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025-320-005
2 f BILL DOLLAR E/S Power Hse Hill Rd, 3000'S of Palermo Rd, Palermo lot 3 B06-2648� ` 025-320-005 Contr :. Web�� er .Electr_ic-,___Qrovill.( RESIDENTIAL SFD-Mobile Home RET Rermit#2521-81E Cele`•�er/MH)_ EX MH, EX SITE,' PERM FND � `►, _ _ j 6003 POWER HOUSE HILL RD 4 GAS DOLLAR, BILLY JOE & SYLVIA SUPPORT STRUCTURE Rt+Q COMPACTIO&TEST REQ' - 25 2-05 6003 Power House Hi11 Oroville Permit#981-85P,E(util, MIS) j ELEC ,.7i�0A l GAS�/ [ELEC PPORT STRUCTURE RE00 "N6 ./ MPACTION TEST 25-32-05 rmit X9'82-85fiI su 5-i w 25-32-5 . wer House Hill Rd, Oroville mit#1 87P,E(uti1'-M'H''' ` 0 GAS SUPPORT STR RE o COMPACTION TEST RE �^A" 25-32-5 087` Contr: _, St�vern PErm' 32-87MHI ed 7 -ID- R L.5 q Contr: Conrad LewisFj' l !le PErmit#2796-87B(new covered porch MH)" - 25-32-05 Contr: Conrad Lewis PErmit#3572-87B(new covered deck/MH) �@5�Dcon RECORDING REQUESTED BY: �a AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2007-0001 SS2 Recorded I Official Records I County of I Butte 1 CIM M J. GRUBB5 1 County Clerk-Recorderl I I 01:13PN 11 -Jan -2887 1 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY REC FEE 10.00 MWORNED COPY 1.00 DD Page i of 2 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. DOLLAR, BILLY JOE & SYLVIA BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNERJLESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY PO BOX 2650 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95965 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 6003 POWER HOUSE HILL RD B06-2648 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER PA.:f ER.MO BUTTE CA 95968 12/21/2006 CITY COUNTY STATE ZIP SIQSLUF LOCAL AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION FUQUA HOMES 1987 705 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 9540U/X 66'X 28' 153635/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: ASSESSOR'S PARCEL NUMBER: 025-320-005 SEE ATTACHED HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK — Applicant GOLDENROD— Building Dept. Order No. 00214737-099 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED, "SOUTH % OF LOT 2, HILGERS SUBDIVISION NO. 2,10 MAPS 21, BEING IN THE SECTION 12, T. 18N. R.3E, M.D.M.", SAID PARCEL MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 8,1980, IN BOOK 76 OF PARCEL MAPS, AT PAGE 74. TOGETHER WITH AN EASEMENT FOR ACCESS TO THE ROPING ARENA IN BACK OF THE HAY BARN, SAID EASEMENT IS DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHWEST CORNER OF PARCEL 3, OF THE ABOVE DESCRIBED MAP, AND THE POINT OF BEGINNING FOR THIS EASEMENT, THEN SOUTHERLY 6 FEET ALONG THE WEST BOUNDARY OF PARCEL 4 OF THE ABOVE DESCRIBED MAP, THENCE NORTH 880 31'08" EAST, 785 FEET, THENCE NORTH 00° 02'02" EAST 6 FEET TO THE SOUTH LINE OF PARCEL 3, THENCE WEST ALONG THE SOUTH LINE 785 FEET TO THE POINT OF THE BEGINNING AND THE END OF SAID EASEMENT. AP NO. 025-320-005 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 11 -Jan -2007 2007-0001952 Has not been compared with 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. DOLLAR, BILLY JOE & SYLVIA BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY PO BOX 2650 7 COUNTY CENTER DRIVE Henn MTr .r...,,.� _ OROVILLE BUTTE CA 95965 .,.. - .UUINi i JIAIt 6003 POWER HOUSE HILL RD INSTALLATION MAILING ADDRESS, IF D PALERMO BUTTE CA CITY COUNTY STATE SAME piupcny owner, write SAME OROVILLE ZIP CITY B06-2648 RENT BUILDING PERN 95968 --lawma ZIP I S r Tf RF P i BUTTE CA 95965 )LINTY STATE ZIP (530) 538-7541 NONE DEALER NAME (if not a dealer, write NONE DEALER LICENSE NO. 12/21/2006 SAME - CITY COUNTY STATE ZIP UNIT DESCRIPTION FUQUA HOMES 1987 705 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 9540U/X 66'X 28' 153635/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBERS) .REAL PROPERTY LEGAL DESCRIPTION: • SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 025-320-005 HCD FORM 433(A) REV 8/91 WHITE— County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. Order No. 00214737-099 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE_ IN THE COUNTY OF BUTTE, STATE CALIFORNIA, DESCRIBED AS FOLLOWS: OF PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED, `SOUTH %2 OF LOT 2 HILGERS SUBDIVISION NO. 2, 10 MAPS 21, BEING IN THE SECTION 12, T. 18N. R.3E SAID PARCEL MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY O BUTTE, STATE OF CALIFORNIA, ON MAY 8,1980, IN BOOK 76 OF PARCEL MAPS, AT PAGE 74. TOGETHER WITH AN EASEMENT FOR ACCESS TO THE ROPING ARENA IN BACK OF THE HAY BARN, SAID EASEMENT IS DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHWEST CORNER OF PARCEL 3, OF THE ABO VE MAP, AND THE POINT OF BEGINNING FOR THIS EASEMENT, THEN SOUTHERLY 6 FEETD ALONG THE WEST BOUNDARY OF PARCEL 4 OF THE ABOVE DESCRIBED MAP, THENCE NORTH 880 31'08" EAST, 785 FEET, THENCE NORTH 00° 02' 02" EAST 6 FEET TO THE SOUTH LINE OF PARCEL 3, THENCE WEST ALONG THE SOUTH LINE 785 FEET TO THE POINT OF THE BEGINNING AND THE END OF SAID EASEMENT. AP NO. 025-320-005 o BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-21.40 Website: www.buttecounty.net/dds Permit No: B06-2648 Issued: 11/13/2006 Address: 6003 POWER HOUSE HILL RIPALERMO APN: 025-320-005 Permit Subtype: SFD-Mobile Home Owner: DOLLAR, BILLY JOE & SYLVIA Applicant: DOLLAR, BILLY JOE & SYLVIA Description: EX MH, EX SITE, PERM FND MUST BE ON JOB SITE � - JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setac s 132 Foundations / Footings 111 Z, LtL� Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 aid Ka PERMITS BECOME NULL AND VOID 1 YEAR F COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION -" Inspecti)rCopy JAI I . - BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2648 Issued: 11/13/2006 Address: 6003 POWER HOUSE HILL RIPALERMO APN: 025-320-005 Permit Subtype: SFD-Mobile Home Owner: DOLLAR, BILLY JOE & SYLVIA Applicant: DOLLAR, BILLY JOE & SYLVIA Description: EX MH, EX SITE, PERM FND MUST BE ON JOE SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE ANDA RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Ins ection