�. ')(.,(/")lv
*. To 9E PUT V'"o coAA vm
By
PERMIT EXPIRES ON
Date
w.. c ' �-x r �•� d r •,t., 7�
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: C-�'` vASSESSOR P L NUMBER: 02q�'j3���
Proposed Building Use: wilding Inspecto>: Date: d�-' z—��
At time of permit application, I was dvised the following data must be sl b tted prior to permit processing and/or issuance:
Date Received
1. All items have been submitted.............................................................................................................
Plot plans, 3/4 sets, signed by the preparer of plans............................................................................
3. Complete plans, 3/4 sets, signed by the preparer of plans...................................................................
4. Engineered plans and calculations, 3/4 sets, with wet signature on plans.
All en ineerin must be shown on plans
gg............................................................................................. —
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ...............
•;s ❑ 6. Energy Design Compliance and supporting documentation................................................................
s
❑ 7. Statement of Intent for Non -Heated and A/C Buildings......................................................................
+f
�. ❑ 8. Hazardous Material Form . ...................................... :............................................................................ —
r ;❑� 9. Manufactured Home Data and Installation Instructions including Tie Down Specifications ..............
2 10. Fees of $.......................................................................................................... —
❑ 11. Impact Fees as shown on the attached schedule.................................................................................. _
❑ 12. California Department of Forestry Plan Approval/Fees......................................................................
❑ 13. Flood Elevation Certificate...........,...................................................................................................... -
- ❑ 14. Sanitation and Plot Plan Approval Environmental Health Department..........
{
❑ 15. City of Chico Plumbing Permit............................................................................................................ —
16. Plot Plan and Business License Approval from the City of Biggs
i,, ..,1; ❑ 17. Planning Approval for (A)•Use: (B) Parking:
.......... —
❑ 8. Contact Land Development about ❑ Impro ments ❑ Drainage, ❑ Legal Parcel ........................... _
Encroachment Per it Die c str tion proval prior to occupancy) ............................... _
20:''"Pre-Inspection fo required. Request to Building Inspector
❑ 21. Contractor's License Informati (Number, Name Style, Classification) ...........................................
❑ 22. Workers' Compensation carrier and policy number . ................................................................:........... _
❑ 23. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) ............................................. _
❑ 24. Letter of Signature Authorization........................................................................................................ —
Ll 25. Recorded Copy of Agricultural Acknowledgment Statement..............................................................
❑ 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................
❑ 27. Manufactur d Home Utilit Clearance............................................................................................
❑ 8. Existing v' dons an ore fired p its.
.............................. —
/ F
29. (j433 t De H. itle, Beck tb �
Ll 30. Other dl.
W 'en you iss a brm o as follows: LlMail to ail to Co ractor—/W
M Telephone and hold for pickup t o is
Applicant: 4&& 9Z_j Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Poll utio Date:
Copy of Plans sent Ll Health Department, ❑ Fire Department, ❑ Other Date:
1. Index permit Application for the above jtems numbered:
Additional items required:
By
(Date)
By:
By:
❑ Plan Check List
V
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 reviewed by 2 Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: + Date:
Yellow Copy - Department of Development Services - Building Division
i
WA6111 WIN
AP *zjEMMM—
John W. Jones
77",_
Off w/s Los Verjeles Rd., 8/10 mi. so.
RE_
Bangor ' • rwr . * �, r. y�•.�. I
'4 , Y. Jrsw. �.,t xi� i • ' PLUG— 11 I1
't OF A FRAME BUlI.DING' '•, '_ '
ti� a a CONSTRUCTED BY OWNER W/0
PERMITS �.
'728-33-27
John W. Jones I
' i E/S Gravel Rd., 14001off S/S Los Vey;
Rd., 8/10 mi.S.of Bangor
Permit #1 10-79P,E(uti1.,MH) I
ELEC .Q/ 79 ao,�.LT3n�i„P.�
GAS
SUPRRT STRUCTURE REQ.
COMPACTION TEST REQ. ZZ<):13
;
28-33-27 I
Permit #1244-79B,E--new priv to
` +�
storage bldg.) 1- fMQ 1 1d��
28-33-27
Contr: McMirlan'MH, Paradise
PErmit ##2079-79MHI
28-33-27 1
" c tr: Holmes Motile Home Serv., Oro.,
Perm #3096-79B(new_deck & awning/MH)"
,i
1
28-33-27
Permit##1557- OB(lst renewal
1244-79) stora
—_ -- 28-33-271 Q I
--Permit##10 -81B (2nd renewal/1233
•79)stor e bldg
28-33-27
ermit #894-82B(3rd renewal/
1244-79)
028-330-049 01-2589
. �y
n
OWNER:
LOCATION:
=INSPE
PRE CTION RECJRT
CONTRACTOR;
PRE-INSPETION FOR:
DATE TO INSPECTOR: I ( LI I `� �% PERMIT HISTORY:( ) NONE
BUILDING INSPECTOR'S REPORT
Building Description:
Comr,!ercieUUsage:
Residential/# of Units: -�
Currently Occupied
AbandonedNacant
Electric:
Yes_ 4 No Electric currently On /Off
DATE:
A.P. #
Z �G:
FOLLOWS:
Condition of Electric
Gas:
Natural Propane None / Currently On Off
Obvious Problems:
t
Sanitation:
Plumbing Working
Well Working Potable Water *�
Obvious SewageProblems `vZ�
Comments:
r
i
e
r
ACTION RECOMMENDED: ISSUE: t
HOLD FOR --% . T5-
r
r
pe
Ins ° • �' Date
_a
Sketch buildings on reverse and indicate location on property.
1 '
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
�.
7 County Center Drive Oroville,California
95965 Telephone (530) 538-7541
PERMIT N0.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSORPARCEL NUIlER
ZONN�
Main Service
—
BUILDING PERMIT
OWNER -�� TELCPIgNC�
� C•
48.00
BUILDING VALUATION
f. �
--
CO q•S C
COOR•A
?yw g /'
()
.
CONSTRUCTION LENDER
LENDER'S MAIUNO ADORERS
Fire lace
ARCNROI
ECT OR ENNEFA LICENSE NO.
Total Valuation $
Filing Fee $ 20.00
ARcrarEcr OR ENowEERs MAUNo ADDRESS
Permit Fee554f $
OUiLDwD ADDRESS
Plan Checkin Fee $
(�
Energy Plan Checking Fee E
I.$
LOT NO. SUMMONS NAYS PARCEL MAP
PERMIT FEE $ ---r
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
Each Trap 7.00
SF O Duplex O Mobllehome ❑ Other
Solar or heat Pump water heater 23.00
Water piping 15.00
SPE3CIFI
TYPE OF WORK
Each gas water heater or vent 15.00
New ❑ Addition O Remodel ❑ Utilities O Installation O Other O
Gas piping System 1 - 5 outlets 15.00
4
Building sewer15.00 �
�� �,-�/
Describe Work: �o(" 7-' �h /Y T 1
Mobile Home S G W Q20.00
*PERMIT FEE PAM
SRA
SHERIFF
OTHER
AMOVN'T' Rr-C r4ft
*RECM" NVAWM _ff-,�b � Z15
" TO Be P1lT INTO COMPUTER
OUTLET OR FDRURES
EX. Occup, ruceo APPLNS. OR
OUTLETS ESID. EJL 5.00
Tem orar Service 23.00
bile Home Facilities 20.00
Mi Win 23.00
-)-H
RMI E t
MECHANIC PERMIT Fling Fee 20.00
Heating
Cooling
Hood 8.50
PERMIT FEr 1 2
Mobile Home installation Fee S
Energy Inspection Fee S
occ coNST.TrPE TOTAL FEES '7
. D. FEES IMP COF I PARCEL PO NO 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
PERMIT EXPIRES ON
Date
PERMIT FEE
!
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service
e00V OR LESS
200A OR LESS
23.00
Main Service
200A TO 1000A
48.00
NEW CONST.DWELLING
OR ADONS, (
OCCUP.
i ACC. SLDS. )
3.5¢x°
OUTLET OR FDRURES
EX. Occup, ruceo APPLNS. OR
OUTLETS ESID. EJL 5.00
Tem orar Service 23.00
bile Home Facilities 20.00
Mi Win 23.00
-)-H
RMI E t
MECHANIC PERMIT Fling Fee 20.00
Heating
Cooling
Hood 8.50
PERMIT FEr 1 2
Mobile Home installation Fee S
Energy Inspection Fee S
occ coNST.TrPE TOTAL FEES '7
. D. FEES IMP COF I PARCEL PO NO 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
PERMIT EXPIRES ON
Date
to 0
11
'11� fit v
El, 5�
o a�-336'oq,5
j� � qD ti nq r -D YL 2 U
2$ - 3 3 —49 AP may-- --- �.
