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HomeMy WebLinkAbout025-020-04925-02—�' -.. 4331-90P, E —_... • ___ ► • _ _ — — _. V .0 TREE, Daryl' 20 Go Run Ct, Oroville Contr: old Balaz (utilities h) J /! I I .•#.93-204._ 025-OZ-0- •OGLETREE, DARRELL _ ELEC o . ) ©D � b� - .l 20 GOLD RUN CT, OROV ILLS i GAS Z AGRICULTURAL_EXEMPTION PERMIT COMPACTION TEST REQ__z HAY &HORSES SUPPORT STRUCT RE 025-020-049 0'"..�' - 3AG066 Permit#46-91 �OGLETREE, DARREL I (in ation/mh�' 1 20 GOLD RUN, OROVILLE " "193-3781-B AG. BLDG. (24'X 39') -OGLETREE, DARRELLor `x 11 j 20 GOLD ONNUNDEROEXISTING MOBILEHOME, FOUNDATI 025-020-8g PERMIT#97-05.33 ` OGLETREE, May & Darrel_ �� •� 20 Gold Run Ct., Orovil1 e q { Cont: Skycrest Bldg Systems IV X�71F�p If New MH On Perm Fnd/Ex Site , i °i. i j `� .kx4vk, -_.iii' ...-'��ci;ta, x ,.�`{ Yi.+<,.a,..;�- x.- -, ;�✓dti BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OWNER PHON� NO. 30) S 3,3 - 10-7 (cam OWNER'S ADDRESS W &04 0 ^J C-- V/ c,c, z. 195 9 65 LOCATION OF BUILDING -t, F-AS S, D f= �rz ja �r CJ V-/� Ltn USE OF BUILDING `. To STO._2 '7�+�i1L?LS r �Lf►GTo �� d ��� 1 PM SIZE OF STRUCTURE Z 'X 9 SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME =g== STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ - "056V AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: j I `, y lot 'M'"t'�' �` FRONT SIDES y� REAR�h— AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. WL Date ;z-1-3 - 3 Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a building permit. 3—%�� _J PARCF�Y PD `/ ISS Receipt No. ( �(� j/ 9 I Manager Building Division / By Date ` 0 White — DPW, Yellow —Assessor, Pink — B. I., Goldenrod —Applicant .t�F .t. ^ vY�i f�`N fVll•. . 4 ' .��� iP ;,s. �•�ri �y s f:�..'Scrl¢�,J1 .-�1 �t,;iS��.v.S c� � -. �' ^' 1x _i S��i[ �`! {SS b4.y. r j I,t•` �:a `n ,tt,` t{� - ut . to t"N y LAND OF NATURAL WEALTH -AID BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 536-7541 FAX: 191.6) 538-2140 Building Division Fax Cover Sheet Date Time 11 = 30 To Individual Phone Fax n 3.7d From 11 Id co k) i limn e Phone .s 38S - Fax # of pages being sent (including this cover sheet) Message 9,.rdc-,(-e— "RESIDENTIAL 025-020-040 PERMIT#97-0533 'OGLETREE, May & Darrel # 20 Gold Run Ct., Oroville Cont: Skycrest Bldg Systems New MH On Perm Fnd/Ex Site j ,4 s � THE HCD FORM 433A FOR THIS CANNOT - E RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: (2) STATEMENT OF FACTS(ONLY ON NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL #'S L 7c -,V t t i t 1 ; k w .. ry JOB FINALED (Da — Signature V=OK , O = Not OK Not '=Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /'Ll't. / /Nat. or/ /"L"ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILEHOME INSTALLATION(Plans) OK except #'s -card-B-1 Date Card B-1 ni equirements-SetbacksEasements Card B-1 Date Card B-1 tig,V'Sine-Spacing-Marriage Line POOLS (Plans) OK except #'s s OH'Test-Demand Valve -Connector 1. Setbacks -Easements ect' 't5r MH Test -Crossovers -Breakers -Clearances rain H Test -Fall -Flex Connector ate • ' H Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval s and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 1 ,. s; Insp.-Sketch 11. Cert of Occupancy Date Card 13-1 Date Card B-1 Date Card B Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date -card-B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O= Not OK RESIDENTIAL (Single & Duplex) - = Not A licable PP Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'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 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. 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 Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 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. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Comments at Final: 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 Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace 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-Conector- 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 & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck -Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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 Throught 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION .,7 County Center Drive - Oroville,` California 95965 - Telephone (916) 538-7541 PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT 97 0a�3 . ASSESSOR PARCEL NUMBER 025-020-040 ZONING AR 1 BUILDING PERMIT OWNER MAY & DARREL OGLETREE TELEPHONE SO. FT. OCC. BUILDING VALuATI N 1716 R 92 664.00 OWNERS MAILING ADDRESS 41 GOLD RUN CT OROVILLE, 95966 CONTRACTOR'S NAME SKYCREST BUILDING SYSTEMS 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 $ 304.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 20 GOLD RUN CT Energy Plan Checking Fee $ $ OROVILLE, 95966 PERMIT FEE $ LOT NO. • SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 6 Other SPECIFY Each Trap 17.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: PERM FOUNDATION (REPLACES EXISTING MH) 26X66 Gas piping system 1 - 5 outlets 15.00 ic; no Building sewer 15.00 Mobile Home IS I G I W 1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ioonORLE 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 orce and effect.POWER License Class Lic. No. 9 :j4 (Z OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 6.01—DE" g ,,0 4 LL /,Y_S Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. so 3.50FT. NEW CONST. MULTI -OUTLET NON-RESID. C cl c I 97.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. CUTLET OR FIXTURES 20 Q 1.00 aAL p .so Ex. Occup. our ET. AESOOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE $ 3.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 37 J -1 -),'1 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall with comply with those provisi s. X _ Date /a(' �� �� 4tet Signof Applicant - ❑ Owner Co or ❑Agent An OSHA permit is required for excavations o 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOT L FEE $ 455.00 HA2. D. F IMP FLOOD X CDF PARC pD HD SU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. �t/e / (a Dei ReceiptNo. 210298 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD.APPLICANT ,..:- .y tet.-t'r � �:•. ,a.�:�_ COUNTY OF BUTTE DEPARTMENT OFA 7 COUNTY CENTER DRIVE - OROVILLE, PERMIT OWNER: `l 4./ / W ASSESSOR Proposed Building We: , ag Building Inspc At time of permit application, I was advised the following data i ❑ 1. All items have been submitted. BOPMENT SERVICES - BUILDING DIVISION )ORNIA 95965 -TELEPHONE (916) 538-7541 TION DATA SHEET P I V// 'ARCEL NUMBER: :`tor: Date: lust be submitted prior to permit processing and/or issuance: f Date Received By 02. Plot plans, 3/4 sets, signed by the preparer of plans. -----------"=--------------------------------------- E13. Complete plans, 3/4 sets„signed by the preparer of plans. -- =----------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑ 6. Energy Design Compliance and supporting documentation. ------------------------------------------- 117. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form.--------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $------------------------------------------------------------------------------------- - 1�Impact feesy- ------------------------------------------ S ❑ 12. California Department of Forestry plan approval/fees. ---------- ---------------------- =------------------------ 01;. Flood ----------------------- ❑1.Flood elevation certificate. ---------------------------------------------------------------------------------------- w Sanitation and plot plan approval ro Health Department. ------------------------------------------- Ell 5. 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: -------------------------- Fr I ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on +,(Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 1322. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 0 23. Owner-Builder ----------------------------------------------------------❑23.Owner-Builder Verification (Given to, owner ❑, Mailed to owner EI) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------- Manufactured Home utility clearance. --------- --------------------------------------------------------------- ❑2 . Exuding ' viol tions and/or x ' ed perm��C_tol­I.C.D$_0100 ------------------------------------------------------------ 29. 33 A,� ant Deed,. Title, . --------------- 0 -------------- ❑30. ei:------- When you issue the ermit, prpocess as follows El Mail to owner,,❑ ail to 7Ae tractor. ne ��� Telepho-a� 7 and hold for pickup at (/i©d�office. ❑ Deliver with inspector. Applicant• Date: 3 / 9L717 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ ther: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, w sa se of the above required data b ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold mi Pan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 4 E.H. US& ONLY Plot Plan Attached floor Plan Attached Sent to B.D. �JJ l TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner q Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for---d�iefling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 -/- Apti7 Date _4 Mpr_-A"�j I t vironn.—­ a] Z..... ..... 13 D-, . top Aje- cL 90 E' Y .......... 30 W L -,e-- Iz /W Rv PA 71. M A 433/-9, Y A DA Q L 0 4 ,10 40(.D QV" ClIr DRO VIU-E CA. WA TMEN N? S11- 02�_ 6:Z0 — a-olc) JUMOINGIMPA 5CALe -APPROVED '40. 