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025-310-002
�. .rR 1 J=OK 0 = Not OK - = Ni " = No';erRoa -Readyy z MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. ning Requirements -Setbacks -Easements 2. 2. Soils; Special MH Support Sketch 11. Cert. of Occupancy Se r; Location -Test -Fall -C/O -Concrete 4.' Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing ater• Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures ctricity; Location-Clearances-Grnd-/ /Amp -Concrete 6(9a& -Location -Test -Wrap;-/ /" L'ft.' / P Nat. or / /" L " ft. Z LPG Card B-1 Date Card B-1 Date 7. Well Clearance & Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBIL"OME INSTALLATION (Plans) OK except #'s 'Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line @_.G s; MH Test -Demand -Valve -Connector tricity; MH Test -Crossovers -Breakers -Clearances ain; MH Test -Fall -Flex Connector V aier; H Test -Regulator -Connector 7. r and Sewer Connected -C/O to Grade -HD ADDroval Date POOLS (Plans) OK except #'s ,�YTje.Ds Type Installation Cert. Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. ,10 -5x -its; Insp.-Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 11. Cert. of Occupancy Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4.' Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Date Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date PERMANENT END SYSTEM (ONLY) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 1 9. 1. Zoning Requirements -Setbacks -Easements 10. Roof; Shthg-Roofing 2. Footings; Size -Spacing -Marriage Line Ext.; Steps -Doors -Landings 12. 3. Blocking Date 4. Gas; MH Test -Demand -Valve Card B-1 Date Card B-1 Date 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 / Date POOLS (Plans) OK except #'s MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4.' Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 1 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater :�. 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche f 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 J L- OK 0 Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s GAS Meter By 1. Zoning -Setbacks -Easements -Flood -Slope Date 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Garage Fire Protection Framing -RC Channel 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test 59. 12. Electric Underground 60. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Brace Interior/Exterior Wall Panels 15. Access & Ventilation Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 23. Fire Sprinkler; Test Fireplace or Stove, Clearance -Hearth 72. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 75. 24. Fixture & Transformer Clearance -Ins. Protection 76. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 77. 26. Size Boxes & No. of Conductors Stapled 78. 27. Romex Installed Close to Edge of Studs & C.J. 79. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 80. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 81. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 82. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 83. 33. Equip. Clearances Panels-Motors-Mech. Equip. 84. 34. Clothes Closet Light -Shower Light -Spa Light 85. 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 95. Card B-1 Date Card B-1 Date 96. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors Card B-1 Date Card B-1 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) GAS Meter By 47. Hangers -Post Caps -Anchors -Connectors Date 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconncct, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/0 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 2 NOTES ...RESIDENTIAL PERMIT NO. _ 025-310-002 404-1143 - BURNS, MARY JANE 950 PALERMO RD, OROVILLE CONT: SKYCREST ENTERPRISES MHI ADM 04-20 16 Y,66 I�AO UL 1 ssssrt �'l � SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ.. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter By Da ELECTRIC Date Meter By JOB FINALED (Date) v Signature PERMIT NO. P.E PERMIT EXPIRES _ t' OWNER David Neilsen � `"u�'• f CONTR. Neilsen Const., Oroville ;2 ASSESSOR PARCEL LOCATION S/S Palermo Rd.,app.700'W.of Power House Hill Rd., Palermo 9 i ! r• Temp. Power Pole Called PG&E Temp. Elec. Service' "~ d. Called PG&E Temp. Gas Service 1 Called PG&E tl JOB FINALED (Date) i Signature a' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cafifornia•95965 - Telephone 916/534-4541 { APPLICATION AND PERMIT rte/ JPERMIT NO. . ASSESSOR PARCEL NUMBER ZON INGr� F, �� BUILDING PERMIT OWNER VAV/1) AlclL5rlt J TELEPHONE so. FT. OCC. BUILDINGVALUATION OWNER'S MAILING ADDRESS 1 i9 �c'IJG� iI'C E �lW ki. �> lJ/� L _ CONTRACTOR'S NAME 41C /L 15,eAl IU57�W6 17t, -V. TELEPHONE f Y0 ?Z CONTRACTOR'S MAILING ADDRESS ! -?6 g,4'CJU�Uf3 L..E . c T: �, /C.l �" . �!. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is cJ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /, Ou ARCHITECT OR EN`GI'NE�E..F2 1 ! f)r k [/�7L LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ /,6 15. 4;0 BUILDING' ADDRESS S/S Pfril re-IUU 121�, f%r •%j(�' PLUMBING PERMIT Filing Fee 10.00 �l��`�r / / /�T tit/���/(—` - �""('' Each Trap 2.00 4,()(.) Repair drainage or vent piping 5.00 Pfil, r�,k'-A,"f7 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater Or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomen-00 SPECIFY Building sewer 1rt n e) Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑1.'R�emodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: C•�`l f/��%��/7`"- Permit Fee $ 1"'Oo Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. 1 C= DWELLING OC,U P,51 OR ADDNS. ACC. BLDGS. Iw2../� G Z�rsg ft CONTRACTORS LICENSE LAW .f I declaretunder penalty Of perjury (check one): r e❑ 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. n4 f J License No. _ Classification •� F] I, as the owner, or my employees with wages as fhelr sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 0 I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. I -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR. / POWER APPARATUS h) NON-RESID, %SINGLE OUTLET CIR. ExFIXTURES . OCCUp�OUXF-D 0 0250 BALI( AL�t A POR Ex. Occup.(.TL.TS (RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50- 1 1 1 1 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE • I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �000I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation r I Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. r I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in anyway accrue againsstt;said County in consequence of the granting of this permit" / X ter`' f��.l� .� 'Date l //Y 1 /.�1 _ Signature of Applicant — Owner ❑ Contractor~ Agent ❑Q ♦ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- /ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 2iJ5,so OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By � 117;7 '1 _. PERMIT EXPIRES Date r the applicable provi- resolutions to do have been paid. WORKS Date 17 G -e Receipt No. ���/ �✓ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 3t 5'12 3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 25-23-13 ZONING A2 BUILDING PERMIT OWNER David Neilsen TELEPHONE S0. FT. OCC. BUILDING VALUATION let Renewal OWNER'S MAILING ADDRESS , 950 Palergo Road, Oroville �.._. CONTRACTOR'S NAME Neilsen Construction TELEPHONE 533-9072 CONTRACTOR'S MAILING ADDRESS 36 Brookdale Ct., Oroville CA Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $-. Filing Fee � $ 10.00 LENDER'S MAILINADDRESS Ce, Permit Fee 0>F inal $ 48.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ - Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 58 .50 BU ^DING ADDRESS r Paler�ao Ad. , app. 700 W. of Pc��:lar House H> 11 &d. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Palermo Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome r Other SPECIFY Building sewer 5.00 Mobile Home S G W 10-00e TYPE OF WORK New El Addition F1 Remodel❑ Utilities [:1 Installation❑ Other Describe work: lot Renews of #4387-81 (dd cabana) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee- .10.00 Main service 600 AMP 00V OR oFZt:55 10.00 - Main service EA. ADO'L too AMP 2.50 NEW CONST. D EL'LING'OCCUP.& OR ADDNS. ( ACC.. BLDGS. 2I/2P'Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y icense 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 CON5TR L I.OUTL T 2.50 ea NON.RESID. BRANCH CIRCUITS) NEW CONSTR. /POWER APPARATUS &) NON-RESID. SINGL.A OUT -CRT CIR. Ex. Occu 20@50a P�o OR FIXTURES BAL@30a FIXED APP LNS. OR FIXED A Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 1.0 MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or s Certificate ,,9f Consent to Self -Insure. QI shall not employ any person,in any manner so as to -become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 _ Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection pu•poses. 1 also agree,to save, indemnify and keep harmless the County of Butte against all liabilit�ds, judgments, costs, and expenses which may in ehy way accrue against ,s� Id n In onseAilehce of the granting of this per,�pt. , i �,y /-,� _ X i Date r Signature of Applicant — Owner a- 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 $ TOTAL PERMIT FEE $ 58.50 OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which i6lRECTO OF PUBLIC By- '? Z AV/ 12-2— PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dgt — �' , I ? ! / Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT J = OK 3 0 = Not OK =Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, 2 T C. (Plans) ' .ccept ? + 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C%0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftis.-Connec.-ShtNg.-Rfg- -73racing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Eric...:. res 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H s 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date - t POOLS (Plans) OK except N's 1. Setbacks -Easements ti 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining__ 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date L9 J = OK 0 = Not OK = Not Applicable Read = Not Ready L.F RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Pis OK except #'s Date FRA ING (Continued) oning requirements -Setbacks -Easements Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel-! /" Ftg. Depth idth-Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /,' Ftg. Depth lywoo on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab %elSMing-Nailing-Veneer 6. Stemwalls, Garage; Steel -B ockouts-Wrapped-Slab r42 SLuQ a_Mesh-Drip Screed-Fdn. Vents-Underflr. Access 7. P rs-Fireplace Ftg.-Steel g Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55elShear Walls; Nailing -Bolts 9. Gas Pipe: Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test - 'may 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date / - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date C d -BI Date( !] -Card-BI Date Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date ` Card -BI Date PLUMBING (Pymlt) OK except @'s 57. Smoke Detector _ -44,i,� a Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. -N Nater Pipe; Test & Anchors -Nail Protection 16J(D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17.WShower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18 Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19: Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth - 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date ^ ,i Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Pe' t OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper �0. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Elec. Receptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Conductors -Stapled 70. 71. Plb., Elec. & Mech. Equip. Listed for Location a Elec. Receptacles in Garage; (G. F.I.)-Romex Protec. Romex Installed Close to Edge of Studs & C.J. - 24�Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps _ - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes ❑No 75. Following instld.: Drive Planters❑Yes ❑No ❑Yes ❑ No; Walks ❑Yes ❑ No; 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -- 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - 79. Water Well; Disconnect, Electrical, Plumbing Card B -I -- Dat ' ' and BI Date 80. Exterior Elec. Trim: G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -EI Date Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulatio_ng Support _ 32. Vent Fan; Exhaus bove Insulation 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain (& Overflow; Size & Grade _ 34. Furnace -Vent; A ess-Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Pla orm if Furnace in Attic Card -BI Card -BI --- - ----- - - Date_ - Card_ BI_ Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date - FRAMING(POT/ S) OK except q's 3 i Is; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 3_v,,Waring Walls over Girders & Flo_o_r_N_ailing_ _ Draft Stop in Walls (rat proof) - �re Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -size & Bearing 42. Hangers -Post Caps-Anchors-Connectors- �Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. .i4-FiTeff?ce Ties or Type A Flue -Fireplace Throat 4b.--At+ie•Ac cess: Size & Romex Protection -Draft Stop -Ins. Baffles �drm. Windows or Exiti_ng_Doors-Sill Hgt. & Dimensions_ 47r6erege Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) County of Butte 196 DEPART"NT OF PUBLIC WORKS 891-a?s/ N�emorial Chico - 11 7 County Center Dr., Oroville - 534-4541 Skyway and Elliott Rd., Paradise - 474-3435°- 87a x961-ar• 57 CORRECTION NOTICE �t .. . X ;,.....;,...>.... t-31 Building or Property Address ' A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ...................................................................C................................................... ............................................... s.........../,FF. S•. p.._................................................ ...........................................toy../#/r..........(.................................... ....................................` !......................... (� Dated." ........ ....... ..... Inspecto................................. Do Not Remove This Tag (400-4) PERMIT NO. 3632-84MHI ex site PERMIT EXPIRES OWNER DAVID & PATRICIA NEILSEN CONTR. David Nielsin i" ASSESSOR PARCE LOCATION 950 Palermo Rd$ Oroville f r •.i i• 3— sr7 9#Ccl7 �. sip ��Y N . M SSSSFFFS`"`���1 �6 JOB FINALED (Date) r , Signature Ol t, R. . Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E �6 JOB FINALED (Date) r , Signature Ol t, R. . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR - , rARCEL NUMBER ZONING BUILDING PERMIT owNERj I it -I �• ; � f ' i 'r � I I r I T� ELEPHONE ' SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS (' I • /r 1 is 1 ,TELEPHONE CONTRACTOR'S NAME ` CONTRACTOR'S MAILING ADDRESS . a Fireplace CONSTRUCTION LENDER r - ' C . if UNKNOWN I Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS LENDER'S Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS f PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 — - _ Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome Q Other f' 1 SPECIFY Building sewer 5.00 Mobile Home I S I G JW I el —10.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. C ACG. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST R ULTI.OUTLET 2.50 ea NON.CONS BRANCH CIRCUITS)S. NEW CONSTR POWER APPARATUS .&) NON•RESID. SINGLE OUTLET CIR. Ex. Occu B20 AL bot P TS OR FIXTURES BAL®30Q FIXED Ex. OCCUp. OUTLETS PI RESID.)LINIS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. a I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation __�+ permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X i . 7 , � . I t� ��' ..� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ r OCCUP. GROUP I TYPE OF CONST. - PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR'OF PUBLIC By f PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. -/,-) WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J=OK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except b's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2, Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Seams- Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except b's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth Card -BI Card -BI Date Card -BI Date Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70, Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• 73. 74. Insulation -Foam -Looked in Attic ❑ Yes Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. 76. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes E] No Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thnq.