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HomeMy WebLinkAbout028-410-11013 4007-90B , P , E "TRUtTf,' 22- Fi'oggi,e, Ln,'."OroVille,.., C6ntr:-Superior MH,`Servic6 t .. : .. r � .�r vu, 9 —�l -- air. � � . 396-91 F28 T TRUI�TT,-' Bru6e COwNTR: Michael'Forbes (mh,cov & open decks) � M W.. ~ 90-50492 Z Return to DPW AGRICULTURAL STATEtvIENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires:2.this acknowledgement be recorded prior to issuance of a building permit. _ The property described herein is adjacent' 1 Rec Fee 7.00 to land or included within an area zoned 90-050492 Total '7.00 for agricultural purposes, and residents of this property may be subject to incon- Recorded veniences or discomfort arising from the Official Records 1 use of agricultural chemicals, including, County of but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit Candace J. Grubbs of agricultural operations including, Recorder 2 but not limited to cultivation, plowing, 11:46am 21 -Nov -90 XX spraying, pruning, and harvesting. which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that .real :property.- situate in .the County of Butte, State of California, described as follows: // / S'e. e- a , � C?/ G c7 a / Date: State PROPERTY OWNERS: Z, of _�/L ) On this the qday of 1�lo yr;," 19 , SS. undersigned Notary Public, personally appeared before me, the County of 4�) �� Z�K c L l ,�%mac t f'� -�' 7� OFFICIAL 8EA1 AEM JANIE STEVENS ItAM vueuc.- cu*"" 09wn a@sant Comm. esp. so^ 11,102 El Personally known to me. M Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged executed the same for the purposes -therein contained. INTEREOF, I hereunto set my hand and official seal. Present A.P. No.- I-) d Z'y Notary Public that IN WITNESS 90•-59492 ORDER NO. BU -115415-3 R: DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: OF PARCEL I: PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN TH OFFICE OF THE RECORDER OF THE COUNTY OF E CALIFORNIA, ON OCTOBER 7, 1980, IN BOOK 79 OF BUTTE, STATE OF 24• MAPS, 'AT PAGES) PARCEL II: A 60 FOOT NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, SHOWN AS FROGGIE LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN: THE OFFICE OF THE ARCOF BUTTE, STATE OF CALIFORNIA, ON OCTOBER CORDER OF THE COUNTY OF MAPS, AT PAGE (S) 24. , 1980, IN BOOK 79 OF EXCEPTING THEREFROM ALL THAT PORTION. LYING WITHIN THE BO PARCEL I, DESCRIBED HEREIN.UNDS OF COUNTY Oj:: BUf7e " DEPT..OF PUBLIC WORKS JOV 27 1990 ZB/01 A38 L601 ■■ ENO ■r■■ ■ice ■ ; • ■■■■■I�Ir■■ ■■■■■� ■ SEE ■■r ■■■■r ■■ ®■■ . o ■■■ ■■■■i ININ ■■ ■ MEN ■® ■■■■■■ No r ■ ■ r ■ f■■■■■ ■■■■ I■■■■■ ■ ■r■ ■ ■■■ ■■■ ■ ■ ■ ■■■® ■ ■■ ■■■■ ■ ■■NINE ■■® ■■ ■ ■■� ® ■ CCY U-) dC LU 1H913ti lItl2JINVH,'�' ? U Q a 'pEr � ` dui / i • r` Wi c o _ tn '� ~ m `L 1 m CD_ i1 N C x x = - W W cn 'X -" N tY] w LL C ' U Q L W � X Q a i r �c tt1Q ! M w z0 j II II `N � o 4. w t li X D�- -j CD Lei v CCY U-) dC LU 1H913ti lItl2JINVH,'�' ? U Q a 'pEr � ` dui / i • r` Wi c o _ tn '� ~ m `L 1 m CD_ i1 N C x x = - W W cn 'X -" N tY] w LL C ' U MW f L W � X Q MW f i ::D X MW f T� NOTES NOTES IOR. %6 MAN 64MAVNr Mt ?4Y/r6 WMY' fO2 EYFJ7/A6 3 - /703 OR. 4.5 /5 A 5' HOE EA5EV_Nr FOR Ca"AfuN/CAT/O.vS �0A. C48 /5 A P1W MR EL EC 7R/C4L r2AN5M/S5ON 40,0/10NeS,CANAL 6, M., 4'N/QE/0 Me 6e.VEF? O` OWVAta FAC/L/7/ES1A gO'EASEA-eVr PORAAICAOeS/fNEgGmr a- ror"e 5eveF/T0F 06. e E r LA Y5 W/rN/NMC 4MDO7re IRR/64T1?v O•S7R/cr O EPfEC75 r2E EASTERLY INGRESS a Li'iRE55 fQ2CO+/572(K'J/ON l MAINTENAAK'G J 9077E CO R/ry FOR M155/av OL /✓E A040 '.97IPEerce oAecei.9'? f4 OP mismAP MAYAPPECr /904rXj9'/0'2OF7#75 MAP, 7- /68 DEEDS 245 CAVTA/NS Ce5ER✓A7/ON5 RVR 6 OR. 413 /9 A co M4Mr mR bse IN CoNMOv LYA PlPEL/#E 4- 6:ur E ia4rENr5 a*e IAS SULI/EC75 r#15 PkoA-,Pr M ANY 2E5ERW/RS GY7CNESr CANAL 5, PiK; LINES 401#ER I D/rC# comA,feNC/AAS AT rmE eMt)OF SAID PIiECINE 0 A /5" ,e6ZaV/ZED NATER Re,#M A9 OF NO✓ /9, 1,964 O ALSO WeAAIS OFQSNGGC riAM, 0 SMR/AG WATER 45 r#EY ,E R//W ALLW677/E u1`97'ERLYO"PAPYACA' IYiNO /N M/55/ON E• eRrS POSS/6Ce M/NERAL RArYIS 70ANY &1''97/ML EX/57-10 /N OCT. 1917 4',0.4eMS 12, 9 04 Of MIS PC ,rO7NEDfineF/r Of Ow4D. f.,Vf rs PARCELS %d^1 LODGS W/7N/N MI5 FROPeRTY MAPARE506JECr McRE%O. MIS "AP, 5. 91 0.2. 