Type IVR ENSP, DATE Setbac 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling /. RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Fina 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 P j'jZj 3� roject Final 801 (� 2-1. PERMITS BECOME NULL AND VOID 1 YEAR FR =1 COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Applicant STATE OF CALIFORNIA - BAINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Gove,Z'506 ��(J DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �S1N(, 9 Division of Codes and Standards •`2'O • p w Z 3G4� Title Search Date Printed : 01/10/2007 Decal #: LAJ4297 Use Code: SFD Manufacturer: 09755 FUQUA HOMES INC Original Price Code: APL Tradename: FUQUA Rating Year: Model: 705 Tax Type: LPT Manufactured Date: 06/29/1987 Last ILT Amount: Registration Exp: Date ILT Fee Paid: First Sold On: 07/24/1987 ILT Exemption: NONE Serial Number HUD Label / Insigni Length Width 9540U ORE 153635 66' 14' 9540X ORE 153636 66' 14' Registered Owner: BILL J DOLLAR MARY E DOLLAR (Joint Tenants with Right of Survivorship) 6003 POWER HOUSE HILL RD OROVILLE, CA 95965 Last Title Date: 04/11/1991 Last Reg Card: 04/11/1991 Sale/Transfer Info: Price $54,442.00 Transferred on 07/24/1987 Situs Address: 6003 POWER HOUSE HILL RD OROVILLE, CA 95965 Situs County: BUTTE * * * END OF TITLE SEARCH • 4 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 PROJECT INFORMATION Site Address: 6003 POWER HOUSE HILL RD Owner: Permit No: B06-2648 APN: 025-320-005 DOLLAR, BILLY JOE & SYLVIA Issued Date: 11/13/2006 By KCG Permit type: RESIDENTIAL PO BOX 2650 Subtype: - SFD-Mobile Home RET OROVILLE, CA 95965 Expiration Date: 11/13/2007 Description: EX MH, EX SITE, PERM FND (530) 370-3854 Occupancy: Zoning: A5 0( Contractor Applicant: Square Footage: DOLLAR, BILLY JOE & SYL` Building Garage RemdUAddn PO BOX 2650 OROVILLE, CA 95965 Other Porch/Patio Total (530) 370-3854 FEE INFORMATION Mobile Home $329.94 Mobile Home Plan Check $219.96 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B844 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 11/13/2006 penalty [$500]; PPI - check one of the following: Contractors Signature Date [ J([ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE rrR rrr COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ Section 3700 I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: ple (This section need not a cornted if the permit is or one hundred ollars ($100) or ass. ❑ I AM EXEMPT under Section B. & P.C. for this reason: 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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' X a 11/13/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 11/13/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the rop rty owr/er a t orized to act on the pro o , is behalf. C \ S Ml n \ � Ir K_ 11/13/2006 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Nam Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner E]Contractor OR: Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONC OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE 4: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name - I First Name1l/ Address 4003 FOV.r-}tu City Dice State Zip Phone 3�o Fax E-mail,+-�l:..vtr�.a�"�Jt��� aQ_.t�W1 APPLICANT INFORMATION CONTRACTOR Name City O�ov 111 � Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City O�ov 111 � Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT INFORMATION Name �(tl 'l�ol l ar- Address6vo `3 Po w)"hoUS2 Hill R4 City O�ov 111 � State Zip Phone -70 q- Fax Email Sywi n a7a�\3LLl,0_.e.ovo APPLICANT SIGNATURE X For office use only: Zoning I Ah I Flood Zone ISRAI WORKER'S COMPENSATION Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc will PERMIT NO. BIN # PROJECT LOCATION AP# oq _B Property Address (o aD3 Po Wou te. 4 t City 0x,00 l _ Cross Street p-12.rmo WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 3 Description or Scope of Work: in sl ->9-I ! i Ps:,tjn vv, Ex MEX 3Ptrm nod Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION 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 fee 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. Received by:W,G' Receipt #: t9rq9 %*,# 80 Date: 11-11.0" Amount 6,11q. q® Bldg SRA Sheriff SMIP Other Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. R The following drawings and specifications must be submitted to the Building Division in order to apply for a per it. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (br Kiedown or fn� d plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's- office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information:, (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10.Recor�ded copy of Agricultural Acknowledgment Statement. 11. 'Legal description from current recorded grant deed, opy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. &JOR NO) 2. (HAVE VE 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: I►M\yjI ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: IF 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 Description: EX MH, EX SITE, PERM FND Reference Number: B06-2648 Applicant Name: DOLLAR, BILLY JOE & SY�L�VIA Signature of Property Owner :�� 4 7%L Date: 2"z 2"x 3/16" STEEL ANGLE DETAIL "A" CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH p 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE p 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES -q ABESCO ABS PAD #503 STEEL FRAME SEE DETAIL "A 3/8" CAD PLATED BOLT, NUT do WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 1/4" STAND BASE , — ABESCO ABS PAD X1503 COACH "C" FRAME 2" CHANNEL TEK STS (2) REQUIRED 1/4" GRIPPER A7e BASE 1/2" A307 BOLT (2) REQUIRED 3/8"x 6"x 6 STEEL PLATE 1/2" A307 BOLT - (2) REQUIRED 36" MAX 10.00 —+{ TO BOTTOM OF PAD � 0 0 10.00O 01/2% 3" C.R. LOCK PIN WITH 01/8" BRIDGE 0 PIN 09/16 HOLE (TYP) STAND BASE TOP VIEW COACH "J" FRAME 1/4" GRIPPER•rzr1 /4"x 1-1 /4" PLATE TEK STS e (4) REQUIRED 1/4" GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED C—BEAM J—BEAM ATTACHMENT ATTACHMENT 8" 1/2" DIA. HOLE (8) PLACES 30" -I STEEL FRAME TOP VIEW STATE APPROVAL IMANUFAC f IRED HOMEIMOBTLE HONZ FOUNDATION SYSTEM REALTH AND SAFETY CODE, SEcnoN mi APPROVED / .. " "-.V I 11 J •Rt K.VA` "a K SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS "16 � State of California Depwimmo atRoming and Comte Deerdopmo TUE-1 PERNANE•NT , ON FOUNDATION SYSTEM pr�A*mIT�A� " D ABESCO. 