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005-396-008
PH30;ER REDDING 785 Wisconsin -St, Chico Permit #3121-79P (relocate gas water n existing site MH ELEC �/ 1� GAS �1 Z--OMPACTION--TEST REQ'- SUPPORT STRUCTURE REQ �n Com : Featherkiver Homes Yuba Permit ##36,P0-79 • Issued (� -1 -V-1 7 9'/1_, ------------ ,,s�.w 5-396-08 Cont: Calrance Stengel Permit #3728-86B(demo) / 005-396-011 - Ot--2255 REDDING, JACK C� 783 WISCONSIN ST, CHICO MHU )91aiK w► 1 LJ O� ELECTRIC I QOCLY. A GAS LINEN0.. COMPACTION. TEST REQ SUPPORT STRUCT REQ moo• 005-396-011. 01-2930 REDDING, JACK 783 WISCONSIN,.CHICO MHI N t �z .�—.,_ r _. ... _... � :�-�... •. - _ �' ,�, i.�t _ � irk � , 5/0 6) '. 005-396-008' CERTICATE OF MERGER ; E N .Cleetra6c••e. ,1 I 4 1 ro I �fi '^rv�rrinvr.. 1 r k I �fi '^rv�rrinvr.. 1 ELI .._v le r O� •� ♦# COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICEtS -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • 'Telephone (530) 538-7541 PERMIT NO. - (Rev. 12/96) APPLICATION AND PERMIT 01-2930 ASSESSORPM1U ^�• )� a�J�j i ZORIJCM BUILDINGPERMIT OWNER JACK REDDING TELEPHONE 343-6835 SO. FT. OCC. BUILDING VALUATION OWNERS MIMIADMIMINSIN ST. CHICO 95928 CONTRACTO 'Sr_ I TELEPHONE CONT MAI SS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS " Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flina Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ t PERMIT, FEE S 43600 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT], Fling;FeIS 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 2 Other SPECIFY Each Trap 17.00 Solar or heat pump water heater 3.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 1X Other ❑ Describe Work: MHI Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT .. -Filing Fee . %20.00 Main Service 80.0V. OR LESS .S 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: O 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 +000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BIDS. 3.5¢x; P1 RESID ' BRANCH MULTI.OUTLET , 97.50 FOWERA0PARATUS1 a swGLE aunFT ap. r Ex. Occup. OUTLET OR 6(TUR6 BAL 20 @'.� Ex. Occup.. DU7 g RRES,D,OEA 5.00 - Temporary Service ' �' 23.00_ Mobile Home Facilities : 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Policy NumberMobile,Home (The above sections need not be completed If the permit is for work of a velu;ation' of one hundred dollars ($100) or less.) a 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ,r/�, JJ r e Date 1l- . M _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Installation Fee $ • khergy'Inspection Fee $ 9CC CONST TYPE 14300 TOTAL FEE $ HAZ. .., D. FEES IMP X X F�cL�D ACJ CDF X PARCEL X L HD X ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. , BY Date PERMIT EXPIRES ON I ID,96 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDI ION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- 41 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPVV T1%-011 NG ZOR1/CM - B INGPERMIT OWNER JACK REDDING TELEPHON343 -6835 SO. FT. C. BUILDING VALUATION OWNER'S "%n MCONSIN ST, CHICO 95928 CONTPACT06M TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ib 14 a- Aee Plan Checking F$ BUILDING ADDRESS VU MG. fluvruEnergy ' Plan Checking Fee $ $ PERMIT FEE S MW LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome �F Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IX Other ❑ Describe Work: MHT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zooA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 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: 0 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation Jof one hundred dollars ($100) or less.) lz 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. ' XDate �ZZ- zo al _ Sign e o Applicant -,00-0wn ` ❑ Contractor ❑ Agent AnHA permit is required for ex ovations over 60" deep and demolition or construction of ructures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR SO OR ADDNS. ( & ACC. BLDSBRANC. 3.5¢FT, Npp}p�,p MULTI.OUTLET @7,50 POWER APPAUS a'SINGLE. IT RATCIR. EX. OCCu OUTLET OR FIXTURES SAL @ . I 0 Ex. Occup..DUT.00 FIXY RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi= S Mobile Home Installation Fee $ 100. UU Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D FEES IMP X X FLOOD AO CDF X PARCEL X PD X HD X ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By ateReceiptNo. PERMIT EXPIRES ON provisions to do work paid. P"", WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ..'"�`jv`}'��',riWgrt""v'-""�.^,�,�"�iy�. �. J wr. d�+i��:M1h'�i��'�l�C:i��l.•1+�+�W�ie ''��s�''N�.'�`�' pn.�.n��y+„sy,.,-A-rr COVNTY; OFVBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: A C ASSESSOR PARCEL UM 0 S' C) I I 01 Proposed Buildi g Use: o •, %,t, %, Building Inspector: Date: 1 , t i At time of p mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: I I'll Date Received By ❑ . All items have been submitted............................................................................................................. 2 Plot plans, 3/4 sets, signed by the preparer of plans............................................................................Ti `i.�' 3. Complete plans, 3/4 sets, signed by the preparer of plans................................................................... ❑ 4. Engineered plans and calculations, 3/4 sets, with wet signature on plans. All engineering must be shown on plans............................................................................................. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ............... ❑ 6. Energy Design Compliance and supporting documentation................................................................ ❑ 7.. Statement of Intent for Non -Heated and A/C Buildings...................................................................... t Hazardous Material Form.................................................................................................................... �9. Manufactured Homeo13ata and Installation Instructions including Tie Down Specifications .............. YI ees of $ �i�.,.......C?..Q.ln............................................................................ Impact Fees as shown on the attached schedule.................................................................................. California Department of Forestry Plan Approval/Fees..................................................................... 13. Flood Elevation Certificate .................. ❑ 14. Sanitation and Plot Plan Approval 1 1 y Environmental Health Department.......... ❑ 15. City of Chico Plumbing Permit............................................................................................................ ❑ 16. , Plot Plan and Business License Approval from the City of Biggs ....................................................... ❑ 17. Planning Approval for (A) Use: (B) Parking: ........... ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainag6;:�egal Parcel ........................... » -.� ❑ 19. Encroachment Permit for Driveway (construction approval prior to occupancy) ............................... ❑ 20. Pre -Inspection for required. Request to Building Inspector (Date) ❑ 21. Contractor's License Information (Number, Name Style, Classification) ........................................... 128. Workers' Compensation carrier a policy number............................................................................ Owner -Builder Verification ( Given to Owner, ❑Mailed to Owner) ............................................. Letter of Signature Authorization........................................................................................................ Recorded Copy of Agricultural Acknowledgment Statement.............................................................. MLetter of Intent on Building Use/Detached Accessory Building Form ................................................ Manufactured Home Utility Clearance................................................................................................. Existing violations and/or expired permits.......................................................................................... ❑ 29. ❑ 433 A, ❑ Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D. $ ..................... ❑ 30. Other .................... When you issue the permit, process as follows: ❑ Mail to Owner, ❑ M it to Contractor. FdjTelephone '074 S ? and hold for pickup at fOX u iii office. ❑ Deliver with Inspector. PO 2 a' he ede OoPla4tJ Applicant: Date Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ it Pollution Dat //- Copy of Plans sent ❑ Health Department, ❑ Fire Department, Date: 1. Index permit Application for the above items numbered: 2. Additional itemsCown quired: Contractor, designe , was advised of the above required data by: phone, ❑ mail, Building Divis' n counter, By Contractor, designer, owner, was advised of the above required -data by: ❑ phone, ❑ mail, ❑ Building Division counter, By Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By By: f' By: ❑ Plan Check List Date: Date: Date: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date: Plans reviewed by: Date: Plans reviewed by: - Date: D Y Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. � Note transfer by: Date: Yellow Copy - Department of Development Services - Building Division ;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(� 2 I ,�^ 1 A.P. # d 3! � (— PROPOSED BUILDING USE /" i55 o `"J DATE V 1 RECEIPT # DATE REC. 1. BUILDING PERMIT FEES o J (� --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ 'f -Revised Plan Checking Fee ................................. $ 2. CHOOL DISTRICT FEES C �'� t �/+ vl-% rt (paid at District Office) 3. SHERIFF FEES (paid at Building Division) ��esidential.................................... x $360.00 = $� &C_'e , -M - n.'F Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBA RE FEES Resi ntial .......................... t x $ b Al0 f# Unit Am . P r b 4..v �rezt Commercial (Sq. ft.) ............. x =$ Sq. ft. Amt. , 5. RECREATION DISTRICT FEES - !II 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 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 �(11t�� ,PS 1��i��-� DATE �Zf - Z�Z x-19 Z Pursuant to Gd4ernment 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 - Building Div. 2nd Copy - Applicant 3rd Copy - Owner T (Rev. 6/00) I 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 0"_ NO El 2. I HAVE C3' HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the'work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: , PROPERTYOWNER: SOCIAL SECURITY N ER: DATE: _Z/-- 4 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned'to our office before we are permitted to issue the permit. OVER O.B.