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HomeMy WebLinkAbout028-400-0090 0 28-40-09 -;ay „ elaine-car--lton-- - ..-- --- -.-. 198 Sun 'ie Hill Rd, Bangor -7) Permit #13 7P,E(util, MH)"i%" EL'o?Q7 GAS L �� S SUPPORT STR REQ MOb COMPACTION TEST REQ tY ` of 28-40-09 Permit#13 MHI 028-400-609 03-2604 BROWN, FRANK _ 198 SUNRISE HILL`RD; B NEW ELECT SERVICE '028-400-609 BROWN, :F f '' r' ERESA,O:,_03-3043 RANK &TH. r d A 98 SUNRISE HILL'RD, BAN. Cont- D & A CONSTRUCTION ALE INSTALL MH PERM FND 2B 2 3 Q� I ��� .,Q � 't' ,� � � �i ` i ;. �� RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2003-0084949 Recorded Official Records County Of BUTT} CAiVWCE- J. BRUM Recorder ROSEMARY DICKSON Assistant 01:41P14 05 -Dec -2003 REC FEE 10.00 CONFORM 1. N Travis Page 1 of 2 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. LL� FRANK BROWN JR. AND THERESA BROWN REAL PROPERTY OWNERILESSOR 5704 NORTH HAVEN DRIVE MAILAIG ADDRESS NORTH HIGHLANDS SACRAMENTO CA 95669 CITY COUNTY STATE ZIP 198 SUNRISE HILL ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT BANGOR BUTTE CA 95914 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also Property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-3043 530 538-7541 BUILD G PERMIT NO., TELEPHONE NUMBER 12-3-03 SI ATURE OF LOCAL AGENCY OFFICIAL DATE INTEGRITY HOMES DEALER NAME (if not a dealer sale, write "NONE") 91096 DEALER LICENSE NO. THE KARSTEN CO. 2003 WESTLAKE KD60017F MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER KC -CA 01-K21255A/B 60'X27' RAD 1375238 / 9558 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP # 028-400-009 HCD FORM 433(A) REV. 8/91 WHITF. - roomy Recorder CANARY - HCD PINK - Annlicant G0I.DENR0D - Rnildina Dent. UC't • 3U • �IUU3 . y: UMM 0 & A l OnSt rU0I Ofi_ & ESCPOW N0.6UUti N • 4 F.04 Preliminary Report Dcscripdon The land referred to herein is situated in the State of Cali€ostia, County of Butte, and is described as follows: , PAR ELI: . PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CAI,I>rORNIA, ON NOVEMBER 1, 1982, IN BOOK 89 OF MAPS, AT PAGE(S) 77, APN 028-400-009-000 AR L 11 A 60 FOOT NON-EXCLUSIVE 1;AASEMENT.FOR INGRESS AND EGRESS, ROAD AND PUBLIC UTILITY PURPOSES OVER PARCELS 1, 2, AND 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED W THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 1, 1982, IN 1BOOK 89 OF MAPS, AT PAGE(S) 77- pAkQgl 111: AN EASEMENT FOR INGRESS AND (EGRESS AND INCIDENTAL RIGHTS, ALONG, ACROSS AND OVER A STRIP OF LAND 25.0 TF-tT WIDE TO BE LOCATED WITM THE WES'T'ERLY 30.0 PEET OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OC SECTION 28, TOWNSHIP 18 NORTH, RANGES EAST, M.D.B. & M., AND THAT PORTION OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 28, LYING NORTH OF BANGOR. PARK ROAD. PARCEL N: AN EASEMENT FOR ROAD AND UTILITY PURPOSES OVER A STRIP OF LAND' 60.00 FEET IN' WIDTH, OVER THE FOLLOWING DESCRiBBD PROPERTY: THE WEST HALF OF THE SO WEST QUARTER OF' *THE .IdOP.7II WEST QUAfTEP. AND THAT PORTION OF THEWEST. F Of THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER1YING NORTHERLt' F TBE' RANGC)R Pa a r anon A .c t?' cYrc'rCn 7 A AR, A T1 lI 157, IN SECTION 29, TOWNSA.IP 18'NORTH, RANGE 5 EAST, M.D.B. & M. THE LOCATION OF SAID EASEMENT IS THE SAME AS THE BXjSTING ROAD WHICH RUNS FROM BANGOR PARK ROAD IN A NORTHERLY AND SOUTHERLY DIRECTION, AND GENERALLY F UtA.LLELING TRE WESTERLY LINE OF THE ABOVE DESCRIBED PARCEL 1. SAID EASEMENT TO BE FOR THE USE, BENEFIT AND APPURTENANT TO THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 28. EXHIBIT "q" 30 TOTAL P.04 1T�Lt';f' ��444"" ^ ff i * �, 1�:',1.'-t;* ass3� -w"r *, Y `K '. 13 ..fr :ILI z-��FOUNDATIONF,SYS3�_�EMM' , : . i�r t �,'. ,FA ,s wl €- t L n } ip> 4�ki r+ �,�F �CERTIFI�CA E OFO,CCU'PANCY r` � � i a* t ,��� � •,i...`r m ��'"- �,;''� t t . a a _f '.� ' � � z.3} :.� r".hy � ys.3� i� -�' N}.. BUILDING PERMIT NUMBER: 03-3043 Address or location of unit: 198 SUNRISE HILL ROAD, BANGOR CA 95914 Legal Description of Real Property: SEE ATTACHED •' 1 X11 11' (x) Mobilehome/Manufactured Home () 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: FRANK BROWN JR. AND THERESA BROWN Owner's address: 5704 NORTH HAVEN DRIVE, NORTH HIGHLANDS CA 95669 INSIGNIA OR HUD NUMBER: RAD 1375238 /1379558 SERIAL NUMBER OR V.I.N.: KC -CA 01-K21255A/B MANUFACTURER'S NAME: THE KARSTEN CO. YEAR: 2003 OFFICIAL APPROVING INSTALLATION: �J DATE: 12-3-03 PHONE: (530) 538-7541 H.C.D. 513C Dec' 4. 20 3. 9:16AM D & A Construction IiNo.6953 PP- 22 5306745848 STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM NU11,10 ER: 6697084 MANUFACTURER CERTIFICATE OF ORIGIN n r . , ---, U GNEGK )F THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. ANUFA TC, uREA H M R M LTl- MAN ACT R H UC G NUMBER OF f2 SFD (51NGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS 2 CO M CIA SACH: OCCUPANCY GROUP MANUFACTURER NAME: THE KARSTEN COMPANY MANUFACTURER LICENSE NL:MOER: 90153 MADIUFACTURER ADDRESS: 9998 OLD PLACERVILLE ROAD SACRAMENTO CA958�7 SUGGESTED RETAIL PRICE: Street 77, 150,00 Cf (Stale) (Ziol MANUFACTURER TRADE NAME. MODEL NAME ANDIOR NUMBER, DATE; OF MANUFACTURE: KARSTEN WESTLAKE KD60017E 01-23-03 NAME OF DEALER OR TRANSFEREE (OWNE:RSHIP TRANSFERRED TO) CALIF, DEALER NUMBER OR DATE OF TRANSFER: DUPAR & ANGEL MANUFACTURED HOUSING GP TRANSFEREE DESIGNATION: 01-30-03 bFiiLER OR TRANSFEREE ADDRESS. DL1 067 1 181 CONCOURSE BLVD, SUITE B SANTA ROSA CA 95403 (Street) Ci (State) INVENTORY CREDITOR NAME: (zip) INVENTORY CREDITOR ADDRESS. (Street) (City) (Slate (ZIO) SECTION It•5 MANUFACTURER SERwL NUMBER MCD INSIGNIA OR HUD LABEL NUMBER LENGTH %MOTH WEIGHT 1 KC—CA-01—K21255 A RAD 1375238 (INCHES) 720 pNCHES) 162 1 162 (POIN031 324.00 32400 2 Kc -CA -01—x21255 s RAD'1379558 720 TRANSPORTER NAME: D & R TRANSPORT TRANSPORTER ADDRESS, P- 0. Box 179 DURHAM CA 95938 ISveeq (CHI (Siete) Z' ( OESTINATION FOR UNIT OESCRIBED ABOVE. SHOWCASE HOMES 1375 COLUSA AVENUE YUBA CITX CA 95936 NAME (Street) (Chyl Istala (ZiP) I cen ih unaor a9nany,r pequry unoor the ipws PI the 51 @1' PI C91VDr is lhal Inv a0ola rock mo try, I'd w,. EseculaePn 01-30-03 e1 SACRAMENTO SACRAMENTO CA (Dula) IcI)— (cwnly) (slater SIGNATURE OF AUTHORIZED AGENT 05TRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CRED)TOR. UNLESS THERE IS NONE. THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE:, COPY t (vvw TE) FORWARD TO THE DEPARTMENT AT P O. a0M 1820, SACRAIAENTO. CA 85812-1020. WITHIN FIVE (SI DAYS OF RELEASE. COPY 2 (YELLOVI) DELIVER 10 TRE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION, "PY 3 (r:r)I r)GNAnnf Tn AF RFTAINFr) Ry TkF. MANUFgf:TIJAFR STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a: Mobilehome Commerical Coach Floating Home Truck Camper Decal (License) No. (s) Trade Name Serial No. (s) I/ We, the undersigned, hereby state that the unit described above: be placecd on a ne rrnaneri+ �v�r�C�o:t-� 0-1, 1°I� Sunrise c� P.�oacl e ( angor Ca °159/x, �� Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above- described unit in California, of from issuance of a California certificate of title covering the same. I / We certify under penalty of perjury that the foregoing is true and correct. Executed on 61— lq-03 at: Oroville ,California (Date) (City) (State) Signature of each affiant Printed name of each affiant o � ichelle Freel, Office Manager Address 1740 Feather River Blvd. City Oroville ,State California HCD 476.6 (Rev 11/86) Oct `30. 