-_R_fng._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BPO41143 LICENSED CONTRACTORS 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 Issued Date' 06/02/2004 APN: 025-310-002-000 ' the Business and Professions Code, and my license is in full force and effect. License Class: Licens Number: Site Address: 960 PALERMO RD PAL Date: Contractor. n%� Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: MH 2nd Dwelling (1649) Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner' BURNS MARY JANE* ETAL to its issuance, also requires the applicant fcr such permit to file a YORTON BRIAN D C/O REMAX signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section PROFESSIONALS 7000) of Division 3 of the Business and Professions Code) or that he or 8211 SIERRA COLLEGE BLVD STE 410 she is exempt therefrom and the basis for the alleged exemption. Any ROSEVILLE, CA 95661-9405 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant' BURNS MARY JANE* ETAL such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: SKYCREST ENTERPRISES pursuant to the Contractors' State License Law.). COUSIN GARY'S HOMES ❑ 1 am Exempt under Article 3 of the Business and Professions Code 13468 HVVY 99 CHICO, CA 95973 Date: Owner: 530-342-2694 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License M 812930 ❑ 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. Architect: I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carper aV policy number are: Carrier: Total Square Ft: 0 S. F. Pony#: /��6`3r3 Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p ovisions. Date: Applicant: WA IN . Failure to secure workrs' compensation coverage is r unla and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the LaborU�-- code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under th applicable provisions of the Butte County .oda andlor I hereby affirm that there is a construction lending agency for the Resoluti s to d� work in 'cated a fo hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: lJ PE T EXPIRES ON: - Address: Pate) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the sub any official form or docum nt of Butte County. I hereby authorize representatives f Butte County t enter upon the above mentioned property for inspec ' n purposes. Print Name -Signature: Date: zoo i ❑ Owner Contractor 0 Agent for Owner ❑ Agent for Contractor El IrY1 64- L - � 1 � -1.� � c�s3r • F�/Z i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. ,, BPR41143 LICENSED CONTRACTORS 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 Issued Date: 06/02/2004 APN: 025-310-002-000 the Business and Professions Code, and my license is in full force and effect. License Class: Licens Number: Site Address: 960 PALERMO RD PAL Date: Contracto . 21"L Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: MH 2nd Dwelling (1649) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BURNS MARY JANE` ETAL to its issuance, also requires the applicant for such permit to file a YORTON BRIAN D C/O REMAX signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section PROFESSIONALS 7000) of Division 3 of the Business and Professions Code) or that he or 8211 SIERRA COLLEGE BLVD STE 410 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the ROSEVILLE, CA 95661-9405 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: BURNS MARY JANE* ETAL such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: SKYCREST ENTERPRISES pursuant to the Contractors' State License Law.). COUSIN GARY'S HOMES ❑ 1 am Exempt under Article 3 of the Business and Professions Code 13468 HWY 99 CHICO, CA 95973 Date: owner: 530-342-2694 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perl'ury one of the following declarations: License #: 812930 131 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. Architect: have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation rI insurance car er an policy number are: ier. .1� /I,/ Total Square Ft: 0 S. F. Policy #:_ C-39,342 Valuation: $0.00 EII 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 Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p ovisions. Date: Appl' nt: WA IN . Failure to secure wor rs' compensation coverage is unla and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the LaborcJ� 9� code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under th applic provisions of the Butte County odP ?nrVor I hereby affirm that there is a construction lending agency for the oable Resoluti s do work in 'cated a fhich fees have been paid. c. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY Date: iJ PE T EXPIRES ON: Address: e 131 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. 1 hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the sany official form or docum nt of Butte County. I hereby ub authorize representativesof Butte County t enter upon the above mentioned property for inspe ' n purposes. Print Nam Signature: Date: _ ��A ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor 4 � ` BUTTE ---. 11 ff OFF CIAL '�1ECE1 9 5 6 9 5 i;. OFFICE OR EPARTP NTi SU NG RECEIPT Received from f the Sum of 61� For`751 & 'G ( Received: Received By t CASH r � By DAVCO BUSINESS FORMS • (530) 743-8511 Forth 7570,, 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP DATE: APN: ` � O� ZONING: MER'S LAST NAME: OWNER'S FIRST NAME: PHONE: STREET ADDRESS• `` D L� FAX: CITY, ZIP: '// E-MAIL: SITE ADDRESS: CITY, ZIP: ) / / K�c/v • w ��-�( J q, bo A f L NEAREST CROSS STREET: TRACT&OT M. APPLICANT NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: CONTRACTOR NAME: PHON STREET ADDRESS: ,o FAX CITY, ZIP: / ! %� `T E-MAIL: LICENSE NUMBER: O ^ LICENSE TYPE: ARCHITECT ENGINEER-l/-N/1AME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) .-) A n, EXPIRATION OFAAPPOCATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: 5 G� a Notes: l •36`� Application Received by: Date:4) ' �i Receipt number: n Amount Received: t 0 L ' c"- Master application 3-4-04 �rr�.s-,% i«.'nn-.....I.r.r , .K�, �,-'L...iil. fir^•-n_r,.s �+-ti.rr'�,-.:-ti,r. rl i�yxLTYieiFLfWT.�i4T7r•f ��.-.1f.r7. �"� T -"F . COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ` 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 ' PERMIT APPLICATIOlo1 DATA SHEET fiA 1�5 - 3 OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. All boxes MUS be checked OR marked NA in rder to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes Data sheets and installation instZ) Marriage line info,,ZFloor Plan, Tie downeiinrip II in duplicate. . ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor pl. All of these mustbe stamped and wet -signed by the engineer. 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form •.. 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required; ...................................... ........ equired:....................................................................... ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit....................................................................:... ❑ 23. California Department of Forest plan approval ❑ paid. Sent by: 20""24. Planning approval (A) Used' (BjParking:(C) Parcel Check: S - y �tp O 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form...............................................................................I............. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ -30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance ....................... ........................................ ` ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction ................................................ ..................... .............. .....: ❑ 37.Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check'to H.C.D. $ S 38. er: MCI) ❑ 39. Other: When issued Telephone a and hold for pickup. I have been informed of the above items nd requirem is for obtaining a building permit. irevi mby:- - G.w i Date: tion for the above items nur�n red: Plan Checkr etter uired owner, wasadvised of the above data by phone, ❑ mail, ❑ counter, by Date:wner, was advised of the above data by one, ❑ mail, ❑ count r ��W(Date: Date:M ��_Date: D Plans approved by: ' Structural reviewedby: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 4 E.H. 3E ONLY Piot Plan Anachod Roos Man Anschad� sans to S.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance � 3 t -02- 0 ner Location AP# Plan Approved for: Sewage Disposal'� Water Supply: Public Private Well I A Oh" Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION f 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER A.P. # PROPROSED BUILDING USE DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEE i 121611Z �(paid at School District Office) (form available a er Pla C eck) _/3. SHERIFF FEES (paid at Building Division t �Cx� Residential............ X $ .00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be c)tanged-during the plan checking pro/ss. Pursuant toov ment Code Section 66020, you are he ei` by. notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90.da om the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) tion System (NPDES) Phase Il National Pollutant Discharge EliminaStorm Water Pollution .Construction Storm Water Permit ment S TLE THAN 1 ACRE) Prevention Plan (SWPPP) Acknowledge Project Title: u the project owner/owner's agent, certify that I am aware that a construction By signing below, L p j project ect that disturbs 1 acre or more of land requires a C ens responsibility to tru tion submai ea Nomtice of Intent ,State Water Resources Control Board and that it is my r P and a check for $700.00 made .. (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), y project payable to the State Water Resources Control Board toobtain project will permit t disturb 1 acre or disturbs 1 acre or more of land. L further, certify that project more of land. I am aware that submitting false and/or inaccurate information may result m revocation of gm_jpy and/or other permit�or other sanctions Provided by law., Signed: s..� �/� Date: School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACTFEE CERTIFICATION FORM (One form per Building) I nr 2-1-1 Building Department No. CL U0jj*) Jurisdiction: City li OCounty o t4t Pr6perty LocatiordAddre;s �Subdlvislon Residential Development No of Living Units Commercial/16dustdal- - I Mobile Home Installation ti Lot No. ........... .................................................................... F! ......... ..... Sq. Footage LA Addition/ *Supplemental to (G R) mug Conversion Permit # *(No foundation Inspection) k....................................................................... 1 ............................ D\ Deed Restricted Sq. Footage I (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) .D* tTiC . t , id , tificatiorfNo. 040236' �' School District certifies that 0 (Stye Address) (City) has complied with the requirements of Resolution No. representing 1 (P9 4 square feet. o School District. Representative Paid by Check # Remarks: Sq. Footage I (Including Exterior Ro Nf:Areas 81- alo Date -B (Applicant) (Phone Number) /),-tn I (State) (Zip Code) 9 0 by payment of $ ;29q 2026 FULL MM2AM,_. n4 - Date Nofte: You may protest the Imposition of the fen (deed! above by submitting a written protest to Via Olabict. In complWimciwM Gov munent Code Section 66020(a), within 90 days from the date f6se are paid. Failure to submit a timely written protest will'prohlbit you from challenging the Imposition of the fees In any court action. K, subsequent to the School District Representafts signing this Butte County Schools Impact Fee Cartificatlon Form, ths,School District is nofhfMd by the applicable Local Planning Agency that this pro)eet Is being reviewed under the California Environmental Quality Act (CIEQA), this p m r';nwy be sublect to additional school fen to fully a*%**. he Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform-xis (10/03)dm.m ,! 3 Building Permit Number: Owner Name: Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make'any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your*parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The followinia parcel map requirements shall be met: � All structures and pment including overh s shall be clear of all easements. xr A setback of04 SWIeet from the side and eet om the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. N ------------------ #4 CounjIM CREMY Circl BEDROOM No.] UTIUTY DINING "The Almanor" Room LMNG ROOM —18.4r 3 -Bedroom -2 IiIAS riR -Bath-- 1-694 S BEDROOM No. I IT -F Highlihts in this Model Home- C 9ft Coffered Ceiling� BEDROOM A Maple Cabinets C No. 2 WCHEN FOYER Upgraded Appliances OEM Glamour Bath Exclusive "Safease" Package G, 2" x 6" Exterior Walls (custom order) PI. -,AN D934 > < Xz "i. F M.H.I.-2 ................................. . ... . ............................... ................................ . ..................................... ... .................. .... �: .......... ................. .... ... . ... ............. .... . .. ...... "N ........ -X ........................ ...... ..... . ... .... .............. ................................ ; ........... .............. ................. ..................... .......... ............. XX .: ::. ................................. .... ..... . .... ......... ............... ..... .......... .......... ............ . ................................. ............ ............. . ................... . . . .............. ........ :0 .. . ........ . .. X: ...... . ...... rM, ... .0 #&.E.A Al. Z.. .................. . ....................... X. ..................... .. .... ....... ... . . . ... ..... .... ................... ........... ON .. ......... .......................... %. .... * . ............ ... .......... .. X. ..... : . ..... ................................. I . Owner's Name: MARY JANE BURNS 2 . Assessor's Parcef]"bef':I025-310-002 3. Install6r's Name: SKYCREST ENTERPRISES SES 4 . Is the site currently under permit? Yes No X Permit No. 5 . Is the site an existing site: Yes No X' (If yes, furnish two plot plans). 6 . What is the electrical rating of the mobilehome? 100 Amperes. 7 . What is the mobilehome site circuit breaker rating? 100 Amperes. 8 . What is the electrical rating of the mobilehome site? 200 Amperes. 9 . Is the main service remote from the mobilehome site? Yes[ No [ X ] If itis, what is the rating? Amperes. 10 . is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage, etc.)? Yes No X If yes, please identify the load and size: a) The mobilehome site: Load - Amperes - b) The main service: Load - —Amperes 11 . Type of gas service atmobilehome site: Natural Propane X ] None 12 . Size of gas pipe at the mobilehome site from the meter or tank: 3/411 inches. 13 . What is the gas pipe length from themeter or tank to, the mobilehome? 20 (ft.) 14. What is the mobilehome gas demand? BTU.* *(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 COMPUTED IN ORDER TO PROCESS THIS PERMFr APPLICATION t3U'TT-: COUN I 'IUILDING DEPARTMF,-��, PZMCTF 3W STD rNDTN P R 0 V Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE line line lane 2 Lane 2 .........'.................•----.......................-•-•------..................... line 2 Main Beams lane 2 ---••...........................•---------------------....................................-- Ime1 _ Une3 line 2 Main Beamslane 2 --------------•--......................-•---------......................................... Line Lane 5 ............................................. Tag or Triple Lane 4 , Line 1 Line 1 Piers: Size minimum: Spacing maximum: From ends -maximum: Line 2 Piers: Size minimum: Spacing maximum: From ends -maximum: Line 3 Roof Loads: Size minimum; Location (from rear): Line 5 Roof Loads: Size minimum; Location (from rear): ]XI I 24 x[241 6' 0" 2' 0" Line 1 Openings: Size minimum: - Each side of openings with width over: Line 4 Piers:' Size minimum: Spacing maximum: From ends -maximum: OVER D934CTR 30# STD FNDTN 3&)oo x'o 2 x-30 24X24 124X24 124X24 I 485MA 14W=4 24X24 9'10" 1 16"2" 1 2VY' 1 30'3" 1 49'0" 1 51'3" 1 66'0" OVER D934CTR 30# STD FNDTN ( � o � U ' n C G CaVF R4��j��'1'FO � N c�ii 41AY0 sFRvvtc" 12 ® O----12' n 20,03 00 � R T� cyls w W m w N I I'-4' ' CiNTERLINE SUPPORT REQUIREMENTS TMS SHEET IS TO BE INSERTED NP! SIISPEMENT TO FIELD INSTALLARON MANUAL FOR I ' 34# ROOF DONE SNOW LOAD. -SEE ABOVE PRINT FOR LOAD REWREMENTS AND LOCATIONS. 30,E ROOF 6626-3CK-28-CATH 1 1 t I 1 I SPT bQ~ [tl8/Gi ti Kt am Carib au v �i ymiry az tau+ atr NH 9321 VOL. 1 SEG 4 ILL 51 PG.6-93A GRAM 9Y: VM PAIE: 9.5/07/MB3 P2134-CTF L' V 2c ® O----12' 7 j 00 I I'-4' ' CiNTERLINE SUPPORT REQUIREMENTS TMS SHEET IS TO BE INSERTED NP! SIISPEMENT TO FIELD INSTALLARON MANUAL FOR I ' 34# ROOF DONE SNOW LOAD. -SEE ABOVE PRINT FOR LOAD REWREMENTS AND LOCATIONS. 30,E ROOF 6626-3CK-28-CATH 1 1 t I 1 I SPT bQ~ [tl8/Gi ti Kt am Carib au v �i ymiry az tau+ atr NH 9321 VOL. 1 SEG 4 ILL 51 PG.6-93A GRAM 9Y: VM PAIE: 9.5/07/MB3 P2134-CTF Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/5/2003. COMPONENT PARTS AVAILABLE UPON REQUEST Approval roc. xv Jr• .w�,tk�;f APMOVED SUPECT To emn-nws NOME A l dx Whmi or �Ppro 4 M. iud .tn or daiab : $res: ro-quirements ofricabb sa sill -As of Califw � 1y r SPANO li Ft�w ApptqW Expires. 1-3 i3'f <`" S t y=• ti's` 1 's BUTTE COUNTV PA ;I RING • 5901 Wheaton Drive • Atlanta GA, 30336 ` %& PAGE RELEASE SECTION NUMBER DATE INTRODUCTION 2 9/5/03 GENERAL INSTALLATION' 3 9/5/03 PARTS LIST 4 & 5 9/5/03 LONGITUDINAL DEVICES 6 9/5/03 PIER HEIGHTS 7 9/5/03 SETUP INSTRUCTIONS 8 & 9 9/5/03 FOOTER SIZES WIND ZONE I - SINGLE 10 9/5/03 - DOUBLE 11 9/5/03 - TRIPLE 12 9/5/03 - HIGH PIER 13 9/5/03 V -DRIVE & PIER SYSTEMS 14 9/5/03 SOIL CLASSIFICATION 15 9/5/03 CONCRETE INSTALLATION 16&17 9/5/03 COMPONENT PARTS AVAILABLE UPON REQUEST Approval roc. xv Jr• .w�,tk�;f APMOVED SUPECT To emn-nws NOME A l dx Whmi or �Ppro 4 M. iud .tn or daiab : $res: ro-quirements ofricabb sa sill -As of Califw � 1y r SPANO li Ft�w ApptqW Expires. 1-3 i3'f <`" S t y=• ti's` 1 's BUTTE COUNTV PA ;I RING • 5901 Wheaton Drive • Atlanta GA, 30336 ` %& Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind loads by anchoring the two longitu- dinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I. Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. �:�•t• 1 'ty l GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE - TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED . Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. ` H ..i. ;: j Page 3 9/5/03 Vector Dynamics Foundation Systems Component Parts List Vector System 2000 Part # 59018 Single piece pads with straps and slotted bolts . Vector Dynamics Foundation Systems Component Parts List nnnu/B Struts for Longitudinal Systems Part No. Strut Length Pier Height 59016 30" up to 2 Blocks 59012. 39" up to 3 Blocks 59013 44" up to 4 Blocks 59014 53" up to 5 Blocks 59015 65" up to 6 Blocks Vector 2000 3 Sq. Ft. Pad Part # 59271 1 required with 59026 Longitudinal System 2 required with 59024 Lateral System Longitudinal Hardware Kit Part # 59026 (for use with 5927 1) Vector Lateral Hardware Kit Part # 59024 (for use with 59271) z Or these products available ate6) at your local hardware store lP�essv�e«e X 106- 2 yl( Zea GQ�Q Scredu�e. EIDW j Page 5 9/5703 Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. LSD C 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 per system) 4. Tie Bracket (2 per system) Combine Vector Dynamics & LSD Note: Two struts = 7 L.S.U. Can be used on one pad or opposite ends of the home. Examples of Possible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single Section I I I I I I I I I I 1 I I I I I I I I I I I I I Wind Zone I Double Section I I I I I I I I I I I I I I I I I I I I 1 I I I I I I I I I I I 1 I I I I I I I I 18 Ft. Max. 32 Ft. Max. For greater widths use triple section design. Page 6 Wind Zone I Triple Section T T Wind Zone I Tag Section 48 Ft. Max. 1 C c: 9/5/03 1 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 13 for double section home high pier set instructions. 50 in max. 4aximum Unequal Pier Heights Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". c Page 7 9/5/ �' �, Set -Up Instructions for Vector System :#59018 Long U -Bolts 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. `~ Y " ..EEw 9/5%03 Set -Up Instructions for the Vector Dynamics Foundation System #59007 1. SET VECTOR FOUNDATION PADS 1on9 short Clear all loose vegetation from the immediate whorl u -eat u -bolt area where your Vector foundation pads will N / \ rest. Press or hammer pads into the ground. ,: < ;::..:.. . Tip: Place a 3/8" nut on each U -bolt to keep it in place while you position the Vector pads. 2. SET BLOCKS (OR PIERS) ON VECTOR FOUNDATION PADS Center the foundation blocks over the Vector pads. Place the pre-cut 4x4, 2x4's (side by side), Schedule 40 PVC (w/PVC adapter plate, part #59281) or 1 adjustable TDE steel. compression member, (part #59043) tightly between the blocks, with ends resting on the Vector pads, and centered on each U -bolt. 3. OUTSIDE TENSION BRACKETS Attach an Outside Tension Bracket to the U -bolts on the outside of the foundation blocks and Vector pads. Place one of the short 6"- 2x4's between the bracket and Vector pad. Adjust the short 2x4 so that it pushes against the foundation blocks, removing any space between the piers and center compression section. Tighten the 3/8" bolts. 2 square foot pad placement or (1) 3 square foot pad 4. INSIDE BRACKETS AND STRAPS Attach the Inside Tie Brackets to the U -bolts over the pre-cut boards or PVC. Attach a strap with hook to each inside tie bracket. Tighten bracket. When using looped strap and a crimp seal, in place of the hook, place a 3" long section of strap, folded in half and inserted between the strap and inside tie bracket. Place other end of strap over the opposite (- beam and continue down to outside of the foundation blocks. Attach the strap to the Outside Tension brackets using the slotted bolt and nut provided. Wind strap a minimum of five times around the bolt. Continue tightening the slotted bolt until all slack has been removed and the strap is tight. 5. SET ANCHORS Refer to section home drawings for anchor installation information. Stabilizer plates are required for diagonal ties only. Preload anchor against stabilizer plate. Make certain all slack is removed and strap is tight. For single section homes in rocky soil conditions in Wind Zone 1 only (Soil Classifications 2 & 3 only), use minimum of 3 each V -Drive anchors per side. See drawing on page 5 for place Page 9 - - f - - - - - - - - - - - - - 14 f4 -----------`- ------/ Q'Q C I ` \ 1'-- - - - - - - - - J \ (`jQQI QQj�QIQ NQ llr� tz \ 4: tz l h�•O Q�i Qhi � � � ,4`,:.: ti Q Q\ -r4 O �S h 0 ��\• ^�, \ co \ `\ h fi c h �CIS, F3 0- ° � \ W CDcn Z '-' pcr <€< cu U ', Co cCOCO \ >140- �CQ�iQhi�� m , �Q \I \ Q mZIL 14 f4 Q'Q C rrQw (`jQQI QQj�QIQ NQ llr� tz h 4: tz l h P6'ti C Q U op �Q Page 10 915/03 rrQw V h�•O Q�i Qhi � � � •COh O Q Q\ -r4 O �S h 0 ��\• ^�, � h fi c h �CIS, CV) ° � � QCl) �CQ�iQhi�� m CN4 �Q Qi o Page 10 915/03 � � Page 11 o�■ �E tea§ |� k �a2 �k� �.a � mƒ§ ISE E � cc wam � o■� r-tr 2 EB■ 0 4 k \� f� % Q % & \� \� 2 5 C ¥ w t c � ® K k \ LU 2 O N 0 2 � \ k ƒ j /: / 2 ,§�/&! 9A 3 WIND ZONE 1 Vector Dynamics Systems Required _ - -' " tion hums ems• ' Triple Section Homes - _ - _of a 76 f� �U�tn9eo Vect°�sy Materials Required) _ _ _ " mP�e s 9enero ' a w _ «€ NOTE.• wban a plerhe/ght at Vector /ocat/ons exceeds 46"f an anchoimust be used on the cQ outs/de wa///beam at that CD appmx/mate /onelon. N NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' Instructions and/or state requirements. �2sq. /t. Soil Classifications - 2, 3, 4A, & 4B Soil Bearing Capacity.• 1, 000 PSFm/n/mum Anchors Required'. None ('Marr/age m0anchors maybe required by home manulacturer) Home Length VeclorSystems Requ/red Anchors Required Per Sloe L.S.D. Tag on gid Sect/on 0 to 48' 2 f 2 on Tag 0 2 1 49'to71' 3*2on Tag 0 2 1 721 to 84' 4 f 2 on Tag 0 2 1 851 to 90' Materia/s 5f2on Tag 0 2 1 Each !/ecforFou17da/ton System regaii&S One VectorK//, 2 s/ottedbo/ts 2 ea. 1-1/4/n. Iles K4725 lb m/nbreak), length w/// t1ary w/1h p/erhe/ght 1 ea. 4 x 4,oressure treated wood compression member or2 ea. 2x 4 pressure treated wood compress/on member or Schedule 40 PVCp/pe or 1 adustab/e steel compress/on membel- pall #59043 WIND ZONE 1 (High Pier Sets) ' Vector Dynamics Systems Requiredfor Double Section Homes --home (High Pier Sets with Diagonial Ties) - - - " sectionCD NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' Instructions and/or state requirements. WIND ZONE /Hex. Hefghl unit Wfd1h See Page 7 ,H/n. U /-Beam 0 •.} Spac/ng w �J� sq. f1. pad 0 to 48' 2 2 2 49' to 71' 3 3 2 72'10 84' 4 4 2 851 to 90' 5 5 2 So//C/aSSifcationS. 2, 3, 4A, & 48 Soi/Bearing Capac/ty.• 1, 000 PSFfn/n/mum Anahofs Required` 30"with 2-4'he/ixanchor(59095), 12nstab171ze1-p/8te5 (59292) 1 -114 -flame tie with connector Materia/s • Each 11ecfoiFou99e,?1t l System requi es One Vector Kit, 2s/ottedbo/ls 2 ea. 1-1/4/n. lies (4725 lb minbreak) length wit/ vary with pier height 1 ea. 4 x 4pressure treated wood compression member or ea. 2x 4pressure treated wood compression member or Schedule 40 PVC Pipe or 1 adustab/e stee/compression member, palf 959043 Vector Dynamics Metal Pier. & V -Drive Installation ME' For metal piers, place the piers in the center of the Vector pads. Set the single 4x4 or two 2x4's through the piers, centered in the U - bolts. Outside Tension brackets attach the same, Inside tie brackets mount "upside down'as shown in drawing. Metal piers using the Vector System can only be used on level ground sets. Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home. Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. To cut lumber (2 - 2x4's or 1 - 44 per, or 1 adjustable steel commpression member, part #59043 Vector system) for the center com- pression section, when using METAL PIER STANDS, measure center to center frame distance and add 16". Optional Moisture Termite Shield may be required in certain regions. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and.mark as to brand or model of homes you will be installing. It frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. V -Drive System for rocky soil conditions V -Drive anchors are used only in Zone 1, single section homes. V -Drive anchors are used only iri Zone I, single section homes in areas where rocky soil conditions do not allow helix style anchors to be installed. Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap with hook or buckle to the frame and attach to the V -Drive head with a slotted bolt. Cut the strap end about 12 to 15 inches past the anchor head to allow at least four or five wraps around the slotted bolt. Continue tightening ''<< " >; strap until all slack is out and strap is tight. `' Page 14 `; ;; t,: 9/5/03 VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: 16x16 = 256 sq. in. - - 20x20 = 400 sq. in.77 " or 16x18 = 288 sq. in. -- or 17x25=425 sq. in. EQUALS - - = EQUALS 2 -Vector Pads # 59275 1 -Vector Pad # 59271 288 sq. in. or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent listed above. 'foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professi "t`familCzuthsite conditons Page 15 �0. /93," Vector Dynamics System for Concrete Applications Instructions These instructions are an addendum to the standard Vector Dynamics instructions. Read and follow all applicable instructions and guidelines in the Vector instructions and home installation manual. The Vector system for concrete pads applies to concrete footers, runners and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18" round (min) x 10" deep. The bottom, of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be sufficiently cured and set to accommodate an anchor bolt to its' full load resistance. 1. Determine location of pier sets where the Vector systems will be located. 2. Place one Vector concrete pad (gals. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Measure the distance between the two Vector system pads at the base where the Vector pad meets the concrete. Cut two ground treated 2x4's or Schedule 40 PVC pipe, or 1 adjustable steel commpression member, part #59043 this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. 5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep. 8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. Illustration One of a Single Section Set -Up Vector pa for concret( footer Page 16 Wood Cap and wedge Outside Tension Bracket Wedge UL_ eaaoC'44" 7 Vector Dynamics System for Concrete Applications Instructions 9. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors. The nut should be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal Vector pad and into the concrete. 10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 11. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 12. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go over the opposite pier and down to the outside tension bracket, plus 12 inches for wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside u -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. Wedge the pier set at this time. 16. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 17. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with -outside edge of bolt. Turn slotted bolt until straps are tight using at least five turns on the slotted bolts. Illustration T Inside Tie Bracket Compressic boards or PVC Pipe )ad ate to Page 17 j 9/5/03 _�rte•' FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200: ELEVATION CERTIFICATE Importailt Read the instructions on pages 1.7. SECTION A • PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number MARY JANE BURNS-FLOYD ELLIS BUILDING STREET ADDRESS (Including Apt, Unit, SuRA and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 950 PALERMO RD CITY STATE ZIP CODE OAK GROVE CA PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN 025310-002 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comrnerds area, if necessary.) Second New Residential Stricture LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type): ( W • ## - ##.##' or ##. ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION BUTTE CO., CA. & INC0RP AREAS 06W17 NUMBER 17 I BUTTE COUNTY2. COUNTY E I CCA. STATE B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX DATE B7. FIRM PANEL B8. FLOOD ZONE(S) B9. BASE FLOOD EEVATION(S) NUMBER EFFECTNEIREVISED DATE (Zone Ail, use depth of flooang) OSM17 990 C SEPT. 29, 1989 JUNE 8, 1998 X 123.5 B10. -Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 89. ❑ FIS Profile ®FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9(❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrer Resources System (CBRS) area or Otherwise Protected Area (OPA)?❑ Yes IRI No Desiorabon DaWA INFORMATION C1. Building elevations are based on: ® Construction Drawings' ❑ Building under Cors6udion' ❑ Finished Construction 'A new Elevation Certificate will be required when consIn don of the building is complete. C2. Buiking Diagram Number 5 (Select the building diagram most similar to the building for which this ate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations —Zones A1 -A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, ARIA, ARAE, ARIA1-A30, ARAH, ARAO Come Items C3. -a4 below according to the building diagram speaffed in Item C2. State the datum used. If the datum is difilerent from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum _NGVD 1929_ConverelorVCarmhertts _BUTTE COUNTY BENCH MARK #425, WHICH IS NGVD 1929 DATA_ Elevation reference marls used Does the elevation reference marts used appear on the FIRM? ❑ Yes ® No o Q�4F ESSlO o a) Top of bottom floor (including basement or enclosure) 146.6ft(m) �' Q�.��t G. o b) Top of next higher floor NIA-R(m) o c) Bottom of lowest homontal structural member (V zones ony) N/A. _ft(m) E cy ; o o d) Attached garage (top of slab) 145 1 ft(m) w 2 4� o e) Lowest elevation of machinery and/or equipment E = ,*'. No. 27647 o servicing the building (Describe in a Comments area) wA ft(m) z' re N o f) Lowest adjacent (finished) grade (LAG) 144.9 ft(m) sTq CIVIC , . OQ�\ o g) Highest adjacent (finished) grade (HAG) 144.9 fL(m) TF OF o h) No. of permanent openings (flood vents) within 1 ft above adjacent grade NIA o ) Total area of all permanent openings (flood vents) in C3.h wA sq. in. (sq, an) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification Is to be signed and seated by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate repmsenfs my best ee`orts to Interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U S. Code, Section 1001. CERTIFIERS NAME LICENSE NUMBER ROBERT G. AGEE, JR RCE 27647 TITLE COMPANY NAME Civil Engineer SIERRA WEST SURVEY W— 717 R ADDRESS CITY 3 V t i L)JAISTATE � Q I `� ) ZIP CODE 5437 BLACK OLIVE 94 A PARADISE A CCA1 �IZ PA n- ,4969_ MAY 17, 2004 1WORTANT: In these spaces, copy the corresponding infomnadon from Section A For Insurance Company Use: BUILDING STREET ADDRESS (Includng Apt., Unit, Suite, andlor Bldg. No.) OR P.O. ROUTE AND BOX NO. 950 PALERMO RD. , Polio Number Cm' STATE ZIP CODE OAK GROVE CA Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number_(Selectthe building diagram most similar to the bu1dingforwhich this certificate is being completed—see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclmure) of the building is_ fL(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6$ with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ ft(m) _in.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on front of forth. E4. The top of the plafform of machinery and/or equipment servicing the building is_ t(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). h E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owneror owners authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA4ssued or community - issued BFE) or Zone AO must sign here. The statements in Sections A, 8, Q and E are cor►ec to the best of my kra0edge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS - CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. ❑ The information in Section C was taken from otherdocumentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized bysfate or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments sea below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMAissued or communitywissued BFE) or Zone A0. G3. ❑ The following infornation (Items G4 -G9) is provided for community floodplain management pwposes. G7. This permit has been issued for[:] New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: fL(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE ,Z. - SIGNATURE DATE COMMENTS - w LA F! Check here if attachments Q I DNISION - BUILDING PLANPPROVAL PLANNING 5 -q- 4 a D 1 Date: Use: , Parking:----- LandscaP►ng: 1 Other - Signature: /� 'r I—U- `�(U0�1 �2 ✓off cJ�'1 1S �- ' . j C'�Y�•t �-� cam � c�-' . 1 � � - � , ��� �f � j ,.� DD �- _ Cp Iri S -f '►'cA-c�+ �''� T-- f 00 c4 Cex+- C&U NOTE: e0 the attached t� r on Pages r �a i ( f. r ELECTRICAL, MECHANIC Aa�� AND PLUMBINGKED - LC k o SHALL COMPLY VVI I4 �`.0RII~!�lT �?IN OF RKECF UNAC AND UPO. � j3UTTE COUN 1�11LALDING DEPARTTM F. -V i � `y O � O \ N Q I DNISION - BUILDING PLANPPROVAL PLANNING 5 -q- 4 a D 1 Date: Use: , Parking:----- LandscaP►ng: 1 Other - Signature: /� 'r I—U- `�(U0�1 �2 ✓off cJ�'1 1S �- ' . j C'�Y�•t �-� cam � c�-' . 1 � � - � , ��� �f � j ,.� DD �- _ Cp Iri S -f '►'cA-c�+ �''� T-- f 00 c4 Cex+- C&U NOTE: e0 the attached t� r on Pages r �a i ( f. r ELECTRICAL, MECHANIC Aa�� AND PLUMBINGKED - LC k o SHALL COMPLY VVI I4 �`.0RII~!