5851 FLORIN - PERKINS ROAD SpA I�g SACRAMENTO, CA 95823 lfiallmApp v6W ' PH: (800) 382-8831 FAX: (916) 383-5207 WAYNE T. POLVADO, PE—LISTING N F94249 SHEET 1 of 3 GENERAL NOTES GUS GUARD TUF-1 I. DESIGN LOADS: LIVE LOAD – 30 LB. FLOOR LIVE LOAD – 40 PSF WIND LOAD – 80 MPH EXPOSURE "C" SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE #15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS'. 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4 OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES–ASTM A36 BOLTS–SAE GR 5=ASTM A449=ASTM A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORIZONTAL VERTICAL GUS GUARD TUF-1 2200# 6000# GUS GUARD MGP PAD 2200# 6000# GUS GUARD E–Z TIE PAD 2200# 6000# 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT, OF THREE FEET. t t. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDE THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE–WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SHEET #3) • 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF — ' 16. FOUNDATION BLOCKS 16"x 16"x12" POURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) E+�-5 S 010 Sw-ja E u u u ❑ ❑ u RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER ❑ (TYPICAL) ❑ ❑ ❑ ❑ ❑ L3 -f -El❑ ❑ ❑ 8' NOM. 0 ❑ 0 2' NOM. PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION - ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) ®EESSI7 _r P44. -A&A. it k KEp.PA ,'g� 1 OF C NVVa t�F FOUR (4) 1/2 x 3 1/2 EXPANSION ANCHORS. FOUNDATION SYSTEM 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED ABESCO WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PERKINS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95823 ONE BASIS. nu- Ion^\ ion ooz. STATE APPROVAL FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California Department of Housing and Community Development D SI OF DES STANDARDS. BY -1 =61 DATB _ ! (signature) SPA NO. Ibis Plan Approval Expires WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3 f 3/4" DIA. x 18" LG. .(4) REQUIRED EXPANSION ANCHOR ANCHOR BOLT 3/8" CAD PLATED BOLT, NUT & WASHER • r • • COUNTER BORED FLUSH WITH BOTTOM WT, ►►'— . ��II—►`—i=1l=t►�..- 11�►� Il'.11' j :II �� r ..11.— Ipl SIC _ 1� 11 — �•� Ilii =11�� v � • • • • • 11.;—INNER.gggg lTi�lCONCRETE PAD INSTALLATION suggg- qpg l=11r7�i1'cllr,.11.�t111[ CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH L-II 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD X1503 STEEL FRAME / 36" MAX TO BOTTOM OF PAD 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE r PIN I 39• E -Z TIE PAD LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION mun—wiDR i1t1i1Tc LENGTH OF HOME 24 WIDTH OF HOME 26 28 44 UP TO 44' 1. 8 1 8 1 8 1 12 44'-1' to 66' 12 12 12 18 Sir -1' to 80 20 20 20 24 SINGLE wID8 Umm_ LENGTH OF HOME 10 WIDTH OF HOME 1.2 1.4 16 UP TO 44' 6 6 1 6 6 44'-1' to 66' 8 8 8 8 8ti'-1' to Rol 10 10 10 10 MUMOLK UP IUt-1 REQUIRED NUMBER OF TUF-1 REQUIRED NOTE; SINGLE WIDE UNITS REQUIRE (4) E—Z TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL �STATE APPROVAL FESSIO MANUFACTURED HOi,4c MOBILE HOMr. FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED wr MIMS � Ex I u - I r - r- IN MAIN LIN 1` FOUNDATION SYSTEM SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMF\TS OF APPLICABLE STATE LAWS AND REGULATIONS State of Cal i forn i a Department of Flousing and Community Development OF CODES AND BY RPA NO. This Plan Approval 1WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3 "iR ti �;, (P 0 00 TJ �o Z -z J j1 O �;, (P 0 00 �o Z -z J j1 O 70 -1 . / RECORDING REQUESTED BY Bidwell Title & Escrow Company AND WHEN RECORDED MAIL TO Name Bill J. Dollar Sheet Address 6003 Power House Hill Road Oroville, CA 95965 City, State UP Order No. 00214737-099 2IZI 9ZI4--KD1023 1 -73 Recorded Official Records County Of BiJTTE LCANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 22 -Apr -2004 REC FEE 10. vital Nark Page 1 of SPACE ABOVE THIS LINE FOR RECORDER'S USE Parcel No. 025-320-005 GRANT DEED 1 THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY 2 The Undersigned Grantor(s) Declare(s) Documentary Transfer Tax is $ - o - Cay,'TJ; of ^ ccrnpuca ^n fell vnhuc, Cf I terc : ^C property conveyed, or El Unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of sale ❑ Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Billy Joe Dollar, Surviving Trustee of the Dollar Family Trust, dated September 13, 1996 hereby GRANT(s) to BILLY JOE DOLLAR and SYLVIA DOLLAR, Husband and Wife as Joint Tenants the following real property in the ❑ City of El Unincorporated Area County of Butte, State of California: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF * TRANSFERS GRANTORS INTEREST OUT OF HIS OR HER REVOCABLE LIVING TRUST R & T 11930 Billy Joe Dollar, Su viving Trustee of the Dollar Family Trust, dated September 13, 1996 Document Date: March 29, 2004 State of California County of BUTTE On �-i fZ.� appeared ISS. before me, the undersigned, a Notary Public in and for said County and State, personally Personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITT\ SS my hand and official seal. Signatu FOR NOTARY SEAL OR STAMP DANIEL P. BIGLOW� COMM. #1395409 NOTARY PUBLIC - CALIFORNIA CONTRA COSTA COUNTY AN Comm. Expires Jan. 21, 2007 6 MAIL TAX STATEMENTS TO: Same as Above BTEC/GRANTDEED ase Print , t • n : + , r•(Plea�• G=• .. ..,.i,, ,.,..,,,r :?'�iF."�it" •: itAlraDu Names) ill T - Rr jugh -E- Doll Ar, SOCIALSECURITY.NUMBER, ; „„'hri�MA , ,.' _ ,NUFACTU.RE'D HOMkri I. ADDRESS•'r. ., `:• ,., ,,•�,`)q >: ! ,, pr-,=' ;'''e''e� 564.J);;0 3$ 1 02; CONDLTIQNAL,SgkE:CONT,,"g OF "'=Address= 6r1(1 AWPrt 7]4A ill ^�P HCL `N 'Rd' .� nu . r 826 - , .•,t:�r -,rl w�-::1 ,�,,K,:,.'1'31.n BUYER,._ FOR OFFICE, USE ONLYw, T'OVl l l P -:,Zip, - • *Eqp!"'1 , `OFFICE NO 1. .