20103 : 9:08AM D x A Construction- & -.scRow RECORDING REQUESTED BY First American Tine Company AND WHEN RECORDED MAIL TO. � Frank brown Jr. and Theresa Bro n OV 4 MD C441K&II040, UC no—}4,, 14 I�yj 1 ow ,4s c -P qsw A.P.N.: 029-400-009-000 110.6003 P- 2 P.02 Illi ��l ll� i dill d it l� td�il l lli� l 6!I Recorded I IEC FEE 13.00 Official Records I TRX 107.60 Cc®pe I EOf CAfVDACEU7J..EGRU88S I Recorder I RO$EMRRY DICKSM i Assistant I Cheryl MOM 27 -Rua -2003 1 Page 1 of 3 Abu" Thk lrne rge Pewrdee's trw oniq File No.: 5501-1102213 (TP) GRANT DEED 1% Undersigned Grantors) Dadare(s),. ooCuMENTARi TAANSFdt TAx sw7.B0; crry TRANSFER TAX 40.00; SURVEY MONUMENT FEE$ { X computed On the oDnVAeretion er fullvalue Of preperty conYeyod, oft oomputed on the conWeratlon or fico vane less value of liens aVor enrvmhranees renrelning at time or Sale, ( X unlrurporated area; I ) City of Bangor, and FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Jay C. Carlton and Elaine H. Carlton, husband and wife as joint tenants hereby GRANTS to Prank Brown, Jr. and Therew Browns, husband and wife as joint tenants the following described property In the tOB yoar, County of t�e of Calillbrnia; &e Attached Exhibit "An Dated; Q111121R3 &C"' .' Elaine H. arlton Is cP 00:30. 20,03 AIM M D & A ICO nSt(UCti0n- & ESCR06 No•6008 P - 4 P.04 Preliminary Report Dtscription The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PAR ELI: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF TIIE COUNTY OF BUTTE, STATE Of CALIFORNIA, ON NOVEMBER 1, 1982, IN BOOK 89 OF MAPS, AT PAGE(S) 77. APN 028-400-009-000 AR II: A 60 FOOT NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS, ROAD AND PUBLIC UTILITY PURPOSES OVER PARCM 1, 2, AND 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER I, 1982, IN BOOK 89 OF MAPS, AT PAGE(S) 77. PAXQ9L III: AN EASEMENT FOR INGRESS AND (EGRESS AND INCIDENTAL RIGHTS, ALONG, ACROSS AND OVER A STRIP OF LAND 25.0 FEET WIDE TO BE LOCATED WITHIN THE WESTERLY 30.0 FEET OF THE SOUTHWEST QUARTER OF THE NORTMVEST QUARTER Of SECTION 28, TOWNSHIP I8 NORTH, RANGE 5 EAST, M.D.B. & M,, AND THAT PORTION OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 28, LYING NORTH OF BANGOR PARK ROAD. PARCEL N: AN EASEMENT FOR ROAD AND UTILITY PURPOSES OVER A STRIP OF LAND 60.00 FEET IN WIDTH, OVER 774E FOLLOWING DI?SCRWED PROPERTY: nS WEST HALF OF THE, SOLj, WEST QUARTER OF TI E.NORTH`�EST QUARTER AND! THAT PORTION OF THE WEST'..tLF OE THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER'I:YiNG N0R'1WERLt ()F TIDE BANGOR PARK ROAD, AS IT EXISTED JANUARY 1, '1957, IN SECTION 28, TOWNSHIP 18•NORTH RANGE 5 EAST, M.D.B. & M. THE LOCATION OF SAM EASEMENT IS THE SAME AS THE EXISTING ROAD WHICH RUNS FROM BANGOR PARK ROAD IN A NORTHERLY AND 50UTHERLY DIRECTION, AN'D GENERALLY PARALLELING THE WESTERLY LINE OF THE ABOVE DESCRIBED PARCEL 1. SAID EASEMENT TO BE FOR THE USE, BENEFIT AND APPURTENANT TO THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SAIA SECTION 28. 30 TOTAL P.04 i Oct ."30. 20.03; 9:03AM D & A Con stfUction_ & ESCROW r_ A.P.N.: Gant Dead - continued STATE OF _ARIZONA } COUMfY OF } } No -6008 P. 3 P.03 File NO -3301-1102213 (Tp) Date: 08/12/2003 on A me, - Wore appear ,t personalty personally or to (or proved to me on the basis of satisfactory evlde%e) to be the Person(s) whose names) is/are subscribed to the within Instrument and acknowledged to me that he/she/they executed the same in his/het/their authorized capacity(les) and that his/her/their signature(s) on the instrument the Person(s) or the entity upon behalf, of which the petsan(s) acted, executed the instrument, WITNESS my hand and offklal seal. F1 �� �„ area for oftial No Ju sea/ signatu ac+cou Wd" 14 v a ley Commission Expires: H.C.D. ATTACH CHECK A AN: DATE: r t NOTES RESIDENTIAL 028-400-009 _ 03-3043 r.. PERMIT NO. _ BROWN, FRANK & THERESA 198 SUNRISE .HILL RD, BANGOR Cont: D & A CONSTRUCTION INSTALL MH PERM FND 2BR 1 t r y Y 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). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED /BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date �3 Signature J=OK ' 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing: Connectors -Steel 1. Zoning Requirements -Setbacks -Easements Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 2. Soils; Special MH Support Sketch Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 3. Sewer; Location -Test -Fall -C/0 -Concrete Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 4. Water; Location -Test -Easement Needed (Sketch) Carports; Windows -Doors 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 8. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 9. 7. Well Clearance & Disconnect 10. 8. Utility Clearance 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 bate Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Conne6ted-C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Line MH Test and Sewer Connected 10. License Decals 1 5n #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing: Connectors -Steel 3. Decks, 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 POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, 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- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK o = Not = NotAApplicable p . = Not Ready RESIDENTIAL Date UNDERFLOOR (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope Date 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Date 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Date 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation (Single & Duplex) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date 17. Water Htr.; Vent -Access -Combustion Air Baffle Date 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light _ 35. Smoke Detector 84. Stucco Brown -Finish Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Date 43. Bearing Walls over Girders & Floor Nailing Date 44. Draft Stop in Walls (rat proof) Comments at Final: 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.1.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive 0 Yes 0 NoMalks 0 Yes 0 No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION L DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 M 7 County Center Drive - Oroville, CA - (530) 538-7541 - CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work Is completed. If you have any questions pertaining to this matter, or need additional explanation, please ontact this office immediately. f� n .( ) '-i n ( r o-t.- Date ' Z— _0 Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7'County Center Drive - Oroville, Celifornia, 95965 - Telephone (530) 538-759 ��gMl� ptq. (Rev. 12/96) APPLICATION AND PERMIT l.0 S ASSESSOR PARCEL NUMBER 028-400-00 ZONING BUILDING PERMIT OWNER FRANK AND THERESA BROWN 916-600-9007 TELEPHONE SO, FT. OCC. BUILDING VALUATION . OWNERS "UNG ADDRESS 5704n HAVEN DRIVE N HIGHLANDS CA 95669 CONTRACTOR'S NAME D & A CONSTRUCTION 821-5850- TELEPHONE 1620 R 1872480.00 ��M ONS= S#J YUBA CITY CA 95991 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 87 480.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 292.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 198 SUNRISE HILL RD BANGOR Energy Plan Checking Fee $ $ PERMIT FEE $ 335 75 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 19.