4 v*nft. from of 5cllrt. -fro m the road structures or equipment exCeW Clear of aA �v - _.... Butte County In t vironn.—­ a] Z..... ..... 13 D-, . top Aje- cL 90 E' Y .......... 30 W L -,e-- Iz /W Rv PA 71. M A 433/-9, Y A DA Q L 0 4 ,10 40(.D QV" ClIr DRO VIU-E CA. WA TMEN N? S11- 02�_ 6:Z0 — a-olc) JUMOINGIMPA 5CALe -APPROVED (0 A o u C.C.: o' a J O _L_� L_J I `-I - - - - - - - O O-- O - p O ❑ �- I ` I 1 � y� O 3�zOik= ♦\\ �\ 33Go1#�� A.. Z»�tb \� 34 eC>* 24C�P I I _ • I I I I I I I I I I I I. / REv1EWED'rr F.Nr,)IYF. N'�r� IssUEU If1' %JL,• ;N. Orl T• I FILE MH 8321 / rvlr,Es 166. VOL 1 A JAN /I ^� " .. 2 SEC. 4 R 2 1991 ALL. 61 PO. 8- 2AG CENTERLINE SUPPORT REOUIREMENTS THIS SHEET TO BE INSERTED WITH SUPPLEMENT O - IN Q- FIELD INSTALLATION MANUAL FOR 2nx4 ROOF SNOW LOAD_ _ SGOLME _ _ SERIES DESCRIPTION NO. `% r�ngAnwrka hoar. 20 --I t ROOF u�zc. �c.. 4`.Ei FM• Zt3 �JFJIZ LIVE LOAD LIT DWO. .11^J l•Ql•�fl CHECKED SHT. Of c41 _ , ` ` •' • , ti : , � � ..,�xr ti yrs , �f i7�.;�*'/l"'��Y�yrS„r�,�..�!`�r.✓"'1-.-:.y--v^.,,1•. �'^�•,^Y.. t{'� .. v. ...r '�'• .,�a, ,. f .. erg , ro j • ..Y ° � . , ... .. .. • BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION'FORM (One form pei Building) / 0 School District . � ►I Q i (/) r Q j , Building Department No. A.P:eNumberyb(1�0�10 Jurisdiction: City County Property Owner f/ jflj''C ( ( iree Property Location/Address 'go GO lr ©V ► &- Subdivision Lot No. �.. /Residential Development � � � � Sq. Footage No of Living Mobile Home Addition (Group R) Units �/� Installation 7{.t — / /S a l c�p�ac6s eXiS��n ''/ ! OBJ Commercial/Industrial Sq. Footage „�• New Addition (Including Exterior Roofed Areas) %i9L? Buildina Department Representative . Date (Floor Plans reviewed by School District Personnel) f�trict Identificatio N 70111 o. t i '(City)\ . J has comp representi [ Sch • of District ce ti fies that A t L . (State) with the requirements of Resolution No. ��✓ '.✓Y squ/are feet. School District Representative t Paid by Check # Remarks: ti V� >4/ z [FAB 2926 (Applic t) (Phone Number) (Zip Code) by payment of $ � $ "L t= 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 (2/97)dmm -and _dftr on the job of OR *118s Ona it is UmlOwfUl W. - i-w6ften parrimission froni the Dspcdmant of PPW, _. SMUCMJRES MID LE '79 A SET BACK OF E*3 AT, D 'Y E R L �11 ma I L E 'D C' i T14L VOf T_EPM CE' d7tLl CLEPP-C7. FORA 2 FT. EAVE OVERHANG - ft. LMd a • rtTr of 5!,o ft. -from the road C�I' structures or equipment exCeW Clear of aJI e.4.wnent6 Tt 3 .. ..... ..... N- flik J�E ,� I, -own 9 1 4. obi q0 ell 301 PZIW L Rv ..:ePA 31 MAY AWOD DAkk&L 0 Te6e 13UILDIM �20 40C.0 �il ' ov, "A" PPR r Ono VIU-E cq js�'7.4'y G' WING 5c, EN OAS - 62O - 0q0 -APPROVED Mobilehome Manufacturer: 5-kyUME Manufacture Year: 1 q 47 If other than single wide, furnish Setup Model Number: FAi2r/lEk/ 5,4-/,a Width: AG (ft.) Length: 4, G (ft.) Tagalong or Expando Size — (ft.) x 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[p<] Other: Provide Tie Down Specifications for all Mobilehomes: Fou KDA 9-1 on/ 1 Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 IlLine ine 1 Line 2 Line 2 Main Beams Line2.........................................................................................ine 2 Line 1 Line 3 Line 2 .........................................................................................Main Beams Line 2 .........................................................................................1 ................................................. the 5 Tag or Triple ine 4 me Line 1 Piers: Size minimum: r 1 x Spacing maximum: I C` From ends -maximum: 9` Line 2 Piers: Size minimum: [ Ix ] x [ so ]. Spacing maximum: ` & ` From ends -maximum: / ` o ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ik ] x [30 ]. Each side of openings with width over: Y ` v ` Line 4 Piers: Size minimum: [ x [ Spacing maximum: ` From ends -maximum: ` !gx3o 13&X 3a I 2q�c30F20 30 kqx3o 11lX3o k ¢x3o I 16 „ 114'4 ", 311 q " 3S1 So,o" 521 b"' 65"011 BUILDINNO APITA EN' OVER APPROVED M.H.I.-Z 1. Owner's Name: D�q2REc- 4 144.6 0fpLE'1_2EE 2. Assessor's Parcel Number: o;ZS-- o;tee — oµo 3. Installer's Name: S KY c.P_cs1r__ gy iL4� 1KG s Y s 7_&M. s 4. Is the site currently under permit? Yes[ ] No[X ] Permit No. 5. Is the site an existing site? Yes[)( ] No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? /00 Amperes. 7. What is the mobilehome site circuit breaker rating? /00 Amperes. 8. What is the electrical rating of the mobdehome site? /00 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[X] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobdehome site electric service (i.e. well, garage etc.)? Yes[ ] No[X ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[)(] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 3/Zf inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? ,SL(ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION 7,.1+zit ' ' Iq R1z0 May 1995 CO Zj i 61, ----------- - - ILL m 1" TYP.-+-*' 1/4" PLATE BASE PLATE DETAIL NO SCALE 10" �F\V a 1yQ o O ui P\,\• . \ye _ 6 c 2-1/4 3 n II ►>- 4 s 2-1/4" TYP .-r—fi , 1/4" PLATE ~ BASE PLATE DETAIL - FOR ETAILFOR AFS -CP PADS NO SCALE 2-1/2” W a. H a. x P iF/16" DIA. TYP., ED OR PUNCHED DIMPLES GRIPPER PLATE DETAIL- NO ETAIL NO SCALE 'f— 6" T 0n .o Opt O O 'k 9/16" DIA. TYP. GRIPPER BASE PLATE D ETA I L GRIPPER PLATES - SEE DETAIL 1/2" X 2" HS TYP. 1/4" BASE PLATE - SEE DETAIL 1-9/16" ROD WELDED TO 1/4" FILLET WELD BELOW GRIPPER BASE PLATE. OR PLUG WELD ABOVE TO 1/2" FILLET BELOW OR ' 2" O.D. SOH 40 PIPE WITH 1/2" HOLE PLUG WELD kBOVE �- 1/2" HOLE FOR LOCKING PIN - TYPE— -- '2-1/4" O.D. SCH 80 PIPE 1-1/8" X 1-3/4"t - 3/8" CADMIUM -PLATED MB TYP.. PERMANENT FOUNDATION SYSTEM'.:" INTO CAST -IN-PLACE FERROL INSERTS, HEAVY TUBING. AFS -CP t AFS -PCP PADS r4 2 0. TYP. [NOTE: AFS -CP PAD CAN HAVE 2-1/2" _MB 1/4" FILLET, WITH PPFI-1/2 INSERTS] Cv_YJ� BOTH SIDES 0 O 1173-0 EL CAMINO REAL - ARROYO GRANDE CA 93420-2554 r N RCE 11658 exp. 12/31/96 (805) 489-5380 J O --PATENTS PENDING-- MARCH 1996 SHEET 1 OF 3 SHSETS'" 4 a'{ NO SCALE • t-3„�� GUSSET SUPPORT PLATE DETAIL —1/2" X S" THREADED ROD. 1/4" FILLET WELD BELOW OR PLUG WELD ABOVE TO BASE PLATE 2" O.D. SOH 40 PIPE WITH 1/2" HOLE �- 1/2" HOLE FOR LOCKING PIN - TYPE— -- '2-1/4" O.D. SCH 80 PIPE - - 3/8" CADMIUM -PLATED MB TYP.. PERMANENT FOUNDATION SYSTEM'.:" INTO CAST -IN-PLACE FERROL INSERTS, AFS -CP t AFS -PCP PADS r4 2 0. TYP. [NOTE: AFS -CP PAD CAN HAVE 2-1/2" _MB J� WITH PPFI-1/2 INSERTS] Cv_YJ� --M=3- 1" AFS-EL9 SIDE VIEW NO SCALE NO SCALE 1/2" X 3" STEEL PIN WITH LOCKING KEY - ATTACH SECURELY TO MOBILE HOME SUPPORT GIRDER - TYP AFS -PCP PAD SHOWN TYPICAL INSTALLATION DETAIL 2-1/2"t 3" COLLAPSED 9" STD. MAX. 13" TALL MAX. 8" STD. -' 12" TALL -' AFS-EL9 FRONT VIEW' NO SCALE NO SCALE . DESIGN LISTED AND TESTED BY BSK &-ASSOCIATES WAYNE T. POLVADO, PE - LISTING NO. F01600438 r PQ/`9�F� 4J Nd.CO 1110^ G Up. °I IN ' `p� £ � CIVIL 9T OFC AP • �,�ar/�L - GOGbA Lertae� - 3347,0 /bf MO&LEOCMAE FOUNUAI,cs. jtsit� NEALN AND SAFM COOS. SE C1i r>d?1 M r APPROr, ED'�l SUIS:ECT TO COR S pfa � s.'rg �F• wp�af dw, w, avd,"risa or cpR!!m eTm'°A O %,ew ,ep"i.www" of appL'sa61c Stl aid iepuigipei DMSI COD OSTANDARD$ wj ' BY _ _ae2i.fV*I'�Deie SDA NO. � r 1. ;,p '1•:. Plan A e. /vI PERMANENT FOUNDATION SYSTEM'.:" AFS-EL9 STAND r x' AFS -WP, AFS -CP AND AFS -PCP PADS . . W I LL'I AM A. SOMMERMEYER CIVIL• ENG 1 NEER '•';; 1173-0 EL CAMINO REAL - ARROYO GRANDE CA 93420-2554 RCE 11658 exp. 12/31/96 (805) 489-5380 --PATENTS PENDING-- MARCH 1996 SHEET 1 OF 3 SHSETS'" 4 a'{ .i` 36" 1-1/2" TYP.- 1-1/2" TYP. d ~ 8" 8" s 7 © E � N N AFS-EL9 STAND i TOP VIEW 2" X 28" X 1/8" STRAP - 2 EA - TYP 0 0 EXT.P WOOD- wQL'MAN12ED SEE ,O o O G I 1/2" CADMIUM -PLATED CARRIAGE BOLT 8 EA - TYP BOTTOM VIEW /2" CLIP @ 450 TYP. 1" X 2" X 1/8" X 28" TYP. 36" SIDE VIEW tt 36" DESIGN LISTED AND TESTED'SY BSK i ASSOCIATES 1-1/2" TYP , wAYNE T. POLVAD01 PE.- LISTING N0. F01600438 FOR 3/8 -PLACE FERROL INSERTS", " CADMIUM -PLATED MB C � 4 EA TY�o - �1 VE510L �Eg1A r END VIEW TOP VIEW END VIEW 2" 36" SIDE VIEW AFS–PCP PAD NO SCALE TOP VIEW END VIEW AFS–WP PAD NO SCALE1-15/76" 1-3/8" 45° SIDE VIEW AFS-EL9 STAND AFS–CP PAD NO SCALE PPFI-1/2 - 2 EA SEE DETAI�T: STD IFI -122 MEx COUPLINC NUT 3-5/16" 1/Tx 1-1/2- - PPFI-1/2 12 EAI •7- — ' 5 - :2 REBARS TRANSVERSELY p 7" O.C. 1J•- FILLET MELD ' 2 - nk•-t/"- OR APPROVED EQUAL-EACM SIDE 4 - /3 REBARS ! S" O.C. OR APPROVED EQUAL AFS–CP PPF1-1/2�DETAIL REINFORCING DETAIL NO SCALE NO SCALE --PATENTS PENDING-- �Q�C`� �'L Pp `y! .0051110 r \F OF CA Ati�4� f �,v,� oI" glFofCAUFO���P PERMANENT FOUNDATION SYSTEM AFS-EL9 STAND AFS -WP, AFS -CP AND AFS -PCP PADS WILLIAM A- SOMMERMEYER CIVIL ENGINEER 1173-D EL CAMINO REAL - ARROYO GRANDE CA 93420-2554 RCE 11658 exp.12/31/96 (805) 469-5380 MARCH 1996 SHEET 2.OF 3 SHEETS GENERAL NOTES ' I. DESIGN LOADS:' ROOF LIVE LOAD -20 PSF FLOOR LIVE LOAD --40 PSF WIND LOAD --80 MPH EXPOSURE 'C' SEISMIC ZONE --4 SNOW LOAD AS REQUIRcD, BY BUILDING OFFICIAL 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON AN APPROXIMATELY LEVEL SITE. 3. CARRY ALL FOOTINGS DOWN TO FIRM. UNDISTURBED SOIL. FOOTINGS ARE DESIGNED -FOR 1000 PSF TOTAL LOAD SOIL PRESSURE. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR.THE LOADS _ w AS SHOWN IN THE MOBILEHOME MANUFACTURER'S INSTALLATION INSTRUCTIONS.