- 1 OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. r rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER j"—.'?�"'y�i9^Aff'4rw'R9'�'T�'9Pi�rMy.:t`i"Y:.�.•?4'�•�'r� +�":iw+.:'l�i+�f�1�P "�3 /�'YF i`�nB`"�yaca�r+ti^rw'T7iw^^+W JFK ` -• BUTTE COUNTY PARRS DEVELOPMENT FSS CERTIFICATION PORN CHICO AREA RECREATION AND PARR DISTRICT r , Assessor Parcel Number (s) µ'•0 5 -39 40 Property Owner •J CL C dQ4�_, Ad Project Location/Address -7 '8'3 Subdivision Lot Number(s) Residential Development: (check one) P%oP 'd e e _ New Development _Alteration/Addition j/ Mobilehome(s) _Non -Residential to Residential Total Number of Dwelling Units Comment: ��.n�r L£ tivt�.✓ }' Building Depart ---" t Representative D to Chico Area Recreation and Park District(CARD) certifies that /4L�l , nc 3 Vl-,6X3 r (Applicant Name (Phone Number) (Street Address) (City) (State) (Zip Code) has complied with the requirements of Butte Co. Resolution No. 90-140 by payment for dwelling units @ $1,189 for total payment of $ �-1.1-Oz( CARD ApresentatiVe Date 'ti►�"' PAID BY CHECK NO. REMARKS: cJZ, BANK N0. ,t PAID BY CASH Distribution: White --Applicant Pink --CARD park.fee (form revised 11/90) Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. �. in Rte, `..a�I• School District A.P. Number Property Owner �i. BUTTE.COUNTY SCHOOJ.SAMPACT FEE CERTIFICATION FORM (One form per Building) C�wl f 1�1` LA N : e It Building Department No!'0 Jurisdiction: City 4County N&ir e�'� Property Location/Address :793 Li f 5 ly .-')N 5 iA/ G r 7 Subdivision Lot No. Residential Development F U-71 No of Living Mobire Home Units Installation Commercial/Industrial New Addition Building ............................................................ 0 Addition/ `Supplemental to Conversion Permit # t" i , '(No foundation inspection):: .... .. .... ....... iriuur nuns reviewea oy acnooi uisinct rersonnep District Identification -No. + 'r ow �School District certifies that P (City) 3a has complied with the requirements of Resolution No. -7 U representing q square feet. 2926 School District Representative Paid by Check # Remarks: i Sq. Footage 78 q (Group R) Sq. Footage (Including Exterior Roofed Areas) L Date/ l CA ; (Applicant) /�t) /� �/ 4? -3's (Phone Number) (Zip Code) by payment of $ S S 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 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district). feeform.xls (10/98)dmm, NOTES to C., 9-1 RESIDENTIAL PERMIT NO. Ca— 005-396-011 t_ul_!!!22551 REDDING, JACK r 783 WISCONSIN ST, CHICO MHU s p m K&D C) pz, SPECIAL CONDITIONS CHECKED BY — SRA — FLOOD CERTIFICATE REQ. — FIRE SPRINKLERS REQ. — SPECIAL INSPECTION ITEM'S VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICRE COPY Address uj"_10 —77?43 sy� GAS U 46 Meter By Date ELECTRIC Meter By VP Date JOB FINALED (Date)z Sv Signature V= OK 0 = Not OK Not Applicable MOBILE HOMES =,Not Reade Date ' MOBILE HOME UTILITIES (Plans) OK except #'s S ' ; Special MH Support Sketch Sew Location -Test -Fall -C/O -Concrete 4 ater; Location -Test -Easement Needed (Sketch) 6. Gae;-toV31RTt-fWsf-Wrap;-/ /"L'ft. / P Nat. or / /"L"ft./ /'LPG 7. We -Clearance 8 Disconnect tility Clearance Date 1104 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE H STALLATION (Plans) OK except #'s Zoning Re ents-Setbacks-Easements mgs; Siz pacing -Marriage Line 3. Gas; est -Demand -Valve -Co r tf_Zctricity: MHSest- os rs reakers-Clearances —5. Drain; MFrTest- Fall- Flex Connector 6. Water;Test-Regulator-Connector 7, ter and Sewer Connected -C Grade -HD Approval %j" 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 fz �rY� Okkt 9 C_;NF LL 17A i i ' V I p 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- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s- 1, Setbacks -Easements 2. Soils; Compaction -Structure Stability 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- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel -Blackouts -Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral O Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Tingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor C) Yes 82. Following Instid./Drive :1 Yes ❑ No/Walks ] Yes ❑ No/Planters Yes 7 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: �' . �� �„.r,.r,�,t+q`Y^�('lpls''ti.-nv".'F . nft�l'^1'rY.r`hv..n�� i��••--e„-„klti.+�,Fv'�.lj"'..'^�...+.�p`•X-'-,Y"�s�.r'a.�r�•� MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: PERMIT NO.: Ons - 'U 56, Owners �} ,� • _— a Ct l�ko- Ownei'Qs Address: Mobilehome Manufacturer: Year ofManufacture: . Serial Number or V.I.N.: Insignia or HUD Number: 1 cAFLL «. A ► -2 D5a.40 Official ap roving installation: — Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome. is installed on a foundation system. 513B white -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: PERMIT NO.: Owners Name: Ownerp'Address: o Mobilehome Manufacturer: Year of Manufacture: Serial Number or VIX: Insignia or HUD Number: Official approving installation: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow- Installer, Pink -Bldg, Gold -Assessor COUNTY OF BUTTE -.DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Cal;#ornia 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPL16ATION AND PERMIT 01-2255 ASSESSORPARfj� �J� r—T96-011 ZOWNO BUILDINGPERMIT OWNER JACK REDOING TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 783 WISCONSIN ST, CHICO 95928 CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ pq AA BUILDING ADDRESS 783 WISCONSIN ST CHICO EnerPlan Checking Energy g Fee ' $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome [Z 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 10 Installation ❑ Other ❑ Describe Work: MH11 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home N. W 920.00 6o oc) PERMIT FEES ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200' 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-BUILDEA iDECtAAATION 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. ❑ 1, 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 #w following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'. compensation insurance, as required by Section 3700 of the Labor Gods, for diel a humm aee€.work for which this permitic.issuad. My workers' .compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed lithe permit -is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I- shall forthwith comply . h those provisions. X Date -0 Signalure of Ap lice t - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit Is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, OR ADDNS. ( & ACC. BIAS. SO 3.50FT, NOµgESID T.MULTLOUTLET QUITS @7,50 PowER APPARATUS a SINGLE OLnLET CIR. OUTLET OR FIXTURES 20 p 1.00 Ex. Occu SAL @ .50 Ex. Occup.DFlxunEis q� DRE,, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20. 00 Misc. Wiring 23.00 PERMIT FEE _ 63.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation . PERMIT FEIE S Mobile Nome Installation Fee is Energy Inspection 'Fee Is OCC CONST. TYPE EEE.t166" 00 HAz - D FEes IMP - X R.0601-7— A-0 - X X HD ss This permit is hereby' issued under of the Butte, County- Code and/or indica above for whi s hi By PERMIT XPIRES the applicable provisions Resolutions to do work e been paid. Q B� ate Receipt No. 9116LL���166_nn WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 43, ��w.rt� .a. .�.tit^t;�.pr;j;,Vry��i•r+, avi$�!^ � i• �?Ai��'tar .r?Mc%'y,r,�f��"�.�Y�''�7":w'^ 1�z"a/R�r,'-i��'`'"':; ;v. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: 605 - 3 56 - b ( I Proposed Building Use: M N () Building Inspector: Q aim Date: 91/5/61 At time of permit application, I was advised the following data must be submitted prior to permit pros me sass g and/or issuance: Date Received By ❑ 1. All items have been submitted-----------------------------------------------------------------------7-------------- lot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ' ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ - _ 06. Energy Design Compliance and supporting documentation.---------------------------------------------------- I � - ❑ 7. Statement of Intent for Non -Heated ted and A/C Buildings. --------------------------------------------------------- ___-0 -------------------------------------------------------- _.__ -0 8. Hazardous Material Form. ------------------ ------------------------------------------------------------------------ ,., 99.. Manufactured'Hbp ata and installation instructions including Tie Down Specifications .------------ Feesof ------------------------------------------------------------------------------------- i ..., _ " Irl`y Impact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- Flood elevation certificate. ---------------------------------------------------------------------------------------- 4. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----- ----------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -----=------------------- 1 %-o 1 0018 '* 18. Contact Land Development about 1:1 Improvements, ElDrainaegal Parcel. ----------------------- e 1 t �:. �w 09�_. Encroachment Permit for drivewa construction a roval rior to occu anc ❑ 0. Pre -inspection for required. Request to Building Inspector on (Date) Contractor's license information. (Number, Name Style, Classification). ------------------------- - ------- 2 Workers' Compensation carrier and policy number. ----------------------------------------------------------- Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 4. Letter of signature authorization. -------------------------------------------------------------------------------- ecorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 1b c? loi 1126. Letter of intent on building use. -----=---------------------------------------------------------------------------- .- ❑ 27. Manufactured Home utility clearance: --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ------------------------------------------------ --------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- E130. -------------- ❑30. other:------- -Wh/en you issue the permit, process as follows C1 Mail to owner, ❑Mail to contractor. Telephone �j �T ' (� 3. S and hold for pickup at C /GU office. ❑ Deliver with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: _ _ Date: �By: 1. Index permit application for the above items numbered: j /-IM9,2V ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑phone, ❑mail, ❑ Baildin%sion counter, by �gatg:�_ Plans reviewed by: ' ze, Date: 20. O( Plans approved by: Date: l�j 1 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Voll.,.,, f'....., n_-*_ _+ Ia:__r-%:..:..:__ E.H. USE ONLY :�. Plot Plan Attached Floor Plan An hed�— Sent fo B.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal r/ Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 ' - 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 dela; in processing and issuing your building permit. No building permit will be issued until this verification is received. .1. I personally plan to provide Vtherlabor and materials for construction 'of the proposed property ement :YESNO O 2. I HAVE HAVE NOT 0 signed an application for a building permit for the proposed work. 3. I have contracted with the folio ' person.(faro) to_pmy# the..proposed construction: NAME: b ADDRESS: ,� lJ� 1 �1�Y��._ RC1 CITY:_ PHONE.�3 � `� � : CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired. the following person to coordinate; supervise, and provide the major work: NAME: ADDRESS: CITY:. PHONE: CONTRACTOR'S LICENSE NO. S. 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: X PROPERTYOWNER: SOCIAL SECURITY NUMBER: )(DATE:�I NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to Issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of pr+opeity improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. " Contractors are required by law to be licensed and bonded by the State of California and to have'a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. ; Ifyod *Olid to da sp&i own work, with the exception of various trades that you plan to subcontrac4 you shduld be aware of the following information for your bestefit and protection: ♦ If you employ or otberwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire.project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security. taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you ifyou do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For.more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or.at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information It required by Section 19830 of the Callfornla Health and Safety Coda OVER �• :IIII III III I IIII I Ilii II 111111111111 r,2�� 1—�PJ46885 AND WIiEN RECORDED MAIL TO: r BUTTE COUNTY BUILDING DIVISION '" Recorded I REC FEE 10.00 7 COUNTY CENTER DRIVE Official Records I' COPIES 1.50 OROVILLE, CA 95%5 County Of I PENALTY 6.00 BUT I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Kristy 03:15PM 09 -Oct -2001 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT ` Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort 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 occasiona>ly generate dust, smoke, noise, and odor. Butte County has established 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: ".10 Date /D �� D % PROPERTY OWNERS: State of California County of Butte On October 9, 2001 beforeme, Li.nda J. Osbourn., Notary Public personally appeared ** ,T a r k R P(1 d i n g** personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my,h nd nd offs al eal. UNDA J, 0550 RN Signature Seal: Commissign # 12jQ?94 NOtary Public Z -Butte.County My Crr•-im iFi.. re> mor 18, JG3 A.P. # �=,:�.-�aue-•+r�� AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT Instructions for recording Agricultural Statement of Acknowledgment: 1. Insert the legal description of the property in the space provided on the attached form. The legal description is. the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this in- formation. (The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required.) 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $7.00 - 1st Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. MONDAY - FRIDAY 9:00 a.m. - 4:00 p.m. for Reclording L-,!�Jc G A�b rnex— o�F Lo4-- -7 11��, �Orn OL 7.7 1. Owner, s Name: 2. Assessor's Parcel Number: jjy 0 3. Installer's Name: 4. Is the site currently under permit? Yes[ No[ Permit No. 5. Is the site an existing site? Yes[ ] No[ -I— (If yes, furnish two plot plans). 6. What is the electrical. rating of the mobilehome? Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. 8.. What is the electrical rating of the mobilehome site? D O Amperes. 9. Is the main service remote from the mobilehome site? Yes[ No[A 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[ ] No[,)4j-II`yes, please identify the load and size: x a) The -mobile home site: ' Load- Amperes- _ b) The main service: t Load- Amperes- 1`l. Type of gas service at mobilehome site:. Natural[jk,)- Propane[ ] None[ ) 12. Size of gas pipe at the mobilehome "site from the meter or tank: inches. 13. What is the gas pipe length from the meter.or tank to the mobilehome?_a_jft.). 14. What is the mobilehome gas demand? 360, 007' 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 THIS PERMIT APPLICATION BUTTE COUNTY M H -L4 -UILDING DEPARTMEW APPROVED May 1995 8.5 Mobilehome Manufacturer: S� d R,, ; —zt- x anufacture Year: If other than single wide, furnish Setup Model umber: —L< 1_K Width: /U' (ft.) Length: 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["] Other: SUPPORTS: Concrete block[Vf Other: ,r Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE ' KMTI-WIDE Line I I Line 2 '1 Lim 2\ Main Beams Lin Line2................................................................................3 Line 1 Line Line 2 ................................................................................................ / Main Beams Line 2 Lin .............................................. s Tag or Triple f 4 ine 1 / A F Line 1 Piers: Line 1 Openings Size minimum: X/11 Size minimum: Spacing maximum: 0 Each side of openings From ends -maximum: 1 \ O with width over: ` Line 2 Piers: �O Line 4 Piers: Size minimum: 1 z x Size1minimum: x Spacing maximum: �(� 1� Spacing maximum: ` From ends -maximum n From ends -maximum: ` Line 3 Roof Loads: - Size minimum Location (from front): Line,5 Roof, Loads: Size minimum:''-' `pit c'r L6di on,( May, 1995 8.4 ..E—Z- TIE DOWN SYSTEM 18" HT DESIGN LOADS: A 40' _ *WIND LAAO -- 15 PSF ..E—Z- TIE DOWN SYSTEM 71 Iltn 77D�3 ;_:U } VF ABESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX. (916) 383-5207 SINGLE 'NIDE COACHES DOUBLE/MULTIPLE COACHES E= V MIN. / 8' MAX. E= 2' MIN. / I V MAX. VARIES 10'-70' EVENLY SPACED BETWEEN E E........ — ----_._... _..._ __ .._.. 0 STI ITi ❑ p L_J L_J RIDGE BEAM. SUPPORT AS REQUIRED BY MANUFACTURER pf (TYPICAL) ❑ ❑ ❑ E3 E3 ❑ ❑ E—Z TIE SUPPORT PAD �_, (TYPICAL) O ❑ L_J lyJ • CHASSIS BEAM SUPPORT PIERS-- SIZE AND SPACING AS REQUIRED BY THE HOME MANUFACTURER. . LENGTH OF HOME 18" HT DESIGN LOADS: TIES 28" HT 36" HT 40' _ *WIND LAAO -- 15 PSF 4 4 1. THIS TIE GOWN SYSTEM.IS DESIGNED TO BE CONSTRUCTED ON A 50' 4 4 FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 4 -6 6 60' MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM 4 - 6 SOIL BEARING CAPACITY OF 1000 PSF. 66' 70' 4 4 2. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS 6_ 6 8_ 10 AS SHOWN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS". 3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) -CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT, 4., THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO (3) SECTIONS. IN WIDTH, CONTACT THE DESIGN ENGINEER FOR DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. 5. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION, WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATED -ASTM A36. - BOLTS=ASTM A307. 6. THE E -Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING LOADS: HEIGHT 11QRIZONTAL VERTICAL UPLIFT 18" 2010 (Ib) 6000 - (lb) 891 (Ib) " 21 1825 (lb) 6000 (lb) 801 (Ib 25" 1510 (Ib6000 (Ib) 664 (Ib 28" 1419 Ib 6000 (lb) 629 (Ib �Ib v' 36" 867 6000 (lb) 385 (Ib) 7. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTIVE �J COATED. 8. WHERE STAND IS PLACED ON EXISTING CONCRETE SLAB, 1/2" SLEEVE ANCHOR BOLTS MAY BE USED TO SECURE PIER BASE PAD. _ 9. ATTACHMENT METHODS FOR "C" & "1" BEAMS SHOWN ON SHT. ,#2. 10. THE LONG DIRECTION OF THE E -Z T E. PAD (37") MUST 8E INSTALLED = P E R P EN D3 C iJ L'�.TD�`1'�1s� IS," BM/, 0. 71 Iltn 77D�3 ;_:U } VF ABESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX. (916) 383-5207 SINGLE 'NIDE COACHES DOUBLE/MULTIPLE COACHES E= V MIN. / 8' MAX. E= 2' MIN. / I V MAX. VARIES 10'-70' EVENLY SPACED BETWEEN E E........ — ----_._... _..._ __ .._.. 0 STI ITi ❑ p L_J L_J RIDGE BEAM. SUPPORT AS REQUIRED BY MANUFACTURER pf (TYPICAL) ❑ ❑ ❑ E3 E3 ❑ ❑ E—Z TIE SUPPORT PAD �_, (TYPICAL) O ❑ L_J lyJ • CHASSIS BEAM SUPPORT PIERS-- SIZE AND SPACING AS REQUIRED BY THE HOME MANUFACTURER. . LENGTH OF HOME 18" HT NUMBER OF E -Z" 21 " HT 25" HT TIES 28" HT 36" HT 40' _ 4 4 4 4 50' 4 4 4 4 -6 6 60' 4 4 4 6 8 66' 70' 4 4 —4� 6 4 6 6_ 6 8_ 10 STATE APPROVAL ENGINEERED TIEDOWN SYSTEM APPROVED 3UBJEf7 TO CORR£CTtONS KOTED Approval does nct authorize or approve aoy omissiam or *deviation from r3aeirements of applicable State IFNs and regulatiuns. of Coff.r nia Department of Housing en6 C' ^;ty Ocve'c;.ment W 3! 0! 0: COOLSPl:iI iii..''" =7S By iguawel SPA NO This Plan Approval Expires d4j. -- -_-..- THIS TIE DOWN SYSTEM MEETS. THE REQUIREMENTS OF SECTION 1336.3 SUBSECTION. (o). WAYNE T. POLVADO, PE—LISTING NO. 94001 SHEET 1 of (s a -2"-x2"x3/16" STL. ANGLE 3/8" CAD PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM (8) REQUIRED 1/4" STAND BASE �- ASESC0 ABS PAD 9503 DETAIL_ -A- CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" 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 01/2" ADJUSTER HOLES ABESCQ ABS PAD #503 \� STEEL FRAME•-•-•. 1 /2" DIA. HOLE (8) PLACES 18.75 3/4" DIA. x 18" LG. (4) REQUIRED $ ¢ 30.00 _. STEEL FRAME' TOP VIEW 1 1 /2"x 1 t/2"x3/16 �— (4) REQUIRED AtCg i 36" MAX TO BOTTOM t OF PAD ---- --._. 51C1E VIEW: ... ..-..._..... � , 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN 70.00 lKwirl".1 10.0009/1 STAND BASE TOP VIEW 1/4"xI-1/4 TEK STS (2) REQUIREI 1/4" GRIPPER BASE :H "C" FRAME 3RIPPE ATE kNNEL I 'J" FRAME /4"xl-1/4" T£K SFS 4) REQUIRED 2" A307 BOLT 1 REQUIRED 1/4" GRIPPER BASE 1/2" A307 BOLT—v11/2" A30�7 BOLT• (4) REQUIRED 611 (2) REQUIRED 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 C-��- 3 -BEAM ATTACHMENT ATTACHMENT E—Z TIE QQ�NId._SYST-EM • WAYNE T. POLVADO, PE-LIST[NG NO. 99C01 SHEET 2 at 5 q V_j INSTALLATION INSTRUCTIONS E -Z TIE DOWN SYSTEM 1. PIERS MUST BE PLACED ON BEAM WITHIN 24 OF AN OUTRIGGER OR CROSS MEMBER, OTHERWISE INSTALL WEB STIFFENER- ON CHASSIS BEAM. 2_ MAKE LEVEL THE PLACE WHERE THE PAD WILL SET, DOWN TO UNDISTURBED SOIL. 3. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM. 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER. THE HOLES, IN THE BASE PLATE WILL LINE UP WITH THE STUD BOLTS. REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN.. I-"BEAM 5. REMOVE THE TWO (2) GRIPPER PLATES ON THE TOP OF THE PIER. START THE HEIGHT ADJUSTMENT BY REMOVING THE TOTTER AND ADJUSTMENT PINS, PIERS CAN THEN TELESCOPE. RAISE THE TOP OF THE PIER UNTIL THE PLATE IS AS CLOSE TO THE BOTTOM OF`: THE CHASSIS BEAM AS POSSIBLE, PLACE ADJUSTMENT PIN THOU ADJUSTMENT HOLE AND SECURE. WITH THE COTTER PIN. 6. RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL THE PIER TOP IS TIGHT AGAINST THE BOTTOM OF THE CHASSIS BEAM. 7. PLACE THE GRIPPER PLATES OVER THE FLANGE. OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. C. -BEAMS AND J -BEAMS 8. HEAD OF PIERS REQUIRES THAT TWO (2) TEK SCREWS BE PLACED THRU THE SIDE OF THE SEAM IN ADDITION TO ONE. GRIPPER"PLATE. 9. FOUR (4) STEEL STAKES (SUPPLIED) ARE TO BE DRIVEN THRU GUIDES INTO SOIL UNTIL STOPS ARE FLUSH WITH THE GUIDE'.:: - ALTERNATIVE. (2) #t2 S.M.S. OR WELD (2) #12 S.M,S. ANGLE IRON 1 NOTE; USE STIFFNER IF OUTRIGGER OR CROSS MEMBER 00 NOT OCCUR WITHIN 24" OF STANCHION (TYP) WEB STIFFENER DETAIL AAESCO-GUS GUARD COMPANY SflS I FLORIN - PERKIN3 ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (918).383-5207 L` a y...° > m WAYNE. T. POLYADO, PE—:LiSTI.NG..NO., ,99001 w SHEET 3 of 34 1,/ RECEIVED JAN 0 3 2002 BUTTE COUNTY BUILDING DIVISION Building Permit Number: Owner Name: e i Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times 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 workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 1998 California Building Code (1997 U.B.C), 1998 California Plumbing Code ( 1997 U.P.C.), 1998 California Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 N.E.C.) V. 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 minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will 940-�..ired 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. Pagel of 2 F E' iM Building Permit Number: 67-aaSS-` Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 0 Fire sprinklers are required in this structure. A The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of S feet from the side and 15 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. Page 2 of 2 FEDERAL EMERGENCY -MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM It Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the Instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION Follasiioie;t; r BUILMNaSTREET ADDRESS Induding Apt, Unit, Suite, and/or Bldg. No.) OR P.O.' ROUTE AND BOX NO. .;CcmAa t i(tl _ m6eq r "r - CITY( O nuiw ca ust te.g., KeSICOMI, Non�esident181, Addition, Accessory, eta Use Comments section d necessary.) I r�Gti'ur)i;A-L vvuw,wvaJc wr, wwWr MUML.Wn IAL UA I UM; SOURCE: (_ GPS (Type): ( aW� - ## - ##.tqf• or ##.#t WNAD 1927 NAD 1983 ( USGS Quad Map I-1 Other. CPfcCO SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION P COMMUNITY NAME, &COMMUNITY NUMBER B2 COLINTY NAME B3. STATE 're- '1^0da5t D(C© !7 6t1 T7-6 C' A - B4. MAP AND PANEL B5. SUFFIX Be. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER L4007605DS DA I EFFEC • EVISED DATE ZONE(S) (Zone AO, use depth of flooding) C` g 2o3,00 ,I,un,aka uw suint" w Ulu.oasu rivva rauvauon tart) Mara or Dace noon Depth entereo In 69. j_j FIS Profile LI FIRM Community Determined KI Other (Describe): Fc e L n• 512✓� 1311. Indicate the elevation datum used for the BFE in B9:�< NGVD 1929 j -_,j NAVD 1988 L -j Other (Describe): B12. Is the building located'im a Coastal Barrer Resources System (CBRS) area or Otherwise Protected Atea (OPA)? j_j Yes � No Is. Date: SECTIONC 4.BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations -are based on: j_jConstruction Drawings' . L"2412luiiding-Under Construction'.. LjFinished Construction -A new Elevation Certificate will be required when construction of the building is complete. • C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH, A (with.BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a4 below according to the building diagram specified in Item C2. State the datum used. if the datum is different from the datum used for the BFE In Section B, convert the datum to that used for the BFE Show field measurements and .datum conversion calculation. Use 4he. space provided or the -Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Aj wz) 19 Conversion/Comments lJevation reference mark used_1e/y'i ,3�J Does the elevation reference mark used appear on the FIRM? �j Yes j_j No ❑ a) Top of bottom floor (including basement or enclosure) Zo 9 . Loft(M) O b) Top of next higher floor .4_ fL(m) y 9, SS/py9 O c) Bottom of lowest horizontal structural member (V zones only) N _ fL(m) ❑ d) Attached garage (top of slab) AYZA _ R(m) Q� O e) lowest elevation of machinery and/or equipment a 0 servicing the building t' a fl(m)I I No. RC c 24013 ❑ f)Lowest adjacent grade (LAG) .6-- fL(m) m , 7h Expiros 12r31fJ1 O g) Highest adjacent grade (HAG) Zo7 s2• ft.(m) sT 01 V;L O h) No. of permanent openings (flood vents) within 1 R ab ovFO`s-L e adJacertt grade N/A " s �P WS ❑ .i) Total area of all permanent openings (flood vents) in G3h sq. in. (sq. cm) -�" SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I cer* that the information in Sections A. A and C on this cerflfrcate represents my best efforts to into rot I e datavadab/e. 1 understand'that any false statement may be punishable, by fine or imprisonment under 18 U.S. Code, Section 1001. FFU/A Ferrn A1_11 Al Ir: SKr CFF RFVFR.CF CIrhF Fr1R r`.r1N'TIm IA nnN RFPI Ar :FC At I PRFVIrhI LC• Fr UMrVkLQ IMPORTANT- In these spaces, copy the coffaiponding Information from Section A. _ FoEoing„ ,e:n,:.;:;eri tZE: •:•.t_ .. S CITY SECTION D -SURVEYOR, ENGINEER. OR ARCHITECT CERTIFICATION• (CONTINUED)' ; ; ; - Copy both skies of this Elevation Certificate for (1) community offlclal. (2) Insurance agenttcgmpany: and (3) buAdlnp owner. COMMENTS - � - Ya'� - Sar% /� �� � � �c�2ni �/L� �C � V zf��% ��,� j , - • --e;,-V D /92_9 ILI Check here if attachments ' SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO and ZONE A (WITHOUT BF17 For Zone AO and Zone A (wit!W BFE), Complete hanks E1 through E3. K the Elevation Certificate is Intended for use as supp wting informadon for a LOOM or LOMR-F Section C must be completed. Et. Building Diagram 14LIM6er,� (Select the, building diagram most similar to the building for which this certificate is being Completed = '. see pages 8 and 7. If no diagram acauately represents the building, provide a sketch or photograph.) E2 The top of the bottom floor (including basement or enclosure) of. the building Is . .I_Z �fL*(m) t__LLIin.(c m) I,•f j above or --t_ J below -: (check one) the highest adjacent grade. E3. For Zone AO only. . if no flood depth number Is available, Is the.top of the bottom floor elevated in accordance with the. community's floodplain management ordinance? tyl Yes l_I No 1-1 Unknown. The local official must certify this information in Section G SECTION'F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's audvxEed representative who Completes Sections A. B, and E for Zotae A (without a FEMA -issued or commun ued BFE) or AO must sign here. / /9/S.:SO _ r���a-r� � ;ter ---f sem•. • -----.