455 SU0JEC7S 7#E we5reRLY660Fr. LYPARCELS •'/�'3Qar/U$AZ4P ro.Q/wRE5CRK47A�N5 O`uNLLFiNeO • V.VC.4T/ON lW/0795 POF AP/PE L/A(6-,W CW4R, W 16,'r IN N7DTN OVER THE *ES7eRLY /5 Fr Of 7915 PROPERTY /W A16flC .qrw, MWC# ISPRESEAMY CONTAINED IN MISS/ONOL/VE AXWD. 2OY COCAT/QV a- 'D• 0/rC9 more e?) I I I i I a v8 pM 14 �1 q O w 8 e W.4 2 Z Ai -e 17.50' dM' h' 1 54 E 51.70' 603 V, �(rIPLB l6fd I . A$PIER(,)60 i . MAPS 6e N09• •30' 37- E ro'W/oE e�Iv!mR iwrEa P/gEL/NC0✓ER 7NC wE57'• I eRCY/OFT Of.94RCEC5%sj LV rN/5 .WP.lo7NER PA7<'KLeRrY 70 THE SWTN AS PER 240? 4e.45 ' SU,PNEYORS' CERT/.F/"7E COUNTY SUPWYOR S CE?T/F/C4TE wvr w«Jaro A—dlje A ".1/06✓lcfNW,40 11.5 v!.#— r,+4+r. +.r.. rrf .vrou,AYA.:A.,t wfl,t sus• •6r.'dr,6q fLJ.•!r o. C0i/�. wrraCr :.. ArY,r'f 4IoV.AY. 0/rs/OA• -A, eCl emo LOLeL oeo w C1. rNE 60 e46EAlEAlr l f!M?. 47•. •u •:<•J). +. :. J:: Ylgt).0 OPPEREO POP OELYCA rtau/S. LCrareprE0A r rN/d r/NE. eI rIILY acov, y 4"r /J /Ao •itr..� � ••::.:: ':aV!..T •i.'� : r AW TED: � r r7 e•Or, � _ Li./+.lG�► G1,�2�Ea�G.' Tier �ecicislssr airi u»7 ..... _ .. _ louwrr t✓srl ro.v COF. SEC 6 7. ,6M., Q.5 E. 'a iP ser /Al CONC. P! R IR) 6a MA0560 LEGEAID O • f.OL COLA reo Favr . / • 5Er f4 Rlh4,e L -s A625 6K d8AMAV6e Oft —et 5/M.7P666 (2f.� — 9KA MARS PO 7 i M., '—.rEA5U2EO 'LR L 5. 71.25 OeP/Q'AdAc4A967 A1076 NO Fr/7lA C! Or AVOILOaaar or oo-e4 r,e wP rE? LOCAT/Ort/MoJP A'on0`�a/E JOC:/' 6,4S/S OT,9En.01A /467 THE 17AfPIO OP rlEAR,Ar6 /5 EAd r L/N6 0PAf/i010A/ VLIVe RO rAKeN AS N ao • 54'Sa'E ecrwccM PouMD MONUMENr4 A9/N0/CA rEO AC AW Je A/APY 60 PAR� P CEL / 4,M)O/�/AI G TO �9 68 MAPS 68 C OC4TCD /N 7 T TME At -C. Y4 N.E. Y4 SEC. 6 T. /8 Al) R. 5 E. M. /)M. Ok./'D ,34177E COUNTY, 5E1/EMY BERRY Np,f: ems' Jrf,/r4 r/7 Os JwA,fo SV/P ,f q!/ NO CO/.'CU/roF.•N]V QECOPoEo IN rLe nrr,Cf Or /4f oU/!E MUN rr.?lionnfn u,oET SE?,OL NUAr„El7 RECOR4ER5 CE�{p%•T/f/COTE ra fn r.,! err L✓Qc%6yr: r!' nwev OA,. eI rue Orc::lsr Lv� %.,O,,O,,,rOL E#�/NEEa,N� sunveriNeL ' w33�31r -- • ttewA• a A.r�s7A' �I, PL JNN/N6 wvarra,i..,.. �•., :0•.Orv•. .j; O��. rovNn wf:. 1.X4 3:01 V Aif c r7•Asd Q L r: RESIDENTIAL Y 28-19-110 4007-90B,P,E TRUETT, Bruce 22 Froggie Ln, Oroville Contr: Superior MH Service (MH on perm fndn) JOB FINALE Signature OFFICE COPY Addresses pates f G y pate ELECTRIC Meter BY V=dk , O=Not Ok Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Hing Requirements -Setbacks -Easements •2-861s; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete +0-Wlfe Location -Test -Easement Needed (Sketch) 5. Electri ity; Location-Clearences-Grnd-/ /Amp -Concrete s; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /' L" ft.2&"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s t'e-Zoni g Requirements -Setbacks Easements 00 ' s; Size -Spacing -Marriage Line as H Test-Demand-Valve—Connector lectri ' MH Test -Crossovers -Breakers -Clearances g. ain: MWTest-Fell-Flex Connector J, -Water and Sewer Connected -C/O to Grade -HD Approval nd Electricity Tagged go'Exits; Insp.-Sketch 10. Cert. of Occupancy Date 569 t Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 C,� L 3 W zd .51T70- Oy71 t' MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting. Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater I 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. i Boxes -En closures- Pane Iboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 'Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i J=OK O-* Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDER OOR (Plans) OK except #'s Date FRAMING (Continued) J'AZO'n -Setbacks-Easements-Flood-Slope 45. Hangers -Post Caps -Anchors -Connectors a,ffg., Main; Soils-Elec. Grnd.-//LL" Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50 G F' P F 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date�/]Q�a Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B71 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI. Insulated Neutral ❑ Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'.s 39. Sils. Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing arage ire rotechon ram ng 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive 0 Yes ❑ No; Walks Cl Yes O No; Planters 0 Yes 11 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical. Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 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: (NOTE: An entry must be made each time you visit job site) , •-et`--r_.,�: ��a-c-•..,.r`.xr,-.'