-.. S. IN AREAS WHERE DIFFERENTIAL SETTLEMENT ID.S.1 CAN OCCUR, MANU- FACTURED HOME SHALL BE READJUSTED WHEN D.S. EXCEEDS 1/4 OR WHEN IT WILL ADVERSELY AFFECT MANUFACTURED NOME UNIT. 6. ALL PORTLAND CEMENT CONCRETE USED IN THE MANUFACTURE OF THE AFS -CP PAD SHALL HAVE A MINIMUM fe ■ 3000 PSI 0 28 DAYS. 7. STRUCTURAL STEEL: FABRICATE ACCORDING TO AISC SPECIFICATIONS. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES --370 PLATES --ASTM A36 BOLTS --SAE CR.S • ASTM A449 " ASTM A3725 8. THE STAND AND PAD ASSEMBLIES SHALL BE LISTED AND LABELED BY BSK 6 ASSOCIATES FOR THE FOLLOWING LOADS: HORIZONTAL 10748, VERTICAL 5970+. 9. THESE STAND AND PAD UNITS ARE DESICNED TO BE USED WITH MOBILE - HOME CHASSIS BEAMS OF STANDARD SECTION EQUAL TO OR GREATER THAN W8XI0i. ANY OTHER SECTIONS SHALL BE FIELD ENGINEERED TO ADAPT TO SECTIONS ACTUALLY ENCOUNTERED. 10. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING THESE UNITS AS SHOWN ON THE TYPICAL FOUNDATION PLAN. II. MULTIPLE -UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF AFS UNITS MEETS THE REQUIREMENTS SHOWN ON THIS SHEET AND THE PLACEMENT AND INSTALLATION PROCEDURES ARE FOLLOWED PROPERLY. 12. FOR LONG DURATION SNOW LOADS, USE APPROPRIATE NUMBER OF ADDITIONAL UNITS AS DETERMINED BY THE FOLLOWING FORMULA: IILONC TERM SNOW LOAD 8/FT21 X IROOF AREA SQ.FT.I) _ 5970 . USE EVEN NUMBER•OF UNITS ARRANGED 501 EACH DIRECTION. 13. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTIVE COATED. 14. METAL SURFACES IN CONTACT WITH THE EARTH SHALL BE COATED WITH OREGON RESEARCH AND DEVELOPMENT COMPANY RUBBERIZED PROTECTIVE MEMBRANE `SNOW ROOF SPRAYABLE GRADE" OR APPROVED EQUAL. 15. FOR AFS -WP PADS, USE 1-1/E" EXTERIOR PLYWOOD WITH WOLMANIZED TREATMENT TO 0.60 PCF RETENTION WITH DRYING AFTER TREATMENT. 16. FOR AFS -PCP PADS, USE CONCRETE MATERIAL CONSISTING OF SAND AND GRAVEL AGGREGATE BOUND TOGETHER WITH A POLYMER AND REINFORCED WITH CONTINUOUS WOVEN CLASS STRANDS. THE CONCRETE THUS PRODUCED MUST HAVE THE FOLLOWING MINIMUM MECHANICAL PROPERTIES: COMPRESSIVE STRENGTH - 11,000 PSI TENSILE STRENGTH - 1700 PSI FLEXURAL STRENGTH - 7500 PSI THE MANUFACTURER MUST CERTIFY THAT THE MATERIALS HAVE BEEN TESTED TO THE REQUIREMENTS OF ASTM METHOD 0-543. SECTION 7• PROCEDURE 1. SAID CERTIFICATION WILL GUARANTEE THAT THE CON- CRETE HAS CHEMICAL RESISTANCE AGAINST THE FOLLOWING CHEMICALS IN THE CONCENTRATIONS NOTED: SODIUM CHLORIDE S! SULFURIC ACID O.1N SODIUM SULFATE 0.1N HYDROCHLORIC ACID 0.2N SODIUM HYDROXIDE OA N ACETIC ACID SI KEROSENE PER ASTM 0-543 TRANSFORMER OIL PER ASTM D-543 DESIGN LISTED AND TESTED BY BSK 3 ASSOCIATES VARIES - 30-77' SEE TABLE NORMAL LOADS WAYNE T. POLVA00, PE - LISTING NO. F01600438 S S •E SNOW LOAD - 0 I ' I " NO. OF rnj•_: - 2' NON, WIDTH LENGTH UNITS 10' TO 37' 4 I I I 38-58' 6 . �IttEO at NOM. 1. 10' 59-78' . 8 I a C1t 12' z TO 32 ��-- 4 _ O fp0 fOR _ -- _ . _._ 33-50 —I� 6.- - -- - - — S-0* _ AS UPPORT O ._� O `Riorz BEAM REQUIRED BYSMMANUFACTURER-TYP,'O STANDARD 141 FOUNDATION PIERS - AS RECOMMENDED BY THE MANUFACTURER OR THE ENGINEER -TYPICAL THROUGHOUT. RELOCATE AS NECESSARY - TYP. - PADS IN ANY PAIR MAY BE ROTATED n n 90• TO AVOID CLEARANCE PROBLEMS II PLAN FOR 12 AFS SUPPORTS OR LESS VARIES - 30'-77' SEE TABLE NOM.'. � O plf-Rik t�Htlf.O NOM. St�O fpA C%' RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER-TYP. O STANDARD MN FOUNDATION PIERS - AS RECOMMENDED BY THE MANUFACTURER OR THE ENGINEER - TYPICAL THROUGHOUT. RELOCATE AS NECESSARY - TYP, PADS IN ANY PAIR MAY BE ROTATED 90" TO 0 n 1 1 AVOID CLEARANCE n l J PROBLEMS I I PLAN FOR MORE THAN 12 AFS SUPPORTS TYPICAL PERMANENT FOUNDATION PLANS NO SCALE E - 2' MIN / 6' MAX S - 6' MIN / 24/ MAX 10 13' TO 30' 4 1 31-47' 6 48-64' 8 13' 65-80' 10 14' TO 28' 4 I 29-44' 6 45-60' 8 14' 61-76' 10 20' TO 32' 6 I 33-44' 8 45-56' 10 57-68' 12 20' 69-80' 14 24' TO 37' 8 I 38-48' 10 49-60' 12 24' 61-70' 14 26' TO 34' 8 I 35-44' 10 45-54' 12 55-64' 14 26' 65-73' 16 28' TO 32' 8 I 33-41'10 42-50' . 12 51-59' 14 60-68' 16 28' 69-77' 18 --PATENTS PENDING-- PT. PO4`'Yt' 1� y No�C 0511�1p * Exp• ��' ``r� l CML j FOF Cn1-1`O PROF:SS/pNgl �S A• SOir7,h Ey 0. �`Iry 9 Jl C,VI� �n11f0 PERMANENT FOUNDA SYSTEM AFS-EL9 STAND AFS -WP, AFS -CP AND AFS -PCP PADS WILLIAM -A- SOMMERMEYER CIVIL ENGINEER 1173-0 EL CAMINO REAL - ARROYO GRANDE CA 93420-2554 RCE 11658 exp.12/31/96 (80S) 489-5380 MARCH 1996 SHEET 3 OF 3 SHEETS ........ ................ . . ....... ....... . ....... -------- . .................... - 'RECORDING REQUESTED BY: _ 797-01-e375' 012375 97-012375 97-012375 Rec Fee .00" I Total .00 AND WHEN RECORDED MAIL TO: Recorded I _ Official Records I NAME BUILDING DIVISION County of I Butte I 7 COUNTY CENTER DRIVE Candace J. Grubbs I STREET ADDRESS OROVILLE CA 95965' Recorder I -- - -CITY, 2:29pm 7 -Apr -97 I COMS XX 2 STATE and ZIP - . _ - ._.---- - -- -- - - SPACE ABOVE THIS UNE FOR RECORDER -USE ONLY - .1 NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that . such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the"reol property described with certainty below, as.of the date of recording. When recorded, this document shall -be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. nARREI I C; AND MAF R_ OG.LETREE REAL PROPERTY OWNER/LESSOR 41 GOLn RUN COURT MAILING ADDRESS OROVILLE- BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (If also property owner, write "SAME*) MAILING ADDRESS COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNT_ Y BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY .7 COUNTY CENTER. DRIVE MAILING ADDRESS' flROVILLE. BUTTE, CA 95965 CITY COUNTY STATE ZIP 97-0533 (916) 538-7541 BUILDI PERMIT NO. IEPHONE NUMBER 4/7/97 SIGNATURE OF LOCAL AGEN IAL DATE COUSIN GARYS FACTORY BUILT HMS DEALER NAME (If not a dealer sole, write ••NONE'l 91265 DEALER LICENSE NO. SK)(I INIE 1997 FAIRVIEW 5517 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 71270-0631 1 WIR 66'X?6' _111 1444638144 639 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION �1tdENT OFyOG\ 144 9 ASSESSOR'S PARCEL NUMBER A. -F?- 40-95-090-040 ,0 HCD FORM 433(A) Rev. 8/91 WHITE—County Recorder CANARY—HCD PINK—Applicant GOLDENROD—Building Dept. LEGAL DESCRIPTION A.P. #025-020-040 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL L• Parcel 4, as shown on that certain Parcel Map of a portion of the West half of Section 11, Township 18 North, Range 3 East, M.D.B.&M., which map was filed in the office of the Recorder of the County of Butte, State of California, on July 18, 1983 in Book 93 of Maps, at page 24. PARCEL II: A right of way for road, utilities and Pacific Gas and Electric Company, over the Northerly 30 feet of Parcel 2, as shown on that certain Parcel Map being a portion of the West half of Section 11, Township- 18 North, Range 3 East, M.D.B.&M., which map was filed in the office. of the Recorder of the County of Butte, State of California, on July 10, 1979 in Book 71 of Parcel Maps, at page 58. _ PARCEL III: - A 30 foot wide non-exclusive right of way for road and public utility purposes, as shown on that certain: Parcel Map entitled, "A portion of the West half of Section 11, Township 18 North, Range 3 East, M.D.B.&M.", said Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, on July 18, 1983 in Book 93 of Parcel Maps, at page 24. PARCEL IV : A 10 foot wide public utility easement as shown on that certain Parcel Map entitled, "A portion of the West half of Section 11, Township 18 North, Range 3 East, M.D.B.&M. said Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, on July 18, 1983 in Book 93 of Parcel Maps, at page 24. EXCEPTING THEREFROM any portion lying within the bounds of Parcel 1 above. BUILDING PERMIT NUMBER: 97-0533 Address or location of unit: 20 GOLD RUN COURT, OROVILLE Legal Description of Real Property: A.P. #025-020-040 SEE ATTACHED LEGAL DESCRIPTION. (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation sytem pursuant to Health and Safety Code Section 18551. Owner's name: DARRELL C. & MAE R. OGLETREE Owner's address: 41 GOLD RUN COURT, OROVILLE CA 95965 INSIGNIA OR HUD NUMBER: ULI 444638/444639 SERIAL NUMBER OR V.I.N. 7C70 -0631J A and B MANUFACTURER'S NAME: SKYLINE YEAR: 1997 OFFICIAL APPROVING INSTALLATION: DATE: 4/7/97 PHONE: (916) 538-7541 H.C.D. 513C 1 I:I(Cm4WN(; RF.QIIF:1T1:11 BY BUTTE COUNTY TITLE CCMPANY "Saha AS BeloM' \\•nt:NRF.cnRDennfAil:T(I, :: • • . Mr. and tetra. Derrell Cgletree ' 41 Gold Run Court r*r. Oroville, Calif. 95966 L V L r'- • ' ,} --Roo FOG 7.00' 000 ;' :'�` 22.00 ' r. Reoorliadz'_ '�ChvCk° "+~ 29:00. `::'�•oft•icfalTRecoid��'��9�+;:;''�:;�'�' •. .. ... County, .of:`�tjG.;,,,ti_•r; . . Butte' ..:7�•, t3 = ::•J•:', Grubbs': Gandace 8:OOam'::5-Oct-90% VS 2 Sf.\(;� AIIOVliR6CORDER'SIhF.ONI.Y t)xnlix^t'' NVER GRANT DEED (JOINTTENENCY) Isttxuw':n. Tln• undtniyJ+tJ Erunaul�l Jcel:ne(-0: IA inoic ry owAer ux ie 5 —9-2-- CL _ 1 xx.XL'olnputcd 41t full '3149 of prup:ry ct •c)cd, or 1 1 C'emfuncd on full �Ujt. less v:llue of lion., and cmumb.nee$ Iemaining 11 lime of soft. 1 , tlniluvrlloraled an`o ( I City of 'rax fumel Nu. 25 02 .040 FORA VALUABLE CONSIDERATION. fc:eiat of which is hcrubY aeknuwledged. HOWARD WIEIMANt a single men h.rchy eRANT(S) to ))F•RY.ELL G. OGLEfREE and MAE R. OGLETBECf husband and wife the Ii111t)winE dencfihod real properly in the Cmilly of Butte SEF, ERHIBIT "A" AT?:.�;MED HERVITB FOR LEGAL Dt.SCRIFTION ,AS JOINT TCNANTS , SI31c ur Calirorola i � r r• 1 � • 4 ,i !f Howard Madman ' c_..