---•--••� _ .. .. . CiTY RSe� w. „n nnne 1-1 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL)_ - The local official who is authorized bylaw or ordinance to administer the community's floodplain management ordinance can complete Secdons.A, B, C (or E), and G of this Elevation Certificate. Complete the applicable Item(s) and sign below.. G1. LI The information in Section C was taken from other documentation that has been signed and embossed by a hoer s surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data In -the Comments area below.) G2 1 -I A community official completed Section E for a building located In Zone A (without a FEMA -issued or community' issued BFE) or Zone AO. G3. The following information(items G4 -G9) is provided for Community floodplain management purposes. I I . I - ISSUED I ' G7. This pemdt has been Issued for: 1-I New Construction 1--I Substantial Improvement G8. Sevation of as -built lowest floor (Including basement) of the building Is: _ ff.(in) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site. Is: _ fL(m) Datum: LOCAL OFFICIAL'S NAME TJX COMMUNITY NAME 'TELEPHONE SIGNATURE 1 112E .0 I 1-%,-11 � .. . DATE COMMENT'S - - E I Chedk here if attachments FFlAA Frxm R1 Z1 Al Ir: ilii RFPI WF.q Al 1 PRFVIr11 LC FrLT1r1NR' r 4. MULTIPLE FAMILY DWELLING UNITS: a. All multifamily dwelling units must face with front doors onto the street. b. Parking lots shall be established to the rear or on the interior of building clusters. C. Fencing in the front yard area shall be limited to three feet in height. All front yards shall be landscaped. d. Refuse Containers and mechanical equipment must be screened and located within the interior or rear areas of building complexes. e. Pedestrian walkways shall be provided from street sidewalks to front door. f. Use Permits shall not be required for remodeling of nonconforming multifamily dwelling units which do not result in an increase in the number of units or bedrooms, or results in additional floor levels. Reconstructed multifamily dwellings shall be subject to the provisions of paragraphs a. through e. above. 5. PARKING LOTS: Parking lots for parcels containing more than two dwelling units shall be screened from view from the street by vegetaion or fencing that is no more than 4 feet in height off street. Parking lots shall be located in the rear or side lot area and are not allowed within the front set back area. 6. COMMERCIAL & INDUSTRIAL USES: a. Outdoor lighting fixture for commercial and industrial uses shall be oriented or otherwise shielded so that the source of light and light reflectors are not visible from nearby residential properties. b. Noise and visual impacts of commercial and industrial uses that abut residential uses shall be buffered through the use of 8 -foot high masonry (or equivenent) walls and landscaping. Landscaping shall be installed on the residential side of the wall and be used to buffer the appearance of walls. All such buffering shall occur on and be maintained by the commercial and industrial property. Earthen landscape berms with a wall may also be utilized to meet this standard. 1. 2. 3. Development policies for the Chapman/Mulberry Area Building & Development Constraints FRONT YARD AREA: Front yard areas shall be consistent with the average of the existing front yard of adjoining parcels, but in no case less than 15 feet -nor greater than30 ft. REAR & SIDE YARD SETBACKS: Same as the base zoning district, except as otherwise provided. SINGLE FAMILY DWELLINGS: a. Front entries shall be established for all residences and shall be oriented toward the street. b. All new garages shall be set back at least 10 feet from the front edge of the dwelling. Garages located in rear yards are encouraged. Detached, single -story garages shall be set back at least 5 feet from the rear yard property line. C. New dwellings shall be designed with functional front porches. d. Front yard fences shall be limited to three feet in height and shall be of an open (not solid) design. Front yard landscaping shall not obscure views of the street and adjoining neighbors. Particular attention shall be given to the design of properties near public use areas, such as parks, community centers, and the school, to provide for direct visual contact with these areas. e. One new tree, 15 gallons or greater in size, shall be planted in front yard areas as a requirement of new single family residential permits. The species of tree planted shall be selected from the following list: , Common Name Scientific Name Chaste Tree Vitex agnus-castus Pistache Pistachia chinensis Ornamental Pear Pyrus calleryana "Aristocrat" (Columnar) Ginko Ginko biloba "Princeton Sentry" Sycamore Platanus acerifolia "Yardwood" Trident Maple Acer buergerianum Golden Rain Tree Koelreuteria paniculata Sour Gum Nyssa sylvatica "Black Tupelo" Ginko Ginkgo biloba "Autumn Gold" Silver Linden Tiha tomentosa "Serling Silver" (Won Styer Award) Zelkova serrata "Green Vase" Chinese Hackberry Celtis sinensis Holly Oak Quercus ilex R SITE PLAN REVIEW APPLICATION Date: C -) Permit Number (if applicable) D (- `Z2�� 5 - APPLICANT APPLICANT INFORMATION Owners Name: 9 E 0 D 1 N AP# Parcel Size: R C - K ons- ar-) 6-C 11 Owners Address: '?6-'S W 1 S C.OjJS I f�J S7- ��-i t (- Q LA qS`� 2� Telephone No.: 3 P) 3- 6 8 3 S Situs Address: -;>33 01 S C-oj0 S 1..&) ST - Proposed T Proposed Use• Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home VT' ) Li -r i E S ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic. ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary):_ ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved Conditionally Approved ❑ Site Plan Stamped Approved By Date Page 1 of 5 ❑ Resolve Problems Prior to Approval ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ® 100 -Year Flood Plain: (See attached) • Flood Zone: ' A Q I • Flood Panel No.: Q50 S G Index Date: C g . ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) go Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 'p-1 Applicable Building Setbacks: C.N�,PN.r�fJ 1r�Li3���A� ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 s' Zoning Code St ys• Fire Prevention Subdivision Map Front CJ o C j To 12- L Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 s' ,T Applicable Development Fees: Standard Fees Amount ., Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: at -r-- 'r— C—:r2 &6RC- S 1N 2D0 I — 00 O 2 -882— N -88Z ® Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: " ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 El Subdivision Map/Parcel Map; Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Page: ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to. protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance .of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County- Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. Page 4 of 5 It ,#j "I -1 0 x Summary of Specific Requirements: l T t --a L► ,}-1 lAi�h�A,J t�V t -C L76\1 ST(P-C, 6 m E; }-r TQ S 1 T CC5-p M -1-A, 1 s a K. This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 ►01 a Development policies for the Chapman/Mulberry Area Building & Development Constraints FRONT YARD AREA: Front yard areas shall be consistent with the average of the existing front yard of adjoining parcels, but in no case less than 15 feetxnor=greate77an Vft. REAR & SIDE YARD SETBACKS: Same as the base zoning district, except as otherwise provided. SINGLE FAMILY DWELLINGS: a. Front entries shall be established for all residences and shall be oriented toward the street. b. All new garages shall be set back at least 10 feet from the front edge of the dwelling. Garages located in rear yards are encouraged. Detached, single -story garages shall be set back at least 5 feet from the rear yard property line. C. New dwellings shall be designed with functional front porches. d. Front yard fences shall be limited to three feet in height and shall be of an open (not solid) design. Front yard landscaping shall not obscure views of the street and adjoining neighbors. Particular attention shall be given to the design of properties near public use areas, such as parks, community centers, and the school, to provide for direct visual contact with these areas. e. One new tree, 15 gallons or greater in size, shall be planted in front yard areas as a requirement of new single family residential permits. The species of tree planted shall be selected from the following list: Common Name Scientific Name Chaste Tree Vitex agnus-castus Pistache ` Pistachia chinensis Ornamental Pear Pyrus calleryana "Aristocrat" (Columnar) Ginko Ginko biloba "Princeton Sentry" Sycamore Platanus acerifolia "Yardwood" Trident Maple Acer buergerianum Golden Rain Tree Koelreuteria paniculata Sour Gum Nyssa sylvatica "Black Tupelo" Ginko Ginkgo biloba "Autumn Gold" Silver Linden Tilia tomentosa "Serling Silver" (Won Styer Award) Zelkova serrata "Green Vase" Chinese Hackberry Celtis sinensis Holly Oak Quercus ilex 4. • MULTIPLE FAMILY DWELLING UNITS: a. All multifamily dwelling units must face with front doors onto the street. b. Parking lots shall be established to the rear or on the interior of building clusters. C. Fencing in the front yard area shall be limited to three feet in height. All front yards shall be landscaped. d. Refuse Containers and mechanical equipment must be.screened and located within the interior or rear areas of building complexes. e. Pedestrianwalkways shall be provided from street sidewalks to front door. £ Use Permits shall not be required for remodeling of nonconforming multifamily dwelling units which do not result in an increase in the number of units or bedrooms, or results in additional floor levels. Reconstructed multifamily dwellings shall be subject to the provisions of paragraphs a. through e. above. 5.