John W. Jones
Off w/s Los Verjeles Rd., 8/10 mi. so.
1� of Bangor
PRE- OF "A" FRAME BU ILD ING s
CONSTRUCTED BY OWNER W/O _
PERMITS
/ , / O %928-33-27
John W. Jones; f tY
E/S Gravel Rd., 1400'off SIS Los Ve*7esi
Rd., 8/10 mi.S.of Bangor
Permit # 10-79P,E(util.,MH)
ELEC'. '1� - 479
�P
GAS -7 5?
SUPRRT.STRUCTURE REQ. -L, i, !•
COMPACTION TEST REQ. Zc<)
28-33-27 �.
Permit #1244-79B,E�mew pri+v to
, storage bldg. )'"1d��//o� r -
28-33-27
Contr: McMillan'MH, Paradise
PErmit #2079-79MHI
I s s ed
• • , � %%%Gtr 7�0?v�/7......—.._. —. - � _ •
28-33-27 *,
C tr: Holmes Motile Home derv., Oro.
Perm #3096-79B(new deck & awning/MH)'
28-33-27
Permit#1557- OB.(lst renewal
1244-79) stork Fi N4 I ra �yI83
28-33-27
hermit#10 -81B (2nd renewal/1233 �
` 79)stor e bldg
-- 28-33-27 --- -
ermit #894-82B(3rd renewal/
1244-79)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 01-2769
ASSESSORPARCE0LN8UMBER330-049
2-
ZONING
-
BUILDING PERMIT
OWNER CELESTE FRANK
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
C'
. OWNERS MAILING ADDRESS
PO BOX 5392, OROVILLE 95966
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
52 5o
SUILDINGADDRESS
115 DAMRON BANGOR
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Iff Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Udlifies ❑ Installation ❑ Other JP
Describe Work: _C ONV COVERED DECK TO SUNROON
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
920.00
PERMIT FEE $
ELECTRICAL PERMITFling
Feel 20.00
600
Main Service 2o0A 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.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
"Ifhereby affirm under penalty of perjury that I am exempt from the Contractors License
Law r 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:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUR
OR ADDNS. (
s0
:
P1O" N.R.ID MULTI.OUTIET
97.50
APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @'•00
SAL @ .SO
Ex. Occup.GF1CED pES,D,OE.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt $
Policy Number
he above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
(Hell' 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'HAz.
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. Ji I/�� /( pate 1 ��-'./K�{��
1�'Tignature of Applicant - Ow er tl Contractor\\\.l 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 $
--
D FEES IMP
—
FLOOD
CDF pARDEt
_
Pp
_
ND
�
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for hich fees eve been
By D
PERMIT EXPIRES ON
provisions
to do work
paid.
to
to
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -.DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California '95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT d/.2
24a?
ASSESSOR PARCEL NUMBER
2
ZONIN
BUILDING PERMIT
OWNER Cil e-5fe �r�►t,�
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
-
OWNERI�/� ®jQ. —G' /
�5 MA`U RE38 ADD9� orov/`lIL q6 !'�i�D
/T
CONTRACTOR'S NAM
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation s
ARCHITECT OR ENGINEER
LICENSE NO.
Flip Fee $ O.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS nn
616• l�.J SOY►
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Other
SPECIFY
Each Trap 7.00
Solar or heat,pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 0 Other 1�1
Describe Work: �,� _/Vur ) �i J �L %
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Serviceeoov oR'ss
zooA oR LEss 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect
License Class I E
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 permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed d 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 9 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 5'0" deep and demolition or construction
of structures over 3 stories In height.
Main Service 200A TO 1000A 46.00NEW
CONST. DWELLING occUP. so
OR ADONS. ( a ACC. BLns. 3.5¢FT;
NOMREOSID. MUITI.OUTLET 97.50
POWER APPARATUS
8 SWOLE OUTLET CIR.
OUTLET OR PDnURES '0 ® 1.00
Ex. Occu SAL
Ex. Occup.. ounErs P� D.oEA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee s
Energy Inspection Fee s
Occ CONST..TYPE
TOTAL FEE S'
+pp
D. IMP FiTD DF PARCEL HD Pe
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
fo
Receipt No.
WHITE •D.D.S.-9. D. CA A -A SESSOR PINK -INSPECTOR GOLDENROD • APPLICANT
M
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: FASSESSOR PARC ER:
Proposed Building Use: Building Inspector: Date:
At time of permit application, I was advisitf the following data must be submitted prior to permit races ing and/or issuance:
1. All items have been submitted.
02. Plot plans, 3/4 sets, signed by the preparer of plans.
113. Complete plans, 3/4 sets, signed by the preparer of plans.
1:14. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!
❑6. Energy Design Compliance and supporting documentation.
❑ 7. Statement of Intent for Non -Heated and A/C Buildings.
❑ 8. Hazardous Material Form.
09. Manufactured Home data and installation instructions including Tie Down Specifications.
❑ 10. Fees of $
❑ 11. Impact fees as shown on the attached schedule.
1112. California Department of Forestry plan approval/fees.
❑ 13. Flood elevation certificate.
❑ 14. Sanitation and plot plan approval Health Department.
❑ 15. City of Chico plumbing permit.
❑ 16. Plot plan and business license approval from the City of Biggs.
❑ 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.
021. Contractor's license information. (Number, Name Style, Classification).
022. Workers' Compensation carrier and policy number.
❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑).
024. Letter of signature authorization.
❑25. Recorded copy of Agricultural Acknowledgment Statement.
1126. Letter of intent on building use.
❑27. Manufactured Home utility clearance.
❑28. Existing violations and/or expired permits.
El 29. 1143 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
E130. Other:
When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to ntractor.
Telephone Cl�l��� and hold for pickup at office. 11 Deliver with inspector.
Applicant: Date:
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued, will expire by limitation one year after date of application. In
order to renew action on an application after expiration, a new application, plans and fees will be required.
FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within
two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for
permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing
fees, plan checking fees for work plan checked and other department costs are not refundable.
Original - Applicant
�HrJr�+.�➢°",�'�,.^•y�'���,.�r,��+�..v+vr+`1...+:�+.•S^'wiM'�1,�,}"ii...Frv�-7n��.'�.,c t�n^T'var ,�y���v�.-.ri ti',�.inn.:t`.�;......��i;�,��.:-�,�+,,;:3'.. �„�i,y.,,..-.., �...Z�n
.CO.UNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
N7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA+95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA S15TEET '
OWNER:EL ASSESSOR PARC ER: 9
Proposed Burldirig Use: - Building Inspector: Date:
At time of permit application, I was advis d the following data must be submitted prior to permit race sing and/or issuance:
Date Received By
/1.All iiems have been submitted .------------------------ r -'---------------------------------------------------------
❑2. Plot plans, 3/4 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 miist be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!
❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------
117. Statement of Intent for Non -Heated and A/C Buildings. -------- ---;--------------------------
❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructi
ons including Tie Down Specifications .------------------
-----------------^t-
❑ 10. Fees of $ ---------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule7-----------------------------------------------------------------
1112. California Department of Forestry plan approval/fees.---------------------------------
Ell 3.
-------------------------------•❑13. Flood elevation certificate. ----------------------------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department. ------------------
❑ 15. City of Chico plumbing permit.----------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------
❑ 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). ---
❑ 20. Pre -inspection for
required. Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification).
El 22. Workers' Compensation carrier and policy number. -----------------------
E323. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -
1124. Letter of signature authorization. --------------------------------------------
025. Recorded copy of Agricultural Acknowledgment Statement.--------------
E126.
-------------
❑26. Letter of intent on building use. -----------------------------------------------.
027. Manufactured Home utility clearance. ---------------------------------------
028. Existing violations and/or expired permits. ---------------------
❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
Whyrr you issue the permit r/oce�ss as follows ❑ Mail to owner, []Mail to cr7office.
tor.
Telephone3� �tOJ� and hold for pickup at Dr (( ❑ Deliver with inspector.
(Date)
Applicant: Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date:
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, ❑ 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. V Date:
Contractor, designer, 6wner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divi tin' counter,° by 'p'!tDat
Plans reviewed by: Date: Plans approved by: a` a Diite '
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: { Date:
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until 'this
verification is received.
D1,
I personally plan to provide the ajor labor and materials for construction of the proposed
_�operty imp ovement : YES NO 112. HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work.
3:: I have contracted with the following person (firm) to provide the proposed construction:
NAME: . ..