�'Y�ea�.�.;;.Y`�:.Iat'Ts�+�s��7i;'�!'�t�y.."":�'�^.'✓'�"S{.�Crr�:'4Ni1�.`"'3"'""t"moi ti COUNTY OF BUTTE f 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 CORRECTION NOTICE R T A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. STS S Inspector 61 Date / ! 9-572' l 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 CORRECTION NOTICE R ' — PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector/ —2 3-5 Date xu-rjl--- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County CerrteeDrive - Ordville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. O ASSESSOR PARCEL NUMBER 28-19-110 ZONING ARMH 5 BUILDING PERMIT OWNER BRUCEMTRUETT70 TELEPHONE 883-1937 SQ. FT. OCC. BUILDING VALUATION 1352 R 54080 OWNER'S ADDRESS FROGGIE LANE ORO CA 95966 CONTRACTOR'S NAME SUPERIOR MOBILE HOME SERVICE 1 TELEPHONE 695-3000 CONTRACTOR'S MAILING ADDRESS 10777 HWY 99 LIVE OAK CA 95953 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 54080 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 149.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 74.50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2.Z FROGGIE LANE OROVILLE Permit fee $ 233.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOTO. T SUBDIVISION NAME 1 PARCEL MAP -7(� Z' Water piping 5.00 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 5,00 Building sewer 5.00 ,0 Mobile Home I S G W O.00e TYPE OF WORK New® Addition[] Remodel[] Utilities❑ Installation❑ Other❑ Describe work: MHI ON FOUNDATION _ Permit Fee $ 25,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of (check . P Y perjury 1ur Y (econe): 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. License No. Classification 1, as the owner, or my em loyees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. , 2/20sgft NEW CONSTFRMULTI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex, Occup(OUTLETS OR FIXTURES 20@80¢ .ALO 30 FIXED APLNS.F] Ex. Occup. OUTLETS IPRESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 9 15.00 Permit Fee $ 22.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. j I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said County in conseq nce of the granting of this permit. X Date %—��%� Signature of Applicant — Owner ❑ Co roctor.Z Agent ❑ An OSHA permit is required for excavation over 5'0' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL EE 2 1.0 HAz I CUA PA K sc F PA P H Is E Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR/RF PUBLIC By PERM EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date /%—L6—,01- Receipt No. 84476 —281.09Z WHITED. P. W., 7ELLOW-ASSESSOR, PINK -I SP EC TO R, GOLDENROD -APPLICANT lvTM� ` t i COUNTY OF Bl�y`TE �'DEP'�►RMENT`OF PUBLIC WORKS -BUILDING DIVISION` 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 • • f PERMIT APPLICATION DATA SHEET Permit No. OWNERAeu-cr 1 �uL-Y A. P. No. 222; -1 - /%O Proposed Building Use ./"1 AE dN �o��v✓ Y.��^� Building Inspector JrS Date i/- 2�O At time of permit application, I was advised the following data must'be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ . Complete plans in igned by preparer. of plans 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid 13. 0& � Z�• SchoolC�istrict fees paid .............. . Sanitation approval from © W / / _ Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25'. Letter.of gnayre authorizati n . ............ 6. (r o Dlc�n�r h / 2 27. Lac When you issue the permit, process as follows: Mai l_too owner. Mail to contractor. V_ Telephone 9S— 3000 and hold for pickup at S1 0 office. Deliver w/inspector. Other Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent ---Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by ..date Contractor, designer, owner, was advised of above required data y_phone _maVnter by date Plans checked by Date P ans approved by Date f/ Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance c. jcc c Owner VUbcation AP# Sewa a Disposal Water Plan Approved for: Supply eJ -ell J. Q . Fold final for: Water Supply Final clearance O.R. for: Water Supply �r Clearance for a bedroom mobi a ho Other MOTS * * * Sanitarian to ,:C�s: �'}v*ravpar* .,,,.r� *-r+�vili�y"A'�r' s�:'%'4'i'?s�s�Y�iX�S��t.!"a'^F�Fa•�'v,�.c;,Lr'i�'Slu+i�'Y'W-tl��;'aY+`�., �r,,.,i,,y•+�NK;�w :r,�7.