- PARKING LOTS: Parking lots for parcels containing more than two dwelling units shall be screened from view from the street by vegetaion or fencing that is no more than 4 feet in height off street. Parking lots shall be located in the rear or side lot area and are not allowed within the front set back area. 6. COMMERCIAL & INDUSTRIAL USES: a. Outdoor lighting fixture for commercial and industrial uses shall be oriented or otherwise shielded so that the source of light and light reflectors are not visible from nearby residential properties. b. Noise and visual impacts of commercial and industrial uses that abut residential uses shall be buffered through the use of 8 -foot high masonry (or equivenent) walls and landscaping. Landscaping shall be installed on the residential side of the wall and be used to buffer the appearance of walls. All such buffering shall occur on and be maintained by the commercial and industrial property. Earthen landscape berms with a wall may also be utilized to meet this standard. AP OO S — 3'?6 -- D l l (AINER PERMIT MH UTIL.CLEARANCE DATA l0 . INSPECTOR ELECTRIC GAS Support Struc. Compacti Test lte Service Size Other Load Type Pipe Size Length YL'S NO YESI h .... Butte, county ' 1 L A N D O F N AT U R A L W E A L T H A N D B E A U T Y DEPARTMENT. OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH i Address ❑ 196 Memorial Way Q 7 County Canter Drive ❑ 747 Elliott Road Reply to Chico, California 95926 Oroville, California 95965 Paradise, California 95969 Telephone: 916/891-2727 Telephone: 916/534.4281 Telephone: 916/872-6308 July 3, 1986 Homer and.Goldie Redding 785 Wisconsin Street Chioc, CA .95928 w RE: Rehabilitation Inspection - 785 Wisconsin Street, 'Chico, CA/AP# 05-396-08 Dear Mr. and Mrs. Redding: On June 26,'1986, an.inspection was made of the above listed dwelling unit. The inspection was made as part of the rehabilitation project currently under- way in the Chapmantown area south of Chico. The dwelling is a double wide mobilehome .in good repair... There was no evidence observed in the mobilehome of roof leaks. There was evidence of water leakage around the water heater flue. The water heater and furnace compartment did not appear.to have adequate combustion air venting. Gas shut offs for both water heater and gas furnance were located in the compartment with the water heater, and .access was only available by unscrewing panel, on water heater com- partment. The only other safety hazards noted were improper riser heights on deck stairs and on rear exit door.stains. Rear stairs also lack handrails. Water heater has temperature and pressure relief valve. The mobilehome is served by community water, electricity and natural gas and a private sewage disposal system. There were leaks in faucets serving the lavatory sink in both bathrooms. In order to rehabilitate the mobilehome under this program the following will be required. 1. Complete the repairs listed on work write-up dated June 4, 1986 attached. Specifically items 1, 2, 4 and 5, and repair or replace leaking faucets on lavatory sinks and replace toilet flushvalve. 2. Provide adequate combustion air venting for water heater and gas furnace. 3. Provide emergency access to both water heater and gas furnace. 4. Provide gas shut off valve in gas furnace compartment. 5. Provide proper stairs at front and rear of deck, Irepair steps by front door, provide proper stairs and handrails for rear exit door: Most of the items listed will require permits and inspections by the Butte County Department of Public Works. Permits may be obtained at 7 County Center Drive, Oroville, CA 95965 Homer and Goldie Redding Page 2 All repairs reconstruction, replacement or patching shall be completed to the extent necessary to�result in a finished product. This may.require tile, linoleum, shingles, wallboard, paints, vents or whatever is.necessary to accomplish the desired finished product. Should you.have any questions, please contact me at the above listed address or telephone number. Sincerely, Howard ?-zS yderS. Division of Environmental Health HJS/kf cc: Public Works - Jim Glander Connerly and Associates, Inc., 2215 21st Street, Sacramento, CA 95818 WORE WRITE-UP JUN 1 7 IM Homer and Goldie Redding June 4, 1986 785 Wisconsin Chico, CA 95928 (9��> 343 - z837J- Exterior 1. Install new roof structure with a minimum slope of. 4 in 12. All material shall be Douglas fir, no. 2 or better, 'and shall conform to U.B.C. requirements for rafter size, spacing, and all other structural requirements. New attic space shall be insulated to meet Title 24 requirements, and meet ventilation requirements of the U.B.C. Contractor shall also install any necessary items to insure new roof and roof support structure comply with U.B.C..load. requirements. 2. Install new roof sheeting of 1/2" or greater making sure to no edge is exposed to weather. Install new 15# felt and 235# self-sealing. tabbed shingles. Install all necessary. roof jacks, flashing, gutters, and downspouts. Contractor shall extend any soil stacks, stove pipes, or other structures intended to clear roof , due to the new rafter system. Trim and gables shall be primed with exterior oil base paint and painted with exterior latex paint (owner's choice of color). Install pressure relief valve and. discharge line on water �S heater. @LLA - Disconnect electrical lines from substandard building at front of lot. Re -connect wiring at a* new 100 amp service box located on existing home. All wiring repairs and alterations shall conform to National Electrical Code. Dismantle substandard building on front of property. Contractor shall be responsible for removing all debris from property and leaving no obstructions or other possible health and safety hazards P Ste' 7 O . 6. Replace sink fixture in back bathroom with fixture of standard quality or better. Replace sink fixture in front bathroom with fixture of standard quality or better. Replacing flushing mechanism in' toilet of front bathroom to insure proper shut-off. INSPECTION AUTHORIZATION AND ACKJOWLEDGEiWNT *OF RESPONSIBILITY TO COMPLY WITH THE CALIFORNIA STATE HOUSING LAW Q(� R Property Location: O Gif smV79,4 Property Assessor's Parcel Number: A -P C05-35— (--008-0 � I an the owner of the above property. I have applied for funds from the Countv to rep. ---:!r the premises. I hereby authorize an inspection . of the permises by t►.e County of Butte. I am aware tt.:?t all d- ell.ings within, California rust comply with the minimum requirements of t:he California State ::o.using Lasa.. I fully understand that if I rim not granted the funds to repair the permises, I still remain respons:.L-le t:o correct any deficiencies in the premises which violate the State Fous i ng Lasa. Witness . �kQ)k IIP J Date: 16- O—OI I IV ❑ Complaint -Date _ ❑ Other -Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: *o e,.) /?P cJ�. •✓ c Address: Tenant.: Building Location: 7 Fs-- wt S c�-- c,-• �` 1.�� Type of Inspection requested ZONING A. P. # S"- 3s 6 -Y Date of Inspection—/7/,,— Inspector iz Housing /,/ 2. Financing / / 3. Change of Occupancy to Work W/0 Permit / / 5. Other (specify) Present use of building: .S �fiLl�ly.Qe� A. Sanitation (Housing) 1. Water closet: B. 2. Lavatory: 3. Bathtub or shower: 4. Kitchen 's ink : 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and arbage facilities: �irs s Headroom, 1'HR, Tolerances, Handrails) 15. Comments:h. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. 2. 3. 4. Service and ground: Receptacles: Fusing: Comments: D. Plumbing 1. Fixtures connected and vented: Gas water h Gas heating 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. %% C. Write letter. / /.D. Other: PERMIT NO. - 3600-79MHI PERMIT EXPIRES 6/18180 OWNER HOMER REDDING ,-CONTR. Feather River Homes, Yuba LOCATION (A.P. 46-116-8 ) 785 Wisconsin St., Chico K o . Temp. Power Pole Called PG&E lvmj7'Elec. Serv. Called PG&E Ice"pr-Gas Serv. 69Z z' Called PG&E OB / FINALED (Date) zz — e (Signa I ' � i ,- Heinf. steel COUNTY OF BUTTE - DEPARTMENT Or PUBLIC FORKS BUILDING INSPECTION RECORD Fixtures BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing --_ --- Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Heinf. steel Final I Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatina Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES ----------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BI E OME INST L Water Piping ION - - - -- - SupportElec. rainage Continuity Gas Piping DATE REMARKS OR CORRECTIONS rt _ (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives or the county or twtte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR SLESS 5.00 Single Family ❑ Duplex Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25,00 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 OR ADDNSNEW T ( ACCDWELBLOGS.LING CCUP. V� 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULTI.OUTL T NON.RESIO. BRANCH CIRCUITS 2.50ea NEW GONSTR (POWER APPARATUS 6 NON -RES ID. (POWER OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES gALFIXED APLINIS Ex. Occup. ( OUT ETS P(RESID,)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee Is TOTAL PERMIT FEE $ autnorize representatives or the county or twtte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with red separation from lot lines and buildings and generally conform to plot plan? .Yes_ No 2., Does the mobilehome have required.clearances above ground? (Sec.5085) Yes 3. Are footings and supports properly sized, spaced, and -braced as- per as roved plans? possible variation at spring shackles,.) (Sec. 5082 & 5083) Yes_O_ 4. ''Is the mobilehome vel? (Sec. 5088) Yes_`_ No 5. If more tha s' unit, are crossover connections properly installed? (Sec. 5088) Yes_ No 6. Water (Note A. Is flex' connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. 