ADDRESS: 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:
NAME:
ADDRESS:
PHONE:
CITY:
CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
NED: _
PROPERTYOWNER:
SOCIAL SECURITY NUMBER
DATE: —0r
NOTE. This Owner Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed. and
returned to our office before we are permitted to issue the permit
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you'are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
+Micel
It
6k,
Vi ira, C.B.O.,uilding Inspection
NOTE: This Owner -Builder Information Is required by Section 198.10 of the Californla Health and Safety Code
OVER
NOTE:
see
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MOB ILEIT.MF DATA
•If other than Isingle wide,
Mobilehome Mfr. /,/% c.,�f„` d1/� furnish Setup Model No. z y'r 4 g 4a Year % J`
Width 2 y (ft.) Box Length "�7 (ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome'unless otherwise specified.
• Footings (check one)
Single El—i. Wood either
AApressure treated or
EM foundation grade.
(ft.)(in.) (in.) (in.) 2. Other (specify)
enter support Center support
locations* footing sizes Supports (check one)
(in.)
P-4—.Concrete block.
2. Other (specify)
(ft.)(in.) (in.) (in.)
4 ---Tagalong or
Expando,
show support
details.
(ft.)(in j
(in.) (in.)
xJp
-- Typical Support,
(in.) (in.) Footing Size
(ft.)(in.)
(in.) (in.)
i,
-- Max. Pier Spacing
(ft.)(in.)
y% /�G
�� 0
i Max.
-- Overhang
(ft.)I
(in.)
(in.) (in.)
1
(ft.)(in.)
6UTTE COUNTY
BUILDING DEPARTMEN;',
APPROVED-:
If center piers are
other than drawn above,
draw in locations,
spacing,.and dimensions.
2e•
0 o I
0 0 0
rx r:aZr�
T►r. of t
c
TOP VIEW • MCP - PAD
I try/ or_.a rv.cem
parr®s♦.ort •
•
6-
j 0 3A, PLAIE
"? 01wrw caPPER e
I awme
I
I i%r iiAR
i f
e l ii
�_itirr- Sz7tA:E�
Wx4"bolts
ryp oro
G1t1FPERBASE .
RDPBR PLATS
2' SCH 40.PJPE
WrED TO 1/4'
BASE PLATE.
LIr X2' 2RACT
APIGiE Gt : / xV OF7LLXT %=
21P LONGTY?
a:.:rtuo.rwa
7e omm r76k.
rile
END VIEW - MGP - PAD
%4GP — UNOERLAYMEW G11ADE PLYWO. P E S CCA PRESSURE TREATFa
r.
/ •
DESIGN USTED AND TESTED 8Y: BSK ASSOCIATES
WAYNE T. POCVADO, PE - USTING NO. F94249
LNIff • It6CyrivpGtl� PAD
%" X6' ANCHOR
BOLTS TYP OF4
R&uXXP-ID&tMro ot"sliTta �P-YW--•PACfFIC CaNsp m EM&IUf£AS
APPA9YED 21SOBHAwnwfftd P'I:OtA6A4•�ORI
Sac7admrq CA R117a Fu: W Lb4�l42Y
SVRIWr 70 CORRECCrIGNs MOM
ARgKLb=IV7AL kMb=@ARWW4R
a . TU -1 PERMANENT
S� R'i�4f�•• �aVVrf'�iB'[i lM�! Y� fn�ru�e
WISP OP woes Am rtvvm mw
AeFSCO - CUS GUARD COAfp_AN '
P.O."K 126
mesa CATHM VALLEY, CA.9SS06
289-f**:5:*M, FAX 2V6Yd IStr
7St Pro Anes e4;,a �,/t�L p�_
L v •�
207
Wp ro m7,era aA.c
(M.O►q
o'
1-1/2' SC -L 40 PIPE
*-GRADES PM OR EQUAL
WnH 1 OR MORE
L= wtT>t %- Laarnvc
ADIU= HOLES
`rt CR ra
2" SCH 40 PIPE
T1,,,�,,_�___
+
W/2 ADJUSTER HOLES
1
2' SCH 40.PJPE
WrED TO 1/4'
BASE PLATE.
LIr X2' 2RACT
APIGiE Gt : / xV OF7LLXT %=
21P LONGTY?
a:.:rtuo.rwa
7e omm r76k.
rile
END VIEW - MGP - PAD
%4GP — UNOERLAYMEW G11ADE PLYWO. P E S CCA PRESSURE TREATFa
r.
/ •
DESIGN USTED AND TESTED 8Y: BSK ASSOCIATES
WAYNE T. POCVADO, PE - USTING NO. F94249
LNIff • It6CyrivpGtl� PAD
%" X6' ANCHOR
BOLTS TYP OF4
R&uXXP-ID&tMro ot"sliTta �P-YW--•PACfFIC CaNsp m EM&IUf£AS
APPA9YED 21SOBHAwnwfftd P'I:OtA6A4•�ORI
Sac7admrq CA R117a Fu: W Lb4�l42Y
SVRIWr 70 CORRECCrIGNs MOM
ARgKLb=IV7AL kMb=@ARWW4R
a . TU -1 PERMANENT
S� R'i�4f�•• �aVVrf'�iB'[i lM�! Y� fn�ru�e
WISP OP woes Am rtvvm mw
AeFSCO - CUS GUARD COAfp_AN '
P.O."K 126
mesa CATHM VALLEY, CA.9SS06
289-f**:5:*M, FAX 2V6Yd IStr
7St Pro Anes e4;,a �,/t�L p�_
L v •�
207
CCXERAL. NOTES GUS GUARD TUF�I
I. DESIGN LOADS - LIVE LOAD -10L .B.
FLOOR LIVE LOAD - 40 PSQ
VAUD LOAD - 90 JAPH EXPOSURE -r-
SEISMIC ZONE'<'
• SNOW LOAD 106 FSF
TWS FW'OATiON SYSTEM IS DESIONEQ TO BE Ctit' nUCT> D ON A FAMLY LEVEL 2-TeWAH 1►OE30STTNG SCID- PItC sumS.
I. CHASSIS BEAM SLIPPORTSHA1123E LOCATED AND SEMD POR TFE LOADS AS SHO WN D1
THE MOB RX HMAE DLSTAUATIOd RISTRIX-nC H
1. IN AREAS MERE E DffERENi7AL x nM.(E TT MS.I GW OCCLAX MANUFACTURED-
FTQMXSMALL1EREADA57ED WHENDS EXCEEDS I!1'Ot WHEN TT WILL BE ADVXXWj Y
AF7ECTkANWAC7L%W HONZ UKT.
3. CAPRI' ALL RTOTnIGS DOW TO Fath. UNDISIIAtgM SO4.. FOOTINGS ARE DESIG/gD
FOR 14MI FSF TOTAL LOAD SO& PRESSURE AND ACALl_ BE CLH[PATti3LE WITH LOCAL
�
SOIL CONDMONS COMPACTED SAND LfAY BE USED TO FILL TI VO= EMU PREYS
�. 17 UCTURALITE€L FABRICATE ACCORDING TO A51C SPECIFICATIONS. WEW
ACCORDCNG TO AWS SP CIhCATICYCS.- ELECTROOCS _ 37O PLATES -ASTM -.
SAE GR .< -ASTM Aug • ASTM A3225. A311 BMTS
T. THEGUSGUARDASSDaLMSSHOWNBELOW V"l- RE LISTED AMLABE.EDBYBS✓C
Aim ASSOCIATES FOR THE POUOW WG LOADS:
ALIAWA&SLOALIS HC2iUZONTAL VERTICAL
GCISGUARDTUF•1 22" 6ww
GUS GUARDMGTPAD .22ow 6CMA
GM GUARD E Z TIE PAD 22" 60009
1 UUPJM PRE raNARYINSPE) OR THE ETLMATCtkSHALL ENSURE THATfdQBQ,E
HOME CHASSIS BEAMS ARE OF STANDARD SFJMON
9. EIQSflNG C OACM MAY Be RETROFTTTED TO RESIST SEMaCpORM BY QLSTAUXto
GUS GUARD TUFF UNITS AS SHOAT? ON T7aS PAGE CE TYPICAL FOUNDATIOII PEAK[
10. T o ELLS GUARD r-04 SYSTEMS ARE SAFE FOR CNSTAU ATMN IN FLOODPLADt AREAS
WHERE DEPTH OF FLOODING DOES NOF EACIEED TIE H uma C2f• TImE Ft
I1. ASVL'IILE Wr ORSTALLATIOW IS ACC&PTABL.EPROVWED TICE NU#aER OF tUF_I UNM
U?/DFR EACH UNfT IS THE SAME AS S7iV WN REQUIRED PER EACjT iWr
12. S[NOLE-WIDE LOM REQ=E ADOTTEONAL RSSMAItlt . ISEE Smmr sl/
I7_ ALL METAL COM)'ONENTSAND ATTACMIEPM nfAtS SHALL B£ PROTECnWCOATED:
N. FOR MGP PALS USE 1 VY EXTERIOR PLYWOOD WITH urn LA ),Aa..y �
A/AX P('f ALIE=QU wrr.. ne vrvi :firiil T:£�FB IEfIT, ��TREATMtM To 0 o0
U. UGFIT 7EAVY_p`EX;H`T PLSSTH• AND S TEEL PADS MAY BE USED DJ PLACE OF
SVLMAF8= PADS.