-4-1 c •i„+:Clt'• ., ,v City 0 County Butte State Qa- Code9596� " '..: .r••_. , • • >'� 3 �{ ` t i „ i' = +Y" i ! i DEACEFLNO s 7L 't'(;ACI"iT: N0."_ri=tt'> 5 Proposed Location of,r:_ --1084;5.-' 301 Tel0r22''-' Manufactured Home 6003 " Power House' Hill'z Rd " "'. No. . 916=532-0621- c As used herein; "Buyer".means -all.persons -who sign this contract as buyer, or co -buyer, jointly and severally, -and "Seller"means the seller named -below., 3 ' <+trr ,7 d. •.r7� •- -.`� 1 ,. ',••' n .: �rin,. onsideration• of the following credit sale'purchase Buyer promises to pay Selleri the Total of Payments shown below.ln aceordancetwith the payment schedule shown below -or as modified'pur'suanCto'the term". s"64 this paragraph. Payment into bemade in consecutive monthly rn"s'tallnients beginning on the date'shown in'the payment schedule beloW"'or as trodified pursuant to the terms of this paragraph; until the in8ebtedness`js uliq paid' Buyer agrees tfiat in the event the a§crow closing occurs laier'than 30' days prior to the firstrpayment due date shown fn the schedule below, the first payment'da*'arid the subsequent monthly payment.dates �may'be adjusted "k Io prouid0f!pinimum of 30 days time betweemthe date'of`esc?.ow closing and the'first 4: payment due date. In- such event, •Seller_may, in•its discretion,- change,the.dollar amounfs of�ltfii.monthly installments so.that the final ipayment not be more -than double the,amount of the., mo nthly,installments shown below because escrow -closed on a different -date. than estimated. Buyer.has, by this contract, purchased from Seller, a,credit sale basis under the ii 4sAtated herein,•Etnd recehied,arad accepted_in its present condition,, the. following described a manufactufed, home,together with the furnishings, equipment;, appiiances and,accessories included in the•manufactured home at the,tirxte, of escrow.closmg fo include specifically but not excl�iisively;th refngerators, ranges d'isliwashers, kitchen cabmets'468' cotinters,,chairs, tables li kiting and plumbing fiztu�es, onditioning equipment'anb suchbther.ltems which are listed as Additional Accessories and Furnishings b'eIA"(all heren after called'" Ma"Aufactu'fed Home�i ,i: '1. wr , ,. n 7+ {'.:.,' 7_. F:r,, c_' .., •U�•-,'r) r, W.) u`IA "UP „): 'y' - •' ,1 ..- i�,1- nIL,.•�1 .,��-, i .inti t,ct; r;�. .-., _:-.,. '41, . ^� � _ _ Description of.Manufactured Home,New ®r ,at.se .Ud C] . ,. ma:•a _ "1' .`JF : t ,.'rJ_?0.`,, SO 9:.o: �,:.£ TRADE NAME intra }O AD 1 NA i IES AND -FURNISHINGS YEAR 1�7, MODEL '705 ;item ,!a 'Senal'.#�aS• Item' Serial# ..LENGTH "fife t'" -WIDTH' :281, s . 1 ` rt •,t>�, rt .,r:i .�, ., 'r �„ . i �, •; _.ria:, • + SERIAL'(JO.' , Q.�+•��-LT J: ,.. _ ,� ��.7 xx.�•a;..a.Fis:..Nb..0 .:.r�.;.,.:,w .c . _ - 1. .., ',J 1 ,�. • ^^ ?; -,if _ FED: LABEL or D.O.H: INSIGNIA NO. g ,t, 1 • Y W.-;k#G i 1 '.® UNLESS THIS BOX`ISCHECKED;'TOWBAR, WHEELS; WHEEL"HUBS;,TIRESANDAXL'ES' ARE INCLUDED AS -STANDARD EQUIPMENT 7-57 7 .... _., ._,.WITH THE MANUFACTURED HOME, f7 r i• rt ti F. ,., .,.� .,. • i'.u-•i'{•;.' 1 , -r,�a:.r •t • r::^,, „+ - n^-,:: n• '+'�, � .^.;-Is 8 'The.Seller has made the Truth in Lending disclosures contained n this contract unless another, party Is Identified here- -' JV - J`/:.. 1} ./..'r'!I ,.1 •�. �.; ;:f�`•• tit-'rr:0 1 ., _ J.r._ , .•. ,. .. _ „f`.. .,. -1 -t. - 1 , �- - - ,' ITEMIZATION OF AMOUNT FINANCED: INSURANCE:.• ,<,� •. �„ ,- , 1. -,:Cash Price (including sales tax of ) • $ -CREDIT LIFE -INSURANCE OPTION: ,Credit Life Insurance, is. not Cash Downpayment $ -0- F _Se4uired as a condition of the extension of credit by Seller'and will r 1 s "� not tie provided uhless'(1) the name and ageof ttie proposed insured Trade In (Year, Make, Model r '.. , ;� ,t: ;, :, ;'• s2iti fj -Length = �71'_,'3Widt r' �- ' t s a+'a ?� - r _ `Proposed Insured nge -3f' Gross Vahie 'Liens $ =0- r �` i `and (2)•euyer's el'ecti o such•insurance'and its cost is shown by 3,,, (seller to pay off) . . r �.. x , Buy s applying §epafate y,for such insurance and initialing below. Term ,Premium Election NetTradeInValue_• �6i500-�-0..,,_, _ 2: Total Downpayment" ''` - = "' $'• ,�,:;;-vfl?rater ,$^_~�'�=wafit�f3redit,Life Insurance 3. Unpaid Balance of Cash Price (1 minus 2) $ Initials 1 . • : Ifp$yy t ct bt U&po dcI%t will be decreasing 4. Amounts paid to others on you�1behalf _,�. , t li n ace life t ed Insured (initial coverage a. To Insurance Companies i thef t I Peunder or, it less, in,the (1) . Property Insurance ,:,;,, • :• •,: , ;_.Expiration Date , ,. ,. :amount of $ ), decreasing in cove T, rage in either case r, Comprehensive $ ,% '�vin equal monthly increments over the term of the policy. Any application Mobile'Homeownefor credit life, insurance is subject to the insurer's acceptance, and —rs ' ;,$ ' ° ;• i v ' .; ct approval; Nofe:The credit life'insurance'I'nay not 6elsufficient't6 pay (2) Credit Life Insurance , $ ^ y— — a off In its entirety Buyer's indebtedness under this contract. b., To Public Officials ��� • PROPERTY INSURANCE: Buyer is required to -have and maintain, at,B'uyer's expense, insurance against physical damage to the Man - (1) License ufadtured Home for the term of this contract,, with: a loss payable. '(2) Registration $ — — = clause protecting lienholder (as interest may appear) with provision for 10 day notice of cancellation to lienholder (minimum coverage— (3)- Lien Notation Fees $ " —0— Comprehensive in an amount equal to the actual cash value of the (4) Certificate of Title $ ;',. Manufactured Home). Buver has the right to obtain such insurance ..through any person of Buyer's choice as well as through Seller -The ✓ r t: cost of this required insurance and any other property or liability insur- (6) ,Filing'Fees $ ' = ance elected by Buver for the terms) disclosed in Item' - ' c. Escrow Fee $ `kt �'' ``4a(11, if procu'red'through Seller..is $ ' = r` Buyers election to obtain such, Insurance, through m] Seller.is shown' by,the. d. To $ —0— inclusion of this cost in Ite4a(l).