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACEMENT MH ON PERM FM (2 BDRM) Gas piping system 1 - 5 outlets 15.00 19-00 Building sewer 15.00 Mobile Home IS I GI Wr @20.00 PERMIT FEE $ sn -on ELECTRICAL PERMIT Fling Fee 20.00 600VOR LESS Main Service A OR LESS 23.0093-00 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 irl full �foorce and effect. b License Class �1 1 Lic. No. L45-1 �(6 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. workers QmpBnsatipn insurgnce carrier and policy number are: Caa rrier��� F'(,�� Policy Number M4 B 2 — 7_�y 3 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 0D" � � ' X Qi(iCx 64" Date 61- 2C) -cm Signatur4 of A plicant - ❑ Owner V'Contractor ❑ Agent An OSHA permit is required for excavations over 60" dee and demolition or constructionJ/U of structures over 3 stories i height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( QFr: T. NO"Oµ-RESID MULTI.OUTLET @7,50 PowER APPARATUS a SINGLE OUTLET cIR. Ex. Occup. OUTLET OR FORURES B4L 9 �:w Ex. Occup. ourLEEDTSAAE�S1o.OFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TO FEE $ 428.7 HAZ. D. Es P C F p 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. B De d PERMIT EXPIRES ON 04 Dete Receipt No. $3 WHITE-D.D.S.-B.D. CAN RY-ASSE OR PIN -INSP COR GOL ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 12/96) APPLICATION�AND PERMIT , ERT A: S E S: O A PARC EL NVIASCAods?2O'" BUILDING PERMIT _ a NEA V�� C; 9r " NE 1sryu SO. FT. i OCC. BUILDING V ALUATION w Ep uw .oDAEss _ _ 7 �y �l.ccven (7ri l� 1. �hGlQds 95JOM/^C,*O ��r �7 /R/��S N(A/�4/�E^cC(I s1,�coN�raActCaS ►�Alurq ApOaESisTauCT-ONLENOEA EA SS "UNG AOORESs Fireplace I --- Total Valuation S -- ARc.rrECT OR ENGINEER LICENSE NO Filing Fee S AaCNITECr oA ENGWEEAS MAA/NG ADORESS Permit Foo -'515-5o/9 S X20 C' d / Plan Checking Fee S 3 el,RoolcAooAEss081 rl .e Uia d Energy Plan Checking Fee S 'van Cg_ 1'5 I /'/ E�jj.� _ PERMIT FEE Z-2: LOTNO SUaO ONS NIWEp ►MCEI a4AP "7 j)—%��} PLUMBING PERMIT Filing Fee 20 Go USEOFSTRUCTURE 31� > Each Trap 7.00; [SF Soler or hent pump water heater 25.00-1 O Duplex ❑ Mobilehome ;9 Other Water piping 15.00 S PEC IFv TYPE OF WORK Each gas water heater or vent 1 5.001 I Geis i in stem t • 5 outlets �' � 1 5.00 New ❑ Addition ❑ Remodel O Utilities O Installation other ❑ Buildingsewer I _� —IS -0 .0 IDescribe Work:JLlsi►��� re�1GL2{Y1Pn Mh � Deyc 1 Mobile Home S I C'I w i 920.00' — ^ kL r), VIN 1 1I PERMIT FEE S ELECTRICAL PERMIT I I Fling Fee' 0.0� OOOV OA LESS Mala ServicepOAORlE55 I 23.0 I �^ Main Service IOOA TO IOOOA I I 46.00- 6.0(].NEW +.� • v /` 1 NEWCON57. Ow�11WG OCCUP. OA ADONS. ( 1 KC. . 5C FT.: __- �f 50 J N ry MULT40UTLET w+aEs o I 07.50; vIlr APPA - a SN.0. CIA Ex. Occup. O%mXT OR nzTUAES ' 1 eAL EX. OccU . OURETSAPR p OR I I 5.00! PERMIT FEE P,Uto Tem orar Service i 1 23.00: 5n — RA #— Mobile Home Facilities i 20.00' Misc. Wirino S HEW IF OTHER s ,lMOUINT ;kWMVEp s f " TO N PJT XHT0 CO#PVM PERMIT FEE S MECHANICAL PERMIT Fling Fee I 20 C) Healing 1 Cooling Hood 6.50 ; Ventilation I PERMIT FEE S Mobile Home Installation Fee S Energy Inspection Fee S occ � NST TMaTO L FEE $ a I -AZ. 14 . -MMI Wf I,� CD: EL .PQ This permit is hereby issued under the applicable provisions of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. By Date ReceiptfVo. PERMIT EXPIRES 6N wHKE•O n s .w n cAwAay.A..e...,e ...........,�...__---------- -- - --- E.H. USE ONLY Piot Plan Attechad ✓ �• Raw Plan Attach Sant to 6.0, 42 r,? Cf / ;► o y+3 TO: Building Department b 3` , FROM: Environmental Health r /%/� SUBJECT: Sanitation Clearance �/CUAJ ir9.4,Jic�O�—ov Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE:/1 Environmental H 8/96 ,�,«.K/ � -, ....,� •-y..-`-..-- ey..:r-._..�--rr� li�i?'<y4r'."'+' ►'q'''r.�._•. �.-,r�:-•.iy....��,;;,r•,.'Yf.y �.. .:�..,��.,�.:�ti..<:.r^,► Y -� ... ♦ .....-.t•,.� �_ „_.... _ . � , COUNTY OF BUTTE -DEPARTMENT OF QEVELQPMENT SERVICES -BUILDING DIVISION r 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: r J 1; 1�� ASSESSOR PARCEL NUMBERyol) 60q +�VProposed Building Use: '' \Vy���ounter Technician: Date: �ttems required in order to apply for a permit. A boxes MU T be checked OR marked NA in order t pply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! 5 Energy compliance design and supporting documentation in uplicate. l Manufactured home Data sheets and installation inSri Marriage line in ofo)mloor Pla , )- 'e down or fnd plans, all in duplicate. 7. Metal bldgs: (A) Metal Plans, (B) Fnd plans and calci in triplicate, (C) Elevatiefis in triplicate I Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ...................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. ther e aining items needed to issue the permit. (May require additional plan review upon receipt oft e f lowing items�/y/ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... � 17 Statement of Intent for Non -heated and A/C Buildings ............................................ & Sanitation and site plan approval from the Environmental Health Department in rGl� 9. City of Chico Plumbing permit... .......... ......................... ermit..................................... 0. California Department of Forestry plan approval r paid. Sent by: �%1\75..../..�.'. .- �3 ❑ 21. Planning approval for (A) Use: oK (B)Parking: (C) Parcel Check: - I -'�- ®3 ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ..............:................ ❑ 23. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... ❑ 30. Recorded copy of Agricultural Acknowledgment Statement ................................... ❑ 31. Manufactured home utility clearance............................................................ . ❑ 32.E ' in g violation and/or expired permits ............................................... Grant Deed'Cp .H. Title/Statement of Facts ❑ Letter from Legal Owner, Check to H.C.D. $ C9""34. 'Other: r' ` When issued Telephone '� ,��G I.r and hold for pickup. I have been informed.of the above items and requirements for obtaining a building permit Applicant: -Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data -6y ❑ p one, ❑ mail, ❑ counter, by Date: Contractor, designer, owner was advised of the above ata y ❑ phone, ❑ mail, ❑ count r by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division oo 0 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE 1. BUILDING PERMIT FEES $ Balance Due ........ ........... . Additional Fees Due ................. Additional Fees Due ................. $ Revised Plan Checking Fee .............$ SCHOOL DISTRICT FEES) (paid at District Office) (Available after Plan Check 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) .... . .......... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -X-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P.