•....we 7A. 1QOn i�" � S. _ wafi , nly.`ii;' 1 Y , I STATE OPCALIFOxNIA 1 ofpr rr1 o: rW.,county �///���•••=-LJ(_ l'� ,^ befvrt 111e, the undersigned. a Nolaty Public in anJ for d Cb"�., 19.•,p .i � Oe IniS ay of said Cnunl Will Smtc. peisnn111y 4ppeareA Howard 7 pe, WmIly Lou-11In me l='e t*rived W nle d11nu huris of .arcGicloq• c.'iJMtef lu be �hvtt nnme > IN permn I "uleentxd In m9 u•Iddn Ih9 Inanuncm :uW uc\no„1a1c4a thn he executed dtt >+me. f ■ BEYEALYJAMEEN %vITNESS yluridandon •Ldleul. } i �. AOfw'h'RaIGCJ FUM omm■alon t1 • + Bulla Count// ■ • _ � � � ���'�,� � r�NL”. Nly C ' \Ilial) I�1hlia' FI :UW Fortilill \'m 1, mW NOW. ! ' \` 1 I Nntnry Seal l m),I3It.k..wxxl ,IAIL TAX STA'rr-%ILVT AS DIKI;CTfiD AUO\ti 200 'd 0I66 £h£ 916:131 31111 11N A119301d 8£:i1 ; WAR ,6Z VP DESCRIPTION EXHIBIT "A" 9 0 4 2 R.2 All that certain real proper ty—sLit ua te in the County of Butte, State of California, described as follbws: PAaCEL 11 1! Parcel 4, as shown on that certain:'Parcel map of a portion of the West half of Section 11, Town5hip'.'18 North, Range . 3 East, M.D.B. a M., which map was filed*in the office of the Recorder of the County of Butte, State of California, on July 18, 1983 in Book 93 of Maps, at page 24. PARCEL II; A right of way for road, utilities and -pacific Gas and Electric Company, over the Northerly 30 feet of Parcel 2, as shown on'that certain 'Parcel map being a portion of the West half 01 Section 11, Township 13 North, Range 3 East, M.D.13. & M., which map was Oiled in the office of the Recorder of the County of Butte, State of California, on July 10, 1979 in Book 71 of Parcel Maps, at page 5a. PARCEL III: A 30 ECOt wide non-enclusiv3 right of way for road an6 public utility purposes, as shown on tl:at certain Parcel Map entitled, "A portion of the West half Of Section 11, Township 1.9 North, Range 3 East, M.D.B. & M.", said Parcel map was filed in the office of the Recorder of the County of Butte, State of California, on July 18, 1983 in B00% 93 of Parcel Maps, at page 24. PARCEL IV: A 10 foot wide public utility easement as shown on that certain parcel Map entitled, "A portion of the West half of Section 11, Township IS North, Range 3 East, M.D.B. & M.", said parcel Map was filed in the office of the.Recorder of the Coutity of Butte, State -of California, on July 18, 1983 -in Book 93 of Parcel Maps, at pt;ge 24. IEXCEP71NG THEREFROM any portion lying within the bounds of parcel I1 above. '4 tun nc too 'd OW M 916:131 31111 11N U113013 62:Z1'(03A)L6,6Z-*NVP rpt or DEPARTMENT OF STATE DLCOMMUNITY DEVELOPMENT �� DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION ; STATEMENT OF FACTS This unit 'is. -.a: Mobilehome El Commercial Coach Floating Home Q Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) D 3(� -13 •— I/We, the undersigned, hereby state that the unit described above: Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on 11,14 ae 19 9"7 at CY / Co G�9 Date (City) (State) Signature of each affiant Printed name of each affiant Address 99' City Co State - C/a HCD 476.6 (Rev 11/86) .,RESIDENTIAL 25-02-40 ----- 4331-90P,E — - - OGLETREE, Daryl 20 Gold Run Ct, Oroville Contr: Harold Balaz a (utilities/mh) 0 Address GAS Meter By j ELECTRI Meter By. JOB FINALED Signature OFFICE COPY Date1 Date �/ v=ok O=Not OKI Not = Not Ready' ' MOBILE HOMES Date MOSJL'E HOME UTILITIES (Plansl OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Sewer; Location -Test -Fall -C/ !/t" Water; Location -Test -Easement Neede ketch) 04 Electricity; Location-Clearences-Grad mp-Co rte 6. Gas; LocatioQQ- Test -/ /" L"ft. -3 / /"Nat. o;jj1L"ftJWra/ LPG L_ ­f. Utility Clearance Date Card B-1 Date Card B-1 Date tCard B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s v-1 '1Z ning Requirements -Setbacks Easements Footings; Size -Spacing -Marriage Line .. as; MH Test-Demand-Valve—Connector _ t_,4,-f_1ectricity; MH Test -Crossovers -Breakers -Clearances gain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Exits; Insp.-Sketch Cert. of Occupancy 02 Date - -q Card B -1 y Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability f 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -En closures- Pane Iboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test I 'Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK ' =Not Applicable ' = Not Ready RESIDENTIAL (Single R & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Ong. Joist-Rftr. ties -Pu rlin-root Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows 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 PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64, Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes 0 No; Walks ❑ Yes ❑ No; Planters 11 Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card 8-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS y 196 Memorial Way, Chico — Phone: 891-2751 _. 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date'/—,? `( Inspector MOBILENOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. F /' Address or location offmobilehome o �� � 121iv F Owner's name 4 A?,a ZG — Le z Owner's address Insignia or hud number /� /�►-� ��`D_� > Manufacturer's name r7 1 a r� '?d Serial nurn�er of V.I.N. . Year of manufactured —r� u v y f(bfficiol�ovi g Tns(o1Iotion) (Dote)f " s IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBIL'EHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE M061LEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5136 White -Owner, Yellow -Installer, Pink - D.P.W COUNTY OF BUTTE -"DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7' County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 _ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER�„� 25-02-40 ' �' ZONING ' AR -1 - BUILDING PERMIT OWNER DERREL & MAE OGLETREE TELEPHONE 533-1 7 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 41 Gold Run Court, Oroville CONTRACTOR'SNAME Executive Homes TELEPHONE 891-6992 CONTRACTOR'S MAILING ADDRESS 3042 Esplanade,Chico Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 20 Gold Run Ct, Oroville Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome[kXOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W 10.00e ' TYPE OF WORK New ❑ Addition ❑ Remo el ❑ Utilities ❑ Installation DXXOther ❑ Describe work: MHI 331-9 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR L Main service io000 AMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div.'3 of the Business and Professions Code and my license is in full force and effect. �/ 77�� L, License No.ylQ y Classification _ — T �� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OR ADDNS. ACC, BLDGS. / OCCUP.&) 2� ZOsgft NEW CONSTR ULTI-OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET SIR. ) Ex. Occu / OUTLETS OR FIXTURES pl az0®sot AL&30 FIXED APLNS. EX. Occup. OUTLETS PRESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iiabiliti udgm A , costs, d ex es which may in any way accrue agains Id s que a granting of this permit. Date ,�� 9/ Signature Appli ant — OWner ❑ Contractor X Agent ❑ An OSH permit is required for excavations over 5'0" deep and demolition or construct- ion of s ructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE 70.00 z cu PAA I SCHL PA Po HD Is This permit is nereby issued under sions of the Butte County Code and/or work indicated abov for which fees DI C ' R 0pop ' LIC F B PE IT EXPIRES ate the applicable provi- resolutions to do have been paid. WORKS Date 8 Receipt No. 84970 WMITE•O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 1:.';ir r•. ; � >.'�� v..-�:i-.r,•isrr^., 4.7..�r ;--a.y'"y� J-ykr+Yi^•trtj't r+��•-�.;,i,r,� ;�_..�y.0 =�{.. > COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS - BUILDING DIVISION .7 COUNTY CENTER DRIVE - OROVItL" E, CA\1 ORNIA 95965 - TELEPHONE: 916/538-7541 ., • , w. W PERMIT APPLICATION DATA SHEET • ` y Permit No. � Sl%_— OWNER l� ,�-�--i�—�/ A. P. No. .— y Proposed>Building Use %!/1T ' Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ---- 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 9 .'...................... . 11. Chico Urban Area fees,paid....................................... Pr fees paid ..�.................................................. �7 —� 6 14 n School District fees paid .............. i 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of�� (see City for other requirements) • r 17. Planning approval for (A) Use: (B) FaWi"rig: ..... 18. Improvements may be required. Contact 'dlci` Development Section DPW 19. Driveway permit (construc o a kpoval required prior to occupancy) 20. Pre -Inspection for ;aV required...Pre-Inspec. request to r! Sj ' Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance,.. -� ............... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner'❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, pr cess as follows: Mail to own Mail to contractor. "elephone�A 9.1 and hold for pickup at Or �/i�&ice. Deliver w/inspector. Other Applic Date Copy of Haz- Mat form sent Health Dept. Fire ept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_jnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date PI ns approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW -- . .... __..._. %%.:. _ �. y �� ft. from flne of 50i t. from the road C/C structures or equipment except --A _7�e a v _ebV_VUh3rTq. Do clear 6F; aP e4 S&n en t6 1A Os 0 ke -72.83 ------------------- 71 4&3/-g() gim Cow WI: -VIMM"DWATMEN -A# WD fE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cralifornia*95965 - Telephone: 916/538-7541. APPLICATION AND PERMIT PERMIT NO. ASSESSOR ,*5 © ® y'NUMBs.R— CXC// ZONING BUILDING PERMIT OWNER TELEPHONE > 3 -- -Q� SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS , -</ 0<., 0,4 /Zv.v e / , . " CONTRACT O RS NAM -� X 1660 7 t t/ t r iE TELEPHONE 9 CONTRACTOR'S MAILING ADDRESS J Fireplace CpNSTRUCTION LENDER UNKNOWN Total Valuation $ .