�lT �?IN OF RKECF UNAC AND UPO. � j3UTTE COUN 1�11LALDING DEPARTTM F. -V i �1HENTOfyp .... STATE'OF-CALIFORNIA _ NUMBER:-.... - BUSINESS, TRANSPORTATION AND HOUSING AGENCY . : - .. DEPARTMENT OF HOUSING ANO COMMUNITY DEVELOPMENT DIVISION;OF CODES AND'STANDARDS MANUFACTURED HOUSING PROGRAM . .........7.1..52'48 .�: n MANUFACTURER"C!ERTIFICATE OF ORIGIN ` ' I ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING 29 SFD (SINGLE FAMILY DWELLING) .❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING NUMBER OF TRANSPORTABLE SECTIONS 2 COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: SKYLINE HOMES INC 010002 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: . 1720 EAST BEAMER STREET WOODLAND CA 95776 (Street) (City) (State) (Zip) —7 89,934.10 MANUFACTURER TRADE NAME: MODEL NAME ANDiOR NUMBER: DATE OF MANUFACTURE: WOODFIELD P234-CTF 1 3/31/2004 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR DATE OFTRANSFER: TRANSFEREE DESIGNATION: SKYCREST ENTERPRISES/COUSIN GARY'S 'HOMES 91265 4/5%2004 DEALER OR TRANSFEREE ADDRESS: CA (StJAe468 HWY 99 E CHICOCity) 95(State INVENTORY CREDITOR NAME: (Zip) TEXTRON FINANCIAL CORP INVENTORY CREDITOR ADDRESS: (stPeetp • BOX 16520 ST LOUI&Y) MO (state (zip) SECTION (Ib)L MANUFACTURER SERIAL NUMBER HCD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT (INCHES) (INCHES) (POUNDS) I 17-70-0536—S—B ULI 555517. 792 156 27,595 17-70-0536—S—A I ULI.555518 792 156 26,815 I TRANSPORTER NAME: BENNETT TRUCK TRANSPORTER ADDRESS: P.O. BOX 179 DURHAM CA 95938 (Street) (City) (State) (ZIP) DESTINATION FOR UNIT DESCRIBED ABOVE: (NAME) COUSIN GARY'S HOMES (Street) 13468 HWY 99 E CHICO 95973 (City) (�`) (zip) I certify under penalty of perjury under the laws of the State of California that the above facts are We and correct. Executed on 4/5/2004 at WOODLAND YOLO CA (Date) (City) (County) (State) SIGNATURE OF AUTHORIZED AGENT: DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR! UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. 90X 1828, SACRAMENTO, CA 95812.1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER! HCO 483.0 - Side 1 - (7/97) RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO Name MARY JANE BURNS Adddreie Ass dC/O REMAX PROFESSIONALS 8211 SIERRA COLLEGE BL STE 410 city,state ROSEVILLE CA 95661 ZIP Order No. 2003-101074846 Recorded Official Records Count BUTy Qf CANDACE J. GRUBBS Recorder ROSEMARY DICXSON Assistant 09;02AM 27 -Oct -2003 REC FEE 10.00 Barbara Page 1 of 2 SPACE. ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED s s ocumen a cans er isI. Fa6d.,consideratiloln are e�1 Or more* � Q computedon full value of inrere�t or property conveyed, or onveyance Tax Is $0.00 O full valueless value of liens or encumbrances remainingat arcel No. 025-310-002the time of sal**tn value cf property.,and no further const2..�,� --� i 5 i j. Ven Je:7` n or -)rt `et ..'ing -X FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, MARY JANE BURNS, AN UNMARRIED WOMAN hereby GRANT(s) to MARY JANE BURNS, AN UNMARRIED WOMAN AND BRIAN D. YORTON, A MARRIED MAN AS HIS SOLE AND SEPARATE PROPERTY, AS Joint Tenants the following real property in the city of unincorporated Icounty of Sacramento, state of California: SEE EXHIBIT A ATTACHED HERETO AND MADE APART HEREOF Dated: October 10, 2003 STATE OF CALIFORNIA 1 COUNTY OF Sacramento J On 10-10-03 - before me, JANETTE DORFF a Notary Public in and for said County and State, personally appeared MARY JANE BURNS personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized Capacity(ies) and that by his/her/their signature(s) on the instrument the person(s), or the entity uporri!iEha f of which, the person(s), actlgi executed the instrument. Signature and S.S. MA YJ URNS - JANETTE DORFF NOTARY RAY PUBUC CALIFORNIA +� PLACER COUNTY 0 CO EXP. DEC. 10, 2005 j (This area for official notorial seal) AX STATEMENTS TO PARTY SHOWN ON THE FOLLOWING LINE; IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE Name _. Streot Address ' —T City & State Description: Butte,CA Document-Year.DocZD 2003.74846 Pace: 1 of 2 Order: mdranda Comment:' 2 ins h f � Exhibit "A" The land referred to herein is described' as follows: i. All that certain real property situate en the County of Butte, State of California, described as follows: The West half of the southeast quarter of the northeast quarter of section 11, Township 18 north, Range 3 East, M.D.B. & M. j Excepting therefrom those portions thereof, conveyed to the County of Butte by deeds, Recorded October 9, 1889, In Book 32 of Deeds, Page 262, Butte County Records and July 5, 1957 in Book 820, Page 303, Official Records: i APN # 025-310-002 i f��rp:+y,K��"_�'�r.i�"r`�`^T"Y'k�+i"Y'y��(°r'`fW. ���.,j�c��`�='`y^ � `�° `�' ��i+'.,�'xr°�..:::n •r-. �+• MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION - COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: PERMIT NO.: 0Z.S'-3i0-ooZ o�—tiy Owner's Name: 3ufl, #Q Owner's Address: 'j S-6 JP/1L 17 Ol2QJ.a-CC Mobilehome Manufacturer: Year of Manufacture: 5 Serial Number or V.I.N.: Insignia or HUD Number: I: -?.1 70 - a 5-3 6 1 u' LJ .mssT1 Official approving installation: Date:, If the mobilehomA moved or relocated, the mobileho'me installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg; Gold=Assessor .r�..�t.�.v._:. _v ha..�Jc.:iris �k•.sii2,�t_v:�. "%...:.�A.�:•:.f.�....r_a�....a_��7.t��:...;iwie..,ue.x�r �._w......c.:..i;.-.�..y.�sr.-..a:�..s,c.::,.li.d�.wi�r:V�. �. s. a.r� ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Brian Yorton FROM: Yvonne Christopher, Director - Development Services DATE: April 22, 2004. FILE #: ADM 04-20 PURPOSE: Administrative Permit for Brian Yorton on APN 025-310-002 for a temporary mobile home to be located at 950 Palermo Road, Oroville, on property zoned U (Unclassified). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: 1. A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Mary Jane Burns. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed with the Planning Division within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. The Permit may be revoked if any of the terms or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000,for a double -wide mobile home. `zZo ermittee Signature 4Dat 41anning ker Da e Manager F), Hi �lli �s� ht s in 9 ft Coffered .Maple. ' e.. Cabin upgraded'Ay I Glam.our.Bat Ex'cl.us'ive "Sa 21, x 611 Exter AV -P! 0 V E D �. PLAN D934 Bu""A Environumental Hoalt!'- d ate ----------- Si,7.na-, ".0 ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Brian Yorton FROM: Yvonne Christopher, Director - Development Services DATE: April 22, 2004 FILE #: ADM 04-20 PURPOSE: Administrative Permit for Brian Yorton on AP025-310-002, for a temporary mobile home to be located at 950 Palermo Road, Oroville, on property zoned U (Unclassified). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: 1. A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Mary Jane Burns. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. 5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved. Second Unit. 6. The permit shall be granted for a term -of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed with the Planning Division within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. The Permit may be revoked if any of the terms or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. t. I -(I',1A �/__? ermittee Signature Dat J Baker /Date Tanning Manager zm D w m •kl c � �D G) 0 m j� q Uv m O/,P pe p Obr"JaleV& Os� RECORDEgrG REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2003-0066707 Recorded I REC FEE 10.00 Official Records I CONFORM 1.00 County Of I BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Lisa 12:42PM 24 -Sep -2093 I Page i of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. FLOYD J. ELLIS AND EVA M. ELLIS REAL PROPERTY OWNEWLESSOR 950 PALERMO ROAD MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME CITY COUNTY STATE ZIP INSTALLATION MAILING ADDRESS, IF DIFFERENT 538-7541 BUI PRRMIT NO. TELEPHONE NUM ER SAME SI N URE OF LOCAL AGENCIAL CITY COUNTY STATE " ZIP BURNS, MARY JANE 91265 UNIT OWNER (if also property owner, write "SAME") - 950 PALERMO ROAD MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-2171 530 538-7541 BUI PRRMIT NO. TELEPHONE NUM ER SI N URE OF LOCAL AGENCIAL DATE SKYCREST ENT RISES DEALER NAME (if not a dealer sale, write "NONE") 91265 DEALER LICENSE NO. SKYLINE 2003 WOODFIELD P 271 CT MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 17-70-0205-S-A/B 72'x26' ULI 549301/2 SERIALNUMBER(S) LENGTH XWIDTH - INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP # 025-310-002 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. Exhibit "A" Legal Description =IT "A" Description: The land referred to herein is situated in the State of California, County of Butte, and is described as follows: The West half of the Southeast Quarter of the Northeast Quarter of section 11, Township 18 North, Range 3 East, M.D.B. & M. Excepting therefrom those portions thereof, conveyed to the County of Butte by Deeds, Recorded October 9, 1889, In Book 32 of Deeds, Page 262, Butte County Records and July 5, 1957, In Book 820, Page 303, Official Records. AP# 025-310-002-000 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 24 -Sep -2003 2003-0066707 Has not been compared rith original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. FLOYD J. ELLIS AND EVA M. ELLIS REAL PROPERTY O WNERILESSOR 950 PALERMO ROAD MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP BURNS, MARY JANE UNIT OWNER (if also property owner, write "SAME") 950 PALERMO ROAD MAILING ADDRESS OROVILLE BUTTE - CA 95966 CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-2171 530 538-7541 B PERMIT NO. TELEPHONB ER O SWNATI JRE OF LOCALAGEN DATE SKYCREST ENT WISES DEALER NAME (if not a dealer sale, write "NONE") 91265 DEALER LICENSE NO. SKYLINE 2003 WOODFIELD P 271 CT MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER 17-70-0205-S-A/B 72'X26' ULI 549301/2 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL 13ESCRTMON ASSESSOR'S PARCEL NUMBER AP # 025-310-002 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WFUTE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. Exhibit "N' Legal Description EMU "A" Description: The land referred to herein is situated in the State of California, County of Butte, and is described as follows: The West half of the Southeast Quarter of the Northeast Quarter of section 11, Township 18 North, Range 3 East, M.D.B. & M. Excepting therefrom those portions thereof, conveyed to the County of Butte by Deeds, Recorded October 9, 1889, In Book 32 of Deeds, Page 262, Butte County Records and July 5, 1957, In Book 820, Page 303, Official Records. AP# 025-310-002-000 r '.F y 1T •�* c�ry 1� l,r f;�' t Vst.;,f „�.:r y i:, �T Rts �.�,y t ,� � t tr'F�v � a .'YS 4. '�e w. •CS +v 5 .. � �� �"T. .4; `.- >. FOUNDATIONYyS�s Y STEM .. j CERTIFICATE OV OCCUPANCY BUILDING PERMIT NUMBER: 03-2171 Address or location of unit: 950 PALERMO ROAD, OROVILLE CA 95966 Legal Description of Real Property: AP # 025-310-002 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: FLOYD J. ELLIS AND EVA M. ELLIS Owner's address: 950 PALERMO ROAD, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: ULI 549301/2 SERIAL NUMBER OR V.I.N.: 17 -70 -0205 -S -AB MANUFACTURER'S NAME: SKYLINE YEAR: 2003 OFFICIAL APPROVING INSTALLATION: VV DATE: �� 3 PHONE: (530) 538-7541 H.C.D. 513C i This unit is a: 0 Mobilehome 0 Commercial Coach Floating Home 0 Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) �a 7 67 I/We, the undersigned, hereby state: I/We further agree 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 tha .the foregoing is true and correct. Executed on • at �� c ►' ( ( te) (City) (State) Signature(s) Printed name(s) Address City , State 09/02/2003 13:57 5303429174 CHICO BLDG SYSTEMS PAGE 02 .,/t T... a ......" ..._.. ; �p :....::..: STATt't ....OFZAL. ' F •' ORNIA"'''' ' BUSINESS, TRANSPORTAT16M AND HOUSING AGENCY ..., •:.`:: OEPA7tT1yiE_Ni OF. HOUSING AND COLQONITf DEVELOPMENT UMB Q (,+ ' ® - -DIVISION ()F CODES AND . ... .:. ' . V . . � Sm .. .. .. 70.5' ::• ... °)MANUFACTURED HOUSING PROQRAM . OEr� . MANUFACTURER CERTIFICATEDF ORIGIN* A CA r -i 4. 0 .. .. f ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACIURED HOME 0AML - IT MA ED HOUSING NUMBER OF -SFD (SINGLE FAMILY DWELLING) :0. MUMH (MULTwNIT MANUFACTUREDHOUSING. TRANSPORTABLE SECTIONS 2 DiNMERCIA; C OACH: OCCUPANCY OROUP SKYLINE HOMES INC EAST BEA?'.ER STREET WOODFIELD CA (Stele? 5776 P227—CTB - -- ,- -------- — .. I..r. - . I craur.'OtALER NUMBER OR TRANSFEREE DESIGNATION: SKYCREST •ENTERPRISES/�COUSI:1• GA1tY-r S HOMES DEALER OR TRANSFEREE.AQDRESS: 91265-- 13468 HW 99 CHCO CA Street I INVENTORY CREDITOR NAME: TEXTRON' FIINANCIAL CORP INVENTORY CREDITOR ADDRESS: 7.711 BONHOMM SUITE 600 ST LOUIS Stlsel CIN) SECTION MANUFACTURER SERIAL NUMBER NCO INSIGNIA OA HUD LABEL NUMBER 90002 SUGGESTED RETAIL PRICE: $ 92,209-50 DATE OF MANUFACTURE: 8/22/2003 DATE OF TRANSFER: 8%27[2003 95973 (State Zi MO 63105. State LENGTH I WIDTH ' WIEIGHT TRANSPORTER NAME: A b R TRANSPORT TRANSPORTER ADDRESS: Stem P-0 BOX 179 DURHAM CA 95938 ca DESTINATION FOR UNIT DESCRIBED ABOVE: slate 21 NAME COUSIN GARY' S HOMES Street 13468 14WY 99 (c ICO CA (S1019 )9597 3 ZI lee111tY under penalty of pe" under me laro at Ilm Slate o/ CalNomla IMf (he above (alta are VW end eaftw. EXB*Md °" at WOODLAND POLO CA (Date) (City) (CouMy) (later SIGNATURE OF AUTHORIZED AGENT; ORIGINAL (PINK[ FORWARD TO THE INVENTORY CREDITOR. UNLESS THERE IS NONE- THEN FORWARD TO -THE PURCWIBER (DEALER OR -TRANSFEREE), COPY 1 "ITE) FORWARD TO TME DEPARTMENT AT P,O. BOX 1828, SACRAMENTO. CA %612.1828. WITHIN FIVE (5) DAYS OF RELEASE. `. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO rrs DESTINATION. COPY 9 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. MCD 683.0 - 31419 1 - (7/87) 05/26/03 10:30 BIDWELL.TITLE 5303436496 NO -.535 F'012 0 WORDIKG RE.OUFSTED CY MID VALLEY TrrLC & FSCRO�k Co. UEPitl�eWf)o rded i paet3rds I RSREC 16.09 16.09 AND E' HEN OROFE(i ti`iF L T0. Eot3ltby Uf t FLOYD I. ELIAS 'iltdTYE 9 EVA M. Efl.i.iS 1 MPMEr I. SWISS I Recorder I 3454 HliN 70 AMY mcm, t d�ssititant I Vickie OA09ZLLE , Ca, 95965 :';, I Pace 1 of OLIO -C Sprwe lbovt: Tris Uric fo: °.. a;.r cr's Usc Only A.P.N_: ®25-310-W2 0-&-r No.: 179743AA9. Escrow No.: 179743AM GRANTQED THE UNDERSIGNED GRANT09(s) DEC6AREW THAT ICUMENTARY TRANSFER TAX IS: COUNTY 9.50 j X p Computed an frill Valeo of pro ertq conveyed. or J9 =Led on full vahc less v ise of lieu ®F 9595mb �eec W1i9 rst eiei: of sale, JC ] uninCOrporated oreaa; FOR A VALUABLE CONSIDERATION, Receipt of which ie 1�emby acknowledged, STAN N. SIANN, AN UMfAP6UE1D MAN AND CATM 18. GOOI SON. A rmtgmm womAN AS KEn soLE AND SEPARATE PROPEE hmby GRA NT(S) to FLOW. D ELLIS and EVA M. ELS , & at€ band —A We FS Joint Tenants tate following describer/ property in tate UN94COMRAITD AREA. County of Butte Stats of California; SEI . LEGAL DESCPIW'I®N ATTACUMD Documtri Dam May 4, 20th 1 STATE OF CALIFORNIA )SS C-nUNTY OF BUTTE On IM 9 20Q20QD befommse. p9MISE TmARTAH-mQj4RY ®IMI_Tr permmlfly "-per' ST4 _ persomaity ltnoum to me (or proy ®MS on the bids of miio my ) WMIFe pt:rsoms) whose ttaritxa) /aceto cubit Mtn *Mi instrurrr_aet and acknowledged to me 0 -at herehr-19my ememmad 6-m sam to IsaWhodgwi; au6wriud-paciey(le:) argil cleat by hisMeriftir sigmalure(e) on the ins t thr p:rson(s) or rhe esti a t>shslf o¢ wtyicll die a) ®c�Aa eneeeih® the instrument. eFJ)'€N� to 1st sm1 t�'i�iei s,_�el. Sign3NrE h This area for official notarial mi. ppgift sem. C20MAM i- y tRmil ;1 1 T M a d r r 9 y � G � .' � ' - tl irtnt •_R,9LES.E= :£ ^^�8fl4Fi `. ..e.^., ...: A3�xrsL' n.%—, z- 05/28/03 10,371 BIDWELL TITLE i 5 N0.535 P014 wVm'9!Tkv y® 91TfM!a9lRn Tky TWP PT7xrPu' nv r&T.TV Ri\T!rA. b. =� COUNTY OF BUTTE, AND is Dz;scft!BM&tq As j'ijuv4b:' THE REST HALF OF THE souTHEMT QU%RTER OF THE NORTHEAST OUARTER OF m A -.GRTfF;i RANM 3 a®n EXCEPTING THEREPRGM 74-10SE PQA-5;LMT%MsV?S MAEM--cr, %'-;—;l%-VMT= re+ra Tr OF B= - 17" I -!R�ce_ ME FSS k"r.—M�L1—:- d=* -.T - Moia 1G PAGE 262, BUTTS COU M RECORDS AM JULY 5,. 1957, lN BOOK 820, PAGE 25-310-002-000 AP"; Exhibit "A" Legal Description Description: The land referred to herein is situated in the State of California, County of Butte, and is described as follows: The West half of the Southeast Quarter of the Northeast Quarter of section 11, Township 18 North, Range 3 East, M.D.B. & M. Excepting therefrom those portions thereof, conveyed to the County of Butte by Deeds, Recorded October 9, 1889; In Book 32 of Deeds, Page 262, Butte County Records and July 5, 1957, In Book 820, Page 303, Official Records. AP# 025-310-002-000 `'�-'�'�--�1v�► 7 "r'1r�'+r7.PT`y,1x r"rv'Y M' "x,'7`1 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: PERMIT NO.: CJZ�" — 3/0 c4— i Owner's Name: �U (A f_), OQ /'h /�. �,4 L Owner's Address: CL 11C/01Q D Mobilehome Manufacturer: Year of Manufacture: S Serial Number or V.LN.: Insignia or HUD Number: . i. ?v D lJ Q T T /.-7 �. Official approvinginstallation: Date: o If the mob leilei homers moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is'installed on a foundation system. 5138 white -Owner, Yellow-Installe'r,' Pink -Bldg, Gold -Assessor a .. NOTES RESIDENTIAL 025-310-002 �' 03-2171 PERMIT NO. _ ELLIS, FLOYD + 950 PALERMO RD,'OROVILLE Cont: SKYCREST ENTERPRISES NEW MH PERM FND EX SITE TfIE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS --BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE - - - INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. I SPECIAL CONDITIONS - CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFYllood filue-4oI Po SE' Cor►rotr , USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address ------------------------------- GAS--------------- Meter 1:::: ELECTRIC D �C Meter ey Date - JOB FINALED Signature J=OK 0 = Not OK Not . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBLE HOME INSTALLATION (Plans) OK except #'s King Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. fir; MH Test -Regulator -Connector 7,1"Water and Sewer Connected -C o Grade -HD Approval 8. Cas and Electricity Tagged VTie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11 ert. of Occupancy Date V9L Card B-11 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. o qng Requirements -Setbacks -Easements ootings; Size -Spacing -Marriage Line ocking as; MH Test -Demand -Valve 757 F ctricity; MH Test Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals #'s with Office Date. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 uu MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining . 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Liaht Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not = NotAApplicable p . = Not Ready RESIDENTIAL Date UNDERFLOOR (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope Date 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steer Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Date 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. -'Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation (Single & Duplex) Date FRAMING (Continued) 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 23. Fire Sprinkler; Test 57. Siding -Nailing Veneer Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled Date 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 70. Stairs & Rails ; Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound _ 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection-SkylightsPlastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s ` 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting • . ` '68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails ; 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection' 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instlol./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92.1 Gas Test -Meters Tagged, Gas -Electric 93., Water & Sewer Connected -C/O to Grade;HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler ' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 A CORRECTION NOTICE 63 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact. this office immediately. J7 67 ( e -C-7 /Z t C. U .4- t'&-2, Date— � �17 1— Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION •. 7 County Center Drive0roville, California 95965 • Telephone (530) 538-7541 R (Rev. 12/96) - APPLICATION AND PERMIT 3� I ASSESSOR PARMIA 310-002 ZONING U BUILDING PERMIT OWNER Ellis Floyd & Eva - TELEPHONE SO. FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 950 Palermo Road Oroville CA 95966 1976 R 106 704.00 CONTRACTOR'S NAME Sic crest Ent. 342-2694 TELEPHONE CONTRACTORS MAILING ADDRESS 13468 H 99 E Chico CA 95971 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $106.704.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 332.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23-00 BUILDINGADDRESS 950 Palermo Road Orovi Energy Plan Checking Fee $ ' $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MH Perm FndP x site Gas i in stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Filing Feel 20.00 800VOR LE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i -n fu�rce and effect. License Class Lic. No. �� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. s0 3.5QFT. =ICO D. ' MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL @ 1.50 Ex. Occup. DFIxLI I' GEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. I 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 tion insurance Carrier and policy number are: Carrier /– s )n4 Policy Number ` � 42 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensatio provisions of section 3700 of the Labor Code, I shall forthwith comply with ose provisions. Date S' ure of Applican - ❑ O ner [Contractor ❑ Agent n SHA permit is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. Tv TOTAL FEE $ 483.00 HAZ. FEES IMP COF I PARCEL I pD HD ISS This perm- s hereby issued un er of the B e County Code and/or indicate above for which fees have 0 PERMIT EXPIRES ON r the applicable provisions Resolutions to do work been paid. / O/Dat l` /� �� Defe Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �,�;{1-, ,..ss ^..'�Y+:•....yi i.� }".ry .a^-...,/'. �.K •1 ,..e`U'•v,.....��, iF�:�:�= 1._ �'.Y .r •�r�.-::3'V_ 1;- r L•, - „ ,; COUNTYF BUTTE-DEPARTMENTIOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA';95965'Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: `� Counter Technician: Date: L ' O It ms required in order to apply for a permit. II boxes MU$T be.checked OR marked NA in orde apply. q5 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. w /❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! e"i5'Energy compliance design and supporting documentation in uplicate. 6. Manufactured homes -M Data sheets and installation in) Marriage line in) Floor Plan, ) Tie down or fnd plans, all in duplicate. :17. Metal bldgs: (A) MetaL�g Plans, (B) Fnd plans and cal:s triplicate, (C) Ele�atidns in triplicage FFloor plans in triplicate. All of these myst be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexeurand retu hed to the plan review line-up when required items are received. 7 Date Received By 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate.... .1'ri:+d..�- Z •03 ❑ 9. Site plan and business license approval from the_C„ity of Biggs .................................... . ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers....................................................................................... ❑ Agricultural Buffer clr and site plan apr from the Ag Com Issioner Sent by Other fR R lining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 5. Statement of Intent for Non -heated and A/C Buildings .................................. 6 18. Sanitation and site plan approval from the Environmental Health Department ircX 6-V ❑ 19. City of Chico Plumbing permit........................................................................ ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 21. Planning approval for (A) Use: IC(B)Parking: (C) Parcel Check: - 0 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for f - - required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter -of Signature authorization.................................................................... ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance...........................................'•.................. ❑ 32. E��cc*sting violations and/or expired permits ................................................. ❑ 33/� Grant Dee M.H. Title/Statement of Facts, ❑ Letter from Legal Owner b Check to H.C.D. $00 ❑ 34. Other: When issued Telephoner) and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant.-. /��_ d Date 1. Index erm' application for the above items r�t�inbered: I,g ,/ / Plan Check Letter 2. Addi i items required l/ Contractor, designer, owner, was advised of the above data by phone, ❑ mail; ❑ counter, by ate: - 3 Contractor, designer, owner, was advised of the�Qve d to y ❑ phone, ❑ mail, ❑ count r by Date: Plans reviewed by: I� C_ Date: ( • •O Plans approved by: CDate: -� Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: ` Yellow: Building Division .P L E.H. SE ONLY pi., Plan Attached Phot ftn Attachad 03 Z l J Sant to TO: Building Department FROM: Environmental Health . SUBJECT: Sanitation Clearance log/ j S qS�y �� b g l,, jf� 2!�--3 aU —6 2 Owner Location AP# Plan Approved for: Sewage Disposal- WZ�TLLd—Ild y: Public Private Wel Clearance for dwelling. Other / .P � 4 .1,91 2/,aci n2j n Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEE_ S OWNER ` A.P. #S. 3[6 PROPROSED BUILDING USE DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ -- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) P� 1 3. SHERIFF FEES (paid at Building Division) Residential........... X $360.00 =$ un Lb Commercial (sq. ftg.)..... X $0.03 Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X —=$ _ # Units Amt. Commercial (Sq. Ftg.).... X Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 0 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checkinVpro ss. �7 APPLICANoment DATE / l Pursuant to Go Code Section 66020, you are here y notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements fora protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) :i AMOUNT RECEIVED $ *RECEIPT NUMBER V *TO BE PUT INTO COMPUTER PERMIT FEt I $ Mobile Home Installation Fee b Energy Inspection Fee S OCC CONGT. TVP[ TO AL FEES "AZ. D. FE VFLOO D I CDr CEL I "0 I BS UE .v This permit Is hereby Issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ias,o COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, California - UILDING DIVISION 95965 - Telephone (530) 538 754 c &1 APPLICATION ANb•PIERIV IT PERMIT NO. ` E"ORP AS CFBYOR PARCR� yC �1 //J -'� _®li'L ZONING BUILDING PERMIT `-^O�� OWNER T 2 QNO/N^e • ' OwNEA9 AD SO. FT. OCC. BUILDING VALUATION B CO rwu� SKYCREST ENTERPRISES TELEPHONE OO9 ADDREea 342-2694 CA 95973 MHICO mNGTRUC,3 LENDER LFl1DEA'9 141LW0 ADOREDB O Fireplace ARCWTECT OR ENGINEER Total Valuation $ ' ucENse No. ARc+�TEcr as ENOWEERT! WAILING ADDRE88 Filing Fee b 2 0.0 0 Permit Fee �U GULDwO ADOREsB Plan Checkin Fse S t r' Ener Plan checkingFse I b LOT No BU�OIDNI K"Q PARCEL MAP PERMIT FEE $ . MBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE 19, W AC_ Trap 7.001 SF ❑ Duplex O Mobilehome ❑ Other at Um water heater NEachgas 23.00 OPEC^ piping 1 15.001 TYPE OF WORK ater heater or vent 15.00 New ❑ Addition ❑ Remodel ❑ U6U ss ❑Installation❑Other❑stem 1 - 5 outlets 1 5.00 Describe Work: building sewer - 15.00 j r r Mobile Home S G W r I @20.00 PERMIT FEE S ELECTRICAL PERMIT Main Service eoov OR L4Fs Filin Fee 20.00 /t V /� OC) A Q/�© l� 200A°RLEGS Main Service tow To r_ 23.001 1000A 46.00 CONG DWEu-V4 OCCUP. OR ADo"6. a ACC. BLDG. 3.5¢FT. NON:1E91D. uuLTroVTLET @7.50 POWER APPARATLQ *PERMIT EX. OCCu OUTLET 20 $ .� ,. OR FORUREa ® 1.00 BAL Ex. OCCU �Di��• OR ° .,0 REGIO. EA Temporary Service 5.00 23.00 I SRA $ N Mobile Home Facilities i Misc. Wiring_ 20.00 23.00 SHERIFF $ (y I PERMIT FEE7$ MECHANICAL PERMIT Filing Fee 20.00 OTHER $ Heatln Coolin Hood 8.50 :i AMOUNT RECEIVED $ *RECEIPT NUMBER V *TO BE PUT INTO COMPUTER PERMIT FEt I $ Mobile Home Installation Fee b Energy Inspection Fee S OCC CONGT. TVP[ TO AL FEES "AZ. D. FE VFLOO D I CDr CEL I "0 I BS UE .v This permit Is hereby Issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ias,o r #12 Cousin Gary Circle - "The Yuba Classic" 3 Bedroom 2 Bath, 1976 Sq. Ft. c�eie nuu .I ne is IW DINING ROOM 12' OUB o IQ MASTER BEDROOM No. 1 N —W -.39 C ,l31 G.%rhEVM IHK-Oar . n i sxnntwWo WR UANG ROOM 1W 01101 i iisoon cum iiiii Plan P227CTB BEDROOM No. 2 O 101.81 n / 1 cr_c � ` ✓ I ��SawEk oaae+�`� BEDROOM --i No.3 FOYER FAMILY ROOM IT i 23'-4, `. , �U t � OPTION 4TH BEDROOM n th Features iis Model include: * Picture Window & Dormer * Glamour Master Bath with Corner Tub, Stall Shower and Skylight * Master Bedroom Walk -In Closet * Oak Kitchen Cabinets with Drawer Over Door Construction * Sheetrock Walls with Rounded Corners * 4tBedroom Option Available * Exclusive Safease Package * Residential Heat *Deluxe GE Kitchen Appliance Package * 6" Exterior Walls * Sliding Glass Door * Skylight in Kitchen * Recessed Entry Vry o` CC- D N ID _ ca = D W CD Cn _ N —W -.39 C ,l31 G.%rhEVM IHK-Oar . n i sxnntwWo WR UANG ROOM 1W 01101 i iisoon cum iiiii Plan P227CTB BEDROOM No. 2 O 101.81 n / 1 cr_c � ` ✓ I ��SawEk oaae+�`� BEDROOM --i No.3 FOYER FAMILY ROOM IT i 23'-4, `. , �U t � OPTION 4TH BEDROOM n th Features iis Model include: * Picture Window & Dormer * Glamour Master Bath with Corner Tub, Stall Shower and Skylight * Master Bedroom Walk -In Closet * Oak Kitchen Cabinets with Drawer Over Door Construction * Sheetrock Walls with Rounded Corners * 4tBedroom Option Available * Exclusive Safease Package * Residential Heat *Deluxe GE Kitchen Appliance Package * 6" Exterior Walls * Sliding Glass Door * Skylight in Kitchen * Recessed Entry PA9 BUTTE COUNTY AGRICULTURAL BUFFER NOTIFICATION AND/OR UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Developrppnt Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 Name: Mailing Address: E -Mail address Assessor's Parcel Number: 4f42612- CSLI/ i? - Reason you believe you qualify for the unusual circumstances exception: Phon0/7 e7SI -e of Authorized Agent's sio&ature Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ...................................... Internal Dept. Contact Info: W ❑ Env. Health ❑ Planning ❑ Building ❑ Other Contact Person: Phone: FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING .......................................................................................................................................................................................... For Agricultural Commissioner office use only: (to be completed after submittal ) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building) a Exception Recommended ❑ Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: CKos-r Po V, _& ( r3 L, S Lei 01J , ()n2CG L St 2-E IW r M� ~ Agricultural Department Signature: Date:�-'z YMC 7/1/03 • BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) r � School District 1 Building Department No. A.P. Number og ' U . w9- Jurisdiction: City County Property Owner Property Location/A4 Subdivision X92 -&D Lot No. P :jev LAI/ Residential Development ................................................................................................. Sq'Footage Q No of Living Mob Pe Home Addition/ Supplemental to j'" (Group R) Units Installation Conversion Permit # *(No foundation inspection)' .................................................................................................................... Commercial/Industrial Sq. Footage QNew, Addition (Including Exterior � ^ 1 Roofed Areas) -� �� • 67:7 Building Department Representativ Date (Floor Plans reviewed by School District Personnel) Dis�tricrt�Ide�ntification No. 040011 1 � v �chool District certifies that (Street Address) (City) d i has complied with the requirements of Resolution No. representing square feet. School District Representative Raid by Check # /� Remarks: A (Applicant) / r, _ Ain (Phone Number) (State) (Zip Code) l by payment of / $ LA 11AB 2926 S FULL MITIGA• ION $ Date �1. ,,tl, Notice: You may protest the imposition of the fees identified above by sub T ing a written protest to thaDistrict, in compliance with Government Code Section 66020(a), within 90 days from the date fees are bid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees,inrany 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 (CEGA), 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) feeformAs (10/98)dmm 3 t Building Permit Number: 0.3-0/7/ Owner Name: Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required ------------------------- Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit 11 automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Owner Name: mi Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure.. IMThe following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of feet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be.desiped by a California registered engineer or licensed architect. U k f .l' �r FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200; ELEVATION CERTIFICATE Important Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number MARY JANE BURNS-FLOYD ELLIS BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 950 PALERMO RD CITY STATE ZIP CODE OROVILLE CA 95965 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN 026310-M BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) New Residential Structure LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): #W - ##.#!1?' or ##.# ) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bi. NFIP COMMUNITY ECOMMUNITY NUM B2. � STATE BU1TE CA.BINCORPAA�7�I I CA I B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX DATE B7. FIRM PANEL B6. FLOOD ZONE(S) B9. BASE FLOOD EEVATION(S) - NUMBER AUGUST 8, 2003 (530)877 253 EFFECTIVEIREVISED DATE (Zone A0, use depth of flodi ong) " 060017 990 C A. JUNE 8;1998 ° •, , '; X 125.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ AS Profile ❑FIRM ❑ Community Determined ® Other (Describe): SEE COMMENTS 811. Indicate the elevation datum used for the BFE in B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?❑ Yes ®No Designation DateN1A SECTION C - BULDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ® Construction Drawings' ; ❑ Building Under Construction' ❑ Finished Construction Anew Elevation Certificate will be required when construction"of the buildi g is pl�g C2. Building D� m Ntnnber 8 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARIAE, AR/AI-A30, AR/AH, AR/AO Complete Items C3. -a4 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments ALL ELEVATION ARE BASED ON ASSUMED DATUM ESTABLISHED ON SITE. Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No W QRGFE$S/o o a) Top of bottom floor (including basement or enclosure) 150.Ofl.