IS E -Z TE Do" USED ON SCICIE-W DF, ROUND STArM (S/J X 1.)SL Y HE USED IN PUKE 7��IID.Oh�R7t J
OF TIE " I/3- FLAT BAR A IEE SOIL IS EXTRE►CFLY` HARD QR M AOCK HOLES MAS' BE
PR&DAdlm WHEN NECESSAAY. APaltovi0
17. i;<!S GUARD 1t1F1 FT)71DATIOIC SYS -C PROSES ALLOWABLE SHOW LOAD TO JM PSF '� �CO�RPC7sOta I+vI�31
Wald INSTALLED W M EXISTING STANDARDS RlQUIRM BY COACH MANLFACTLBLPS Ae+cOru ooa>m.unlexma6,Ip,y�
ORREPIACE Ti%MONACNE70OW BASIS. a®a�aaantcaa�rawery
u�truessw� ua�,um,�,Qn,,Q
It. ECUtDATIONKOCKS76•:l6';II•POURMINRaCEATGROUDW.ELMAYBEUSED. vvmy d�c&%Zh �
AT ALSTALLERS DISCRETION. AS ALTERNNATM TDPADS
OB COOPS AJC SEAM AAM
C'ARIET W - 7✓ SEI TAILF o4-wa7iWp+w1� + J � °'eK, jg
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cRcft=TU ASREC0&04EiR7IDLYTBEMANUFACRIRIR Trp.
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TUF-1 PERMANENT
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SNGL.E WIDE UNITS DOUBLE WIDE t.WITs
E■ 2-uiwlo, Lw . . ABES00 -GUS GUARD COMPANY
S• S 6IIW /81.tAIt Ea 7 l f' P_O.BOX E2E
Sy tr12r CATIMY5 VALLEY, CA. 95306
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CATHM PALLEY, CA. SSW
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T- wv 91C -3g-,3 -52.07
SHEEP 3 OF 3.
r� ;
PERMIT NO. 1244- 79B , E
-o96-7f
i PERMIT EXPIRES ���•
r
OWNER John W. Jones
CONTR. owner
28-33-27
LOCATION (A.P. )
t E/S Gravel Rd., 1400'off SIS Los Verjeles
Rd., 8/10 mi.S.of Bangor, Bangor
n a
is dl re&l l ac yoss
�Ir&.�
Ban� o
t
bh jir4 Yj ,@ITyr
ct
r.'
Temp. Power Pole
Called PG&E
Temp.-Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
i JOB
t2��=- FINALEDS
ature)
{
i
- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ,
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Mainigidg.,
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Sldin
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing �/�
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwa l l
Insulation
Heaters
Slab
Carport
Footings
Prov. for ph sically-
handica ed
Conformance of ex.
structure
Appliances
Gas PI I &Test
Temp.94S
Slab
Final i
Sanit ion
Patio
FIREPLACE
Firof
Footings
Footing
ELECTRICAL
Fixtures
.�wLw
r-inai z
suo aneis
Mesh
ACHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Under ro
Interior Lath
Ventl tion
Perma nt
Door Closer
FI I
Final
MOBILEHOME UTILITIES
---------------•-- Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALLATION • - - - - - = - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR �CORRRECTIONS
9G i"�� a��a� /u x�
ia-rk --r� RAJ* -
�(
1'` C��►'E ��O
(NOTE: An entry must be made on this form each time you visit the job site.)
File No
BUTTE COUNTY (For Action 1, 2,3)
Public Works Dept. (For Information ✓)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldgs. & Grnds.
Bldg. Insp. Admin.
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Transp.
Land Dev.
Drng. /S.I.
Sub. & Pcl. Maps
Permits
Addr.
December 9,.1983
` John W. Jones RE: Building Permit #1244-79 and
P.O., Box 136 Renewals/AP #28-33-27
Bangor, CA 95914
Dear Mr. Jones:
With reference to the above subject and your letter dated December 5, 1983, if
the storage building has been completed a renewal would not be necessary.
If completed, please call and•request,a final,inspection and approval from
this office.
Should the inspection show additional work,to,be done or corrections to be
made, the permit renewal would be required.
Please contact this office at your earliest convenience and advise of your
status. We will hold the renewal check of $24.00 until we hear from you and
determine whether or not the fees are required.
Yours very truly,
Clay Castleberry
Director of Public Works
Original signed by
J: F. Glander. .
J.F. Glander
JFG:aJ Chief Building Inspector
}i.
i�
w
December 9,.1983
` John W. Jones RE: Building Permit #1244-79 and
P.O., Box 136 Renewals/AP #28-33-27
Bangor, CA 95914
Dear Mr. Jones:
With reference to the above subject and your letter dated December 5, 1983, if
the storage building has been completed a renewal would not be necessary.
If completed, please call and•request,a final,inspection and approval from
this office.
Should the inspection show additional work,to,be done or corrections to be
made, the permit renewal would be required.
Please contact this office at your earliest convenience and advise of your
status. We will hold the renewal check of $24.00 until we hear from you and
determine whether or not the fees are required.
Yours very truly,
Clay Castleberry
Director of Public Works
Original signed by
J: F. Glander. .
J.F. Glander
JFG:aJ Chief Building Inspector
- _ /y - 5--J2 - - - -
��178n
c� w zio la3o _
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
28-33-27
ZONING
A-2
BUILDING PERMIT
OWNER
JOHN W. JONES
TELEPHONE
679-2275
SO. FT. OCC. BUILDING VALUATION
4th Renewal
OWNER'S MAILING ADDRESS
P.O. Box 136 Bangor, CA 95914
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee (Jof Original)
$ 14.00
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 24.00
BUILDING ADDRESS
E S ravel rd 1 00` o
PLUMBING PERMIT
Filing Fee 10.00
mi S of Bangor
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Rrnraoa hmo
SPECT
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other ®
Describe work: 4th Renewal of Permit #1244-79
(3rd - 894-82)
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. / DWELLING OCCUP.&`
OR ADDNS. C ACC. SLOGS. /
21l20sgft
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
y
License No. Classification
XI, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR U TI.OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
Ex. OccuP(oXTs OR FIXTURES 20®50e
9ALe3o
FIXEEDD APPLNS. OR
Ex. OCCUp- OUTLETS (RESID.) EA.� 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100,.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked. -
Heating
Cooling
Hood
3.00
Ventilation
pennit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said my ' sequence of the granting of this permit.
00
X G1J Date
OF of Si ure of ApplicantOwnec-N� Contractor ❑ Agent ❑
1 An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ 24.00
OCCUP. GROUP
I TYPE OF CONST,
PARCEL PD
HD
99UE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date 4-4-84
Receipt No.
WHITE-D.P.W.. YELLOW-ASSQSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
' M
i
Y COUNTY OF•PUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PER IT NO.
ASSESSOR PA• UMBE
ZON NG
- _2__1
BUILD G PERMIT
OWNE -
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
NER' MAILING AD -[CD ESS
I
ONTRACTOR' AME
v-% e,Y
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
On\ 32
UNKNOWN.
Total Valuation' Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ t V
BUILDIN A'DDR SS
a, (�
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.SUBDI VISION NAME
PARCEL MAP
Each pas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTUR
SF ❑ Duplex ❑ Mobi lehome ❑ Other t'
CI FY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Rodel ❑ Utilities ❑ Installation ❑ Other
Describe work: T�'PGV\ PA -AD -al # la—��-�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 All OR LESS
5.00
1�
`
Main service EA. ADD'L 100 AMP
2;50
NEW CONST. DWELLING OCCUP.5)
OR ADDNS. ACC. BLDGS. _
22 sq ft
CONTRACTORS LICENSE LAWNEW
I declare under penalty of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No: Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
CONSTR '.OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS p
NON.RESID. SINGLE OUTLET CIR. I
Ex. OCCUp OUTLETS OR FIXTURES_ @
BAL1
IXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID•) EA. 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
F�1j I shall not employ any person in any manner so as to become subject
JrC.. to the W. C. laws of California.