�J{= LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee .- ;• $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee •.• $ Energy Plan Checking Fee'-. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty. $ BUILDING ADDRESS Q' -O Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK � New ❑ AddAddition[]Remodel❑ Utilities ❑ Instal lationr-�t� Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ' Main service 600V OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): XI am licensed under provisions of Chapt. 9, Div. 3 of the BUSInesS and Professions Code and my license is in full force and effect. License No. _Vfa%tal /O Classification �"y ❑ I, as the owner, or my employees With wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main Service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.� OR ACDNS. ACC. BLDGS. /2¢sgft NEW CONSTR.U TI.OUT LET NON•RESID BRANCH CIRCUITS 2.50 ea /POWER APPARATUS .&) -SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 00 2A30t e 030 L Ex. Occup. OUTLETS (PRESIOED IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C: laws of California. Notice,to,Applicant: If after making this statement, should you become subject,• to the W. C. provisions of the Labor Code, you must forthwith comply with such' provisions or.this permi.t,shall be deemed revoked. '' „ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 9 Hood 3.00 Ventilation. Permit Fee:;: " ` $ Contractor ?:.> I certify that I have read,this application and state that the above information is correctr,tl agree•to comply to all County Ordinances and State Laws:relating to building construction; and hereby authorize representatives of -the County of Butte to enter upon the above-mentioned property for Inspection purposes. I also agree to save, Inde 'fy and keep harmless the County of Butte against all liabilities 'udgm OSt S, and expenses which may In any Way BCCfUe against s un o �equenc of nting of this permit. !�% �� +" Date Signoture' Applica – , 'Owner , ,Comraatar [g Agent ❑ El An OSH , per•mit')t required for'excovations over 5'0" deep and demolition or construct- ion of structures'over 3 stories in height. Mobile Home Installation fee $ ; %Energy Inspection Fee,poy*p-, ­ $ ocC CONSTTYPE -'• • :,(r+ •• "i TOTAL FEE $ HAZ CUA PARK, CHL1. FLD PAR PD HD ISSUE Thls'permit is hereby issuedfunder sions of the Butte CountyiCode and/or work Indicated 1—fees DIRECTOR,'OF PUBLIC `� Y . T }PExRMIT EXPIRES +rDate 'gin the applicable provl- resolutions to do have been paid. WORKS Date Receipt,No �f�D �47 -' L'% Ai,!4' R S' 1- :f� [T[L� OW��AIDQS IO R, PINK --N SP ICT OM, `GaL DCN RCC -APPLICANT *;Nnw.:.r✓1.rm7ld'�wM:�vli..r.r�w�+.-a^l'•..n��..0-r.:1 'Y.^'z`Fi,+1-..'r+1•r'r-.�....-v"�nY�`A�.*.^{13+r�=�/'/_,X,''Srt'�.r.��.�,�„�,r.��•�;-w,.�;.^21.+K::...a'�+�"rtry-yk7AA^i'"''M••-'• r3 e'er �t.,�-� -. f z BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) "A.P. Number .•(°)-•(� Building Department No. School District 00 P % D City 1___.J County [= Jurisdiction Property Owner Project Locati Subdivision Residential Development: r -Commercial/Industrial: oa # of Living MHI Units New Lot Number F ] Footage Addition (Group R) Sq. Footage Addition (Including Exterior Roofed Areas) Date ******************************************************************* (Floor Plans reviewed by School District Personnel) strict Id No. . I it c D ( j pligant A t ltd treet Address hool District certifies that Phone Number (City) (State) (Zip Code) has complied with the requirements of Resolution No. /4,6 - 9 by the payment of $ o representing square feet. School District Representative Date - PAID BY CHECK NO. REMARKS,(�,(�//� -^ BANK NO //��i,t -0, a -- PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS -.--. 7 County Center Drive, Oroville, CA '.PHONE: 538-7541_ MOBILEHOME INSTALLATION SHEET 1. Owner.'s Name: ��'i2f2 L L dL�L F7Y2L� �= 2. Installer's' Name:* I/ f 3. Is the site currently under permit? Yes No. . (If yes, furnish.permit i,umber ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes �. No (If no, clarify 5. What is the mobilehome electrical rating? --------------- Z00 Amps 6. What is the mobilehome site service rating? ---- ------- A-40 Amps 7. What is the mobilehome site circuit breaker rating? ----- /le C% Amps 8. Is there any other electric load to be served by the mobilehome site service? ----- --------------------------- Yes © No (If yes, identify the load and size: .(Load) Z (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3/'• (in.) 10'. What is the type of gas service? ------------------- Natural LPG 11. What is the gas.pipe length from meter or tank to the c3 `1mobilehome?--------------------------------------------- (ft.) * 12. .What is the mobilehome gas demand?-------------------�_OqUN , (BTU) *(This information not required if pipe, length le �VIDEl`nyv'� !natural. gas . or less than. 50 ft. on LPG:) (, , 1 ps,16M �6++ MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr.=L,64E 77Z/O,V furnish Setup. Model No- Year Width (ft.) Box Length_�L(ft-) Tagalong or Expando Size ft'. x ft. On all mobilehomes manufactured after October 7, 1973, furnish •manufacturer's':installation manual and structural setup sheets (if noa::.on Iile.with. the:•County. of :Butte) FOCYrINGS (check one) 1. Wood -pressure treated or'foundation grade. 2."°Other (specify) SUPPORTS (check one) 1. ':Concrete block. 2. Other' (specify) ­ -- ^: ::,:...__..7. ° Pier'Footing Sizes and Locations ` "^'bra:: ,, .•• S 1 Nr f.E-WI DE " Linz ^ MULTI -WIDE Line 1 ' � Line 2 i _ — .— Main Beams Line I � LlnS — — •� —. �. Line 2 .. .--s-- Malnbe—ame�—_-- .. _}gine —1 • — _ — _ — ._ .— — — — .— +Line Tag or Triple r' —• — — — — — — — — — — �� I -i— , 4 . Line 1 Line ! Pi=ra Size -Min- ----------- Ik 1 Shaving -Max. --------- 1_ 11 Fr..m Enda-Max-------- 1.1nc 2 Piers Sixe-Min• ------------ ZNx 301 Spacfox-Max---------- From F.nds-Max-------- I�fne• 1 W of ivadr: Size -Min. ------------ location (From Front) ljlne 4 Plus Sltl•-Nin----------__- . Ik 11 Spaclox-Max---------- r._ -From Ecids-hax 11lir I. Woof load ai . "'.., !.°�.11�I:. K•J, '`t =,7I lncatioaer(Proa Front), . ti r ala . ltne 1 Ooeninaa• 6 L r - v oo z- Sire.Min.................... . I.x 11 %%v 1b7"It-vG r f O.v kS Each Side of Openings With Width Over --- r� Line 3 Piers: (Under Bearing Wall only) Size -Min -----_.^----_----- k Spacine-Max-- , N From Enda-Max-------------- ,1'• .. .r4' . �.ri..i.�v,'li-Iw. .. 1 4f 1:� 3' ... � f sin ''! r � n rv.' �., Line 5 Piers: (Under Bearing Walls On y Size -Min, -----..--. Spacing -Max.......'..... .. From Ends -Max........ kI.X y " Ik _�' 11 1 N ,1'• .. .r4' . �.ri..i.�v,'li-Iw. .. 1 4f 1:� 3' ... � f sin ''! r � n rv.' �., Line 5 Piers: (Under Bearing Walls On y Size -Min, -----..--. Spacing -Max.......'..... .. From Ends -Max........ kI.X y " OWNER��� PERMIT L-) 3 3 J —76 6 MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Req. !rvice Other Pipe YES NO YES NO Cze Load Type Size Length 2� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT+ NO.. 7 County Center Drive - Orovil'le, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT / ASSESSOR PARCEL NUMBER 25-02-40 ZONING s BUILDING PERMIT OWNER Dar 1 0 letree TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAI LI G ADDRESS CONTRACTOR'S NAME Harold Balaz TELEPHONE 534-11 0 CONTRACTOR'S MAILING ADDRESS 3070 Lewisv Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is a Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP !. 3 L Z Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeUX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 30.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation[] Other ❑ Describe work: MHT? Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP Il 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full orce and effect. License No. .£� �N 2 Classification ElI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) E]I, (Sec• owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.g OR ADDNS. (ACC. BLDGS. 2/z¢sgft NEW CONSTR RANCH TLETCIRCUITS) NON.RESIO BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(ouTLE TS OR FIXTURES .20@030 2ALI3C FIXED APLN Ex. Occup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 15.00 Permit Fee $ 37.50 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. t, ,P4,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 Cool in g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai st saidCountyin cons quence of the granting of this permit. X Date �� "'� L ��S(7 Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL $ 92.50 FEE AL E HAz CUA PARK PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees IR :OUBLIC BY PERMIT EXPIRE Date the applicable provi- resolutions to do have been paid. WORKS ate �6 Receipt No. 84870 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 4,U) OWNER �v OF BUTTE - DEPANTMENT;OF PUBLIC WORKS_- BUILDING DIVISION 9 COUNTY CENTER DRIVE - OROVL`E; JDALIPORNIA 06686 - TELEPHONE PERMIT APPCICAT,10 DATA SHEET 018/638.7641 Permit No. r w - A. P. No. 2S off. — SAO Proposed Building Use lk) lel Gt!