(m) 0.2 ••�40.'L G • o b) Top of next higher floor N/A._f4m) 00 o c) Bottom of lowest horizontal structural member (V zones only) N/A. ft(m) .0 o d) Attached garage (top of slab) 150. 0 ft(m) • o e) Lowest elevation of machinery and/or equipment E No. 27647 o servicing the building (Describe in a Comments area) NLA ft(m) m o f) Lowest adjacent (finished) grade (LAG) 149.0 ft(m) 3Tj� 6 o g) Highest adjacent (finished) grade (HAG) 149.0 ft(m) ` •. •• \�" o h) No. of permanent openings (flood vents) within 1 ft above adjacent grade WA OF CALF o ) Total area of all permanent openings (flood vents) in C3.h WA sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this cef0cate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER ROBERT G. AGEE, JR RCE 27647 TITLE COMPANY NAME Civil Engineer SIERRAWEST SURVEYING. ADDRESS 5437 BLACK OUVWR CITY PARADISE STATE ZIP CODE CA 95969 SIGNATURE 6 T— /� AUGUST 8, 2003 (530)877 253 IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: 'BUILDING -STREET ADDRESS (Indudng Apt., Unit, Suite, ardor Bldg. No.) OR P.O. ROUTE AND BOX NO. SW PALERMO RD. Policy Number CITY STATE ZIP CODE OROVILLE CA 980 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. . COMMENTS ALL ELEVATIONS ARE BASED ON ASSUMED DATUM ESTABLISHED AT THE SITE. BENCH MARK NAIL IN P.P. ELEVATION =150.0' ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number_(Selectthe building diagram most similarto the building forwhich this certificate is being completed —see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is_ t(m) _in.(crm) [:]above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6$ with openings (seepage 7), the next higher floor or elevated floes (elevation b) of the building is _ ft(m) _in.(an) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is_ fL(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or ownees authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA -issued orcommunity- issued BFE) or Zone AO must sign here. The statements in Sedions A, B, C, and E are oared to the bed of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. ❑ The information in Section C was taken from othwdocumentabon that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by slate or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community4ssued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. G7. This permit has been issued for.❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: ft(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: ft (m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS F1 Check here if attachments V12 Comm m oury Circle "The Yuba Classic" C) Bedroom Bath, 1976 1 �.. /■■ • •mom �■tt■tt■ ■oma :.�■■.t1++ t■■■ ■■■I�voss WIR t■\Vttl W ---- F, F3 VN FE ....ms ...MOM.....: Him is ..No : ■■� �1 BEDROOM DINING '' -F 12"1111 ..... ..................... ..... 1 �,........' . a�su�tmaaM..... ■■.■ti ■■■■■■■■■■■■■■■■■■■ W . �:M ■��'1:� . ■■tai ,No. �' p ■■...■■■■.■■■■■■■.■■■■..- NOUN■■..\.■\\\■.Mt■tttt\■t■■■■■ ' Ir�■�\■■r :ii0agon Mono, u ■t1■�\ �i\t�l -/ ■■tt■ttlt■tt�*11�1�11* ��- �� BEDROOM MASTER FOYER FAMLY ROOM 121 BEDROOM No. 1 LIVING ROOM 14' ir Xg, 11 Plan P227CTB ; oLLC 1 BEDROOM FAMILY ROOM BEDROOM No. 3 G) 14 -e. No. A 10, i © rn _ 0-00 , D OPTION 4TH BEDROOM Features ,in ths'Model include: * Pictures indow & Dormer * Glamour Master Bath with Corner Tub, Stall Shower and Skylight * Master Bedroom Walk -In Closet * Oak Kit then Cabinets with Drawer Over Door Construction * Sheetrock Walls with Rounded Corners * 4 Bedroom Option Available * Exclusive Safease Package * Residential Heat *Deluxe GE Kitchen Appliance Package * 6" Exterior Walls * Sliding Glass Door * Skylight in Kitchen * Recessed Entry M.H.I.-2 X XX X. wpm Mobilehome Manufacturer: SKYLINE Manufacture Year: If other than single wide, furnish Setup Model Number: P227CT Width- 26' (ft.) Length: _76'_(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. FOOTINGS: Wood.pressure treated or foundation grade [ ] Other: _ETS Pads SUPPORTS: Concrete block [X] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line I Line 1 Line 2 Line 2 ............................................................................................ Line 2 Main Beams line 2 ............................................................................................. Line I Ione 3 Line 2 Main Beams Line 2 ............................................................................................ Line 1 ............................................. Line 5 Tag or Triple Line 4 Line 1 Line 1 Piers: Size minimum: Spacing maximum: From ends -maximum: Line 2 Piers: Size minimum: Spacing maximum: From ends -maximum: Line 3 Roof Loads: Size minimum: Location. (from rear): f Line 4 Roof Loads Size minimum: Location (from rear): Line 1 Openings: ]XI I Size minimum: [24] x [24] " Each side of openings with width over: 4' 0" Line 4 Piers: 24 x [241 Size minimum: I 1x[ 7' 0" Spacing maximum: " 2' 0" From ends -maximum: " 24x24 124x24 124x24 I 24x24 15'4" 31'4" 42'0" 54'8" A ! r 2003 OVER D934CTR 30# STD FNDTN M.H.I. -2 MOgIL�EH#?lYIE ll+f'r�............. ..........I,LA`I'IUN ..... . .I.BA.......... T:.:-.:-.:.: ..:,.:.: ........ :.,:............... ..........-.... .............. ........ ... x.. A I . Owner's Name: ELLIS, FLOYD & EVA 2 . Assessor's Parcel Number: 025-310-002 3 . Installer's Name: 4 . Is the site currently under permit? 5 . Is the site an existing site: SKYCREST ENTERPRISES Yes [ ] No [ X ] Permit No. Yes [ X ] No [ ] (If yes, furnish two plot plans). 6 . What is the electrical rating of the mobilehome? 7 . What is the mobilehome site circuit breaker rating? 8 . What is the electrical rating of the mobilehome site? 9 . Is the main service remote from the mobilehome site? the rating? Amperes. 100 Amperes. 100 Amperes. 200 Amperes. Yes [ - ] No [X] If it is, what is 10 . Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage, etc.)? Yes [ ] No[ ] Ifyes, please identify the load and size: a) The mobilehome site: Load - Amperes - b) The main service: Load - 11 . Type of gas service at mobilehome site: Amperes - Natural 12 . Size of gas pipe at the mobilehome site from the meter or tank: [ ] Propane [ X ] None [ ] 13 . What is the gas pipe length from the meter or tank to the mobilehome? 3/4" inches. 20 14 . What is the mobilehome gas demand? BTU.* *(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 UTT7.-- C,OUN I A P S 1 V r f• S REVW CONN RMi n, ED MI) ISSUE,) By e ASSESSMEHI SFRyICES UEASO� O RINRITERS IES, ANC. IVA'� RLE {!-h--1321 L355 VOL I ....� SEC. 4 ._ _ _ ILL_ 51 PC 6-695 30# CENTERLINE SUPPORT REQUIREMENTS s DRAM 8r: VAN THIS SHEET IS TO BE INSEII HATH SUPPLEMENT TO FIELD INSTALLATION MANUAL FOR OATS: 03/06/200[ 3t1# ROOF ZONE SNOW LOAD. SFE COVE PRINT FOR LOAD REQUIREMENTS ANU LOCAAGNS. 301 ROOF attiu��� IPn H n m -a, j UW Lobo 7626-"-2B-CATH P227 -CTE A A 70 ONIC1110b I I Ni* loo Blinp I L 12 - e-.9 F/o/j /�/p/ sluawan Z), M I A �, ��2 CP;a If 'Odn (3W or4n '03N :40 woula-a * IN388n0 HilM AldA0011VHS ION ) NoiuonuisNOO 03,114WHO �Wld ONlavalci ®NV --jvojNVH03lN lwh,m PLANNING DIVISION- BUILDING RAN APPROVAL Use: Q K Date: Parking: - Landsca#ng: Offier- Rinnaftira- 0 3978-81P E PERMIT NO. _ PERMIT EXPIRES OWNER David Neilsen CONTR. owner ASSESSOR PARCEL 25-23-13 1 LOCATION SIS Palermo Rd., app.800'W.of Power House Hill Rd., Palermo Temp. Power Pole ` Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) 5 Signature V = OK 0 = NoLOK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) (l.. _,xcept n 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size-Depth-Spacing=Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ^ 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shchg.-Rig.-Bracing__ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-EnL.:,s„res 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card - BI Date Card -BI Date Card -BI. Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1, Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except 11's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining _ 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable RESIDENTIAr(Shille and Duplex) = Not Ready Date UNDERFLOOR Plans OK exceat#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /•' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p's 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 21. Elec. Receptacles Spacing -tights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. 24. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps -_ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes C3 No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels rlMech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House - Card B -I Date_ Card -BI Date Card B -I Date Card BI Date 82. Glass Protection Date MECHANICAL (Perrr,it) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval - 32._ 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI -- _ --------- -- Date___ _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. _Sills; Proper Material & Anchors 37. 38. 39. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearin_g_WaIts over Girders & Floor Nailing___ Draft Stop in Walls (rat proof) - _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. _44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. 47. Attic Access; Size & Rom ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION- I'D PERMIT P RMIT NO. ASSESSOR PARCEL NUMBER ZS-- Z 3 ! 3 ZONING - Z BUILDING PERMIT OWNER \ TELEPHONE .SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILI DRES 3E ;,EZ J p CONTRJCTOR'S N E ,,• / p 1C7�` TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER / LICENSE NO. Plan Checking Fee $ /o, u ( Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDINfj,A RESS �¢.. JI'IrG lZC) o, Qy'",�Q o pd PLUMBING PERMIT Filing Fee 10.00 / ri «D ` r md 1 Each Trap 2.00 Repair drainage or vent piping 5.00 GG'Ieresf_0 Water piping %BA Cf (J LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeCg- Other SPECIFY Building sewer Q a G L sprinkler system 5.00 CI YL TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities, Installation ❑ Other ❑ Describe work: Permit Fee $ _ CJ ', Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 f9 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.D11 OR ADDNS. ACC. BLOGS. I 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): I am licensed under provisions of Chapt.9, Div.3 of the Business80'250 and Professions Code and my license is in full rce and effect. License No. n �/ �� 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 NEWCONSTR I.OUTLET 2,50 ea NON -R ES..BRANCH CIRC TS NEW CONSTR. ( POWER APPARATUS p NON.RESIO. SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES BAL@loo FIXED APLNS EX. OCCup.(OU LETS P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 00 Misc. Wiring 7.50 Q Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. �F]I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 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 againMtiduntyin con equence o the granting of this perrmit.nX \l ✓f� Date �V o�/ Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" c'eep and demolition or construct- ion of structures over 3 stories in he',ght Mobile Home Installation Fee $ 1 TOTAL PERMIT FEE $ , OccUP. GROUP I TYPE OF CONST. PARC PD HD 550 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC BY the applicable provi- resolutions to do fees have been paid. WORKS Date�gZl—,P Receipt No. 6- WHITE-D.P.W., EL - 55 5 INK -I NSPEC O ,GOLDENROD -APPLICANT P I EXPIRES Date X3 P7-4/ts,��. 3? , PERMIT NO. 1408=82BQ PERMIT EXPIRES®�.__ .f. OWNER David Neilsen CONTR. Owner .t ASSESSOR PARCEL 25'23'13 LOCATION S/S Palermo rD, app 700' W. tit` " Power House Hill Rd, Palermo ,11 1 r �d t r� r �R ' Temp. Power Pole " Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service ;4 Called PG&E JOB FINALED (Date) I Signature rz J = OK O = Not OK Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOI°' Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'- 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shing.-Rfg.--Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI , Date _ Date Card -BI Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10, Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK Not O = Not Read = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. 60. Bedroom Exiting G.F.I. & Bath Fixtures &.Tub Access 17. Shower Pan; Test, First Floor -Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails _ __1.9. 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65• Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap=Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No, of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic E) Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails &Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes E) No; Walks E) Yes ❑ No; Planters ❑Yes ONO 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -_ 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - 79. Water Well; Disconnect, Electrical, Plumbing - 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date_ Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Pero.it) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. _33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Card -BI Card -BI--- 35. Attic Access & Platform if Furnace in Attic -- Date_ _ - Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. Sills; Proper Material & Anchors 37. 38. 39. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing WaIts over Girders & Floor Nailin_g__ _ Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties - Purl in -Roof -Bra-c. T_r_u_Ss-Shthn_g_.-_Rfng_. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cal.iforni-a 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PEIT NO. ASS SOR PARC L UMBE �_ ZONG I � / BUILDING PERMIT ow TLE SQ. FT. OCC. BUILDING V LUATION E 'S AILI GDRESS CO T ACTO 'S N A-PnE y� ✓ V< TELE ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ /x,00 Penalty $ C 4,ID ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ z) BUILDI ADD 10 J PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome�Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition VRemodel ❑ Utilities ❑ Installation❑ Other ❑ ( Describe work: ! OU p CCAS Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST./ DWELLING OCCUP.5j OR ADDNS. l ACC. BLDGS. 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am lice sed under provisions of Chapt. 9, Div. 3 of the Business and ns Code and my license is in full force and effect. se No. Classification X1,asthe 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 s NEW CONSTR -OUTLET NON.RESID BRANCH CIRC TS 2.50 ea NEW CONSTR (POWER APPARATUS .& NON.RESID. \SINGLE OUTLET CIR. so@rse Ex. OCCUp OUTLETS OR FIXTURES BAL�1 FIXED APPLNS. OR Ex. Occup.(o UTLETS (RESID.) EA, 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate ofiGt to Self -Insure. shallall 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 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 abov menti6ned pro erty for inspection purposes. I also agree t ave; Inde nify and keep armless the unty of B tte again t all liabiliti judgmen ,costs, and enses w may in any way acc a against sa' Cou ty ' onsequ c gra g of this permit. Date Sign ure of Appl'cant — Ownar Contractor ❑ Agent An SHA perm' is required for excavations over 5'0" deep and demolition or construct- i of structur over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE t OCCUP. GROUP TYP oP co T. IIIO�� PARCEy 1/ Po HD 5sD This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC BY PE.JI16dT E PIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — 2— �� Receipt No. q WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT , OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Paradise Modular Concepts ADDRESS: 6633 Skyway CITY & STATE: Paradise, CA. 95969 IMPORTANT:" November 14 1978 SEE INSTRUCTIONS DATE OF CLAIM: } ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Contractor not going to install mobilehome. (Owner: Henry Larson - Permit Ap -7 MHT - Receipt #171338- AP 25-23-13) Mobilehome installation permit fee ----- $30.00 -- i Retain 113 of fee ---------------------- 10.00 TOTAL REFUND DUE ----------------------- $20.00 $20.00 I . I i . i l TOTAL $29.00 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. Datedthis .................................. day of ............................. 19....... at................................. Calif..................................................................................... ' Signature of Claimant I. the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval ❑ (Check one) for the same. .. Datedthis ............. 14th............ day of .........N�v. .... .... 19%8, at ...OlOVille.. Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM................................................................................,........... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD. SUB. OBJ. CLAIM N0. INVOICE N0. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. I K J !. s INSTRUCTIONS to CLAIMANTS All claims against the county must -be 'itemized; " iv'ing dates and = character of service 'rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. CZ/3 Witness, ---------------------- of the court affixed. Dated..-- -------------=------------------- (SEAL) *Insert where applicable: person and **If additional powers granted, add: with the following additional powers authorized in Probate Code Section 1853: (Specify) I solemnly affirm that I will perform according t estate.