��!'Y ' BUTTE COUNTY'SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number 0 Building Department No. School District oRr r��,,.aJ', City a County Q& Jurisdiction Property Owner Project Location/Address f�,er,/�/_..ice /C ►4a T.. oP�✓i�L?_- Subdivision Lot Number Residential Development: a t Sq. Footage /3�vZ, # of Living MHI- Addition (Group R) Units Commercial/Industrial: Build Sq. Footage .New Addition (Including Exterior Roofed Areas) t Representative 20 Date (Floor Plans reviewed by School District Personnel) �1 District Id No. School District certifies that (Applicant Name) (Phone Number) X0-3lO (Street Addre s) (City) <0 (State) (Zip Code) has complied with the requirements of Resolution No. 90 0 to by the payment /o�fe $ �/3� /(o representing 45s-.1 square feet. School Distric31kepresentative Date PAID BY CHECK NO. (Q BANK NO �( / //a % — PAID .BY CASH REMARKS: white -applicant, yellow -building department, pink -school district r 1� SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS S 7County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 o%° APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER a g _ ZONING Q BUILDING PERMIT ._ OWNER Q TELEPHONE SQ.FT. OCC. BUILDING VALUATION O d OWNER'S MAILING ADD ESS Q /` �T 0 CC CONTRACTOR'S NAME - ' Ur -2c 0 ,ter o tic. ,.°✓. ` TELEPHONE S- o o CONTRACTOR'S MAILING ADDRESS 0-77-? dices Y ✓ t 6 C+ �s�� 3. Fireplace CONSTRUCTION LENDER UNKNOWN-1Total Valuation $ Q. � Filing Fee $ 10,00 LENDER'S MAILING ADDRESS _ Permit Fee Z 29 .on 5 j o0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee So Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS Permit fee c$ $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 to Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome6 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 500 Building sewer 5.00 5-00 Mobile Home S G W O.00e TYPE OF WORK Newt a Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: ,�'i.� n.vK�[�•4l� /oma, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 0 • 00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business :. and _Professions Code and my license is in full force and effect. - -License No. - � Classification . ❑ I, as the owner, or my employees with wages as their sole compen- - sation, will do the work,and the structure is not intended or offered - ;- -`.-:=for sale. -(Sec. 7044). ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) - ❑ I am exempt under Sec. Business and Professions Code for -this reason- NEW CONST. ( DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. I y2¢sgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC IT$ 2.50 ea POWER APPARATUS a ( SINGLE OUTLET CIR. / Ex. Occup( OR FIXTURES SAL030 eAL030 Ex. Occup. OUTLETS PIRESID 1FIXED APLNS. REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ O WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g Hood 3.00 Ventilation permit Fee $ Contractor I certify that -1 have- read -this- application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %� - Date Signature of Applicant i=,; • --Owner ❑.. CO 'tractor ❑ Agent ❑ An OSHA permit is. required for excavations over 5'0" deep and demolition or construct- ion of structures o[vee/r,3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC I CONSTTYPE FEE E $ d� AL E HAZ CUA PARK PAR PD Ho ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW-ASSE33OR. PINK -INSPECTOR. GOLDENROD -APPLICANT AM 110 RECORDED Ma T0: NoE srr Butte County Bldg. Dept. • ADDRM 7 County Center Dr. arr Oroville, CA 95965 STATE, ,.a zr 91-004S6Q 91-004660 -------- �j 1 91-004S60 91-004560 Tota t �• .UU Recorded Official Records ; Countv of ; Butte Candace J. Grubbs ; Recorder r I 9:49am S -Feb -91 .__ XX 1 SPACE ABOVE TM llW FOR RECORDER (ISE Wy NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the locai a hereon, This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described gency indicated is in accordance with California Heap; and Safety Code Section hereon, upon the real property described with certainty, below, as of the date to Ofrecording.cu by the county recorder to the nerved owner of the real roe • sons thereafter dealing with the real property property rty and shall be deemed to giveconstructive enofice as to its contents to all ped TRUETT. BRUCE H. EVA L. REAL PROPERTY OWNER/LESSOR BUTTE COUNTY BLDG. DEPT. PO BOX 21631 LOCAL AGENCY ISSUING PERMIT o