_ Building Inspectorr r S Date / 2- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted'. .........................,.......... d� 2. Plot plans intduplicate/triplicate, signed by preparer of plans. 3. Complete pla s in duplicate/triplicate, signed by preparer. of plans . . 4. Complete e gineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7.. Statement of Intent for Non -Heated -and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome iallation data including manufacturer's installation instructions..................................................... 10. Fees of $ ........................ 11. Chico U b6AIrea fees paid ........................................ 12. Park fees pad .................................................... 13. School District fees paid .............. f 14. Sanitation approval from Health Department 15. City of Chico p umbing permit...: ................................. 16. Plot plan an usirn s license approval from City of (see City fo of ,er requirements) 17. Planning appro I for (A) Use: (B) Parking: ...... 18. Improvements ma be required. Contact Land Development Section DPW _ 19. Driveway permitconstruction approval required prior to occupancy) V 20. Pre-Inspectiara�or.. required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 2 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) . . 24. Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ................................... 26. a 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 0 and hold for pickup at office. Deliver w/inspector. Other a Appl icaDate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent -Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phoneJnaiI—counter by ..date Contractor, designer, owner, was advised of above required data by_phone_maII—counter by date Plans checked by bw Date 1? 11. 90 Plans approved by &W-11-71-96 Date 1-D- I Sets of plans on hold in File cabinet AP folder Copy—DPW t TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance <j Owner Location AP# Plan Approved for: Sewaqe Disposal Water SupplyLe Hold final for: Water Supply Final. clearance O.K. for: Water Supply Clearance for 3 bedroom m bil h e Other NOTE * * * Sanitarian ate COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING _ .. _ ---BUIL-DING-PERMIT__:_ OWNER TELEPHONE — SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACT! 'S AME / ,eo/� 15W4 TELEPHONE 7� / D CONTRACTOR'S MAIL NG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ p ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $, Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FiIingFee 10.00 02. UC Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomg,ET Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Roo 0.00ea TYPE OF WORK New❑ Addition[] Remodel❑ Utilities,,2' Installation[] Other ❑ Describe work: Permit Fee $ �. O D Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR SLS.ESS 10.00 p,00 Main service EA. ADO'L too AMP 2.50 p CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ADONS. ACC. BLOGS. y:¢sgft NEW CONSTR UL7I.OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. ) Ex. Occup OUTLETS OR FIXTURES Zoasoe 0050t FIXED Ex. Occup. OUTLETS ( R RESID 1EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ofocc Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ i 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 $ CONST TYPE n TOTFEE $ < �� AL AL HAzLUA PAgK Fro PAR Po HD IssuE Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to-do have been paid. WORKS Date Receipt No. yig 20 —1V9a2 -.5-6 7f WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY_.'OF BUTTE - DEPARTMENT OF,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised .the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. - 2. Plot plans in duplicate/triplicate, signed by preparer of plans. 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on' plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and AC Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome installation data including manufacturer's installation instructions. _ 10. Fees of $ _ 11. Chico Urban Area fees paid. 12. Park fees paid. _ 13. School District fees paid. _ 14. Sanitation approval from Health Department. -15. City of Chico plumbing permit. _ 16. Plot plan and business license approval from City of (see City for other requirements). _ 17. Planning approval for (A) Use: ' (B) Parking: -18. Improvements may be required. Contact Land. Development Section of DPW. _ 19. Driveway permit (construction approval required prior to occupancy). _ 20. Pre -Inspection for required. -21. Contractor's license information .(No., Name Style, Classification). -22. Certificate of Workmans Compensation Insurance. -23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑j. -24. Recorded copy of Agricultural Acknowledgment Statement. _ 25. Letter of signature authorization. -'26. -27. When you issue the permit, process as follows: Mail to owner. _ Telephone and hold for pickup at office. Other Mail to contractor. _Deliver w/inspector. Applicant Date GENERAL tNFnRMATtnN BUILDING'DEPARTMENT OFFICES Chico. 196 Memorial Way Phone:. 891-2751 Hours:. 8:00 a.m. 12:00 a.m. Orovi I le 7 County Center Drive Phone: 538-7541 Hours: 8:00 a.m. - 5:00 p.m. Parad i se . 747 Elliott Road Phone:.872-6307 Hours: 8:00 a.m. 12:00 a.m. HEALTH DEPARTMENT OFFICES Chico . . . . 196 Memorial Way Phone: 891-2727 Hours: 8:00 a.m. - 9:00 a.m. Orovi I le . . . 7 County Center Drive Phone: 538-7281 Hotirs: 8:00 a.m. - 10:00 a.m. Paradise . . . 747 Elliott Road Phone: 872-6308 Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 538-7601 - Hours: 10:00 a.m. - 3:00 p.m. Original — Applicant Q • �� C,I-- Ake lpVY l 1 104 4�- � /"*-( 0' �A 1 �raC'np� Return to DPW. Section requires prior to )f90-54472 AGRICULTURAL STATEAlENT OF AC1alOWLETM FOR RESIDENTIAL DEVELOPMENT 26-8.1 of the Butte this acknowledgement issuance of a building County Code be recorded permit.— :; ' 90-054472 ; R e c F e e r N" 5.00. The property described herein is adjacent Cash - - •5:;00'' to land or included within an area zoned Recorded for agricultural purposes, and residents Official Records Sa of this property may be subject to incon- County of .F veniences or discomfort arising from the Butte use of agricultural chemicals, including, •'Candace J .'• Grubbs 1•,. but not limited to herbicides, pesticides, , and fertilizers; and from the pursuit Recorder XX 1 of agricultural operations including, 9:10am 21 -Dec -90 - but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real :property. situate in the .County of Butte, State of California, described as, PARCEL ONE: Parcels 1, 2, 3 and 4, as shown on that certain Nrcel Map of a portion of the Nest half of Section 11, Township 18 North, Range '3 East, M.D.B, do M., which map was filed in the office of the .Recorder of the County of Butte, State of California, on July 18,- 1983 in Hook 93 of Maps, at page 24. PARCEL TWO: A right of way for road, utilities, And Pacific Gas and Electric Company over the Northerly 30 feet of Parcel 2.. as shown on that certain Parcel Map being a portion of the* West half of' Section ll, Towhship' 18 North, Range 3 East, M.D.H. be M., vihich map was filed in the office of thr: Recorder of the County of Butte, State of Calif- ornia, on July 10, 1979 in Book 7.1 of Parcel Maps, at page 58. -- - Date: _December 21, 1990 PROPERTY OWNERS: Derrel G. Ogletree State of California) On this .the 21st day of December 19 90 , before me, the SS. undersigned Notary Public, personally appeared County of Butte ) ***DERREL G. OGLETREE*** m (�� • My�Og°o°°s° e • SOv° Personally known to me. aProved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my,hand and official seal. Present A.PNo.0 �l'&;Sb \Notgg6blJOCUMENT I 1112% eount4 / r - at Xutte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: SHEILA BARNES ADDRESS: 20 GOLD RUN CT CITY & STATE: OROVILLE CA 95965 IMPORTANT: 8/9/94 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE CIIA"IT rLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER CANCELLED PROJECT DUE TO ILLNESS. B.P.#93-3781 A.P. 025-020-040 RECEIPT #153741 DATED 11/22/93 TOTAL AMOUNT PAID.. 402.80 RETAIN REFUND PROCESSING FEE ............ $ 25.00 RETAIN BLDG FILING FEE..... ..............$ 20.00 RETAIN PLAN CHECK FEE ...................$150.80 TOTAL AMOUNT TO BE RETAINED.............$195.80 TOTAL REFUND DUE.................................$207.00 i I TOTAL 207 .00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. n A , X /....y............ Y .. .. ..... • G..0 1 �1-....... Dated this da o[ 19 et ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Calif. .......................... •Signature laim ant ee performed or de- livered and that there is a Budget Appropriation ED or Specific Board Approval O (Check on ) f e dame ' I, the undersigned, hereby certify that, to the beat of my knowledge, the services or artic s ified above pd�or Dated th18,,.,,9TH day or ..09UT ......... 19.,,7 at ., OROVILLE , Calif. ........ -<!� .. ................ apartment Heuthorized Deputy Dept. Exp* c`e..4.4.0.-0Q.2...................... C de 4.