Notice to Applicant:.lf after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
Filing' Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
In ount in consequence of the granting of this permit.
I& Aw3r jIL ���
VDate T
nature of Appl' nt — Owne-3?LContractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE r
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under
of the Butte County Code and/or
work indicated above for which
DJRECTOJt OF PUBLIC
Cp�
By.
PERMIT EXPIRES D e _
the applicable provi-
sions
resolutions to do
fees have been paid.
WORKS
Date �O 2
Receipt No.�6 1l�lV
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
' r APPLICATION AND PERMIT
ASSESSOR PAG=L f�UMBER
n- 1...,{% .-
ZO ING
BUILDING PERMIT
OWNER �^ -
�J m -r QS
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
'
OWN 'S MAIL G ADDRESS -
' p
/
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER -
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ a y s a
BUILDING &DDR Ss Rd I � ,-�
t--
PLUMBING PERMIT
FiIingFee 10.00
`Each
1kn 1
Trap
2.00
Repair drainage or vent piping
5.00
r
Water piping
LOT NO. SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other r
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New❑ Addition ❑ Rgmod Utilities❑ Inst lation❑ Other[
Describe work: - h Cl �h P" .-Q L( —_Z
f�
S a/
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2-.50
NEW CONST. (DWELLING OCCUP.y'
OR ADDNS. l ACC. BLOGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed. contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONSTR MU Q
NON -REBID BRANCH CIRCUITS
NEW CONSTR. / POWER APPARATUS 61
NON-RESID. %SINGLE OUTLET CIR. /
Ex. Occup ouX50 @ 28¢
OR FIXTURES BAL@100
A
I11 ED PPLNS. OR
Ex. Occup.(OUTLETS (RESIO.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ i have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
�I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal l be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said C u ty inc quence of the granting of this perm),
XI Date �G
Si tore of Applicant — Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures overstories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occUP, GROUP
I TYPE OF CONST.
PARCEL
PD
NO
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
O' F PUBLIC WORKS
Ci —�
By Date
PERMIT EXPtRES D e
�3
Receipt NO.c)
�1
WNITE-D.P.W., YELLOW-ASSESS0 , PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned operty for inspection purposes.
Date�v
Signature of Per a or Agent _
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.
7 T OF PUBLIC WORKS
BY0Date
Building permit expires Date Ll gT_
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address AD
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address �. / O /
PlanCheckIngFee& p Penalty
Permit Fee
S S a
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. P'At","—
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
FeesW.C.
re Dept.
FireZone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Recd
I Parcel A roval
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others OO"Main
service EA. ADD'L 100 AMP 2.50
]Main
Main service OVER e0" 25.00
100 AMP OR LESS
service EA. ADD'L 100 AMP 1.00
NEW CONST. OR ADDNS. ACC. BLDGSDWELLING CCUP. Y) 20sgft
L /
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
$t le of:
Y
NEW CONSTR BRANCHCIRMULTI-OUTLET
NON-RESID. {BRANCH CIRCUITS) 12.50ea
NEW CONSTR. (POWER APPARATUS 8
NON RES,D. (SINGLE OUTLET CIR.
250 1
Ex. OCCUQ(OUTLETS OR FIXTI'RES) g L 1�
Ex. OCCU FIXED APPLNS. OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
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.
❑1 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 $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned operty for inspection purposes.
Date�v
Signature of Per a or Agent _
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.
7 T OF PUBLIC WORKS
BY0Date
Building permit expires Date Ll gT_
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
- 7 County Center Drive — Oroville, California 95965
01 Telephone: 534-4541
A LICATION AND PERMIT
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
� 7
Mailing A ress
400
C 4,% `elephone No
_a
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address1 92 %��a
Plan Checking Fee&/or Penalty
Permit Fee
r
PLUMBING No. @ FEE
/J
PERMIT FILING FEE $3.00
Each TraD 1,50
Repair drainage or vent piping 1.50
4.. a-�
A. P. No. !
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fire Dt.
ep
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. ans Recd
Parcel A roval
Plans Approval
Lawn sprinkler system 2.00
NEW Im ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 •Q
Main service e00v OR LESS
100 AMP OR LESS 5•��
Single Family ❑ Duple ❑ Mobil Home ❑ Others
Main service EA. ADD'L 100 AMP 2.50
Main service 1100 AMP OR LESS 25.001
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. (
OR ADDNS. ACCLBLOGS.LING CCUP. s) 22sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
St Ie Of:
Y
NEW CONSTR. MULTI.OUTL T
NON.RESID BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS .&
NON-RESID, (POWER
OUTLET CIR,
Ex. Occup {OUTLETS OR FIXTIIRES 6 L ,�
FIXED APPLNS, OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ 2
•
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which re it s I t K. d t I' k; I; —hi,h
MECHANICAL No. @ FEEPERMIT
FILING FEE $3.00
Heating
a every emp oyer o e insure au. ns is i ity
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
ermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
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 representative of the County of Butte to enter upon the
above-mentioned prop for inspection purposes.
X Date
XJ IZ�1174
gnature of Permits gent
Receipt No.
_1
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Cooli
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE 1S- $
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.
HECTO 0 PUBLIC WORKS
BY Date / z
Bu�dinq permit expires Date
COUNTY -OF BUTTE — DEPARTMENT OF:PUBLIC WORKS — BUILDING DIVISION
i4 4 • .:
7 Countv Center Drive s Orovi.11e California 95965 Telephone: 534.4541
b� v.� Ftp
PERMIT APPLICATION DATA SHEET
....r X1✓
OWNER
Proposeduilding Use
Permit Vfee based ur
W—
Complete Contract Price
Other„(explain)
Permit No.
A.P. No. -IfL�f"—A ts —�-i
Building Inspector 1J, -f ,& III A7 Date ---3 -Id-
i
L
,.*, D"PW Valuation
At time of permit=application, I was advised_ the following data must be submitted prior to perm
issuance:
DATE RECEIVED
1.
All items have been submitted...................................................................
2.
Plot plans in duplicate/triplicate...............................................................
3.
Complete plans in duplicate/triplicate...................................................
4.
Complete engineered plans and calcs.....................................................
5.
Plans with Energy Design Compliance Statement ............................
6.
State Energy Forms No. " ....................
7.
Statement of Intent for Non -.Heated & AC Buildings ...................
8.
Fees of $..................................................
9.
Letter of signature authorization.............................................................
10.
Sanitation approval from Health Dept....
11.
Planning approval for .............
12.
Certificate of Workmen's Compensation Insurance ........................
13.
Contractors License Information (no., name style,
classification) ................................
14.
Improvements may be required. Contact Land
`Development Section of Dept. Public Works (see
addres"s below).................................................................................................
Pre -inspection fpr requiredt Pre•inspec.requestto
n c
19., tor
6.
-hi
Other --
processing and/or
APPROVED
When you issue the permit, process as follows: ail to owner Mail to contractor.
Telephone and hold for pickup at —office. Deliver w/inspection.
Other
Copy of plans sent Health Dept., Fire Dept., Other Date—
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of appli a ' n, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone
Mail
Other
By Date
Plans checked by Date
Plans approved by Date 3
OTHER.:
Cnnv/DPW
chis set of plans and specifications MUST be
kept on the job at all times and it is unlawful to
Pa U Mb A' 1 O 1 PLAN - make any -changes or alterations on same without
T1,00 Ab 1z 1 E 47 written, prmisson from the De ar,tment of. Public
Z�'X 6v T 'i �� nt f uttP.
1200 r- �N G- X $ T& '�' ;6) �F 'N$v Va; •Com og� i1 C'$;4 r N C. \Es
90 Bldg, SObvck' Ahall bo 5 ft. frons A6 11 I e
side property .line and 50 ft. from Ag..U16 y :� 6 x zD
contorline of flip road, perhiitting a maxi&Q ,,r -14 G, H C eh•T Cz
`"`I -IL bra of c-1 ft. Gavo overhang but`entirel: , -
_ v.1 of ,all eco ts.
SI
isI IRniI ULJrAt 19•-
- _ '17 C�hENi-
x
' 9"Cei x 30 6 .3 301 -ikk
`� _
yes
30 30
Du
• . � t.E IR 'ryp IJ o T f_ : A t_ L W t rJ D U LOS .44 GAUGE. PLA
_ FLOOm SfAcE m,x35' 5`c.'UDs : �'' X.411 1(0'* C5,)JS-kFfiUTT
(p, BUILDING DEPARTMOO1
February 6, 1979
JOHN W & MARILYN A JONES
4001 Roland Dr. .
Concord, Ca, 94521
Tei Nra 415.671-7857
Planning Commission
7 County Center Drive
Oroville, Cao 95965
Ref; Rpoperty Nr, (AP 28-33-27 }
Dear Sire
We are planning in the near futher of. making our perminate
residence in Bangor, Ca. on the property as listed above. Our
means of housing will be a double -wide trailer approx 24' X 544
minimumo
We cyrrenty have.a wooden structure:on the property that had been
started by the previous.owner. We do -not entend to. occupy this
building, it is:.to be used for storage only.