# "1�6z) DATE RECEIPT # 3 (v b W DATE REC. )Dial a3 100/0-5- Pw At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE ln• d - 03 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant , 3rd Copy - Owner ' (Rev. 6/00) School District A.P. Number Property Owner BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) CX U Y ! R' Building Department No. V �t • l��jb (I V 1 Jurisdiction: Clty County Property Location/A( Subdivision Residential Development No of Living Units Commercial/Industrial ' New ..........., Sq. Footage 162 0 MI&Home Addition/ 'Supplemental to (Group R) Installation Conversion Permit # '(No foundation inspection): €................................................................................................................... Addition %VIVVI nails IUVIOwvu Uy acnuui Ulsuici rerso1111c17 District Identification No. 04 00 7 9 School District certifies that Address) (City) has complied with the requirements of Resolution No. representing f� Gi� square feet. M District Representative 40 Paid by Check # Remarks: I Sq. Footage (Including Exterior Roofed Areas) Date " (Applicant) (Phone Number) 9s9/y 0 (State) (Zip Code) 105-90 by payment of $ &,ejua 11AB 2926 $ FULL MITIGATION S loro9o� Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 901days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.As (10/98)dmm r t io 'w Building Permit Number: 0 r-3 Owner Name: &rol m Residential Construction Re uirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all tunes and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and wprkmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a elevation shown on the attached Flood Elevation Certificatee.. A Post Flood ElevationeCert scat will also be required fate Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: 0 Owner Name: Parcel lies within the State Responsibility Area (SRA). requirements. Comply with attached, Fire sprinklers are required in this structure. The following parcel map requirements shall be met All structures and equipment including overhangs shall be clear of all ease -A setback of � feet from the side and ments. --',o feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California . registered engineer or licensed architect. lz 1 F Zli . 176 L 6 6 0 g t ZOOZ/SZ/OI HUI='6Z'100_8wll pan1838 2 u N gUIMNIG DEPART 4 P P R MPOOH S3WOH 3SVOMOHS jol 9 Iry • wn I I Wdll:ll CON '61,dOS D'° 1. Owner's Name: 2. Assessor's Parcel Number: 3. Installer's Name: �� S A (', ,-f\ {s YU CAA�j-N\ 4. Is the site currently under permit? Yes[ ] No[ X] Permit No. 5. Is the site an existing site? Yes[r] No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? l p C5 Amperes. 7. What is the mobilehome site circuit breaker rating? 2 0o Amperes. 8. What is the electrical rating of the mobilehome site? Zo 0 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] NoD<] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service . (i.e. well, garage etc.)? Yes[N No[ ] If yes, please identify the load and size: a) The mobile home site: Load- %tje A Amperes- 3 y b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[x] None[ ] 12. Size of as pipe at the mobilehome site from the . meter or tankinches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS TRIS PERMIT APPLICATION t3UTTE COUN I r IlUILDING DEPARTMCC7 4 P P R O V r May 1995 8.5 Mobilehome Manufacturer: �� Manufacture Year: X03 If other than single wide, furnish Setup Model Number: yl$Q OOl1 Width: (ft.) Length:__(20 �_(ft.) Tagalong or Expando Size (ft.) On all mobilehomes manufactured after October 7; 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ X] Other: SUPPORTS: Concrete block] Other- Provide ther Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE KMTI-WIDE Line 1 01 Line 2 Lice 2 ................................................................................................ Main Beams Line 2 Line I Line 3 Line 2 ................................................................................................ Main Beams ................................................................................................ Line 2 Line i .................................................5 . Tag or Triple e 4 el Line 1 Piers: Size minimum: r 1 Z1 x r3o 1. Spacing maximum: I ` 0 ` From ends -maximum: ` Line 2 Piers: Size minimum: Spacing maximum: From ends -maximum• Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ J. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ J x [ J. Spacing maximum: E` From ends -maximum: ` C�10(1 b40, i ,1II ZlCu ?gfjo 1,2qj_3o I i(oX3a 3tD130 May 1995 9.4 __m__®®®� mmmmmmmmm May 1995 9.4 Z 'd-8585'0 9 16111, • SPOH 3SNOMOHS NMI =£OOZ 'Z '10 W n z S � �' c• Cl ec oo o yY� Q S .Q V7 I 1 f ig. $ I , n 8 1,5 I I O d 1 I O I p I � N n -------------- 1 0 1 I 1 I I 1 ` .. z I I N N i i m'L I s� In O I I I I _ L ---J i to ' I ' II II II ^a Mal 42, I I min 0 n A i w 17S O� in Y \ F 71 =glJ IU U B N�9•I� n .ti i ��. �il�. A I A P P R 0 � a D8000£5 Z 'd-8585'0 9 16111, • SPOH 3SNOMOHS NMI =£OOZ 'Z '10 a3s S' P ir� . �:�j II ♦♦ Lu 0 S oo - w ao cn ¢ d - U t_ O o ct I,r'> I f �I II ' u M o N 8" FLEX = U o L KARSTEN COMPANY OLD PLACERVlLLE RD. 10. cA 95627• —2681 Phone -4531 fax r. �F 43'-30DLfGT 401-f0° -------------------------------- I 0'A 3f/• 1 l7 [ . 7 I l El ♦ G 1 8' FLDc 1 i I (F4' I � I I -------1 i ' 1A3 W-4 U9' I 55' - p„ 12„ FLE -�F' E� uu [FAT I 1 0 — �ritii�� �•.0 Uu' ���� t7" FL£X 17` R.EX � I of --------------------------------- D.6vP 1 f_ I I 'FdD 1� u' Nar -------------------------------- I j/ t / ♦♦ ♦ [ . 7 I l , I ♦ 1 31'-20 56`-S"OI�CT - 55' - p„ 12„ FLE -�F' E� 40 -0" = KARSTEN SERIES KSI HEAT ROUTS & DUCT "Mom: STD HI -FLAT -9'-d' t7RANN W: �� i � snal nx17.98 9 —A 09- I 2"x 2"x -5/16' STEEL ANGLE DETAIL "A" CHASSIS FRAME �T(2) REQUIRED GRIPPER SASE 1/2-13UNC-AS07 x 4" BOLT WITH NUTS (4) REQUIRED 3/1-" CZ FLri r.D --CLT, NUT S WASHER COUNTER 80RED FLUSH WITH BOTTOM AT 8" O.C. (8) -REQUIRED �' o. _tet_ 41 1/2" SCH 40 PIPE RISER WITH 01/2' ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" A04USTER HOLES ABESCO ABS. PAD 0503 STEEL FRAME SEE DETAIL -A- 1/4' STAND BASE ASESCO ASS PAD #503 oACH 'C" FRAME 2" CHANNEL 1/4"x1-1/4'- TEK STS (2) REQUIRED BASE 1/2" A307 BOLT (2) REOUIRED 3/8'x 6"x 6' STEEL PLATE 1/2" A307 BOLT (2) REQUIRED �•-- t0.00 01/Z"x 3" C.R. ye LOCK PLN WITH 4t/8' BRIDGE O PIN 49/16 HOLE (TYP) STAND BASE - TOP VIEW oi Vi 3.9..1 TUF-1 PERMANENT FOUNDATION SYSTEM AHESCO-GUS GUARD COMPANY 5851 FLORIN - PERYJNS ROAD SACRAMEM. CA 45823 . PH: (800) 382-8831 FAX: (916) 383-5207 1/4' GRIPPER PLATE COACH 'J" FRAME 1/4 -xi -1/4- TEK STS (4) REQUIRED 4' GRIPPER S/2" A307 BOLT (4) REQUIRED � -C-SEAM J -BEAM ATTACHMENT ATTACHMENT WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET I of 3 A g' t/2" DIA. HOLE (8) PLACES 30' STEEL FRAMI= TOP VIEW STATE APPROVAL % J41- < O Gr. uyst`n C w. OO�W O ;� u r•S„ itt� � a a >` Gn ea a t. c� m�A j WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET I of 3 A UJ GENERAL NOTES GUS GUARD TUF-1 t. DESIGN LOADS: LIVE LOAD - 30 LB. 16. FOUNDATION BLOCKS 16"x 16'x12' POURED Pf PLACE AT GROUND LEVEL MAY FLOOR LIVE LOAD - 40 PSF LIE USM AT INSTALLERS DISCRETION, ALTERNATIVE TO PADS. WIND LOAD - 80 MPH EXPOSURE 'C" SEISMIC ZONE '4' *SNOW LOAD 100 PSF (SEE NOTE 115) SINGLE WADE COACHES DOUBLE/MULTIPLE COACHES - -- .. - - ----- - -----.._.. 'E=-2 . -'8'"1AAX.- --- •--- =-2° MIN:- _1 I"- 1a11X:-- --------.._..._ 2. TIHIS• FOUNDATIOlY SYSTEAI iS-DESIGPdED•-TQ -BE CONSTRUCTED ON / f A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. 3. CHASSIS BEAM SUPPORTS SHALL'BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IM THE "MOSS HOME INSTALLATION INSTRUCTIONS'. 4, IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT "LE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS ARE DESIGNED FOR LOW PSF TOTAL LOAD SOIL. PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL FABRICATED ACCORDING T4 AISC SPECIFICATION. 1NE1� ACCi71�R�TDAWS-3PEIOF�ATTOIi�'-1�iRODE5=37C PL7iiE5=DISTLI.... _ .. A36, BOLTS -SAE GR 5 ---ASTM A449=ASTM- A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND IABELEO BY M AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HOR12ONTAL VERTICAL GUS GUARD TUF-1 2200# 6000; GUS GUARD MGP PAD 2200f 6000,1 GUS GUARD E -Z TIE PAD 2200; 6000# 8. DURING PREUMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT> --5;,- MOBILE HOME HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISAf1C FORCES BY IN57AWNG GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL F01,19 •T1AN• • PLANS.