----- of th Executed on ------------ ------------- (DDaate) te------------------- at I CERTIF I hereby certify that the foregoing is a correct letters have not been revoked, annulled or set aside, a Dated....... ---------------------------------------------- (SEAL) ------------------------------------------- (SEAL) r onn approved by the Judicial Council of California. 12-62. LETTERS OF COME COUNTY OF, BUTTE — DEPARTMENT OF PUBLIC WORKS /) 7 County Center Drive - 5 e, California 95965 Telephone: 534-434-45441 • APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above- entioned property for inspection purposes. ^� Date Signature >Permitee or Agent / Receipt No. 71ELP White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contrac Mailing Addres Fireplace Total Valuation T eph one No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 ,� A. P. �aS ' d - Qj3.t�fWater Zoning & Planning piping 1.50 Each gas water heater or vent 1.50 F44 C. "uitatiert Fire Dept. r Fi re Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking I Plans ParcelEach Declaration I Parcel Map 1 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bldg ans Recd Parcel A royal Plans Approval Lawn sprinkler system . 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER � Permit Fee $ $ "%. ELECTRICAL No. @ FEE f PERMIT FILING FEE $3.00 Main service e00v OR LESS 100 AMP OR LESS 5•�0 Single Family ❑ Duplex ❑ Mobil Home 0� Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST 1, ACCLBLDGS,LING CCUP. s� 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: MULTI NEW CONSTR BRANCH CIRCUITS) NON.RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS B NON•RESID. SINGLE OUTLET CIR. Ex. Occur) {OUTLETS OR FIXTtIRES 5 L25 Ex. OCCUp (FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License � Classification C•� Misc. iring W 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 OA e $ TOTAL PERMIT FEE $• authorize representatives of the County of Butte to enter upon the above- entioned property for inspection purposes. ^� Date Signature >Permitee or Agent / Receipt No. 71ELP White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �7 County Center Drive - Oroville, California 95965 -'`` lephone 916/534-4541 APPLICATION AND 0ERA P RMIT'NO. csC -)14 ASSESS, Ppjf2CEL NUMBER ,�P`j — - � ZONI Ir BUILDING PERMIT OWNER T TELE HONE S0. FT. OCC. BUILDING VALUATION OWNEF ' MAILING A DR SSrl ,5_6S O.^ ` I CONTR OR'S NAMOL e�j TELEPHONE CONTRACT, MANG DDRESS eA IW CXFireplace CONSTR C ION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER MAILING ADDRESS Permit Fee $ ARCHIT CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Q(y Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING A KESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 O © Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ MobilehomeRT Other SPECI FV Building sewer 5.00 Mobile Home S I G I W 110-00ed TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD•L 100 AMP 2,50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2tA2sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business20®sot and Professions Code and my license is in full force and effect. License No. Classification �[V]] I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWCONSTR (MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occup(o XTS OR FIXTURES BAL@300 FIXEEDD APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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 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 relatingR,�1i9JgJ� 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 againstOCCUP. all liabilities, judgments, costs, and expenses which may in any way accrue agais id County i consequence f the granting of this permit. �(��� 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 $ ,oO 6L_ 011Z, TOTAL PERMIT FEE GROUP TYPE of CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date )� -Z- �/ l 7— .T �� Receipt No. 31 M22 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541- OWNER-BUILDER 16-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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 or no) 2. I hav have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major .work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted.(hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security u mer Date 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 permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95Siy5 - TELEPHONE: 916/534-4541 i - PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Permit Fee Based Upon Building Inspector /f / Complete Contract Price Other (ExDlain) Permit No. A. P. No. 05`,�J 'DPW Valuation Date 11 -Ili- At time of permit application, I was advised the following data must be submitted prior to permit processing and1or issuance: DATE RECEIVED, APPROVED 1. All items have been submitted. . . . . . . . . . . . 2- Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No.- . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ ; 9. Letter of signature authorization. . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking:- 12. arking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑ ) 15. Improvements may be required. . . , ::4fqMobi lehome Installation Data. .p /;0 . "".� . .. e -Inspection for FY-r4?'1Alam �/ ( Re wired, Pre-Inspec. request to (Date) Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other 1 When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other Appl icaM �/�4e,22 Date Copy of plans sentHealth Dept„ Fire Dept., Other Date During the plan checking process, the following data must be submitfed prior to permit issuance. (For required items not checked abov at ime of application, circle item.) 1. Index permit for above items No 2. Additional items required: 2 (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by_ Plans approved by Other Copy—DPW Date Date '" 1�qlet I?�i Gec;c� A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. /OW 9 60 75 / ---_770" 9,X11.S4'"1✓!q C.q 13 ca rigj \\lans and specifications MUST be This set of p kept on the job at all times and it is unlawful u4 make any cha;;g's or alterations Department ofon same jlwritten permission from the D p Pub- lic Works, County of Butte. NOTE:—AA Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specifiod use in the Uniform Building, Plumbing & Mechanical Odes and the National Electrical Code,, Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the mobilehome. BUTTE COUN Y BU4 DNG n -P RTMENT APPROVE�y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, 41ifkrnia 95965 - Telephone 916/534-4541 APPLICATIONANDPERMIT ERMIT NO. Ass SSOR P!Y,§ NUIB R zo IN-G-'�� BUILDING PERMIT OWN. P TELEPHONE S0. FT. OCC. BUILDING VALUATION 'S ILI NG A ESS +� CO TRACTO 'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BU1_LD1NSDR s / PLUMBING PERMIT Filing Fee 10.00 � i-�_/ � F ` 1 � 170b�`( l- Each Trap 2.00 Repair drainage or vent piping 5.00 Jr� Water piping LO NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[t Other SPECIFY Building sewer Lawn sprinkler system 5.00 _++ TYPE OF WORK New ❑ Addition Remode ❑ Utilities ❑ Installation Other ❑ Describework: t' � 97 `�i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V DR LESS 100 AMP OR LESS 5.00 ' •�`, ( '� x 1� Main service EA. ADD'L 100 AMP 2:50 NEW CONST. I DWELLING OCCUP.8i OR ADONS. ACC. BLDGS. 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and fessions Code and my license is in full force and effect. "-rise 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 CON STNON .RESID R BRANCHT* 0 UT CIRCUITS 2.50 ea NEw CONST R. ( POWER APPARATUS 6� NON .RESID. SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES_ a �� FIXED APPLNS. OR EX. OCCUp.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I haveed on file with the County of Butte Building Department a rtificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation 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 a above- ntioned proper for inspection purposes. I also agree to s indemn' ,and ke p har less the County of B tte agai st all liabilities, j me s,ts, andlxpe es which may in any way ac rue against said C t i quence o ranting of this pe rr't %� Dat Owner Contractor ❑ ' Agent Signature o Applica/3stories An OSHA ermit is d for excavations ov " de 11 or construct- ion of str tures ove in height Mobile Home Installation Fee $ 3e).0 too TOTAL PERMI FEE $ OCCUP. GROUP TAPE of CONST. PARCEL PD D 550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the appl c b e pt reso utlons to d ' fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLO S PIN -INSPECTOR, GOLD EHROD-APPLICANT - - z5-23-13'. Permit # 1409_-8`2MRI Issued 1W ;yr, BUTTE COUNTY. DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET �. ' 1.. �. Owner's name: 2. Installer's name: L► ~f 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (if yes, furnish two (2) plot plans.) 4. 'Will he mobilehome be located at least 5 ft. away from septic tank and' leach fields and clear of.all setbacks.and easements? Yes /l/ No ( If no, clarify ) ( ) 5. •What is the mobilehome electrical rating? ------------------------ `-9 0 Amps i. 6. What is the mobilehome site service rating? --------------------- I CJ Amps 7.. What is the mobilehome site circuit breaker rating? ------------- � Amps 8. Is there any other electric load to be'served by the mobilehome siteservice? ----------------------------------------------------- Yes No (If yes; identify the load and size: �. (Load) `7 (Amps). 3 9. What is the mobilehome site gas pipe size? ------------------- --- ` ( in. ) 10. What is the type of as service. Natural /% LPG /� YP g ----------------------------- _,� 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) . 12. What is the mobilehome gas demand? ------------------------------ (BTU) r (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED.-�Y MOBILEHOME SUPPORT DATA . If other than single wide, Mobilehome Mfr. furnish Setup Model No. Year P idth1:2— (ft.) Box Length "' (ft.) Tagalong or Expando Size � 2- ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single �'. Wood either'• pressUT1.treated or fou -dation grade. �] x (ft.)(in:) (in.) (in.) 2. Ot�er (specify) Cente support Center s p ort locations* footing sizes Supporta. (check one) (in Er`' Concrete block. •2: Other,. (specify) (ft.)(in\) (in.) (in.) 1 4—Tagalong or Expando,' show support details. (in.) (in.) --'Typical Support (in.) (in.) Footing Size .` x� in. (yin.) -- Max. Pier Spacing Max. Overhang (ft.)(in..) r *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ►' °L 7 County GWEQr Dive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT , PERMIT N ASSESSOR PARCEL NUMBER 25-23-13 ZONING A2 BUILDING PERMIT OWNER David Neilsen TELEPHONE S0. FT. OCC. BUILDING VALUATION 1st 'Renewal OWNER'S MAILING ADDRESS 950 Palermo Road, Oroville CONTRACTOR'S NAME Neilsen Construction TELEPHONE 533-9072 CONTRACTOR'S MAILING ADDRESS 36 Brookdale Ct. Oroville, CA Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee k &f• Original $ 48.50 ARCHITECT OR ENGINEER None LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 58.50 BUILDING ADDRESS S/S Palermo Rd., app. 7001 W. of Power House Hill Rd. PLUMBING PERMIT FilingFee FilinFee 10.00 Trap 2.00 Solar Water Heater 20.00 Palermo Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ® Other SPECIFY Building sewer 5.00 Mobile Home ISI GJWJ TP4 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other] Describe work: — 1st Renewal of #4387-81 (Add cabana) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 27hQsgft 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 m license is in full force and effect. y cense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea NON.RESID. BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. Ex. Occu 200C P�o PS OR FIXTURES BA@5LO 30 FIXED PR Ex. Occup. OUTLETS (RESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate pf Consent to Self -Insure. vl shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter pon the 6ve-ment' ned property for inspection purposes. I also agree o save, ' demnify keep harmless the County of Butte against all liabili ' s, judg nts, cos and expenses which may in ny way accrue against id in c ce of the granting of this per X Date Sig ature of Ap licant — Owner Contractor E]Agent❑ A •OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 58.50 OCCUP. GROUP TYPE OF CONST. PARCEL PD XD 1990E This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. IR F PUBLIC WORKS By Od& Date — PERMIT EXPIRES D af 12-2-83 Receipt No.2J 7 Q / / WRITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION r 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major abor and materials for construction of the proposed property improvement a or no) 2. I�tfor ave not). signed an application for a building pe the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will,provide some of the work but I have contracted (hired) the following persons to -provide the work indicated: Name Address Phone Type of Work ZI Signed: Property Owner ` Social Security/,number — Date 0/,131 g3 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 permitted to issue the permit. J g IIS5.�` U U o d5l �r k COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 140.,,,���}}} 7 Coun44 Center Drive - Oroville, Cal'ifordia 95965 - Telephone 916/534-45 r- r APrPLICATION AND PERMIT ASSESSOR PA EL MB Z✓ J 3_ I ZONI A�1� BUILDING PERMIT OtgN R /'AID Ar, 1_ 5 TELEPHONE SQ. FT. OCC. BUILDING ALUATION OWNER'S MAILING ADDRESS CON/T_RAC TO M C%;i_1�,.�0 N}C� L /TF//�(/!// T LEPH P 997 CONTRACTOR'S MAILIARE [/ Fireplace CONSTRUCTION LENDER ANZ UN NOWN @ Total Valuation $ l 0 p Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ , p ARCHITECT OR EN LICENSE NO. Plan Checking Fee $ Sv Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ /S BUILD ADDR S 12z- /gpa %QQ PLUMBING PERMIT Filing Fee 10.00 O . �,, /y—���� f�� Each Trap 2.00 6.001 Repair drainage or vent piping 5.00 f� Water piping s Op LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition P-- Remo a VL ti lities ❑ Installation❑ Other ❑ Describe work: �N Permit Fee $ ZL"pp Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCOR P DCONSTRAcc. a ouTLET 2Sk t CONTRACTORS LICENSE LAW I declarnder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code d my license is in ful rc and effect. License No. Classification ❑ I, as the owner, or my employees with wages as'thed 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) FlI am exempt under Sec. , Business and Professions Code for this reason NEW NON.RESID BRANCH CIRCUITS) 2.50 ea NEW CONSTR. (POWER APPARATUS &I NON -RES ID. SINGLE OUTLET CIR. 50 @ 250 Ex. Occup(OUTLETS OR FIXTURES BAL01 IXED APPLNS. OR EX. QCCUp.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Od Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ e permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee S 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 Butte to en r upon th above -men ' ned property for inspection purp ses. I also agr a to save indemnify keep harmless the County of B tte again t all liab' ties, Jud ents, cps and expenses which yin an way ac e again aid Cou y in copse n e of the granting of Is rmi . X ate pplicont — Owner ❑ Contractor Agent S' nature ;,�e n OSHAmit isrequired forexcavations over 5'0" deep and demolition or construct- ion of struures over 33 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE Z�Jr S� OCCUP. GROUP TYPE of CONST. PARCEL PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By PET EXPIRES Date- the applicable provi- resolutions to do fees have been paid. WORKS Date 4— Z,—If/WHITE-D.P.W., J L- L-3 l__ Receipt No. ✓�J YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT _ y `--r--�-:«:.-.+.r.s-rc-�a�.'.�` :R"`'•`i�ti:#4 r.� _�-r (blAir`!-�Htik.:�L✓ �f« ._.. „ .y ...-•---••--._--- -_,- ... � �-.�� .---- 1�01JINTY OF'0WTTE--.- DEPARTMENT OFPUBLIC WORKS - BUILDING,,DIVISION COUNTY CENTER DRIVE-iOROVILLE, CALIFORNIA 95965 - TELEPHONE:�916/534-4541 _PEROTi APPLICATION DATA SHEET s Permit No. OWNER , DA11D /V L:-1 L. -J5' 67A A. P. No. 2.S" 2-3" 0 Proposed Building Use Permit Fee Based/Up n: Complete Contract, Price ✓DPW Valuation Other (Explain) Building Inspec or 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. ,AH items have been submitted. . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. Sanitation approval from ht -10 Health .Dept.. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (pole) 18. Other When you issue the permit, process as follows: -Mai l to owner. Mail to contractor! "� Telephone5hold 33- 1072 ani for pickup at �✓ � offi, e ,Deliver w/inspector. Other V ��/� r �/ f Applicant ate / Copy of plans sent Health Dept., Fire Dept./, Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer,�Owner) was advised of above required data by Telephone Mail Plans checked by _ Plans approved by Other: Copy—DPW By Date Date Date Other To , Building ,Depa:;7#:ment From : Environmental Health Subject: Sanitation Clearanoo 710c a t on AF' .Plan approved .for: sewage disposal water supply .� Hold .Unal for: water supply Final elearnnee O.K. for: water supply Cleara.aea for bedroom mobile home, Other NOTE **# Lan File No. BUTTE COUNTY Public Works Dept. (For 1, 1, 2,3) (For';lnformation ✓) Director Dep. Dir. Sec. - E Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. D&C / Traffic Const. Rd. Des. Br. Des. Sur.'