S NCEREL ,
ohn W Sones
Marilyn A "Jones
FILE NO.
BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept. (For Informations/)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop
Equip. & Yards
Ref. Disp.
Bldgs. & Grds.
Bldg. Insp. Admin. '
D & C/Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Mapping
Drng./Permits
Sub. Checking
Right of Way
Jobs V. Jones
4001,Roland Dr.
Concord. CA, 94521
Dear Mr# Jonas:
April 19t 1976
REs SuLldlas Peraft
(AP 28-33*91)
4
With reference to the 41mWO subject And the iuspo*ttou made with you today of the
"A" frame building loc*.ted, a -
a,youlr property' South of Bangor** the follovits to 4 list
of It=$ uhtch -must be' done:
I. Submit plans to this office In duplicate and apply tot- the required building,
Plumblftt OIQCtvicalo. aiftd rio4wxical permits t,6, convert the presant, building
Into I iving *mvtovs * (See attiacbrats on plans.)
2. Submit attached applicotiou to Envlrom*util Ilealth for age disposal
pexittit mid Install 'eavage system and woll'pov. its ve
3. Install a continuous, perimeter fowWation, under- tht present building and
Include detaila on p to be submitted.
A. Tsistall piumbing,. olettrft4l. and nechankiti system per c*40 requiroments.
S. Make any modifications, aovrectiaw6 or addition* which way be required as
a result of the plan checking process.
Your cooperation with this office regarding this "tUx Is cartainly Appreciated.
Should you have any questiow concerning the abouts, ploase contact us.
Yours very truly,
C14Y Cdatleberry
Director of Public Works
JM:dd Assistant Director
Attacbments,
to -O i;;iioOA6ftOI Health, 03raville
Building Inspector
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
Owner:_��� �l�Iti 4,e j A.P. # 72? 3 — 2T
Address: go O ( �1�*-✓J c� %%y..,�/t� ,� ct Date of Inspection
Tenant: Inspector
Building Location:
Type of Inspection requested:
Housing 2. Financing
X/ 4. Other .(specify)
Present use of building:
3. Change of Occupancy to
14 -JA
A. Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. . Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and ventilation:
8. Room and space requirements: J
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11. Connection to sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Comments:
B. Structural
1.,
2.
3.
4.
5.
6.
Piers and footings
Floor construction
Wall construction:
Ceiling and roof construction:t�--
Fireplaces:
A cl ..J Ate,
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fusing:
4. Comments•
D. Plumb in
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments:
(continued on back)
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Comments:
F. Commercial Buildings
1. Roof covering:_
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:_
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem or violation (give complete description):
2. What action taken (give complete description):
3. What action recommended:
A. Information only - file.
/ / B. Hold'for ten (10) days, then write letter.
" C. Write letter.
1
D. Other: `
M ,
1
(Z"
l 7—
• , w
FILE NO
BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept. (For Informationt/)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop
Equip. & Yards
Ref. Disp.
Bldgs. & Grds.
Bldg. Insp. Admin.
D & C/Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Mopping
Drng./Permits
Sub. Checking
Right of Way
M
N
April 2, 1976
John W. Jones RE: Building Permit
.4001 Roland Dr. (AP M-33-27)
Concord, CA. 94521
Dear°Mr. Jones:
With reference to the above subject and your recent correspondence, this office
has no record of issuing any permits on your 'property. I, therefore, assume that
Attie previous owner constructed this "A" frame building without permits, inspec-
tions, and approvals of this office.
` Prior to occupancy and use of this structure, it must,be approved by this office
and the Health Department.' '
I suggest that you arrange to meet a representative of -this office and the Health
Department to review the structure in the field so we can advise you of the proper
procedures to follow.
Should you have any further questions, please feel free to contact us.
Yours very truly,
Clay Castleberry
Director of Public Works
J.F. Glander
JFG:dd Assistant Director
GRAY KELLY
BUILDING INSPECTOR
7 COUNTY CENTER. DRIVE
OROVILLE, CA. 95965
Dear Mr Kelley,
JOHN W JONES
4001 Roland Dr
Concord, Ca. 94521
4:15 -?98-2594
I am writing in hopes you may be able to render some information
and. assistance. I received your name from Don & Gene Smith who have
a 1,,obile Home in Bangor, property which in next to mine.
I hope you don't mind sir, that I correspond this tray in seeking
information, but due to my working schedule, it would mean taking a
day off during the Creek to visit your office.
The property I have is # 028-33-0-027-0, and I have an existing
"A" Frame cabin on it, some of the information I would like to know
sir is as follows:
The type of Building Permit that has been issued to the individual
before me and how much can I do to the cabin in further developements?
I would like to add a 16' X 10' deck on the front of the cabin and
would I need a permit to do so:
I have been advised to ask for a Temp. Occupancy Permit, although
our permanent address is here in Concord. We will be only occupying
the area on week -ends and during our annual vacations. It will be a
couple years before we will be able to move there on a germinate basis.
So far sir, I have replaced the broken windows in the cabin and
put on tar paper and Asphalt Shingles on the roof to protect the wood
roof, I�hope in no way violated any requirements.
I am retired from the Army and we hope very much to someday make
that our home, but I want to be right in what I do, I have heard so
many "out -house opinions" up there about what I can and cannot do, I
am hoping sir, that ,you would take the time and advise me, and. I can
assure you that your advise and guidance will be that I follow.
I can if need be available on any Monday if you feel it is necessary
to core to your office to discuss matters concerning our property.
Inclosed:
Property Map
Sketch of proposed Deck.
Thank You
Sincerl_
0HN -1.n1 JONES
`L
COU;4;.., O'
PT. Or.PUBLIC
'a
APR 1976
.
r?l8l9J10,1,l2i1+2,,3,4i5 fi
7, 8% . NE//4 SEC. 34 T. /8N R. 5E
M:D.B.BM
TF.1 C13.
This is not a _arv;r nj !!r� 3rd, but, is
wmpiled from o.+ca shown Ly ih• public
records, i
37
20 009 AC.
A
NOTE—ASSESSOR 'S PARCEL BLOCK
B LOT NUMBERS SHOWN
IN CIRCLES
IN
Tax Area Code
Assessor's Mop No. 28= 33
County of .Butte, 601if.
APRIL 1969
0
104-
PERMIT
0 -PERMIT NO. �}
4 .
l
PERMIT EXPIRES
OWNER
John W. Jones
CONTR.' nwner
4 LOCATION (A.P. 28-33-27
I E/S Gravel Rd., 14OO'off SIS Los Verjeles
Rd., 8/10 mi.S.of Bangor
F, a raA c. e, )-s 4 r eco l L, 2 c r oS1'
-croPn 'Zo�npa-( Adctl a * Kie
�s
3 i Temp. Power Pole
Called PG&E s
ymly-Elec. Serv.
C Iled PG&E 40
{ Temo. Gas Serv.
` Called PG&E
OB
` FINALED
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUI DING INSPECTi'ON REGDRD .
BUILDING BUILDING (Cont'd) PLUMBING
ASetbak Fir wall Sol Plpin Para ets 1s Floor
Restr m Finish 2nd Ioor
Window 3rd FI r Siding To out
Slab Roof Shea)blng Water Pi in
Piers Roofing Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
Stemwal l 4 Insulation Heaters
Slab Prov. for physiclkly Appliances
Carport handica ed
p Conformance of ex. Gas PI in & Test
Footings structure Temp. Gas
Slab Final X Sanitation
Patio FA&LACE Final
Footin s Footino tLECTR16AL
Masonry Walls Throat Rou h
Reinf. Stee FinalFixtures
Bond Bea IRE SPRINKL Motors
Framina Test Water Htr
Stucco Final Sub ane s
Mesh/MECHANICAL Grd. F ult Prot.