'Test _ Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coach is n /es#No ' ifornia approved, does station have backflow device and pressure -relief val a 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes .I --No B. Does it have minimum k" per foot slope and is it properly supported? Yes_`_ o C. Are any leaks detected in drainage system after running 3-g5of water through each fixture including ashing machine standpipe? Yes No_ D. If coach is. of California approved, does station have required trap -and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobile s line inlet without' reductions other than the mobilehome connector. Yes_ No_ B. Test OK as per following procedure? Yes_ Nom' o_ 1. Open all appliance connector valves. 2(�Shut off.appliance burner and pilot valves. 3.ti,i test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4' nect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. �. C. Are all appliance vents properly -installed? Yes_ No 9. Electrical 41 1 A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 10 mp) and other• facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes Ao_ B. Is there proper clearances around panels? Yes 11 _50 C. Is power supply cord or feeder assembly properly fused? Yes D. Is continuity test satisfactory as per the following procedure? Yes c1110 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2i Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. Switch all breakers and switches in the mobilehome to the "on" position. 4 nett one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 11 non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from suc equipment and the grounding conductor.. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to•the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer ani/or Namestyle Length /�'y Width Vehicle Serial No. y�hj identification No. % --7oo2 Z Additional Information or Comments: COUNTY OF BUTTE — 'DEPARTMENT OF PUBLIC WORKS 7 County Center -Drive - Oroville, California 95965 NS •• Telephone: 534-4541 APPLICATION AND PERMIT irn authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 6/, gnature of Par itee or ent Receipt No. White-D.P.W. - Yellow -Assessor - Pin -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above fpr which fees have been paid. r IR C OR OF BLIC WOZS DateiP Building per it expires Date _ - BUILDING Owner f row SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address -72 1> Fireplace Total Valuation T I phone No. 9! Permit Fee Buildi g Address �' Planng Fee&/or Penalty Permitit Fee Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. " AQ�J� ming & Planning Water piping 1.50 Each gas water heater or vent 1.50 Ion Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W Improv ents Each additional outlet .30 Building sewer 5.00 BI ec d Parcel ppproval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ a ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service 000V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home g Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER MOOR 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR AODNS. ( DWEACCLBLDGS.LING CCUP. 5120sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: L7J,�,� D/%%��_ NEW RESID,CONSTBRANCH CIR T NON -REBID ( BRANCH CIRCUITS)12.50ea NEW CONSTR. (POWER APPARATUS at NON-RES,D. SINGLE OUTLET CIR. Ex. Occuv(OUTLETS OR FIXTIIRES BAL@1 Ex. Occup ( FIXED S. OR .2 00 • OUTLETTSS ((REREBID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No. .36 Z. 5" Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. KAI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to buildinq construction, and hereby Land Development Fee f $ 6e TOTAL PERMIT FEE$ a authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 6/, gnature of Par itee or ent Receipt No. White-D.P.W. - Yellow -Assessor - Pin -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above fpr which fees have been paid. r IR C OR OF BLIC WOZS DateiP Building per it expires Date _ - COUNTY OF;BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County C6nter Drive — Oro'4ille, California 95965 r Telephone: 534-4541 Jk APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abo r which fees have been paid. ,PLBFXJOR OF PUBLIC WORKS' Dates 8Q� Building �Prmit expires Date 41': BUILDING r Owner 6� L SQ. FT. OCC. BUILDING VA LUATI Mailing Address Telephone No. Contractor `,� �{/� Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address W rS JN Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 .C:ro Each Trao 1.50 J UI 1 GO Repair drainage or vent piping 1.50 / A. P. No. G 10 y� /1 Zoning & Planning Water piping 1.50 , Each gas water heater or vent 1.50 s Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 Q EOA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 g. 'd I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIER* OTHER permit Fee $ ELECTRICAL No.1 @ FEE J PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex E] Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPe00v OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACC.-B.LS) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: MULTI NEW CONSTR BRANCH CIRCUITS) NON.RESID `BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS 9 NON .RESID. (SINGLE OUTLET CIR. Ex. OCCUP(OUTLETs OR FIXTIIRES g �,W FIXED APLNS. Ex. Occup.( OUTLETSP(RESID)RE A) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 " I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ImI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abo r which fees have been paid. ,PLBFXJOR OF PUBLIC WORKS' Dates 8Q� Building �Prmit expires Date 41': COUNTY OF BU -T -TE ---:11 DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY - This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter_ 5, under permit number ':�e4f)C3--7 for the following location: '7E J f.%i 5 r� �1/spiv -s Owner 141F AG Owner's Address Mobilehome Mfg. _ ^/1/ ," eZ_ Model Year Z__r_ � `Insignia No. '�1.2 7 Serial No. r It is hereby certified for occupancy at the above described location and may be occupied. } Director of Public Works/' Date A.� f it r{ -7 By �r/✓.'P _A THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow- Installer, Pink - D.P.W. COUNTY' OF BUTTE DEPARTMENT. OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 3434211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, 'Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 5782-7.O ./4 -74'- Inspector Date ,12 aC-A,* COUNTY OF BUTTE., -, DEPARTMENT OF •PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 _ APPLICATION AND PERMIT ODS authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 01 x&Zir Date Signature of Permitee or Agent Receipt No. g,37� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date BUILDING Owner C>,44- CC, -.P_ 7 SQ. FT. OCC. BUILDING VALUATION Mailing Address (:V Ges" s %. - -46-116—$ Permit $3002-79MHI Issued Telephone No. Contractor cy Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address G G S/ Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 >> A. P. No. ♦� -- 1 Ls' � -Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 V7 FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking ParcelEach Plans Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bldg.F4 dns Rec'd I Parcel A4.1 val I Plan o a Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service 100 AMP OR LESS 25.00 100 AO Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ADWECCLBLDGS.LING CCUP. h) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. MULTI.OUTL T NON.RESID ( BRANCH CIRCUITS 2.50ea NEW CON ST R. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRES) BAL@1 Ex. Occup. ( OUTLETS P(RESID.)FIXED ALNS.REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $tat $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatina to buildina construction, and herebv $ 6' TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 01 x&Zir Date Signature of Permitee or Agent Receipt No. g,37� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date lI AND VAi6tr � CORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 0046885 (� /{ Recorded i v Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON. Assistant 03:15PM 09 -Oct -2001, REC FEE 10.00 COPIES 1.50 PENALTY 6.00 Kristy Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT, FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural piuposes, and residents of this property may be subject to inconveniences or discomfort 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 ger_e:rate dust, smoke, noise, and odor. Butte County has established 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: Date /D — h D % PROPERTY OWNERS: State of California ) County of Butte ) On October 9. 2001 beforeme, Linda J. Osbourn, .Notary Public personally appeared ** J a r- k R P d d i n g** personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that be/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my,h nd nd offs al eal. LINDA d, t $%MRN SignatureSeal: cornmNsim # MOM $ Notary Public - Cellf}q Z Buie Couna� • t, tVQY. G'r'im. F"r Mar 18, M, A.P.# DYE=ii6��n� �ao� M .009 0 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT Instructions for recording. Agricultural Statement of Acknowledgment: 1. Insert the legal description of the property in the space provided on the attached form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this in- formation. (The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required.) 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to,the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $7.00 - 1st Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. MONDAY - FRIDAY 9:00 a.m. - 4:00 p.m. for Recording \ X P' �Rc J J\ RO- kAe:r13e- N o�Fl� eras rner' *-F LD,F �� S S �� w n o r, ��� ►'r1 q P o� ��Lx�- ;�C1 � �0'rYl • 1 n fi p u�� �� Civ Ceun / T <-F C_ _\VC0 t + �� �- +- vie True m rr, o -F i RS � II � Ti1�►� CQ �n�"' 1 Yl v i rl ' f �rC�� j n �C50 � ��.c� P 1 rjo\4k \ 1Y- ani t� v) e -s C,1 ova S ai �. 9 o� -�, x, ffvxv) V �)'J, b 0 VV 5 ',� o f Q c�' Lo + (p Q h � G n 1 Q�� . _ Y WTIN r OFFICE COPY + ' f Address ♦ 1, GAS , Meter By Date ELECTRIC Meter By Date 2' F b j • ._ 1. 