��Q QI�............................PAYABLE FROM .......1.tQN.ST.RU.. iT:[QN...J..J:tl? vU.TS.............. ............. FUND DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. f FOR BUILDING DIVISION USE: Receipt Information: Number: Date: Issued To: Amount: $ to Fees Retained* Processing Fee: $ o7J�• �L� Bldg Filing Fee Plbg Filing Fee $ Elec Filing Fee $ Mech Filing Fee $ Energy P/C Fee $ Plan Check Fee $ 1,57o. (�0 inspection Fe -e $ n Total Amount Retained $ TOTAL REFUND DUE V i -7LO k. CLAIMANT'S NAME IN REFUND CLAIM APPLICATION ' S6614 8arrl& MAILING ADDRESS 2-0 <9 rt�Z/�<7 F r � ASSESSOR PARCEL #K).25- — 02 O —' OPV PERMIT #f2i, RECEIPT NUMBER(S) / 4— � % �� Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check -those categories which you wish to have refunded.) Building Permit Fees [ ] Sheriff Fees [ ) SRA.Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: ] Plans returned to me at counter. [� Please mail plans to me at above address. - Please dispose of plans. SIGNATURE DATE a� old 12 un r -- Put r O a n _ I e r x I cf a� e2i V . .. � �, � � ' ,� • 4 .: , `=� ,ti � � ; it `L ` + {� 1 � '. 1 • i '1 �4 � y �. - � , r ' � , ,� � r , � '!• \ � � Y ? 1 � ' � - ` . �� , _ , � •1 � r - ti`s--` ,1� 1 '� , a `� �- 11_ � _• � — - + �'�� ',� \, � n � �t it .� • COUNTY OF BUTTE - DEPARTM DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Californi9 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERNT ��'�� � ASSESSOR PARCEL NUMBER 025-020-040 ZONING AR -1 BUILDING PERMIT OWNER DARRELL OGLETREE M-71076 SQ. FT. OCC. BUILDING VALUA ION 11 95t R OWNER'S MAILING ADDRESS r' - 20 GOLD RUN CT OROVILLE? 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 939 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 20 GOLD RUN CT PERMIT FEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF D Duplex O Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New D Addition ❑ Remodel D Utilities D Installation ❑ Other l Describework: INSTALL PERIP'IETER FOUNDATION UNDER PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 EXISTING MOBILE (SAtJE LOCATION) OR LESS Main Service ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) So. 3.5C FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) D 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 Ex. Occup- (OFIXED APPLNS. OR UTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence o the granting of this permit. XDate — Si na ure f Appy nt - Owner O Contractor D Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE �— TOTAL FEE $ 402.80 HA2. D. FEES IMP I Flo`pl CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indic above or which fees have been paid. I ECTOR OF PUBLIC WORKS Q B Date �jQQ7�,r� PERMIT EXPIRES ON -G % vc-:�olLd IDetel Receipt No. 153741 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT :w ~:r. �- ` * COUNTYOF BUTTE -DEPARTMENT OF,bEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 _ PERMAT APPLICATION DATA SHEET OWNER ���% / (sle�`-�ee A. P. No. d.7-5-- oZD - 05'0 Proposed Building Use - �O�i,1/ fY�oO�% Building Inspector Date / S3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. .4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. All items have been submitted. ....................................... . Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, sig ed by preparer of plans . ...................... Engineered plans and calcs,04 sets, with wet signature on plans . ............. Hazardous Material Form . ........................................... . Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $......................................... Impact fees as shown on attached schedule . ............................... California Department of Forestry plan approval/fees. ........................ . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley. ........... . Planning approval for (A) Use: (B) Parking: . ......... Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). . . Pre -inspection for required. .. st w a�°�� a nspecQtor (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . ......................... Owner -Builder Verification (Given to owner , Mail to owner . .......... . Recorded copy of Agricultural Acknowledgement Statement . .................. - Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . .......................................: . Mobilehome utility clearance . ..................:...................... . Documentation of legal access . .....................:................. . Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Wh,enou issue the permit, process as follows: Mail to owner. Mail to contractot' Telephone 5'3.3-407b and hold for pickup at 0CAvco,%/-e­ office. Deliver with inspector. Other _ - ' I , Parcel Creation O Acreage Applicant Date 1 �/y ��-� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted Do& to Remit is ance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Couni try _ Date Plans checked by Date Plans approved by K /(� Date Sets of plans on hold in File cabinet APP folder 9 ly PV -- Copy - Department of Public Works a ~ COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovil e, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing • your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and -issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) ' 2. I (have/have not) a4/ P signed an application for a building permit for the proposed work. 3. I have contracted with the following person construction: Name- Address (firm) to provide the proposed Phone _ Contractors License No. City 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner % Social Security umber Date � I— 2 2 - NOTE: NOTE: This Owner -Builder. Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned'to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 -APPLICATION AND"i'ER'A PERMIT NO. ASSESSOR PARCEL oas NUMBER/{ - oao� ZONING,4)e BUILDING PERMIT - OWNER - TELEPHONE SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILIN ADDRE CONJAACTOR' NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS _ Filing Fee $ 20,00 Permit Fee d7o S Z, Da ARCHITECT OR ENGINEER DCENSE NO. Plan Checking Fee $5 t O Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ Da , PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome� Other !!!!!!////// ( SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New C)Addition ❑ Remodel O Utilities ❑ Installation C3 Other �, Describe Work: ;9NSrAZI Pe rlAle-,Aeg f �UA/n.4y r �� PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 r 0"Z Z7� Main Service I I*V OR LESS 200A OR LESS I 23.00 Main Service ( 200A TO 1000A I 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. I S ACC. BLOS. ) 3.5C FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter ter 9, Division 3 of the Business and p Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS I @7.50 POWER APPARATUS I 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup' ( OFIXED APPLNS. OR UTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply. with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction; and hereby authorize representatives of -the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and -expenses which may in any way accru against said County in consequence of the granting of this permit. X Date �l ��AS Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent t An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $: HAZ. D. FEES IMP F1000 -GDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON (Dere) Receipt No. 15,3721 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I RESIDENTIAL -� --025=02-0-040 -- 93-3781 B OGLETREE, DARRELL 20 GOLD RUN CT, OROVILLE FOUNDATION UNDER EXISTING MOBILEHOME JOB FINAL0 (Date) Signature , V=OK O=Not OK ' NotRea0yable " MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Solis; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 8. Gas; Location -Teat -Wrap: / /" L"ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test-Crossovers-Breakere-Clearances 5. Drain; MH Test -Fall -Flex Connector 8. Water; MH Teat -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Gridera and/or Joists -Decking -Bracing -Stairs -Rolls 4. Wood Awn.; Posts-Beams-Rftra: Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 8. Caroorts: Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps-Doors-Landinge Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-Linina 4. Elec.; Receptacles and Lighting, Distances-GFI S. Elec.; Pool Lighting; 15 volts-GFI 8. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test-Water'Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Fifting-Test-2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles In Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace :Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: ..�' COUNTY OF BUTTE - DEPARTMEN t)EVELOPMENT SERVICES 7 County Center Drive - Oroville, California 95965 t.Telephone APPLICATION AND PERMIT DIVISION (916) 538-7541PERMIT NO. 9�Ti ASSESSOR PARCEL NUMBER 025`�02T^(—040 'A ZONING ZONING AR -1 I BUILDING PERMIT ' ,�y�.