-Additional insurance policies will (insert name and description) be required to be purchased or furnished by Buyer, at Buyer's expense, _o I if policies being purchased or provided for expire•or-are cancelled e, TO (insert name and description) $ ;, prior to payment In full of this contract. Should. Buyer, fail, initially to provide required insurance, Seller may, but shall not be obligated to, ' , r", I;,r, procure such insurance on Buyer's behalf for a term not to exceed .,•.,..y taint ul mis contraot. If Buyer has provided insurance satisfying the minimum coverage requirements hereunder, but such 5. Unpaid Balance (3 plus 4)$" i 5 0 2. 00 insurance expires or is otherwise terminated, Seller may, but shall not be obligated to, procure for a term not to exceed the remaining 6. Prepaid Finance Charge ` _ _ ' ' term of this contract on Buyer's behalf insurance `which provides'the $ ^^+print -.Financed (S. minus 6) minimum required coverage or provides coverage comparable to that _ "'tt $ ' insurance which hac o ;—A _6___ RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 11 -Jan -2607 2007-0001952 Has not been compared with 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. DOLLAR, BILLY JOE & SYLVIA BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY PO BOX 2650 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95965 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 6003 POWER HOUSE HILL RD B06-2648 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER PALERMO BUTTE CA 95968 12/21/2006 CITY COUNTY STATE ZIP S T RE OF LOCAL AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME �_• I i J1l11B Lir UNIT DESCRIPTION FUQUA HOMES - MANUFACTURER'S NAME 1987 DATE OF MANUFACTURE 705 MODEL NAMEINUMBER 9540U/X 66'X 28' 153635/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: • SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 025-320-005 HCD FORM 433(A) REV 8/91 Order No. 00214737-099 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED, "SOUTH Y2 OF LOT 2, HILGERS SUBDIVISION NO. 2, 10 MAPS 21, BEING IN THE SECTION 12, T. 18N. R.3E M.D.M." SAID PARCEL MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 8,1980, IN BOOK 76 OF PARCEL MAPS, AT PAGE 74. TOGETHER WITH AN EASEMENT FOR ACCESS TO THE ROPING ARE, IN BACK OF THE HAY BARN, SAID EASEMENT IS DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHWEST CORNER OF PARCEL 3, OF THE ABOVE DESCRIBED MAP, AND THE POINT OF BEGINNING FOR THIS EASEMENT, THEN SOUTHERLY 6 FEET ALONG THE WEST BOUNDARY OF PARCEL 4 OF THE ABOVE DESCRIBED MAP, THENCE NORTH 880 31'08" EAST, 785 FEET, THENCE NORTH 00° 02'02" EAST 6 FEET TO THE SOUTH LINE OF PARCEL 3, THENCE WEST ALONG THE SOUTH LINE 785 FEET TO THE POINT OF THE BEGINNING AND THE END OF SAID EASEMENT. AP NO. 025-320-005 FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: B06-2648 Address or location of unit: 6003 POWER HOUSE HILL RD. PALERMO CA 95968 Legal Description of Real Property: 025-320-005 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: DOLLAR, BILLY JOE & SYLVIA Owner's address: PO BOX 2650 OROVILLE CA 95965 INSIGNIA OR HUD NUMBER: 153635/6 SERIAL NUMBER OR V.I.N.: 9540U/X MANUFACTURER'S NAME: FUQUA HOMES YEAR: 1987 I n00-- OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO V ZONING OWN R PHONE NO. n OW Re DDRE l 40 ✓'4 v LOCATION OF BUIL NG , 64d ©u /Y1i are v; USE OF BUI DING G SIZE OF STRUCTURE / X O C �/� SQ. FT. _ TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIP �II��G ROOF COyy��RING FLOOR YP WD© C_o ?J ESTIMATED COST OF CONSTRUCTION $ /000 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT � SIDES -5b s._ .S REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 2 Signature of Owner o Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. Director of Public Works By Date -� White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant • SENDER: Compute Items 1, 2, 3, and 4. Adcl,�r addrjss In the "RETURN TO V space on reverse. (CONSULT POSTMASTER FOR FEES) 1. The following service Is requested (check one). ❑ Show to whom and date delivered ............... c ® Show to whom, date, and address of delivery .. t 2. ❑ RESTRICTED DELIVERY ........................... t (the ms6kW abllvery tee Is Gwrged In eddldon to ma rwum reoe/pt too.). TOTAL S. ARTICLE ADDOgE SED TO'. Bill Dollar,:ETAL 6023 Power House Hill Rd. Oroville, CA, 95965 4. TYPE OF SERVICE: ARTICLE NUMBER ❑ REGISTERED ❑ INSURED ®CERTIFIED ❑COD P292969904' ❑EXPRESS MAIL (Always obtain signature of addressee or agent) I have received the article described above. SIGNATURE Addressee ❑Authorized agent >5. eE V Y POSTMARK (may be on reverse side) 6. ADDRESSEE'S ADDRESS (only hrequested) 7. 6DoLE�TO DIVER 80001- YEE'S %' It/ EC /j^p.,'. ! /TIYEE t� YJ 4/7/86 25-32-04 *°M. 1992379.593 UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS Pdnt !oar wBla, address, and ZIP Cede In the span below. u® • AttarM foto end 4 on the reverse. had Itemsd�ertkN M pace perarps, -�QD otkerwbe atria to hack d K kle. PENALTY FOR PRIVATE • Endorse article "Return Realpt Requested" USE. 1300 • adjmM to ember. RETTUURN County of Butte -Public Works (Name of Sender) 7 County Center Dr. (Street or P.O. Box) oroville, CA 95965 (City, State, and ZIP Code) ATT: Building Department CERTIFIED MAIL IV .v April 7, 1986 Bill Dollar, ETAL RE: Permits and Inspections 6023 Power House Hill Rd. A.P. #25--3a-'JW Oroville, CA 95965 Dear Mr. Dollar? With reference to the above subject, on March 5, 1986 we wrote you a letter requesting that you .obtain the required permits and the required inspections from this office for the work you have done as follows: Constructed a cabana on your property locate at 6023 Power House Hill.Road, Oroville. Since both permits and inspections are required by both State and County laws, unless .you have obtained the required permits and made arrangements for the required inspections.within ten days of the date you receive this letter, the matter will be referred to the proper authorities for appropriate action. Should you have'any questions concerning this matter, please contact