—THE GIPS GUARD TUF-1 SYSTEMS ARE SAFE FOR RWALLATiON IN FLOOD F r _ PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT _ OF THREE FEET. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS a THE SAME AS SHOWN REQUIRED PER EACH UNIT. ` f I 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SHEET 1113) s 13: ALL KETAL COMPONENTS AND ATTACHMENTS ITW SHALL BE PROTECTIVE COATED. 14: WHEN CONCRETE SLAB IS IN E:XISTANCE, PAD IS NOT - REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF —1 PERMANENT L`, FOUR (4) 1/2"x 3 I/2" EVANSON ANCHORS. FOUNDATION SYSTEM r" 45.' GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES I ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED ABESC -GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN-PERKINS ROAD / MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95823 ONE BASIS. PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL VARIES 10'-70' (SEE TABLE ON SHEET ,#3) — E S S. --S E� Cl ❑ RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER (TYPICAL) ❑ ❑ El 1�3-- • =11. ❑. 1 8' Nam. ❑ 2' NOW. PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) - REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF —1 PERMANENT L`, FOUR (4) 1/2"x 3 I/2" EVANSON ANCHORS. FOUNDATION SYSTEM r" 45.' GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES I ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED ABESC -GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN-PERKINS ROAD / MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95823 ONE BASIS. PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL p 1 z ca % > _ El y C �•. i, H aa Q m � C ^dcn En v g � im s as CO2 WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3 v 6 U K 6 a K -cs- Lc v cr a Lk: U K 6 1 D UJ m En 0 D m VE I 1/2'x 3 T/2' - EXPANSMN ANCHOR (4) REQUIRED CONCRETE PAD INSTALLATION CHASSIS FRAME (2) REQUIRED 114* GRIPPER BASE 1/2-13UNC-A307 x 4"—' BOLT WITH NUTS (4) REQUIRED 01 1/2- SCH 40 PIPE RISER WITH 01/2" ADJUSTER 'HOLES AND 3/8" THICK TOP PLATE 02' SCH 40 PIPE STAND WITH TWO s 01/2" ADJUSTER HOLES ABESCO A@S PAD #503 STEEL FRAME--\� t 'I s/4- MA.. z !8" !_G. - 1/2'x S" LONG (4) REQUIRED ANCHOR BOLT 3/8" CAD PLATED BOLT, NUT & WASHER (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM AT 8- O.C. (8) REQUIRED _ 1 POURED IN PLACE 16x 7 6x 12 CONCRETE FOUNDATION INSTALLATION s - 1 J I 3b' MAX "OF' P1iD" "' H01E I 37' 18 1/2" A: UGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION 8 HurebiLm LW lut-1 KEQUIRED NUMBER OF TUF-I REQUIRED SM.E WIDE VWTS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF-T PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL WER`1ALS ALCM EAC9 FRAME 041 - TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO-GUS GUARD COtdPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 TATE APPROVAL on r' 9 P %I: t� r �. ..a y c O m z — n. WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 3 of 3 r • CDF FIRE SAFE REQUIREMENTS AP# PEPMT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius IN 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. IN 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 AP# PERMIT# NAME' [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [X] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space 10 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road.. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements on page 3. 1276.02 Disposal'of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shalt be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 co -off p AP# PERMIT # Other Requirements . [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof and Enclosed Eaves C, NAME [ ] If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on the side toward property line with insufficient setback - Interior automatic fire sprinkler system per NFPA 13D - Glass area not to exceed 10 % of wall area toward property line with insufficient setback - Siding from the following list: Stucco — 3 coat Hardi- Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials [l 3 Date Signature Page 3 of 3 APPROVED County En�jonental Health � aoa'3 ae igna u Cn w Q M O O N aE■®■® e ®e e e W -r ----i a 00 N If N „�ti°.+P-�x'', Yom” - ..r--.. •!V � -• yfi+'�+,S,,,Fwd._.........-.yj_`b.:vr.�a^r-�w-a..i_•>:: t f. IM 028-400-009 03-2604 BROWN, FRANK I98 SUNRISE HILL RD, BANGOR NEW ELECT SERVICE j OFFICE COPY Address 1 S� s o'j&'Je- /Vd/ �j GAS Meter By Date ELECTRIC Meter By Date /j 2 e P- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Califo.Mia -95965 • Telephone (530) 538-7541 PERMIT NO. 4�."�/n (Rev,;12/96) APPLICATION AND PERMIT ,, ASSES/S�OrRRy PARCEL NUMBER 8-400-009 ZONINGBUILDING PERMIT OWNER FRAIN"K AuMI R FnVgA AR(M TELEPHONE A l5h.5 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS - S M-- A D f Tr_W Amn rA A i,4+() CONTRACTOR'S NAME 7 _ -- _ -� _ - TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS � � � � � RAW= Plan Checking Fee $ $ -- — - PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE QQNN= FIXOxC Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I GI W 1 920.00 PERMIT FEE S ' ELECTRICAL PERMIT Fling Fee 20.00 a00OR LE Main Service 20.A VORLESS 23.00 23 00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, ' will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO tOaoA 46.00 NEW CONST. DWELLING occUP. OR ADDNS.( 3.5Qso. FT. NEW CONST. MLTICO�S. NoRaUu lD. @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES 20 @ 1.00 SAL @ .50 OR Ex. Occup. ourLEEDTSA(RM.) E0. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPEMON 23.00 PERMIT FEE $ 66.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a •certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X J�•q �.. , a4 t 1b'�f � Date i1 - 015 Signature of Applicant A Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD CDF I PARCEL PD I HD 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 Dat �1 PERMIT �" JIRES ON �� �' +✓ Receipt No. f +6 ,1 WHITE-D.D.S.-B.D.—CANARY-ASSESSOR PIN - NSPEC OR GOLDENROD -APPLICANT V �4 COUNTY OF BUTTE BUILDING DIV:,S,,ION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 t CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is } completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date v 1 Inspector _ REV 10/92 COUNTY OF BUTTE BUILDING 1310ASION I ` DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE A(Z.0 o - 009 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. / l4 ® 97— tfr,— v�- V.✓id �., Date Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville„ California 95965 • Telephone (530) 538-7541 PERMIT N9. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-400-009 ZONING A9 BUILDING PERMIT OWNER FRANK AM =ESA BROW 9161600-5007 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS S701, UMM.IEN DR, NOR -1Z ANDS CA 9599n -al -R -1 -G CONTRACTOR'S NAME QWNFR TELEPRO19E CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MPJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 198 SIZMISE HILL RD, BA Energy Plan Checking Fee $ $ -W002 PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Other ❑ Describe Work: RE CONNECT_ EL.ECTRTG Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, -am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. owELLNG Occup. OR ADDNS. ( 8 ACC. =LAS. SO 3.50FT. T. Npµq Off, ID. MULTI -OUTLET 97,50 POWER APPARATUS b SINGLE OUTLET CIR. Ex. Occu OUTLET OR FDCTURES 20 Q 1.00 SAL 0 ,50 Ex. Occup. O.ED Ro .OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth lith comply with those pr isions. J _ 015 X Date ((� 0 � Signature of Applicant - X Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. I D. FEES IMP I FLOOD COF PARCEL PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated abov for which fees have By 10Q=Q•Dat PERMIT IBES ONv/,/� the applicable provisions Resolutions to do work been paid. CC/TT�VV V Receipt No. 