CERTIFICATE OF OCCUPANCY MAILING ADDRESS 7 COUNTY CENTER DR. CARSON CITY CARSON CITY NV MAILING ADDRESS C(T/ COUNTY 89721 OROVILLE BUTTE - STATE jIP Cm CA 95965 22 FROGGIE LANE COUNTY STATE INSTALLATION MAIUNG ADDRESS, IF DIFFERENT 4007-90 ZIP BUILDING PE IT No 916 ) 538=7541 OROVILLE BUTTE CA 95966 TELEPHONE NUMBER CIT / CouNTY 1/29/91 57ATE ZIP SI ATURE Of LOCAL AGENCY OF IAl SUPERIOR MH SALES ` DATE UNIT 0:1NER (If also SUPERIOR MH SALES \ property i ^ owner. write 'SAME") DEALER NAME (If `not a dealer sale, write "NONE ) 10777 HWY 99 MAILING ADDRESS 223967 LIVE OAK SUTTERDEALER LICENSE NO. CITY CA 95953 COUNTY STATE 2IP UNIT DESCRIPTION SKYLINE (LEXINGTON) MANUFACTURER'S NAME 1990 5501 - 2770-0471-D/A&B DATE OF ^UNUfACTURE MODEL NAME/NUMBER SERIAL NUMBERS) 52X26 CAL 367920/1 LENGTH X WIDTH-----------INSIGNIA/LABEL NUMBER($) REAL PROPERTY UGAI DESCRIPTION ASSESSPARCEL NUMBER 28-19-110 SEE ATTACHED LEGAL DESCRIPTION TA JE„T Otrti !'-��• HCO FORM 433(A) 4/86jr �� _ �� s C C O 90-36831 - ORDER No. BYJ-115415-1 DESCRIPTION CAL �1 CONT CERTAINREALB PROPERTY SITUATE IN TB$ STATE i CALZFO r DESCRIBED AS FOLLOWSS OP PaBS�L-ZI PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAp OFFICE OF THE RECORDER OP THE COUNTY OF r RECORDED IN THE p2C4.ALZFORNIAI ON OCTOBER 7, 1980, IN BOOR 79 OF MAPS,TZ, AT PAGE (S) Ea$,Cgj`j� A 60 LOOT NON-EXCZASIVE EAS PURPOSED SHOWN AS FROGGIE EASEMENT FOR ROAD AND PUBLIC UTILITY Pr RECORDED IN THE OFFICE Npg SHOWN ON THAT CERTAIN PARCEL BUTTE, STATE OF HE THAT of THE CO UNTY MAPSr AT PAGE(S) 24. CALIFORNIA,r ON OCTOBER 7r 19801 IN BOOK 9 OF 79 OF EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. END OF DOCUMENT C _ ATE r CCU r. B Addmu a Locative, of 22 FROGGIE LANE OROVILLE CA 9596 Levo! Dewripfion of Real Prop*rty SEE ATTArgPn T Vf'Ai Nor NO. 4007-90 A®Mobilehome/Manufactured Home real property described above b ❑ Commercial Coach has been affixed to the Health and Safety Code Section 18551tallation on a foundation system pursuant to ' 0--'s nome: 0—or's address: PO BOX 21631, CARSON CITY, NV. 89721 INSIGNIA OR HUD NUMBER CAL MANUFACTURER'S NAME SKYLINE (LEXINGTON) IOMad �%^V ��dlo�an� ►� 813C meal SERIAL NUMBER OR v.I.N, 2770-0471—n/A&B YEAR OF MANUFACTURE:— 1990 1/29/91 (916) 538-7541 Saperior- MOBILE HOME SALES CONTRACTOR'S LICENSE *223967 10777 Hwy. 99 Live Oak, CA 95953 (916) 695-3000 r3UT-rCo f-cj G o.v Fy p' rrS L) b 1C Yhat3iL� /40m�'S � S E G 2 L7 S I `1 LAN 5.56 SN. 2770_ -G /g ov j G /�- G�C�Ow t-6 �` cs /-{o .n �s 5QSTE en Do LC- �J art q. y4` s ' yyym oaf This unit is a: Decal (LicWn_s DEPARTMENT OFSTATE HOUSINGFANDLIFORNIA COMMUNITY DEVELOPMENT DIVISION1OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS XJ Mobilehome ❑ Commercial Coach No.(S) ❑ Floating Home ( ) Trade Name. Serial No.(s) A -77 o- �� o277D I/We, the undersigned, hereby state that the unit described above: ❑ Truck Camper Affiant further agrees to indemnify and save harmless the Director Development, State of California, and subsequent may suffer resulting from registration of the above -describe of Housing and Community of a California certificate of title purchasers of said unit, for any loss they d unit in California, or from covering the same. I/We certify under penalty of perjury that the foregoing is true and Executed on correct. a t (Date) (city). CG • (State) Signature of eac affiant �, Pnted name of each affiant b0A­'.-,9z_,0 F=F' ,D d 46 g Address City , State HCO 476.6 (Rev 11/86) t•; .ti .....ruwtcu 01: Mid Valley T 115415-3 -cCOROEO MAIL TO: Mr. d Mrs. Bruce H. Truett 2031 Lone Mountain Dr. /65 Carson City, Nevada 89706 MAIL TAX STATEMENTS' TO: same as above AP#28-19-110 �tle 90-36831 1 90-036831 1 Rate Few 7.00 1 DOC 17.50 Recorded 1 Check 34,50 Official Records 1 County of 1 Butte ) Candace J. Grubbs t Recorder ) 8800am 28 -Aug -90 I JJ 2 DOCUMENTARY TRANSFER TAX i 77 SII - - Cmllputed on the comldaatlon or value of property conveyed: on •..^. COMP—ted—n the comideratlon nlw len Ilam a encumbnnea rwnS�f time of rale, n GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknrwiedged, ROBERT E. MCCUMIEON, a married man hereby GRANT(S) to BRUCE H. TRUETT AND EVA L. TRUETT, husband and wife as jt.