us. Yours very truly, William Cheff Director of Public Works JFG:ahb cc: Building Inspector - Oroville CVtg1na1 signer! Sy J. F: Glan,4p, J.F. Glander Chief Building Inspector J i. s P 292-- 969 904 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED— NOT FOR INTERNATIONAL MAIL (See Reverse) File No n BUT/f E COUNTY �f fFor Action 1, 2 3) Public Works Dept, (For Information ) Director Dep: Dir, Sec. Rd. g= Shop & Yards Bldg. Insp• Admin. Design Engr• Bridge Engr• Constr. Engr. Surveys �� MaPPing TranTran sp. Land DeV. Drng. /S.I. Eul:&: Pcj- Mo s P Permits Addr. 40 I ,i KhtI AND NO. 6923 Power House Hill Rd. P.O., STATE AND ZIP CODE Oroville CA 95965 POSTAGE $ CERTIFIED FEE N SPECIAL DELIVERY 1 0¢ RESTRICTED DELIVERY U. Lu SHOW TO WHOM AND S y E DATE DELIVERED i f W y SHOW TO WHOM, DATE, Ca C-* AND ADDRESS OF g a W DELIVERY y eo W SHOW TO WHOM AND DATE � t x DELIVERED WITH RESTRICTED cc a, DELIVERY SHOW TO WHOM, DATE AND ADDRESS OF DELIVERY WITH y e RESTRICTED DELIVERY TOTAL POSTAGE AND FEES Q POSTMARK OR DATE g r M E o a 4/7/86 25-32-04 File No n BUT/f E COUNTY �f fFor Action 1, 2 3) Public Works Dept, (For Information ) Director Dep: Dir, Sec. Rd. g= Shop & Yards Bldg. Insp• Admin. Design Engr• Bridge Engr• Constr. Engr. Surveys �� MaPPing TranTran sp. Land DeV. Drng. /S.I. Eul:&: Pcj- Mo s P Permits Addr. 40 I Bill Dollar, ETAL 6023 Power House Hill Road Oroville, CA 95965 Dear Mr. Dollar: L ,6uffe Co LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 RONALD D.McELROY March 5, 1986 Deputy Director RE: Building Permit A.P. #25-32_eh4T-0_!9 With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: Constructed a cabana on your property located at 6023 Power House Hill Road, Oroville. Since permits and inspections are required by both State and County laws, please contact this office within ten days of the date of this letter, submit two complete 'sets of plans, apply for the required permits, and pay the appropriate fees, including penalty fees. All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. JFG:ahb cc: Building Inspector - Oroville Assessor Yours very truly, William Cheff Director of Public Works Original signed by J. F. Glander J.F. Glander Chief Building Inspector File No. BUTTE COUNTY (For Actio'n 1, 2, Public Works Dept. (For Information te Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub.& Pcl. Maps Permiti Addr. ❑ C 'Plaint -Date WOqt Leer -Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: 1'� . Address: � n 'a A 0— r fl:b o k e k' i I F d -6 A Tenant: Building Location: Type of Inspection requested: ZONING AM e5.Cevv A. P. Date of Inspection3_ Inspector ,'e 1. Housing / / 2. Financing / / 3. Change of Occupancy to 4. Work W/0 Permit / / Other (specify) Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. 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: ~�lb._ � Infestation of•insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. .Stairs:(Rise, Run, Headroom,11HR,,Tolerance$,Handrails) 15. Comments: 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. Receptacles: 3. Fusing: 4. Comments: 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. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description) : ki 2. What action taken (give go lete escription): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. Jg[/C. Write letter. 'D. ����1.2 6 )die �� I 1 ' PERMIT NO. i PERMIT EXPIRES OWNER BILL DOLLAR CONTR. owner ASSESSOR PARCEL 25-32-5 LOCATION 6003 Power House Hill Rd, Oroville j Temp. Power Pole if. Called Temp. Elec Called Temp. Gas Called C � JOB FINAL Signatt = OK '0=Not OK -,= Not Applicable = Not Ready MOBILE HOMES MISCELLANEOUS ,.. Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1,.Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. oils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel ,44 Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. W06r; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing lectricity; Location-Clearances-Grnd - Amp -Concrete n -Test -Wrap: / P'L" ft. /"Nat. or/ /"L"ft./ P'LPG . 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date �,P%Card-B1 Date 10. Roof; Shthg-Roofing Card -B Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date O ILEHOME INSTALLATION Plans OK except #'s Z ping Requirements -Setbacks -Easements Card -B1 Date Card -131 Date Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date and -Valve -Connector 4. ;lectricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s yDrain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. ter; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability Water and Sewer ConnectaC/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. ghowd Electricity Taggdd its; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Jo,f(). Cert. of Occupancy 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.;Ground! ng; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -B1 Dater rd -B1 Date Card -B1 Date and -B1 Date I 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date (Card -B1 Date Card -B1 Date i = OK o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable ="Not' Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. De 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit). OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors • - Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -61 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rift proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Date FRAMING (Continued) 44. Hangers-Post'Caps-Anchors-Connectors 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ^' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE v OWNER A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector _ Date / ! ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196Memorial Way, Chico —Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872.-6307 CORRECTION NOTICE ,.., 7� OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at 'the above address and should be corrected. Please notify this office when corre'ction,of work is completed. -If you have any question pertaining to this matter, or need additional explvaltion, please contact this office immediately. V Inspector Date MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO.� � ! j ;Address or location of mobi lehome (2t1� �Y �t>±: C'' Owner's name , -" Owner's addressP 3: c.� Insignia or hud number %J 3 36 .5- 7 s 3 Manufacturer's name Fu <j U a rSerial,number,of WI-N.— . \,Y- (aAk�a- (Official Approving Installation Year of manufacture (Date) r ;, IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. �, 513B White - Owner, Yellow - Installer, Pink - D.P.W COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, baliforni495965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PAR A NU ER ZONIN BUILDING PERMIT OWN TELEPHN S SQ. FT. OCC. BUILDING VALUATION OWN AILING D ESS S COTRACTOR'S NAME TELEPHONE CONT AC OR'S MAILING ADDRESS Fireplace CONST UCTION LENDER Ala 4 UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ AR I ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ZPermit 4 © I /7 fee $ PLUMBING PERMIT' Filing Fee 10.00 %Z111 Each Trap 2.00 QYn© v LC- Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home G W O.00ea TYPE OF WORK New❑ Addition[] Remodel /,{Jtilitie astalllptioon❑ Other❑ work: � f 0 C_ � f 1 1 C 1 (�. S_ IS -0Q 412) Permit Fee $Describe Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 j0.0 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check -one): El am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. --'--- Classification 1, as the owner, or my employees with wages as their sole 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 ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ADDNS. ACC. SLOGS. , h2sq ft NEW CONSTR. MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS) /POWER APPARATUS e (SINGLE OUTLET CIR. I 20 ® 50C Ex. Occup OUTLETS OR FIXTURES SAL030 FIXED APPLNS. OR Ex. DCCUp. OUTLETS (RESID.) EA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / d 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ld" 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 Js 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 saig County i consequence of the granting of this permit. X Datel/�zl��% Signature of Applicant — Owne Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in eight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $160. ,SQ occuP, CONST.TYPEJ F L0.02rPARCE V1 PD 1 Is9UE This permit is hereby issued under cions the Butte County.Code and/or war Ind Gated above for which C OWOF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. "PIBYE WHITE-O.P.W., YELLOW-ASeC33OK PINK -INSPECTOR. GOLDENROD -APPLICANT - -_ ., r .. -� e• .,-.�;,..!-+�,•�. „��•t::q.[rra.a���M;. ....i�`` • , r•,t .ix4a. }. r ., COUNTY OF BUTTE - DEPARTMENT 'OFt�PUBLIC WORKS - BUILDING DIVISION o .. q•� ,G+ ` 7 COUNTY CENTER DRIVE - OROVILLE, L&OFw OR'NIA 95965 - TELEPHONE: 916/5y`34--4454,1 PE MIT ARPLICATION DATA SHEET ll l .w Permit No. OWNER A. P PJo. �J V Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. -All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fes of $ , . , , , , , Letter of signature authorizatio . . . 0. Sanitation approval from%y��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.-_I.mprovements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . _ 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the ermit, proce s as follows: Mail t2.,owner, Mail to contractor. Telephone :FF_' 3� and hold for pickup atCJ✓'Ooffice, Eeliver w/inspector. Other Applicant A��`17 Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 1 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by f I Date (o j 7 Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW TO Building Department FROM:. ;y Environmental Health SUBJECT: Sanitation Clearance w is �L` ¢}2 60c)_� d a Owner Loc,at-bon AP# Plan Approved for: Sewage Disposal Hold final for'.- Final or:Final clearance O.K. for: Clearance fora bedroom mobile home. Other NOTE * Sanitarian Water Supply Water Supply Water' Supply _ Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538=7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will.be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed wo k. 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 : �p Property Owner dT� Social Security Number ^ 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 pe.r--. mitted to issue the permit. AP # 5 2— OWNER PERMIT Q 4 � g MH UTIL.CLEARANCE DATE 'Z -F 7 INSPECTOR ELECTRIC GAS Support Struc. Compactior Test -Req.. Service Size OtherPipe Load 'T a Size Length YES NO YES NO COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSp ERMIT N0. 7 County Center Drive - Oroville, California 95965 Telephone: 916/538-7541 ^� c of ` APPLICATION AND PERMIT ASSESSOR PARCE1. NVMBEEJ ZONIN BUILDING PERMIT OWNER ZtJ- / T� Ho J SO. FT. OCC. BUILDING VALUATION OWNER'S AILI G A DRESS _0 y CONTRACTOR'S 11 Ilk to I'J S Uc (Vl. r�el�t E PHONE �� —6fifF CONTRACTOR'S MAILING ADDRESS i ,�o C � Ro z—L ja/ SC Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS f Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomep Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installati OX, Other ❑ Describe work: _ 47 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare der 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 foreQVn�d�Jeffect. License No. 1�1 Classification / ( ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING CCUP.. OR ADDNS. ACC. BLDGS. TA 0sq It NEW CONSTR. MU TI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. / EX, DCCUp\OUTLETS OR FIXTURES a0@ 30 BAL930 Ex. Occup. OUTLETS FIXED P(RESID )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. 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 Count in consequence of the granting of this per it. �j X ate o Signature of Applicant — Owner enrracto Agenr An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST,TYPCJ I I FLO D PARCEL 110 1 ND OV, This permit is hereby issued under sions of the Butte County. Code and/or work cated ab ve for which TOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 0 Date/,f Receipt No. F YELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Q'��•'Ns'1'�"T ,i'i'.