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINMINSPECTOR GOLDENROD -APPLICANT OWNER: LOCATI( PRE INSPECTION REPORT CONTRACTOR: (WV1 DATE:_ �-" oS & `O -j ZONING: PRE-INSPETION FOR: *t ( l'L° DATE TO INSPECTOR: 0p ',2 %-Q PERMIT HISTORY:( ) NONE ( LLOWS: BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential/# of Units: (9!-2p Currently Occupied A/ 4, Abandon scant Electric: YesL/No Electric currently On Off Condition of Electric_ C C>O 0 Gas: ` Natural Propane_ None Currently On Off_ Obvious Problems: Sanitation: Plumbing Working Well Working_ /B,�aoe ti M be X efI4-S �i able Water Obvious SewageProblems Comments: po s �— r&e e r - 1. j ji C -L �� P.✓ We u /9,) r4o,,,L,2- �e-AJt.'� ACTION RECOMMENDED: ISSUE: V HOLD FOR Inspector.- i Date_ e12— Sketch buildings on reverse and indicate location on property. IN MAM, �4 nR .114 "p, 4" y 71, - 1% ? "9'Ai 17Raj, It N., 000000000000, '00 P 41 A 4, t Ail Ilk ;pwf AT ZE gr im Lqp, Hi At. 4 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET�! /, OWNER: T011K ��h Cr'6. eo'SCL L�_/UVO ASSESSOR PARCEL NUMBER (1 b ' ��y(/ Proposed Building Use: f404. (c% - i� 4% cl Counter Technician: I • 1 Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ L. Plot plans, 3 or 4 sets, signedty the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other ... Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings .............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: _ (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ K. Encroachment Permit -for driveway fro the Public Works Dept. (construction approval prior to occupancy). r 22. Pre -Inspection for %1 �' -%G� C_ PGa� �(���/ M l � L required ................ ❑ 23. Contractor's license informati n. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone " 6_1 M " Q /'/�� and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: "6( &0U>1^' Date: e- (� 6 - D 3 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow Ruildinn Division Plan Check Letter _Date: _Date: Date:_ Date: 7'r �E'd'elwGs) 2.501-11, (2) Z50/. 73'(2.M) A� 0 AD 12'50..67'r") 3/Z 72 (MJ so S �- � •moo -sem w � �a �a o Sl H 3/2.7Z'<MI /e 7 S/ '(-A4.) k�� s�IN �sON w � Sl H 3/2.7Z'<MI /e 7 S/ '(-A4.) k�� s�IN �sON MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address or location of mobi lehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. (Official Approving Installation) PERMIT NO. j Year of manufacture (Date) IF THFa.MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE iZ:i A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this —##— - — —A �AA'101-1 nl.. - —#—# H.ic COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 COCTION NOTICE PERMIT NO. A routin-'d inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. Inspector Date JDr '- J COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER 13 qoZ—F/;' PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Inspectory/Date //'//'A- r i3g3-8%/j?r�-� PERMIT NO..__. PERMIT EXPIRES_T__ r OWNER JAY & ELAINE CARLTON CONTR. owner ASSESSOR PARCEL 28-40-09 LOCATION 198 Sunrise Hill Rd, Bangor JOB FINALED (Jale) Signature OFFICE COPY Address GAS'. 0` 7 Meter By Con Date i- ELECTRIC I i Meter By Date I Temp. Power P GAS Meter By Date Celled PGI ELECTRIC pate���� Meter Y Temp. Elec. Sel - — — Celled PG&E i' Tomp. Goo Service Called PG&E JOB FINALED (Jale) Signature a„Not xptiicable MOBILEHOMES tt w Not Ready MISCELLANEOUS Dols MOB HOME UTILITIES (Plane) OK except N's Da to DECKS, COVERS, CARPORTS, ETC. 1Plens) OK except s*s .�ng Requirements-Setbacke-Easements _ 1, Zoning Roquiremenis-Setbacks-Eaeemenlit Sollo; Special MH SUpporl-Sketch _ _ 2. Footings; Si s -Depth -Spacing -Connectors -� 3 Cocks; Girders and/or Jolsls-Decking-Bracing-Stairs-Rads a. Wood Awn.; Posts-BNme-Rftrs.-Connec.-Shthg,-Rlg.-Bracing er: LocatIon- Test-Fell-C/O-Concrele er: Location -Test -Easement Needed (Sketch) *4. ctricity; Locallon-Clearances-Grad.-/ Amp-Concrote S. Alum, Awn.; Columne-Connectione-Splice-Decal-Enclosures s: Locatluxt-Tpt-Wrep:I /"L"It./ /"Nal. or/ /"L"ft,/ /"LPG 6. Carports; Wlndowa-Doors lity Clearance 7, Else. Card -8 Data 9 Card -BI Date Card -81 Dote Caro -81 Date Card -8l 0,6a Dete Z Caro -BI Date Card -81 Date Card -81 Date Date HOME INSTALLATION (Plane) OK except O's Date POOLS (Plans) OK except N's _Zenlng Requirements-Setbeeks-Easements 1. Setbacks -Easements Footings; Sla:e—Spat:ln Msrrin Line 2. Soils: Compaction -Structure Stability Gas: MN Test-Dsatartd-Val C or 3. Pool Structure: Steal-Conascilons-Thickness-Deed Men -Linin 14'�Electrlclty; fel Test-Crossovers-emki rs-Clearances e. Elac.: Receptacles artd Lighting: Dlstancea-GFI ",�Draln; MH Test -Fell -Flex Connector S. Elec.; Pool Lighting; 15 value-GFI - Water: MH Test -Regulator -Connector Wa r nd Sewer Corasscted-C/0 to Grade --HD Approval 6. Elec.: Enclosures; Conduit Entries-Tarminals-Listed 7, Elec.: Bonding; Metal w/5' -Circulating Equipment -Heater nd Electricity Tag I I S. Elec.; Grounding: Equip. w/5' -Circulating Equip. -Pool Lghig. -- Boxes- Eric losures-Paelbosrds-Ins. to Main in Conduit O: Exits. Inap.-Stitch Cart. of occupancy g, Health Oepartansnt Approval Card B -I Date and -BI DateKard-Bl t ard-81 10. Plumb: Cir. Test -Water Surly Test Date Cud -BI Date Card B -I Dote r Card -BI Date Date Card -81 Date i 01. —5/wsoh 1 9E e -T= -� q �f -s. - I t r C 1; 1 , Not id NtAeadi,1h1e Not RraJy RESIDENTIAL (Single and Duplex � Hale UNDERFLOOR flans OK excr i a's Dila FRAMING tConlinuprij 1, Zoning requirements -SelbacIts -Easements ♦a, Prtloeity Line F_uewsil A Up"Ings { ___� 2• FIp.,_Miln;_SorN-8ta�l-Eiec. Grnd.- /- /" Fla. Depen _ _._.__ -----• se E,t_Doors-0n� 3' -Chock Gars -3, stn I _3. Fig.,GaraOe: Soils -Steel- ! /" FI - y. 2 exits __ Q• Depth _Siaus. Mrdlh-Headroom-Rise-pun-La�l�^Fire Protection -- i - -� 1. Fip„ Porches 6 Decko; Soils-Sloel- / ,•. /^,Ftp. Dopth 51, Plywood on Roof Uvenwrp-Mlle Vents -Ref 5. Sjemvralla, Main; Sieel_Oloc_koula_Wra - -_ -52.'-Siding-- -- mer Outr1q. _ _ DPed-$Is0 -Nailing-Voneer 6. Stemwalls _Gera e: S1001-Blockouls-Wre d -Slab 53. Stucco Ueah-Ori Screed_Fdn, Vents-UndHfl 7. Piers-F_ueplac_o FI -' 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test ! _• ------_•_9 _Gas Pipe; Su_o-Anchors - _ t - - 10. Water Pipo_Test-Anchors-Regulate-Servico teal ^ - 11. Electric: Underground -" -- i2. Plenums a Ducts; Clearance -Materiel -Support -Ins. _ 13. Glydors-Sills-Anchor Bolts-Joints-Vents-Cripplos Cer - --- -- - - - -- Car Ca+d BI Data _ Card -8`I Date Card -BI Date Card•BI Date onto 54. Glazing Area-G_lasa Prouclion_SRylipny-Pl1. ast ecwss 55. Shear Walls; Nailing -Bolls d•BI Date Caid•61 Date d•BI Date Card -01 Date Data PLUMBING (Permit) OK except O's 14. Wale HI.: Vent -Access -Combustion Air 15. water Pips: Teat 6 Anchors -Mail Protection 18. O.W.V_.. Test-Fitngs A Anchors -Nall Projection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub a Shower. 