Scr ch Heatin Servi e
B wn Coolvg T mp. Pole
klerloCr
ish Du s nder round
Lath V Illation Permanent
loser final Final
MOBILEHOME UTILITIES ------------------ Elec. Service,2",+ <S Elec. Pedestal
Water Pipingg— Sewer (—r-`, Gas Piping
WOBILEHOME INSTALLATION - - - - - - - - - - - Support Elec. Continuity —
Water Piping Drainage Gas Piping
P g—e
DATE REMARKS OR CORRECTIONS
DD ,
JS
To 040
k49C T No �v.�S /�l b CE?�vVP �D scc(�i�OQ�
(NOTE: An entry must be made on this form each time you visit the job site.)
, I COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
ofd the tCaliforn.ia) Administrative Code, Title 25, Chapter 5, under permit
iumber0 % 7 ; for -,the following location: � i<
Owner
Owner's Address
Mobilehome Mfg. A6120n,0 � Mode r-� Year`2-9—
Insignia
` 9Insignia No. Serial No. 5 OOZ )
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public—Works
Date --7 9 By o
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED.
p White - Owner, Yellow - Installer, Pink - D.P.W.
MOBILEHOME INSTALLATION INSPECTION. CHECK LIST
1. Is the mobilehome located wit equired separation from lot lines and buildings and".generally
conform to plot plan? Yes_ No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes P No
3. Are footings and supports properly sized, spaced, and braced as pew approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No
4. Is the mobilehome level? (Sec. 5088) Yes-_ No
5. If more tv
ree than a single unit, are crossover connections properly installed? (Sec. 5088)
IV
Yes o
6. Water
A. Is flex le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes
C. Backflow - If coach is not State rnia approved, does station have backflow device
and pressure -relief valve? Yes
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Ye�s•41 No
B. Does it have minimum" per foot slope and is it properly supported? Yes_' No
C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe?..Yes No
D. If coat State of California approved, does station have required trap and vent?
Yes o
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehometonne r not more than 6 ft. long? Note: All pip* to be at least as
large as the mobileho as line inlet without reductions er than the mobilehome
connector. Yes No
B. Test OK as per following procedure. Yes o
1. Open all appliance connector val
2. Shut off appliance bu r and pilot valv
3. Air test w' manometer to 10"-14" water coluw
6oz.- imum 8 oz.) calibrated in tenth.,pound
OA.
or test with slope gauge (minimum
laements.. Test for 10 min. without
4. Connect gas meter to mobilehome with connector, turn on
soapy water.
C. Are all appliance vents properly installed? Yes No
test connections with
10,
9. Electrical
A. Is service large enough to provide idgquate'amperage to mobilehome (must equal rati.; 01
mobilehome with a minimum of 10amp)'and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes_j,!f" ivo_
B. Is there proper clearances around panels? Yes No
C. Is power supply cord or feeder assembly properly fused? Yes �1,
D. is continuity test satisfactory as per the following procedure? Yes_
1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the.
mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign -off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle _._AOL2Z[]b)n 04nrn se.
Length Widt
vehicle Serial No.
State Identification No.
Additional Information or Comments:
Inv dell
FJ
o4, L?,4��
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
V/-$ 7 County Center Drive – Oroville, California 95965
Tel epFione: 534-4-541
APPLICATION AND PERMIT
Owner 1/017?/ IV
Mai I i ng Address
nD''��� /�+�(��
�No
W66 2 J C� % � ��epho_e 7$.5
Contractor C1 tA, A -.,)1–:R
Mai I i ng Address
Telephone No.
Building Address L�
1 4D � .�,Ls� vt-LG?5 YE'iL tlr"L
S QD
wz
A. P. 51o.
1 Zon' g & PTann i
s
Sa on Fire Dept. Fire Zone
Use Permit
EQA
Parking Parcel
Declaration
Parcel Ma P
60' R/W
Im r
p ovements
�P�lans
Bldg. Plans Recd
or el p
PI s Approval
NEW ❑ ADDITION ❑ UTILITIESB OTHER ❑
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:
lD_7
_ BUILDING
SQ. FT7 OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water 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
600V OR LESSSS
Main service
100 AMP OR LE
Main service EA. ADD'L 100 AMP
Main service OVER 600V
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
NEW CON 5T R. MOL'' -OU I Lt I
NON -RES, D. BRANCH CIRCUIT
NEW CONSTR. POWER APPARATUS
NON.
RESID. (SINGLE OUTLET CIR
Ex. OCcun(OUTLETS OR FIXTI1RI
FIXED ALNS.
Ex. Occup. ( OUT ETS P(RESID )RE
Temporary service
Mobile Home Facilities
Misc. Wiring
License No. Classification �3
19 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.
I t'l f th t' th f f th k f h'
FEE
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
@ FEE
$3.00 ,QQ
5.00 DO
2.50
25.00
1.00
>_¢sq ft
?.50ea
IAL -@1011
2.00
10.00
15.00 �S
6.25
@ FEE
$3.00
cer y a In a per ormance o e wor or w Ich this 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 1 Hood 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 pr erty for inspection purposes.
Date -�
Signature of Per�mlitQe'Agent
Receipt No. /v (>4,0-3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Land Development Fee $ -Zw0
TOTAL PERMIT FEE is 1515D
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.
DIREC R F PUBLIC WORKS
By Date? —,J � 7.F
y
Building permit expires Date �'�D
To: Buildinc,, Department
From: Environmental Health
�
r
Sub,je..ct: Sanitation Clearance
Hold final fo.r: ,
Final_ clearance O.K. for:
Clearance for a -'I- bedroom mobile home. Other
Clearance for addition of
Note`
Water SurT,ly
Water Supply.
Sana arian,5�,E Date
n
OM- er
Locarion
Flans
a.nnroved.* .f_or:
Sewage Disposal
✓
`Mater Su.n:�l-T
Hold final fo.r: ,
Final_ clearance O.K. for:
Clearance for a -'I- bedroom mobile home. Other
Clearance for addition of
Note`
Water SurT,ly
Water Supply.
Sana arian,5�,E Date
e COUNTY OF BUTT -1 DEPARTMENT OF..PUBLIC WORKS —BUILDING DIVISION
7 County Center`Drive..� 9r2vi,lle,, CaIil:orri,ia 95965 — Telephone: 534-4541
' "' � �• � PERMIT APPLIC TION DATA SHEET
Permit No.
OWNER �O/iV LtJ �%4 �' A. P. No. 211'9
Proposed Building Use
Permit fee based upon: Complete Contract Price DPW Valuation
Other (explain)
Building Inspector 11-116� `"7%?/ -__ Date 3/S-17Ce'
At time of permit application, I was advised the following data must be submitted prior tb permit processing and/or
issuance:
DATE RECEIVED APPROVED
1.
All items have been submitted...................................................................
2.
Plot plans in duplicate/triplicate...............................................................
3.
Complete plans in duplicate/triplicate...................................................
4.
Complete engineered plans and calcs.....................................................
'5.
Plans with Energy Design Compliance Statement ............................
6.
State Energy Forms No. ...................
7.
Statement of Intent for Non -Heated & AC Buildings ...................
8.
Fees of $
9.
Letter of signature authorization. .....................................................
00/CSanitation approval from Health Dept.... A/�7
11.
Planning approval for .............
12.
Certificate of Workmen's Compensation Insurance ........................
13.
Contractors License Information (no., name style,
classification) ...............................
14.
Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
addressbelow).................................................................................................
r� 15.
`=7 [
Pre -inspection for regUlred. Pre-inspec. request to (date)
bldg.inspector
Other /�40 �1'.� /°=GOA �'71.doOlelo;P�4- �?� L.- •
When you issue the permit,.process as follows: Mail to owner Mail to contractor.
Telephone 6S3`/O and hold Jor pic up at office. Deliver w/inspection.
__- Other
_ _ t? 8 0
Date
Copy of plans sent Health Dept., '" Fire Dept., - Other Date—
During
ateDuring the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of a Ii ation, circle item'.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by
Plans checked by
Plans approved by
l
Telephone
Mail
Other
Date
Date
Date—/Z--i
OTHER: ,
In
1 Be
NOTE:—All Materials & WorkmanshiPr ,S + ces and
Acc6rdance with Recognized Good
A,+ prescribed for the Specified •us�sn thA
+ }' of a qu Y
C z Plumbing &Mechanical Co es
Uniform Building, an !
the National Electrical.CodeY �Y __ _ _..
This set of plans and specifications MUST bs'
�" th`= b t !C Times and iA is unlawful to
b
de pry
entedi
lum of
ut of
kept on a to a a
make any Aanges or alterations on same without
-- -- �- w �- -T- --- --- `� 7ri-K'?fin pt'rmission from -the Department of Pub
lic Works, County of Butte.