+nt 'enants the real property In thug( unincorporated area of the County of Butte SEE ATTACHED LEGAL Gated August 22, 1990 STATE O/ CA OR IA l courmor� drr Auaust 24th 199tA 1 WW@na7n141 Notal RAIb In and for said Stole, pale smutty appeared ert E McCutcheon . State of California, described as X/ RobllL E. M I nr hBGIL�_____ f+ele644, AAW0 Ai Im proud to me an the boas of sahetwory ertd—" b be the P@R-Xel rrllOre nemNs) Mari 1UNWItted to the wnfMn Inetrumerd and al:arlow4ft%W to me mat 1enl9nye/ eaeat/lad /1y�0a�51��WGS the Mma W�' tMMIa�rOM I ry ITN my hub dofflelalwet ig' i nature ITnh uM lar ollkhl nourlU ueq MAIL TAX STATEMENTS AS DIRECTED ABOVE 1002 (6/82) EMOMCmom= ft MW . ADDRfTS C". STATE. ,.d ZP AND WHEN RECORDED MAIL TO: Butte County Bldg. Dept. 7 County Center Dr. Oroville, CA 95965 i ( ' ; 91-004560 ; Total Recorded ; Official Records ; County of Butte ; Candace J. Grubbs Recorder ; 9:49am 5 -Feb -91 SPACE THIS LK FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM XX 2 Recording of this document of the request of the local agency indicated is in accordance with California Heclt� 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 per- sons thereafter dealing with the real property. TRUETT, BRUCE H. & EVA L. BUTTE COUNTY BLDG. DEPT. REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY PO BOX 21631 7 COUNTY CENTER DR. MAILING ADDRESS CARSON CITY CARSON CITY NV 89721 CITY COUNTY STATE ZIP 22 FROGGIE LANE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA .95966 CITY COUNTY STATE ZIP SUPERIOR MH SALES UNIT OWNER (If also property owner, write "SAME") 10777 HWY 99 MAILING ADDRESS LIVE OAK SUTTER CA 95953 CITY COUNTY STATE ZIP MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 4007-90 (916) 538-7541 BUILDING PE IT NO TELEPHONE NUMBER 1/29/91 SI ATURE OF LOCAL AGENCY OF IAL DATE SUPERIOR MH SALES DEALER NAME (If not a dealer sale, write "NONE") 223967 DEALER LICENSE NO. UNIT DESCRIPTION SKYLINE (LEXINGTON) 1990 5501 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 2770-0471-D/A&B 52X26 CAL 367920/1 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 28-19-110\ SEE ATTACHED LEGAL DESCRIPTION t.;r-,.,..:�,�."s °. a `j-amuw.'yarR+'c*sf�cx':+.,an s,.7c w-!tvl.: r -•-" .•as.L� : _ ...� - _ .. - .. �. _ ..,twt = 'SENT Of OG HCD FORM 433(A) 4/86 0 1 ._.....�. e.d..-At n. ...., r- ;,�Mv 90-36831 • + ORDER NO- BU -115415-3 �. DESCRIPTION C ALL THAT CERTAIN CALIFORNIA COREAL PROPERTY SITUATE IN THE STATE i T• , UNTY OF BUTTE, OF DESCRIBED AS FOLLOWSS - . • YABCEL i t ; PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA ` •• i ON OCTOBER 7, 1980, IN BOOR 79 OF MAPS, AT PAGE(S) 24, A 60 FOOT NON—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, SHOWN AS FROGGIE LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 7, 1980, IN BOOR 79 OF MAPS, AT PAGE(S) 24. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. •I :i END OF DOCUMENT END OF DOCUMENT 1 `RESIDENTIAL 28-19-110 396-91B TRUETT, Bruce .CONTR: Michael Forbes (mh cov & open decks) -20 FRoGGrF- LN. 2-,�27-9, F, I i 1 1 1� ; JOB FINALE Signature i J=tlK O = Not OK Not Readyaale MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEC , COVERS, CARPORTS, GARAGES, Plans OK except #'s Zoaing Requirements -Setbacks -Easements Vis; Soils -Size -Depth -Spacing -Connectors -Steel De ; Griders and/or Joists -Decking -Bracing -Stairs -Rails 0 Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Caroorts: Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10._Roof; Shthg-Roofing 1. Ext.; Steps -Doors -Landings Date/ Card B-1 Date Card B-1 Date G Card Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Pane Iboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (E Date UNDERFLOOR (Plans) OK except If's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except If's 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. O.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except N's 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ff's 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (NOTE: An entry must be mac jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin -roof Bra c-Truss-Shthng. -Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Ratter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except If's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drairage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 13 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 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: e each time you visit job site) COUNTY OF BUTTE - DEPARTMLNT OF PUBLIC WORKS PE MIT NO. ' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT to ASSESSOR PARCEL NUMBER _ ZONING BUILDING PERMIT OAh, Bruce Truett r 59 P4�� SO. FT. OCC. BUILDING VALUATION ov 2,4400 OWNER'S MAILING ADDRESS P.O. Box 5611, Oroville, CA 95966 90R Open 1,040 CONTRACTOR'S NAME // - Michael Forbes ,t. �'� 0If�Ls TELEPHONE CONTRACTOR'S MAILING ADDRESS Placerville Fireplace CO STRUCTION LENDER Ione UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 44.