2nd Floor -Tub Access t9. Gas Prps: Size a Anchors Cara 81 - Date _ _ Card -el Date _ Card -BI Date Card -81 Date •, Date ELECTRICAL (Pern,it) OK a:copra's. t ' 1 20. Future a Transformer Clearanco-Ins. Protection_ 21. Elec. Receptacles Spacing-Llpnts a Swlteh_es at Doors 22. Site Boxes No. of Co_nductd+s-Stapled 23. Romex Instilled Close to Edge of Studs a C.J. 24 Equip, Ground made up w%Itch. Fssleners-Bond Gas a water 25. 2 Appliance Circuits in Kitchen a Conductor Size 26. Subfeca pus Slzoy% i ga. Cu or AI-A,C, Wue Size / r pa. Cu or AI 27. Range Circ. i / go. Cu or AI -Oven Circ. / / ga. Cu a Al. _ it,. SII1s, P,upr•r M.Itcllal a Ant hors Insulated Neutral Yes .No _. 28. Service -Riser Conductors a Ground -Main Disconnect - -- 29. Equip. Clearances:,Paruls-Motes-Meth. Equip. 30: Clothes Closet Lipro-Shower Light Cara B -I Date Cera -BI Date - - Card 6-1 Date Card -81 Date _- __. _-- -• Date MECHANICAL tPern•It) OK except e'a 31. A.C. Ducts. Insulation a Support 32. Vent Fan. Exhaust above Insulation 33. Conernsate Oiain a Overflow, Sir.e_a Grade _ 34. Fainace-Vent Access -Comb. Air -Return Air Venl-115V outlet 15. Attic Access a Platform it Fu•naee in Attie -' - "' �uo•es1 Date - FINAL (Plans) OK erscept a's 56. Ext. Sips -Door A Sidelight ProteCtial-Land;rlps 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts=Meth. Protection ' •• 59. Bedroom Exiting 60. G.F.I. a Bath Fixtures a Tub Access 61. Elec. Trim a Subpanel; Breaker Sizes -Labels 62. Stairs a Rails 63. Fireplace or Stove: Clearances-Hasnh 64. Elec. Outlets at Wood Panel: Int. 6 Ext. 65. Kit. First. a Appliance: Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets a Receptacles at Kit. Gaunter II oo. n.L. uuct in uarage-uamper r. , 69. Wis. Hir.: Venii-Clearancs-Carib. Air-Connector-P.A.V.- 1 Above Floor -Meeh. Preteetinn 70. Plb.• Elec, a Mach, Equip. Listed for Location 71. Elec. Receptacles in Garags: (G.F.I.)-Romex Proiec. 72. Insulation -Foam -Looked In Attic ED Yes 73. Gaara Rafts a Deck Construction -Pest Caos ra, ion, vents & Crawl Hole Door -Drainage a Wood -Earth Clearance _Looked under Floor (_, Yes 75. Following insild.: Drive i Yes L l No: Walks [ Yes [ No: Planters Yes * No 76. Stucco: Brown -Finish %, ; . _77. A.C. Ueit. Disconnacl-Ctrnces-Brkr, a Cond. Size-1t5V Outlet 78. Venus Above Root. Plpp.-Appliafoce-Firepl.-Clearance to Opngs. 79. Water Walt. Disconnect, Electrical. Plumbing 80. __ Eite.ior Elec. Trim: G.F.I. Receptacle -Underground 8t. Ventilation throughout House 82. Glass Protection _ _ --- - B3. Conactrons from Previous Inspections 84. Gas Test-ueten Tagged; Gas_ -Electric 85. Wattr II Seer Connected -CIO to Grade -HD Approval �Be. Enorgy Compliance Cenlficale-Other Certificates Caia•DI Oatr Card•BI Date Care•BI- - Date -- Cvd•BI -- Dato _-- Cald•Ot Darr Carn 81 - DoIe Cartl•BI - ......- Cara -BI Datc Card -81 Date_ --•.-- -- -- - ---- ------- Cate Card -BI Date I mt- FRAMINGllrl.olsl OK v%rept W.I. Comn•rni, at F1n.11 it,. SII1s, P,upr•r M.Itcllal a Ant hors 37. W.itl6 Sltnl!;-N.ulol y. Sp,u�ulq K llr,lung_tvaa•+-`,•nnnd _- -. . i 3R. 1t1•uulq 0.1116 Hurl (indri:: 6 Flora N.ioim: .. ... D1.111 Stop nl 1Y.111•: (Ia1 prtlut) .... d0. F,,,, Slop, FinrrJCriliny,--Sbot,-(;h.r,r•:-inn ....___._� .11 //r,utl •1 ti llvml, St: 1t a dial lily .. _. .. •- 1,•, 11.111,11",- I'n,1 1,.11lti-Alli 11111•.( nllm•t 1,11, .I,1. CIml. ,I, u'•1 •fill.. 111.6- I'll, Int- 11,10 11,,11. -T1u•. •: \hllnkl.-fU u,l. _- •11. I u,•pin, r l ir, w l fpr A f fur -F urpl.ii l• 1 huau •1•.. Alin A, 11••. •. ...... A ll.osw,t I'1o1r111,n1. (4,If1 Sjup- In•.. It.lille, J•:. It t, n,. 11,�,.tr.�e• w 1 nluly 1111,116-1111 Ilii, h 111nu•n,1u,�s ... . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMbT NO. 7 County Center Drive - Oroville, Califbrnia 95965 - Telephone 916/534-4541 it _ APPLICATION AND PERMIT PARCNUM ER ASSES OR b - y ITELE ZONI BUILDING PERMIT OWNER '►�P r t P ONE 1599 -013 SQ. FT. OCC. BUILDING VALUATION OWN )R'SVIA LIN/G///ADD ESS /'/ CO RACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTQUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $�'- LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT T OR ENGINEER LICENSE NO. Plan Checking Fee $ 4 Energy Plan Checking Fee $ ARCHIT CT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSt J f V,I So / Permit fee $ /5- Q r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPA CEL MAP 17— Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Inst Ilation❑ Other ❑ Describe work: s(>D A2 I /� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 00 n n^ 10.IPr 0 Main service EA. ADD'L 100 AMP 2.50 a O CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.pI , q It OR ACDNS. ACC. BLDGS. /zQsea NEW RESI.,CONSTRANCH TLETCIRCUITS) 2.50 ea NON.R ESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. 2000t - Ex. Occup(OUTLETS OR FIXTURES 5AL090 FIXED PTLNS Ex. QCCUp. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /,S� 00 Misc. byirin g 15.00 )OTU W Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against Cou onse uence of the granting of this permit. %� Date �7'�7 Sign. re f Applicant — OwnerX Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE , Occup. CONST.TYPE F PAZ PD ND Is u This permit is hereby issued under.the sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By PE T XPIRES Date applicable provi- resolutions to do fees have been paid. WORKS Date /IS%Z71� .J Receipt No. / WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT TO: Building From: :):nvironmentz-.d 111c-,ilt,11 Subject: Sanitation Clc,<q-al�cc QA QL k4 CrA 0!. rn e r Locat.I.on Plan Approved for: lHold final. fox-: Final clearance O.K. for: Clearance for ,3_1.-)ed.T,oc,.i!,, mobile or. Other 1".O L, *.)(..X. Sanitarian D'- It vilAer, :-�upply tj.P_JJ "...jaLer :-..Upply v.;Aer supply ._ • —N--++E-^....�av+> "^.-.•- .r.-.. r -._.--_•--•rr.. . -.- ..-.- �..--a..�...... :. �Y x .. . � .. -. e.r • . �.. ;:y rt: r "�.'`r - 7 ` _1C +`. r . ... i. i COUNTY OF BUTTE - DEPARTMENT ,OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAL ORNIA 95965 - TELEPHONE: 916%534-454.1 " PERMIT APPLICATION DATA SHEET Permit No. OWNER- q� /tD A. P. o. c)81- +'/%7 v r� Proposed Building Use / a Building Inspector Date At time of permit application, I'was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED I. All items have been submittd !. —A _ Plot plans in duplicate./tr licate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authoriz on. . . . . . CO. Sanitation approval from Vi Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to) 1 Pre -Inspection for Required. Building InspectoG— n /' Date ecorded copy of Agricultural Acknowledgment Statement. b:q' �, .Driveway Permit. 20. Plot plan approval from city of 21. 