�JI
rpecmjt,��
It"
l '
+back shall be 5 ft. from` 41e
ty line and. 50 ft. fTome
F the road, permitting; a maxi= '
ft. eave overhang buif, entirely
msements. I
shoe bac
conoec op s ds �the�Ome
`e
'6\
'o
oko\}V{hebe `
O`ode
s`C.ec�\
...�. Co
now" farr
F isle nXXIMIURM.
ho
Septic system and location
iffy. d to be; as
B tt i,.County Health Dept.
(Proposed Propor tyLayout )
Property of John W & V'arilyn A Jones
Property Nurter ( AP 28-33-27 1
Banger, Ca..
j4" h
o-�
BUTTE COUNT`S
r'
:APPR WED
. J. -v
f,.
-j�
i
Two r)Roo
I r
to
r
7
f '
M
1 I i
r � i
i
i
BUTTE CUUN fY -
i
BUILDING DEPARTMENT
I -
APPR
44
to
Q
U
tLk
t N
Z
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r4
----------
COi�
P
�Y
f
t
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y
\71
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m
COUNTY OF BUTTE
DEPT. OF PUBLIC WORKS
APR 1 1976
AM
PM
71819000102111213141516
o�
COUNTY OF BUTTS 4 'DEPARTMENT OF PUBLIC WORKS
7 County Renter Driye - OroviOIe, California 95965
Tel ephon6A,5`34-4541
APPLICATION AND PERMIT
, "12 U/-) 9
BUILDING OL I
Owner J �s
SQ. FT. OCC. BUILDING UAT ON
3 (o c %
,
Mailing Address E S e �� A 00
AV
o L-3�. L=" ��-5
Telephone No.
Contractor
Mailing Address 3jLj/ i2 T�/L 6'
Fireplace
Total Valuation
Telephone No.
Permit Fee �- —
Building AddressPlan
UCS /5FQ0�
Checking Fee &/orPenalty
Permit Fee
6�4&-Iles lad
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1,50
Repair drainage or vent piping 1.50
A. P. No. — 3 3 " �-�%
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F s
tion
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .aQ,_
Building sewer 5.00
Bld s ec'd Parcel Approval
Place1pproval
Lawn sprinkler system _42.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
�-ic 33 USC I�uJ/l/
ELECTRICAL No.1 @ FEE
l
PERMIT FILING FEE $3.00
00V OR LE
Main service 100 AMP ORSLESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVEReoov 25.00
100 AMP OR LESS
Main service EA. AOD'L 100 AMP 1.00
NEW CONST. DWELLING OCCUP. Y1 2�Sgft
OR ADDNS. ACC. BLDGS. /
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: %% /
o-iclZ�'� 1013/4E /�jt� 5 i/i
NEW , MULTI.OUTL T
NON-RREBIESIDDBRANCH CIRCUITS 2.50ea
NEWCONSTR. POWER APPARATUS 6
NON .RESID. (SINGLE OUTLET CIR,
EX. Occup(OUTLETS OR FIXTIIRES BAL@1
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. ✓7•�/" 37/Classification (f/
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date — —�
ignatu�re�off P�ermitee or Agent
Receipt No l..5
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 OF BLIC WORKS
By - Date
Buil(ing permit expires Date .%3l' yo
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 5344541
APPLICATION AND PERMIT
autnonze representatives or the county or tfutte to enter upon the
above-mentioned property for inspection purposes.
X 'tee C X,=r- :tc Date z 9'
Signature of Permitee or Agent
Receipt No. 1 a t
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Bu ounty Code and/or resolutions to do work indicated
at:
for hich fees have been paid.
OF PUB C WORKS
3 Date ` 4 �>
Building per - expires Date �� �d
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Contractor G �' ..o
Mailing Address
Fireplace
Total Valuation
/
/0 �,�Ol ,' �L
Telephone No.
gl ?_
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
�Q O- T. .e_S
PLUMBING No.1 @ I FEE
PERMIT FILING FEE $3.00
Each Trao 1.50
Repair drainage or vent piping 1.50
A. P. No.a ^ 3� — pZ
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
Fire Dept.
FireZone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Recd
Parcel A vel
Plo proval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
permit Fee $
�,ehie//10-7?
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
00V OR
Main service 100 AMP ORSLESS 5.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD•L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONS. DWELING
OR ADDNST ( ACC.'BLOGS.CCUP. 22sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business &Professions Code under the name
style of:
NEW NONRESID, /BRAMULNCH TI_OUTL T
.CONS l CIRCUITS) 2.50ea
NEWCONSTR./POWER APPARATUS d
NON •RESID, \SINGLE OUTLET CIR.
Ex. Occua(OUTLETS OR FIXTURES g L�
Ex. Occup ( FIXED APPLNS. OR
• OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
/
License No.,�`�S'� � f' Classification �`(
Misc. Wiring 6.25
❑ 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.
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 J$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
ee
$ QZ
TOTAL PERMIT FEE
$
autnonze representatives or the county or tfutte to enter upon the
above-mentioned property for inspection purposes.
X 'tee C X,=r- :tc Date z 9'
Signature of Permitee or Agent
Receipt No. 1 a t
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Bu ounty Code and/or resolutions to do work indicated
at:
for hich fees have been paid.
OF PUB C WORKS
3 Date ` 4 �>
Building per - expires Date �� �d
MOBILE SUPPORT DATA '
If other than'single,wide,
Mobilehome Mfr. �,�f ,,� . ��/ furnish Setup Model No. 4,o Year %
Width 2 Y (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7,. 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
Center support,
locations'
V YxJ0 l
(in.) (in.)
Center support
footing sizes
(in.)
(in.) (in.)
Footings (check one)
Single E!J�, Wood either
pressure treated or
foundation grade.
Fj 2. Other (specify)
Supports (check one)
g--1--:—Concrete block.
Ej 2. Other (specify)
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
Tagalong or Expando,
show support details.
xje -- Typical Support
in. in. Footing Size
Max. Pier Spacing
(ft.)(in.)
/ -- Max. Overhang
i3UTTE COUNTY
BUILDING DEPARTMDO�
APPROVED -4
(in.) (in.)
//
30
(ft.)(in.)
(in.) (in.)
(in.) (in.)
Footings (check one)
Single E!J�, Wood either
pressure treated or
foundation grade.
Fj 2. Other (specify)
Supports (check one)
g--1--:—Concrete block.
Ej 2. Other (specify)
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
Tagalong or Expando,
show support details.
xje -- Typical Support
in. in. Footing Size
Max. Pier Spacing
(ft.)(in.)
/ -- Max. Overhang
i3UTTE COUNTY
BUILDING DEPARTMDO�
APPROVED -4
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: 6
2. Installer's name:��--
3. Is the site currently under permit? Yes 7;-7-7" No
(If yes, furnish permit number ) OR
Is the site an existing site? Yes / / No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes /moi/ No / /
(If no; clarify
5. What is the mobilehome electrical rating?
----------------------- i ri Amps
6. What is the mobilehome site service rating? --------------------- 2 o G Amps
7. What is the mobilehome site circuit breaker rating? ------------- 2 o a Amps
8.
Is there any other electric load to be served by the mobilehome
site
service? --------------------------------------------------- Yes / /
No -
(If yes, identify the load and size: (Load)
(Amps)
9.
What
is the mobilehome site gas pipe size? ----------------------
(in.)
10.
What
is the type of gas service? ----------------------------- Natural / /
LPG
11.
What
is the gas pipe length from meter or tank to the mobilehome?
(ft.)
12.
What
is the mobilehome gas demand? -----------------------------=
(BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
l
COUNTY. OF BUTTE
Department of Public Works
7 County Center Drive
Oroville ----- 534-4541
ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES
Owner.s�.. �% e
Location
Mobilehome Installation Permit No.
FILL IN -INFORMATION FOR ITEMS 1 THRU 10
'Watts
1. Width " ' x Box Length (j .Z x 3
2. 2 Kitchen Appliance Circuits ................. = 3,000
3. 1 Laundry Circuit = 1,500
4. Ovens ....... .. .....
5. Cook Stove Top ...............................
6. Hot Water Heater
7.. Dishwasher & Disposal ........................
8. Clothes Dryer .. ......... _ --O oo
9. Other,(specify, i.e., motors, exhaust fans,
etc.) _
Sub -total - Watts .....
First 10,000 watts @ 100% ................................ = 10,000
Remaining �'� �� watts @ 40%. .......
Air Conditioner watts @100%.. =
sS- Largest Demand = 4 707
Central Heat System 5 watts @ 65%.. = )
TOTAL DEMAND WATTS REQUIRED 31
"Demand Watts Required" - 230 .......... _ J AMPS
De -rate Mobilehome to .......IBUTTP- C_C) p4.ry ............ AMPS
BUILDING DEPARTMENT
APPROVED.