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 22 Froggie Lane, Oroville Permit fee $76.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome&l Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G IEEP� TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: it covered and open decks _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑r I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ,AleMisc. ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.E! OR ADDNS. ACC, BLDGS. /20sgft NEW -0NSTR ULTI.OUTLET NON -RE BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 2AL@ eLe30 FIXED Ex. DCCUp. OUTLETS P(RESID,)LNS REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 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. 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 FiIingFee 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 s County in consequence of the anting of this permit. X ����2f 13Z9� Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL FEE TOTAL $ 76.75 HAz CUA .—. PARK F PAR PD H D ss This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PE T EXPIRES Date7-7,7— the applicable provi- resolutions to do have been paid. WORKS Date P2 Z 7— �y^/ Receipt No. 83816 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT TO Buildina Department FROM: Environmental Health , SUBJECT: Sanitation Clearance _ u-- r �.t �ejy::- _e ) - Owner Lolbdtion AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply ^incl clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other NOTE * * * Sanitarian i K E�!� .rim-.� }�tY�' �+tgF3�tS•�.-,� r•�/s!1 X �V"�"'.' .t,:� x ;,�� �✓;,�,�,-�., TYa. � � � ` r. .-. 'Y ;,..• COUNTY OF BUTTE - DEPARTMENT., OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. rn I,OWNER C.Cs ✓1 r� A P. O. �a - / 7 /Of Proposed Building Use 0_6 Building Inspector Date am./V At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:_, DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ...... 3. Complete plans in lica ptriplicate, signed by preparer. of plans 4 f 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ......... /. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions.................................................... 10. Fees of $...................`.... 11. Chico Urban Area fees paid ........................ ........ ------ 12. Park fees paid .... :................................................ 13. hool Di�tri t fees paid ............... 14..Sanitati .n -approval from Health Department { 15. City Of Ch.ico_p.lu+ftbing permit...............l ............ 16. Plot plan and business license approval, from Cit of (see City for other requirements) r' 17. PlAnning,approval for, (A). Use;, (B) Parking: ......� 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required...Pre-Inspec. request to rBuilding Inspe to (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural' Acknowledgment Statement ......... •25. Letter of signature authorization ................................... 26. 27. When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 6�_Wnll and hold for pickup atQoffice. Deliver w/inspector. Other / Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. _Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: . F - Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by S Date Sets of plans on hold in Copy—DPW File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Count Center Drive - Oroville California 959 Y 65 -Telephone: 916:'538-7541 APPLICATION AND PERMIT PE MIT NO. ASSESSOR PARCEL NUMBER -19-1 in ZONING ARM149 BUILDING PERMIT - owN R Bruce Truett T LEP 5�9—�+�%�� S0. FT. OCC. BUILDING VALUATION /NER'S MAILING ADDRESS P.O. Box 5611, Oroville, CA 95966 COW 2,400 CONTRACTOR'5 NAME Michael Forbes TELEPHONE CONTRACTOR'S