1. ..t; y r — c r t COUNTY OF.BUTTE - DEPARTMENT OF PUBLIC WORKS, PERMIT NO. 7 County Center'Drive - Oroville, lifornia 95965 - Telephone 916/534-4541 V � 1-74l n APPLICATION AND PERMIT ` �\ ASSESSOR PARCEL NUMBER ^^ / ZO�NG/� BUILDING PERMIT OWNER/ .. TELEPHONE SO. FT. OCC. BUILDING VALUATION - I �C�C] V CYZ OWNER'S MMAIIiLII(N'G, DDRESS ell /V T/G l Is— CONTRACTOR'SNAMEa - /.,-�.�,... S -t TELEPHONE CONTRACTOR'S MAILING ADDRESS :Ir _ / i fJ /htsi rU,. o, 'UNKNOWN Fireplace CONSTRUCTION LENDER ^ �,� Total Valuation $ / r,—( W-), Vu. Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Nva LICENSE NO. Plan Checking Fee ,$ Ener Plan Checking Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS L___ Penalty $ BUILDING ADDRESS �7 id 4e ,.,i sr AJ Permit fee $ 7S S7 CJ PLUMBING PERMIT Filing Fee 10.00 .. ti, �� � a I • Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME s *x C PARCEL MAP I Water piping 5.00 Each qas water heater or vent 5:00 USE OF STRUCTURE , SFV Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFGJWJ10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: �nri _ - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR L Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW • I declare under penalty of perjury (check one): © I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license ISI In full force and"effect. License No. A-% /-~ �7� Classi it cat A �.. 1 rL�i ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do\tbe 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. 1' ;,Business and Professions Code for this reason NEW CONST. DWELLING OCcuP.a , ) �22sgft New CONSTR(A ULT" OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. 20950, Ex. Occup(OUTLETS OR FIXTURES eAL030 Ex. Occup. OUTLETS P(RESID. IRE A.) 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. ❑y 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 1 I certify that�l;have read',th'is 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 accrue1, against said County in consequence of the granting of this permit. X �,�� LG.��� `.� �� �� _ 4This Date Signature of Applicant — Owner ❑ Contractor � Agent EJ� 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 $ TOTAL PERMIT FEE $ <0U occuP. CONST.TTPE I FLOOD PARCEL PD No ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which � DIRECTOR'OF PUBLIC By. PERMIT EXPIRES Date the applicable provi- 'resolutions to do fees have been aid. been.paid. WORKS Date Receipt No. 9y % �- ..,TE-D.P.W.. TELLOW-AS.Z330R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californ 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR ARCEL NUMBER—' Z 0, 'N G BUILDING PERMIT OWNER , Qti T L PHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS IN lit:�lr CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ( t fie; ,, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is v, cio Filing Fee $ 10.00 LENDER'S MAILI ADDRESS Permit Fee $ ARCHITECCTv`yOR ENGINEER • LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR E INEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 5: o0 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 SFW Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Mo Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10 S 000 AMP ORLESS 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 Busines S and Professions Code and my license is in full force an effect. 3� License No. 3 / % •9) I Classification - V-�. `moi . I— om ❑ I, as the owner, or my employees with wages as their sole cpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.6 OR ACDNS. ( ACC. BLDGS. ) , �E OSq ft NEW CONSTR. MULTI -OUTLET CIRC ITS [2.50 ea PFWERBRANCH APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES eA 030 Ex. Occup. OFIXED A P(RESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Ilyirin 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. jV I shall not employ any person in any manner so as to become subject Y`�' 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. 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 ag st said County in co s uence of the granting of this permit. / - Date Z2 —1-5 0 Z2 Signature of Applicant — Owne Contractor Agent EJ An OSHA permit is required for ex . 0tions over S'0" deep and demolition or construct- ion of structures over 3 stories in h ght. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OccUP. CONST.TYP! I I FLOOD PARCEL PD ND I ISSUE This permit is hereby issued under sions of the Butte County C de and/or work Indic d ab ve r hich fees DI C PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WOR74/ ate Awe Receipt No.CoCrc7� T—, cam. WNIT!-D.P.W., YELLOW-ASSC99 . PINK -INSPECTOR. GOLDENROD -APPLICANT E.H. USE QNLY Plot Plan Attached r N •" -i ' Floor Plan Attached Sant to 6.6% TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Plan Approved for: Sewage Disposal Clearance for dwelling. Othgr Hold final for: Final clearance O.K. for: NOTE: Water Supply: Public Private Well i c / Environmental Health Specialist Date 8/96 N <O - � i., m i „ oc cn x L J C� _-- 0 = - w o = Ln ental Heauh 1 E Mnatu - dIC$ V uisc, N <O - � i., m i „ oc cn x L J C� _-- APPROVED = - Its County Envi nm ry o = - ental Heauh Mnatu v N <O - � i., m i „ oc cn x L J C� _-- I(LILC U� Ili �(2 L IKrevc elr ;> 6 Environmental Health APR -5" Chicon Gantomta APPROVED Butte County Environmental Health r nate re I a i� h I(LILC U� Ili �(2 L IKrevc elr ;> 6 Environmental Health APR -5" Chicon Gantomta APPROVED Butte County Environmental Health r nate re Department C o u n t y J. Michael Crump, Director Warner C. Phillips, Assistant Director February 10, 2000 Goldie A. Redding 785 Wisconsin Avenue Chico, CA 95928-7516 f Public o f B u t t Re: Certificate_ „of Merger, AP 005-396-006 & 008 Dear Ms. Redding: Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7683 Enclosed please find the Certificate of Merger that was issued by the Butte County Department of Public Work and recorded on January 24, 2000, under Serial Number 2000-0002882, in the office of the Butte County Recorder. If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Stuart Edell Manager, Land Development Division S E/kp Enclosure cc:g uildin Division Environmental Health Dept. Ron Graves & Associates (99-033) AFTER RECORDING RETURN TO: Butte County Public Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 Recorded Official Records County Of CANDACEUTTE J. GRUBBS Recorder .ROSEMARY DICKSON Assistant 02:12PN 24 -Jan -2000 CERTIFICATE OF MERGER LANDS BEING MERGED: " AP NUMBER(S) 005-396-006 & no S -19F nng SUBDIVISION / PARCEL MAP: I REC FEE 16.00 1 CONFORM .00 1 I I I I Fay I Page 1 of 4 BOOK 5 PAGE 11 BLOCK 11 LOT(S) BOOK 5 PAGE 11 BLOCK 11 LOT(S) 7 r, As bf•._t _'&-,date - of- recordation,-, . " : . , � -..... those lands noted above are merged to create two parcel(s) of land as aescribed in Ezriibit(s) A, B,_.: JANUARY. ,21�,. _2000`; MIXE CRUMP DATE Director of Public Works OWNERS' CONSENT TO MERGER Goldie A. Redding, Auryivinq pint Tenant as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into that / those parcel(s) as described in Exhibit(s) A , R ALL SIGNATURES MUST BE NOTARIZED: SIGNATURE SIGNATURE LD 1530 (1/98) �' 3` 7 7 . DATE DATE U r $r,� AMERI C STATE OF CA NIA - }ss, COUNTY OF } - On ( 47FX before me pe onally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Sign (This area for official notarial seal) Title of Document r ' °': °''°• w LUCY A. PERSHALL Comm. #1092344 2 0, NOTARY PUBL.0 CALIFORNIA 0 V s BUTTE COUNTY My Comm. Expires Mar. 24, 2000 Date of Document & - 3a % U v No. of Pages Other signatures not acknowledged GI -5191 3008 (1/94) (General) First American Title Insurance Company EXHIBIT "A" Legal Description Redding Merger Beginning at the Northeast corner of Lot 7 of Block 11 as shown on the Map of Bouchers 2nd Addition to the Town of Chico as recorded in the Butte County, California Recorders office in Book 5 of Maps at Page 11; thence West along the North line of said Lot 7, 65.00 feet; thence South 132.00 feet to a point on the South line of said Lot 7; thence East along the South line of said Lot 7, 65.00 feet to the Southeast corner of said Lot 7;. thence North along the East line of said Lot 7, 132.00 feet to the point of beginning. Containing 8580 square feet more or less. The Basis of Bearings for this description is the same as shown on said Map 5 M 11. apn 05-396-06 Job no. 99-033 EXHIBIT "B" Legal Description Redding Merger Commencing at the Northeast corner of Lot 7 of Block 11 as shown on the Map of Bouchers 2nd Addition to'the Town of Chico as recorded in the Butte County, California Recorders office in Book 5 of Maps at Page 11; thence West along the North line of said Lot 7, 65.00 feet to the True Point of Beginning for the herein described parcel of land, thence continuing West along said North line and the North line of Lot 6 of said Map, 51.00 feet; thence South parallel to the West line of said Lot 6, 132.00 feet to a point on the South line of said Lot 6; thence East along the South line of said Lot 6 and said Lot 7, 51 feet; thence North, parallel to the West line of said Lot 7, 132.00 feet to the point of beginning. Containing 6732 square feet more or less. The Basis of Bearings for this description is the same as shown on said Map 5 M 11. Job no. 99-033 Ab RONALD L GRAVES' * PLS 4085 �, EXP 6/30/00 p -1 APPROVED Wtto County Environmental Health F.106 r ;4-3 (,d, s (;on s1l"t Enviromr."NK 51 , 'a 4i C- " 3"i. ii AUG 1 4 Mnl Chico, C&� tgpeji 1vlu-3t-UUOIIAU3 munoo oWd n3AOHddV vo lcol�*!40 ION �'. I 9nv 41190H 3 PLANNING DIVISION -BUILDING PLAN APPROVAL Use: C� t�% _ Date: Parking: [Parking: Landscaping: Other. ther: S. Ic r Signature: A UjCL r j 0 Viz. 'Z 5 It 3-(7 BUTTE COUNTY 3UILDING DEPARTM9NI AP . PROVED, 4