22. Whe you issue the permit, process as follows: Mail to owner, Mail to contractor. Tele hone J! g� �L�a c0 and hold for pickup Oyn—office, Deliver w/inspector. Other Applicant ate '- 97 7 i Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submittedprior to r t issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_Jnail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter bye, date Plans checked by Date Plans approved by 12V- Date Sets of plans on hold in File cabinet AP folder - Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 6ee,,,Z:,--- G 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed - construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed; Property Owner Social Security Nu e . Date 7-,F 7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per, mitted to issue the permit. RECORDED BUTTE COUN'TY Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OFFICIAL RECORDS BY FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 1987 14A 27 AM 9= 42 87-190013 The property described herein is adjacent to land or included CANDACE J.GRUBBS within an area zoned for agricultural purposes, and residents of this iCLERK-RECORDER FEE,... property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive. agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: /9S' .3-ue•F_-es,— ,yit1 .Pe vt>' ,EWA/4'T2 AR2,CE4 .9 e� pvec�t ~,vim &9-77. Date: 5-,D 7_ 2 —j State of County of uF= ) NOT COnt�PgFD Wl"fN pR 1C_P A DOCUN`bt4l PROPERTY OWNERS: On this the o2 %-1--A day of m R 19,L7 , before SS. me, the undersigned Notary Public, personally appeared JA�a Cd e�GLT4r� 4 �IAlNE Oge,47dA) / / Personally known to me. / Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) 0-4,g— subscribed to the within instrument and acknowledged that ■■>.■■■■■■■■■■s■g■■■■■■■■*Mexecuted the same for the purposes therein contained. ■ SANDRA LEE SEAMAN■ :IN WITNESS WHEREOF, I hereunto set my hand and official seal. W 6 NOTARY PUBLIGCAUFORNIA i 18 Butte County ■ sMy Commission Expires Jan. 8,1see ®■o■■■t■■■■■moo\■■■■■\■■■■ N6tai3y Plub is Present A.P. No. )g — '�o - 00/ OWNER PERmTr-4' NSI UT IL. CLEARANCE DATE INSPECTOR �- ELECTRIC GAS Support Struc. iTest.Req. Compactior Service Other Pipe YES N01. YESI NO Size Load Type Size Length ? � n-,®.4 3�5/ 'n1 U vn� J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARC "U 7 �/ ZONIN BUILDING PERMIT OWN -ER r TE I ??N �,_ SQ. FT. OCC. BUILDING VALUATION ' OWNER'SAILING DRE 5 �— .hE rs ✓'e v ` C RAC T0R'SNAME / V— TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON UC'PiTION LENDER UNKNOWN Total Valuation $ ' Filing Fee $ 10.00 LENDS 'S MAILING ADDRESS Permit Fee $ AR ITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS k- IC / Y Permit fee $ a PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 1 Q Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PA EL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeo( Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ R odel Utilities ❑ Installation Other ❑ Describe work: t _ _ 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 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS and Professions Code and my license IS In full force and effect. �y License No. Classification I,YIEX. �V 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.� , OR ACDNS. ACC. BLDGS. h2sgft NEW CONST R. ULTI.OUTLET NO N.R ESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS& SINGLE OUTLET CIR, / EX, OCCUp(OUTLETS OR FIXTURES 5AL SOC 9AL0SO FIXED PR Occup. OUTLETS (RESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. IxI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3,00 Ventilation - pe 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 agaysa in c nsequence of the granting of this permit. X s permit. Date `� ` Si icant — OwnerW Contractor ❑ Agent ❑ n is required for excavations over 5'0" deep and demolition or construct- Ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ r TOTAL PERMIT FEE $ ✓ C) S/nt �� occu P, CONST.TYPe IFLOODIPARCELI PD ND .1 This permit is hereby issued under sions of the Butte County Code and/or work n icated bove for which 1 CTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS G Date `� D ZY if 993 Receipt No. UA / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 4A COUNTY OF BUTTE - DEPARTMENY-bF`P'UBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,. LIFbRNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET _ Permit No. C OWNER ,To y 0" (r I ! y © V? A. P No. Proposed Building Use ��� Building Inspector . Date At time of permit application, I was advised the following data must be submitted prior to permit processing and1or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ). X .. Improvements may be required. . . . . . . . . . . . �6 16. Mobi lehome Installation Data. . . . . . . . . 17. Pre -Inspection for Pre-Inspec. requ, st t (Date) Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the per It, process as follows: Mai I,rtto�o owner, Mail to contractor. Telephone -03a and hold for pickup -/Q/ fo office, Deliver w/inspector. Other Applicant p - Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted pri r to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mal I counter by date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538=7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed - construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: - Name Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: property Owner Social Security Kmb- Date/ -a7 -?7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: �S•4/y�� F] 3. Is the site currently under permit? Yes ® No ! (If yes, furnish permit number Is the site an existing site? Yes F] (If yes, furnish two plot plans.) _) OR No F] 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 a No F (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? --- _ Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the.; a mobilehome site service? ------------------ •P - ' Yes No If es identif the load and size: Load _ aZO.� ( yes, Y � �' (Load) (Amps) -------------- 7 9. What is the mobilehome site gas pipe size? in. 10. What is the ty pa of gas service. Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?---------------------------------------------- 49 M_ (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe•length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE 0TU, " Y' BUILDING DEPARTMENT (BTU) I MOBIL)EHOME'.SUPPORT DATA If bther'than single wide, Mobilehome furnish Setup Model No. Year �O Width /,�, (ft.) Box Length 60 (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte).. FOOTINGS (check one)® 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) Ki. Concrete block. 1-1 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Size -Min- ------------ Spacing-Max - -----------Spacing-Max- --------- From Ends -Max- ------- Line 2 Piers: Size -Min ------------- Spacing-Max - ------------Spacing-Max- ---=----- From Ends -Max -------- Line------ Line 3 Roof Loads: Size -Min ----------- Location (From Front) Line 1 Ooeninns: Size -Min. ux n Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- „x u Spacing -Max.----_-__---_--- From Ends -Max .------------- r_ Line 4 Piers: Size -Min ------------- 'k " Spacing -Max---------- From Ends -Max -------- r Size-Min------------------- r� rr Spacing -Max---------------- r u From Ends -Max -------------- Line 5 Roof Loads- Size -Min------------- rrx rrrx a ux a ux n nx a N a ux n ux n Location (From Front) r_ M n / Z" rU NNINGDIVISION - BUILDING PLAN APPROVAL e: ©K Date:Mng: Landscaping: Other: Signature: M • f Oa $ L4 oO-- o 09 Ut "o LL IND tae ouex THe SlpE A{�® SN �, FftONI p OVE+R1-1 B�� K Of ��IB pvk0?0 tTY SMLL SS . rRO� THE ROAD Oeg t v x0ef i V ' F�oM ZH� Np E�lD1P� or- S'T E�mt� ELECTRICAL, MECHANICAL, r SHALL�EC UA4C AMD AMPLY VI/ITf-1 T PLAN CHECK �1 I1� 0 OF ' UIQ TI RENT EDI� l U) a O x oe� =� Z g f the attached Requil"emg nts czsPages hr�L ti { REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY approved as submitted s [ approved with conditions attache h t. Signature Date J \ rk — — — — — lX BUTT\CQUN i AUILDING DE-i"ARTMEN . P P %V F, r6�� '1�bPo--Z, O IA,X too/ Moa ILEHtME TD a E .gemoVgD 0:6- Z L D rn m C D r Ss� .t, O IA,X too/ Moa ILEHtME TD a E .gemoVgD