& Loc. Transp. R/W Mapping Land Dev. Ref. Disp. Drng. / S. I. Sub. & Pcl. Maps Permits CERTIFIED FAIL David Neilsen 36 Brookdale Court Oroville, CA 95965 Dear Mr..Neilsen: s J o DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY.CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Teleohone: (916) 534-4541 H. W. McDONALD Deputy Director May 21, 1982 RE: Permits and Inspections (AP 25-23-13) With reference to the above subject, on October 21, 1981, you applied for two (2) permits for mobilehome utilities, and subsequently one was issued and had the required inspections. However, the permit for the second mobilehome was not issued due to lack of Health Department approval, which you were advised was required at the time of application. :S:ince this mobilehome has been installed without permits (including a "mobilehome -installation" permit) and inspections, and since both permits and inspections are required by both State and County laws, please obtain Health Department approval so that the "mobilehome utilities" permit can be issued, obtain a "mobilehome installation" permit, and make arrangements for the required inspections within ten (10) days of the date of this letter. Since you have also constructed decks and awnings adjacent to the first mobilehome installed on your property located off Palermo Road, Oroville without the required permits and inspections from this office, please contact this office within ten (10) days -of the date of this letter, submit two (2) complete sets of plans, apply for the required permits, and pay the appropriate fees, including penalties. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. JFG:ds cc: Building Inspector, Oroville Yours very truly, Clay Castleberry Director of Public Works J.F. Glander Chief Building Inspector File No. �y BUTTE COUNTY PFor'Action 1, 2, 3) Public Works Dept. (For Information ✓) D irector Dep. Dir.. Sec. Rd. & Br. Mtce. Shop & Yards , Bldg. Insp. Admin. � A I " i D&C ! Traffic i Const. t Rd. Des. j Br. Des. IJ Sur. & Loc. i Transp., R/W Mapping i_ f' Land Dev. 1 Ref, Disp. Drng. / S. 1. Sub. & Pcl. Maps Permits April 13, 1982 David Neilson RR: permits and inspections 36 Brookdale Ct. (AP 25-23-13) Oroville, CA, 95965 Dear Mr. Neilsen: With reference to the above subject, on October 21, 1981, you applied for two (2) permits for mobilehome utilities, and subsequently one was issued and had the required inspections. However, the permit for the second mobilehome was not issued due to lack of Health Department approval, which you Were advised was required at the time of application. Since this mobilehome has been installed without permits (including a Imobilehome installation" permit) and inspections, and since botb,, ne1mAts and inegecttgns. are required by both State and County lawn, please obtain health Department approval so that the '%obilehome utilities" permit can be issued, obtain alh obilehome installation" permit, and make arrangements for the required inspections within ten (10) days of the date of thin letter. Since you have also constructed decks and awnings adjacent to the first mobilehome installed on your property located off Palermo Road, Oroville, without the required permits and inspections from this offices please contact this office within ten (10) days of the date of this letter, submit two (2) complote sets of plans, apply for the required permits, and pay the appropriate fees, including penalties, Your cooperation in resolving this matter would ccrtl3taly be apprecA-.,�Ltnd. Should you have any questions concerning this matter, please contact this office. JFG:ds cc: Building Inspector, Oroville Assessor Yours very truly, Clay Castleberry Director of public Works J.P. Glander Chief Building Inspector M r"r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS • 1 SPECIAL INSPECTION REPORT Owner: A.P. �� Address: ..Date of Inspe n �i`Z Tenant: Inspect Building Location: U� G . Type of Inspection requested: 1. Housing 2. Financing 3. Change of Occupancy to 4:' Other (specify) Present use. of building 'ASanitation (Housing) 1. Water closet:.. I. Lavatory: 3. Bathtub or shower: Kitchen sink• 5. Hot and cold water to fixtures: ..6: Heating'facilities: '7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connectior to_sewage disposal: 12. Connection to water'•supply: ' .13. Rubbish and garbage facilities: 14. Com ents B. Structural 1. Piers and footings: 2.' Floor construction: 3. Wall construction: .4. Ceiling and'roof construction: 5. Fireplaces:- 6. .Comments: C. Electrical .. . 1.. Service and ground: 2. Receptac.: es: ' 3. Fusing: 4. Comanent s : D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4.., Comments: ' E. Other ' 1. Maintenance and repair: 2. Fire hazards:_ • 3. Safety hazards -- 4. Weather protection: 5. 7Juderfloor and attic ventilation: 6. Comments: F. Connercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. R est:-oom floors and walls: 5. Exits: ti. Improvements 7. Zoning:.. _ 8. Comment: G. Field ProbL-msc or Vicla iorAs 1. Problem o ff, :riolatiorigive camplQt deecri_2tion) : -- - _- ����'�� Tri/i�% 0` 2. What actialp`taken `( g'i e/com{a7'ete descrriE Vii) 3. What act: ion r.eccnnmended: 77A. i:nfonawtion only - fil B. Hold for tcn (10) days, then wri<:e letter. / / C- Write letter. 77D. Other• PERMIT NO. PERMIT EXPIRES OWNER David Neilsen CONTR. owner ASSESSOR PARCEL 25-23-13 LOCATION S/S Palermo Rd., app.700' W.of Power House Hill Rd.,Palermc t Temp. Power Pole Called PG&E ti Temp. Elec. Service Called PG&E Temp. Gas SeCice &72 Cal led PG&E W JOB FINALED(Date) Signature zz Chanty c1,t Butte DEPARTMENT OF PUBLIC WORKS 606 goes dev, Chico 048 4044, Em! — 7 County Center Dr., Oroville —S34-4541 Skyway and Elliott Rd., Paradise --84$486 CORRECTION NOTICE ................................... Building or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need, additional explanation, please contact this office immediately. : ..... ................................... ..........................�1/... ��1,� ACA ,�'` .......................................I....�..k...... Ad..1.................................................. .. .....................................................................................................n...... ...................................... V ................ . ................ ............... Date ............................. Inspect Do Not Remove This Tag (400-4) V = OK 0 = Not OK - = Not Applicable * =. Not Ready MOBILEHOMES rw T MISCELLANEOUS - Date MOBILEHOME UTILITIES ( ns) OK except N's oning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORT, =TC. (Plans) L. "sept r, 1. Zoning Requirements -Setbacks -Easements So'.Is; Special Support -Sketch 2. Footings; Size-Depth-Spacing_Connectors Sewero - to Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-RItrs.-Connec.-Shthg.-Rig. -Bracing ectricity; Location-Clearances-Grnd.-/ i Amp -Concrete A-ets; Location -Test -Wrap:/ /"L"ft./ /"Nat. ora3/"L"ft./i "LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Eng 'es 6. Carports; Windows -Doors �lity CI arance r 7. Elec. Card -BI Date%- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (P&46f_OK except N's Date POOLS (Plans) OK except N's t,,Z-ening Requirements -Setbacks -Easements 1. Setbacks -Easements ootings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability as; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men-L`ining__ 4, lectricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5 rain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6 ater• MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7 air and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. a nd Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. s; Insp.-Sketch 10fidert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -I' Date _� Card -BI Date Card Bi Date Card -BI Date C d B -I ate),,J� and -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK Not Applicable Not Ready RESIDENTIAL (Siegle and Duplex) = Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date ! PLUMBING (Permit) OK except Y's 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr, Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. a to Edge of 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/klech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size _- 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet --- 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - - 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32, Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI ---- - ---------- Date- _- - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Dale Card -BI Date Date FRAMING(Plans) OK except q's 36. Proper Material & Anchors Comments at Final: 37. 38. 39. _Sills; _ _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girder; & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brat.-Truss-Shlhng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm._Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing - (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORK$ 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 534-4541 . Skyway and Elliotf Road, Paraaise — Phone: 872-2961, Ext. 57 ORRECTION NOTICE BUILDING OR PROPERTY ADDRESS �/ I A routine inspection indicates that the following violations of Cony Ofdinance e/ 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. ,s COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE O''F'OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit numbers 71— for the following location: X� 174f%'iu Owner Owner's Address —4' - ,- Mobilehome Mfg.Model Yearf Insignia No. Serial No. 1 It is hereby certified for occupancy at the above described location and iday be occupied. Directorofof Publblic Works'' f Date THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED 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 916/534 541 4 / APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER -T-,;23 ZONING BUILDING PERMIT OWER 1 1 O Alan --541A% TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER -S MAILING ADDRESS CONTRACTOR'S N 7�ELEpI.{�N E� G. CONTRACTOR'S MAILING ADDRESS 1,74 D AiA 7 w !— t i F -A Ove, Fireplace CONSTRUCTIO LENDER - UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S"MAILING ADDRESS ,.t Permit Fee b ARCHITECT OR ENGINEER -" LICENSE NO. Plan Checking Fee $ Or Penalty $ ARCHITECT' ENGINEER'S MAILING ADDRESS ISG/� Permit fee $"0)0,00 BUILDIN ADDR PLUMBING PERMIT Filing Fee 10.00 W Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping ' LOT NO. SUBDIVISION NAME PARCEL AP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[Er"'Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel Utilities ❑ InstallationR Other ❑ Describe work: ^'�%''r�S�_. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 7 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.y) OR ADDNS. ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �] •i am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No: 071 / 90 <'' Classification �-•- (A / ❑ I, as the owner, or my employees with wages as their sole777 compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -11 T 2,50 ea NON.RES,D BRA CH CIRCUITS) NEW CONST R. ( POWER APPARATUS e) NON-RESID. SINGLE OUTLET CIR, Ex. Occup OUTLETS OR FIXTURES_ 6AL 250 S OR FIPLNS. (FIXED OR Ex. Occup. OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. .I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a -Certificate of. Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee 3 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgmen srcosts, and expenses which may in any way accrue against-said`County i onsegp6nce of the granting of this permit. �( ��.T---- /� _,� _�� -, Date Signature of Applicant — Owner ❑ ContractorX Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee $ r010 TOTAL PERMIT FEE $ 1 occuP. GROYP TYPE OF CONST. PARCEL PD HD Issu' This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO PUBLIC BY P E PIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ,�/ Date_ 47.4 E /t//.'71 Receipt NO. f! ! 0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i • COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS PERMIT NO ) 7 County Center Drive - Oroville, California 95965 -Telephone 916/534 541 APPLICATION AND' PERMIT I Atttll— A4/ ASSESSOR PRRCEL NUMBER .2S--- 23-/-S ZONI G , -Z BUILDING PERMI OWNER /(\) �JS33-00-7 'L� "I i� V/ G' _Sy.. TELEPHONE 0 +/ SO. FT. .00C. BUILDING VALUATIO OWNER'S MAILING A%DR SS - i'� c? e CONTR CTOR• NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Q� UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /0e ego Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ /Q; do BUILDING ADDRESS S Q 0/cot0o f PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping UC) LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg Other SPECIFY Building sewer ��a0 Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee $ G Contractor ELECTRICAL PERMIT Filing Fee Main service 100 AMP OR00V OR LESS:64-00 //10.00 V. X10 Main service EA. ADD•L 100 AMP 2.50 2.6-70 NEW CONST. / DWELLING OCCUP.51) OR ADDNS. \ ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): \^ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. v //9� Classification �i. i�l {Q 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR 'OU LET NON.RESID BRA CH CIRC TS 2.50 ea NEW CONSTR /POWER APPARATUS S\ NON'RESIO. SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES a �� 00 IXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.)EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 ` � c 2,&0 Permit Fee $ �S Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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 against pAid County in cosequence of the granting of this permit. X Date / Signature of Applicant — Owner'9 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 $ TOTAL PERMIT FEE $ mS� occuP. GROUP I TYPE OF CONST. PARCEL PD ND ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR TOR OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date It' 6 — !1— 6 f'�' Receipt No. ~C% 6 a WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �, �--..-.,.:.,,,r- ...,y� ._ �-..,.....,n.- ,..-. , ..,.�,. ry v+,.,n.....��s+..�•a�,:�t"- ... .. , � .—vb-•..:..+rr..,•y;.."y,,:..`j+.:.�:r'.k'�•:....-:a .-a-^ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION t %9 7 COUNTY„CENTER DRIVE - OROVILLE, CA4iFORNIA 95965 - TELEPHONE: 916/534-4541 r PER APPLICATION DATA SHEET � ,�� Permit No. OWNER _ Z/ &- /�/ �i /S�'� 6, A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector Z �_ ��i Date /d Z �` At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: t, DATE RECE VED APPR VED All items have been sub ° Plot plans in duplicate./ licate. (� 3. Complete plans in duplicate rip icate. . . . . . . . . 4.' Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization./ . . . . . . . . _ - Sanitation approval from vZ Health Dept. S 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of, Workmen's Compensatiq_R Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) ,v- 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. 16. Mobi lehome Installation Data. A17. Pre -Inspection for Other ,P l'd.- d, A .Re uired,.Pre-Inspec. request tggq tii Building Inspect/r/ /� c / When you issue the permit, process as follows: - Mail to owner. •/, Telephone �� - `%�7 Z and hold for pickup at ov4s office. Other (Dote) Mail to contractor. _Deliver w/inspector. APPI icant _'./ll��i��,Z,).JPAIJ Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at ti e)af applic do irc em.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by _Telephone Mail Other Plans checked b`yll Plans aDDroved by Copy—DPW _. ,Q tri sem. uu *,ft4 moots RTddns ja4nm :sod: °3140 sOuva-CITo TVUT3 ..,— RLddrs a44srt ,Tddns as4vr+ *JOS YBUT PTOR : aO j' PaAOaddr ur-.liff 41xe u4avdaG 9aj,rT * : 01 i Return to DPW AGRICULTURAL STATEMENT OF'ACKNOWLEDGEMENT FOR RESIDEnTiAL bEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. g1-35'752 �Dr} �.1 The property described herein is adjacent to land or included 5 Q o t� within an area zoned for agricultural purposes, and residents of Cwt\ICKp. `;i L Ott this property may be subject to inconveniences or discomfort arising CLEFiK_RECOf�DER from the use of agricultural chemicals, including, but not limited to herbicides, F E pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a._pr-iority use for productive agricultural purposes, and residents within said zones and on adjacent:property should be prepared to accept^suc inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: s The iVedt Aa,C4 o� �S,&e .`e jxpvdea o� the Noln eajt r&uaate2 v4 Section //, Tvumhc_n /8 No&2 z, Range 3 6a44 AD. 3. & A Date: State of �-_Ze ) SS. County of PROPERTY OWNERS: On this the day of c`zL��-1y19 before me, the undersigned Notar Public, personally appeared � known to me to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the•same for the purposes therein contained. IN WITNESS WHEREOF ,__I- hereunty—sem official seal. /~�� Notary Public Present A.P. NO. � � - Z 2 OFFICIAL Sc^ANL 'Jy-'•;.;',�' NOTARY PU:^!_;C - CALIFORNIA P(<1CdCITr\L OFFICE 1N MY COMMIZON . BUTTE COUNTY EXPiRCS MARCH 6, 1985 i PROPERTY OWNERS: On this the day of c`zL��-1y19 before me, the undersigned Notar Public, personally appeared � known to me to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the•same for the purposes therein contained. IN WITNESS WHEREOF ,__I- hereunty—sem official seal. /~�� Notary Public Present A.P. NO. � � - Z 2 F, Y �` �1. �: ` �. 4 �.