MAILING ADDRESS Placerville Fireplace C O1V�ne CTION LENDER UNKNOWN Total Valuation 4 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 44-50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 99-99 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 22 Froggie Lane, Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeU Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G W 10.00 e TYPE OF WORK New❑ Addition Remodel[] Utilities ❑ Installation ❑ Other ❑ Describe work: covered and open decks Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service VOR S ,00 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare underenalt of P y perjury y (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 n 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 Main service EA. ADD -L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. SLOGS. vtsgft NEW CONSTR. ULTI.OUT LET NON ESID BR 4NCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES P 200501 eAL030C Ex. Occup. FIXED TS (RESAPPLNS. OR P• ouTLETs (RESI D.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall. be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s County in conse�ce of the anting of this permit. /� Date natureof Applicant — Owner� Contractor Agent OSHA permit is required for excavations over 5'0" deep and demolition or construct- 1..�nof structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee g occ CONST TYPE TOTAL FEE $ 76.75 HAZ CUA PARK I SCHL I FLD I PAR PO Ho SSUE This permit is hereby Issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 83816 WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ' 7 County Center Drive - Oroville, California 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT ASSES"`�O P=R CE11 NUMB7R — Q( r ZONi. )qN �` _ BUILDING PERMIT owRr u 6, ` t TELEPH N SO. FT. OCC. BUILDING VALUATION - 10 CI OW R'S AILI ADDRESS _ o •V (Q 2 V 1. - CONj,r//�`J, I TOh S NA E �O �� a TELEPHONE _ CONTRACTOR'S MAILING ADDRESS l CC, 1r` v Fireplace - C22;uCO S RUCTION LENDER n 6 UNKNOWN - Total Valuation $ Filing Fee g $ 10.00 LE DER'S MAILING ADDRESS P Permit Fee _ $ ARjCIJ1ITECT OR ENGINEER _ LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING o^L A07ESSi j 1Q 4 CL �Q ^ ( Permit fee $ r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF SFOther [I SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 eal TYPE OF WORK New ❑ Addition Remodel ❑ Uti 'ties ❑ Inst tion Other ❑ Describe work: o(— 106L 0 1, S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR L Main service 100 VAMP ORSLESS 10.00 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 Main"service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUPM OR ADONS. ( ACC. BLDGS. I , �=0sgff NEw CONSTR ULTI.OUTLET NON-RESID. BRANCH CIRC ITS 2.50 ea .__-•--- /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES .AL@90 FF ARLNS Ex. Occup. OUTLETS P(R E SID,IRE A./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee ; - Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may- in any way accrue against said County in consequence of the granting of this permit. X Date- Signature of Applicant — Owner ❑ Contractor [] Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $� HAZ CUA PARK scHL Fro I PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above Tor which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS _ Date Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENRaD-APPLICANT �� ���� Qhs ��� - -- ^ •,..,.,,..� _ _ ..... a , gy O___ �' '_ 1��/ v �'i�� v��.r+�r.�`^-`�fayy+— "•yr.'. .rw+ •Y . • 4 f '� r . mac s��1-/•p. _ �Y_ __ - ----- _—. -. _. -• - ';• ` y . sly" iL� - _. �� /r � � - .[ - f .. f as/•. -./rr •�� � / •., :n -9�� `�, f - �� fiJ tic -�� - /•' ,• - 'r' � 'e .f % ' 7=fit `<�:: �'/ ) I a•' .. �, ` J .• o - �- //J'•/ -,� 0-5 Q � ` �' i f. 1 ' - r ^ • F,. � [ .. - _ { '� l "'I-''�!-�•.�"r_"T _ _ � ' rte.+ =•� 7. 77 XZ me OJO i /) , ti 1 - it , � - .. .. ��`" - .. .. �, r- r', rte• ��-'. • /5Q I � — � '� i, .+ .'• f• i '�—_...___.�_. �.� _. r!� J(.; .Pa,iat, "'v' , .; ,"�`'SL^r.i�i"" J �S A�J. _ r is /. � `�+w t� •�K+t�kf':.; ".^^'r'-*i.•� t'r ^:•^ - •. �� �' r 'I r^ AWSO VOW .� U1pt} UpL'Si1 AQP ►a4�%j `� • •' .,c {'_ • ' "—„..,r.4 5J.`�kl�%�` `---•^•— � M *Wef uo w4��ts�ijv 10 ' �� { to qOla4uo taw, `!unjiaw r4M 91 i� ►N► at 441� Vol” /d� .M..1ffWrPM i1b► � dw • -w 4