�TE OWNER DARREI�LDG t SNM076 SQ. FT. OCC. BUILDING VALUATION OWNER'SMAILING ADDRESS 20 GOLD RUN CT OROVILI-E- 95966 CONTRACTOR'S NAME MINER TELEPHONE r CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ En a 0 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ),A7 110 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ cn Qn Energy Plan Checking Fee $ + ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 20 GOLD RIJN CT PERMIT FEE S�A ^ n A 7` OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome a Other IL SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IDOther 2 Describework: INSTALL PERIMEM FOUNDATION UNDER AM EXISTING MOBILE (SE LOCATION) PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service101 LISS ( 2001 OR LESS ) 23.00 Main Service ( 200A TO IOGOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. OLDS. ) 3.50 FSTD., CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1 I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is fibf intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) C)I am exempt under Sec. Business and Professions Code forthis reason r E NEW CONST. MULTI -OUTLET -NON -RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B 20 @ 1.00 Ex. Occup.FIXED APPS. OR UTLETS IRESID.1 EA. ) (OW 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check'one): ❑ This permit is for $100.00 (valuation);or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Woikmen's Compensation Insurance or a Certificate of Consent to Self -insure. Ishallnot employ any person inany manner s as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE, $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 against said County in consequence of the granting of this permit. X�%�-�/ Date Signa iJ`reI� ApplicW ! wV ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC �`" CONST. TYPE TOTAL FEE $ 402.80 HAZ. D. FEES IMP FLoop,,f CDF PARCEL I PD HD 1 - This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Date �L &-C 93 d PERMIT EXPIRES ON �29P 6 (Date) Receipt No. 153741 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 ' 1I!LrT loss ,TRITE. MW ZP AM WHEM RECORDED MAX TO: SPACE ABOVE THS LITE FOR RECORDER USE NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document of lite request of the locoi agency indicated is in accordance with California Heoltl: and Safety" Code Section 18551, This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described With certainty below, as of the date of recordir.;. When recorded, !his document she!! be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to ail per- sons thereafter dealing with the real property. /V r a n o mg_s Af 6\ e I e -+(-e REAL PROPERTY OwR OR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY COU t+ MA;UNG ADDRESSMAiiiNv ADuR--- l2ti©u; f e_ 'B 04 t° C' �5q (& 6 CITY /� COUNTY - . _STATE ZIP CITY COUNTY STATE . ZIP AO 6-oick KUo C+ INSTALLATION MAIUN�S�i AODRESS, IF DIFFERENT BUILDING PERMIT. NO. TELEPHONE NUMBER 0 f-0 I l 10 U-k'e- C )'� g/ 51(o 6 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY OFFICIAL DATE 6'gme UNIT OWNER (If also property owner, write "SAME") HAILING ADDRESS CITY COUNTY STATE ZIP DEALER NAME (If not a dealer sale, write "NONE") OEALZR LICZ-NSE NO. UNIT DESCRIPTION 010 oo •3 41 L9.2 I4 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 'AF4/78/1/ SERIAL NUMBER(S) REAL PROPERTi-LEGAL DESCRIPTION LENGTH X WIDTH INSIGNIA/LABEL NUMBERS) ASSESSOR'S PARCEL NUMBER ©;?!5' 020r 04/40 rEMt Or M- c HCD FORM 433(A) 4/86 1 � �` UNITY OE. BUTTE COUNTY TITLE COMPANY *HAIL AXNYA 11AWNTTO "Same As below" F— Mr. and Mrs. Derrell Oglo-tre 41 Gold Run Court Oroville, Calif. 95966 90--Q824- 90-042024 Rec Fee 7.00 Do,-- 22.00 Recorder; Check 29.00 Official Records County of Butte Candace J. Grubbs Recorder 8:00am 5 -Oct -90 vs 2 ()Hl)l:g 111). I%S(,KO", \(I oNNSFT_-R -- I &-,vjQ The.nder"piol praill"a'-d'dam": I XXXCoinpiticit tin Iijil valut: ,I priolx:rty conveyed, tit I I Omij :0 nn It'll valor 1C." value of liens and encumbrance' rcmaiii;iip :it tim'. tit %ale. Tax I'mcd N, _?5..O2 040 FOR A VALUABLE CONSIDERATION. receipt ot'which is fwrt-i)y acknowledged. HOWARD WIEDW , a single men SPACE ABOVE RECORDER'S USE ONLY ------- GRANT —'- —GRANT DEED (JOIN'rTENENCY) herch% (MANT(S) Io DERRELL G. OGLETREE and MAE A. OGLETREE, husband and wife AS JOINI-FIENANTS the 1*411!(m-ing described real properly in the County ul Butte Slab ol'Califi,mia. SF? EXHIBIT "A" ATTACHED HEREWITH FOR LEGAL DESCRIPTION Howard Wledman haled 'CglteMber 2,8. lqqO S'IA*l I- I W CAI 11-1;kNiA .. ... ..... I'v I ....... Howard Wiedma.n I .... ....... ...... .. lit, lw,wl he WI I \1 ."A ( .. ... ..... It ... ..... ...... ......... is ... ........ Rose None a 6EVEALYJ.0REEN : IJUlte, County N My Cunittsilicin L-mpil"t, a ■ DIX J. 11)9:1 • • \IAIl I'AN ";,\I I \11.N; I V: I �I) . ,�adie - tfl9fOir ir,.orrsa�maa+yam.:._ DESCRIPTION EXHIBTT "A" 9 G-; 2 8 2 4 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL 1: Parcel 4, as shown on that certain Parcel Map of a portion of the West half of Section 11, Township 18 North, Range 3 East, M.D.S. & M., which. map was filed in the office of the Recorder of the County of Butte, State of California, on July 18, 1983 in Book 93 of Maps, at page 24. PARCEL II: A right of way for road, utilities and Pacific Gas and Electric Company, over the Northerly 30 feet of Parcel 2, as shown on that certain Parcel Map being a portion of the West half of Section 11, Township 18 North, Range 3 East, M.D.B. & M., which map was filed in the office of the Recorder of the County of Butte, State of California, on July 10, 1979 in Book 71 0_' Parcel Maps, at page 58. PARCEL III: A 30 foot wide non-exclusive right of way for road and public utility purposes, as shown on that certain Parcel Map entitled, "A portion of the West half of Section 11, Township 18 North, Range 3 East, M.D.B. & M.", said Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, on July 18, 1983 in Book 93 of Parcel Maps, at page 24. PARCEL IV: A 10 foot wide public utility easement as shown on that certain Parcel Map entitled, "A portion of the West half of Section 11, Township 18 North, Range 3 East, M.D.B. & M.", said Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, on July 18, 1983 in Book 93 of Parcel Maps, at page 24. EXCEPTING THEREFROM any portion lying within the bounds of Parcel 1 above. END C/F DOCUMENT TRI COUNTIES DANK 780 Mangrove Avenue P.O. Dox 2207 Chico, CA 95927 (916) 898-0400 NOVEMBER 16, 1993 Darrell G. & Mae R. Ogletree 41 Gold Run Court,_ Oroville, CA 95965 Subject: Tri Counties Bank authorization to place mobile home SN# CAFLK17A11191SH, and SN# CAFLK17B11191SH on a permanent foundation on real property located at 41 Gold .Run _Court,_ Oroville, AP# 025 -92 -0 -,040 - Dear -92,_0 -040 -Dear Mr. & Mrs. Ogletree: This letter will serve as the Bank's Authorization to place the above mobile home on a permanent foundation at the above property site. It is understood that all foundation work must be done in a workman -like fashion, adhering to local codes, with all appropriate state/county/city permits being obtained prior to the start of any actual construction. Good luck on your improvements. Sincerely Yours, Gary C DuQuette AVP Senior Loan Officer Tri Counties Bank �_ BUILDING -DIVISION COUNTY OF BUTTE - DEPAR-TMIT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE – OROVILLE, CALIFORNIA 95965 – TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. _ ZONING OWNER �e-C PHONE NO. 5-3 D OWNER'S A DRESS / 0 '�t' LOCATION OF BUILDING IR6) rc/UN ell— U' -e— USE OF BUILDING .S� S SIZE OF STRUCTURE a ' X so. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDIN - , )ay ROOF COVERING _ FLOOR TYPE /, ESTIMATED COST FVCONSTRUCTION �©� $ !� AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:C I �- 112 FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 1, .3 Signature of Owner Zz- Permit Fee - $60.00 The above described AG Building is exempt/m a building permit. Receipt No. /5 3 7 L/ FL I PAR L I PVJ ROOFIIjG I ISSU Manager Building Division By A;#�'� Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant {' .r'`-'�..r''ua+�7::-.,nr�w+'+t-,Nv'M..,�.�a1-^"ik•Tt"'i"}`%Lrn.s'•� ,�y..� ,. ... � �h� �.�1'rserv-y.�..f"lr�-^�c��[ys.c�f.`^I'"'r�•'+7"�Y'`t'�..t-`_ `r......y- - 1 - Y�COUNTYOFBUTTE - DEPARTMENT OF9DEVELOPM ENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALLIF�ORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET' OWNER 4::�Zd A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED By 1. All items have been submitted . ............... ........................ 2. Plot plans, 3/4 sets, signed by preparer of plans:. ......................... . 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous ous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ....................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ......................................... . 11. Impact fees as shown on attached schedule. .............. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer .............. . 14. Sanitation and plot plan approval Health Department . ............ r 15. City of Chico plumbing permit . ....................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. . 20. Pre -inspection for P`e4nssppe`lon req°e required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. ' 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ 28. Mobilehome utility clearance . ..................:...................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34 9 When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for picl up t. office. Deliver with inspector. Other Parcel Creation Acreage Applicant / Date /X -,ZZ Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Contractor, designer, owner, was advised of above required data by _ phone _ mail Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Counter by -Date Counter by _ Date Date