�.."N�"vr'�--yam `c r"]r ' ' it '%?��'ji.>T�� ,.�Tc3'aYK+r►rf+�1Ga)`�+-�'�ii111�Si� n J j 'Y�..�i� ' f t.. � � � . \ T .. _ ""�..�' •; X11 _ .`�'. ...�. 4 r- , F ���. I , .' +�. COUNTY OF BUTTE - DEPARTMENT OFPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE- OROVILLE; CALII-`bR0 9""65- TELEPHONE: 916/538-754.1 ,r✓ PERMIT APPLICATION DATA SHEET ` ��" Permit No. G�uGU� s OWNER V&� A. P. No. Proposed Building Use �'/ �Z Building Inspector Date At time of permit application, I was advised the following data must be submitted pr or to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. ' 5. Plans with Energy Design Compliance Statement. 6. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . 9. Letter of signature authorization. . . . . . . . ' 10. Sanitation approval from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) N> Owner -Builder Verification (Given to owner❑, Mail to ownerE]) _._-..._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . . 17. Pre -Inspection forPre-Inspec. request to (Date)r ..__ _ ..._ _. _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement., 19. Driveway Permit. _ 20. Plot plan approval from city of - f_21. 21. 22. W en you issue t j r /it, pi ess as follows: Mail to owner; Mail to contractor - Telephone and hold for pickup 101–d0/l _office, Del iver w/inspector. Other Applicant Date Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, /o designer,w r, was advised of above required data by vphone_—� -J»ail_countEr by/ date Contractor, designer, owner, was advised ct above required data by_phone_mail_countEr by_„_ date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder ate ' JULY 7-9-1987 DEAR SIR THIS IS A LETTER TO STATE THAT -AT THE COMPLETION OF OUR NEW MOBILE HOME SET UP, WE WILL REMOVE OUR EXISTING MOBILE HOME FROM THIS PROPERTY AT 6003 POWER HOUSE HILL ROAD. " THANK YOU MARY OLLAR Z861 0 06 AL" P; pe f- .......... C;p utirlity ect 4 ft: er directly p'llf, vvj t1l'. in tth4; half itl�- L L "44i mcfbi w f it , k lz *40 Ak,... J IWO 71om ti 19, fin M"Qn4 f Public N. - 1tiJrMA I C4 -7q W, x N. - 1tiJrMA I C4 W, V" X U 44 N. - 1tiJrMA I W, WAI . FUQUA HOMES Plic. _... COLUMN SUPPORT SPEC: SHEET .APPROVAL ONRUCT o t� MANUFACTURED MODEL _705"D a SAFETY STANDARDS. W ROOF LIVE LOAD 3 O*T V :::--P. AUG 051986, ROOF DEAD LOAD (o I LENGTH LD LD'_ $" Q:� I . WIDTH CATI�ED�AL � . 7 _ `•10q'rl.l ' f 51- IT tL \., x" S • � 1t 4W .itis 30'l v ~SN 3Ttri yP'0%3c-V 30" i P 4110 �. J 'I, N 1$'0. It�V i fes. if ° �Z �1 w 30'-v Wtto• SPECIAL INSTRUCTIONSOWNWARD COLI LO f-.Z� iLES.N 01 SPECIAL IN5TRUCTIONS- LOAD LBS. y-_ i g " 5 u P Po �-r A -T 3 -IL 10 L4 3 11 O " 11 ` • 9 110 R 2 .2 q 46 - '� f.�.w ,f .: .� . ,�_•�. Ic. •.. ._ 1: •' .6• �w,f:,•%° "c•+' lP'r��'. s1.. �, ..� � •:: Footing:or•'pad siic.musf determin'ed by dividing.the foil' bearIn int'a ow;iwa'rd•load.:- R Ex: Soil,'bearing capacity' = TSOD.PSF•:*downwardA S. !:,�'y�fp.:�.•.. r•, .._'.(T. MOO LBS::... f' .. ... r ='2-13 SO.:FT. :r �,..,..'• .'. '++:%riy~•;'...•, 3Footing..siZe'.= .,: 00 ari ''= �(�.�',r:..' Z0� i.r� •' 7 4'=1:'t'f4�1• i. .••1 rt, •7••� L: ��. .�.'r;� ��'�1i• u>,'�Qjl,. '�.••• .-vT' �,���•�f�. f• ) v F lG.: K irV``#. ': .' ,'H}11•►sG'Z �;�f_' w Ji •y ` .:.% j 'i;S'~`f•.. •s,' ' • . •f • . .'1.1. i� .. �:4�. �1%fi' ::�.L.:'fir.r�o�`l'^�::�r.��y3i�T.��:�����::.'��ry7 ;:i�Ct'bri�'�1A��: ••f• «. •-i: s',r•:.:. I ` BUTTE COUNTY DEPARTMENT -OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 1 PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. owner's Name: 2. Installer's Name: K . (iO1Ro V'JA/ s7�y&,,eru sit- RVic E 3. Is the site currently under permit? Yes F] No (If yes, furnish permit number g4fl l ) OR Is the site an existing site? Yes F-1 No F] (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- Z 0 © Amps 6. What is the mobilehome site service rating? ------------- 2-,V C1 Amps 7. What is the mobilehome site circuit breaker rating? ----- L o O Amps 8. Is there any other electric load to be served by the F] mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: Z �9 /�J (Load) V�_J �/ (Amps) 9.. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas,pipe length from meter or tank to the mobilehome?----='=--------------------------------------- 12. What's,'the mobk1'ehome gas demand? ---------------------- (BTU) (Th�is information not 'required if pipe length less than 6 ft. on - natural gas or .less than 50 ft.'on LPG:) t MOBILEHOME SU`PPOR'T DATA If other than single wide, G Mobilehome Mfr. �tL &u -& furnish Setup Model No. b D Year ( 7 Width 2-O (ft.) Box Length__6 f�(ft. ) Tagalong or Expando Size .�fC. x T"—ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)I �1. SUPPORTS (check one),. SINGLE -WIDE Wood -pressure treated or foundation grade. 2. Concrete block. ❑ 2. Other (specify) Pier Footing Sizes and Locations MULTI -WIDE Main Beams Li ni• 2 • _ _ _ _ _ _ _ _ _ _ _ _ _ t in Main Beams — — — — — — — Tag or Triple Other (specify) Line 4 Line 1 Line 1 Piers: `� /i / c11,,E Line 1 Openings: Size -Min. ------------ Sc� 0 hLL� Size-Min.------------------� Spacing -Max. --------- �_ G Each Side of Openings Yrom Ends -Max. ------- Z, '_'d " With Width Over--------- u Ili- 'L Piers: Size -Mill .-_----------it. Spacing-Max. ---------From t?nde-Max.------- Line 3 fLu,t loads: Size -Min.------------ Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ n x 'Spacing -Max. --------------- From Enda-Max.------------- "x "x "x "x "x "x "x "x Location (From Front) _ 11 1- 1.1 1- 1._ -1 1.1_ '_ - l_1nc.4 Ple_ rs: Line 5 Piers: (Under Bearing Walls Only) Siz•-Min------------- Size -Min. ------p --------- rk �y,. le rx Syncing -Max.--------_ ,_ �� Spacing�i9-04 . , . From Enda-Max. ------ From Endss--MMP/ ! c 5 KLoads: ads:�• Lin_� Size -Mil -.------------- location (From Front) �r NNNNZrZJ �r "!:o •o,w..«.,/...r N'• «,' ,.n:. .,..w^w�..awiK."ihKY+ ? .. 'kip 'N Mn, thb,; ... ... .. ... typot WO tt0 eq 'k, wiI *c0)lectlOr4 hcl, L11i6 .Utility1 , . 0: ff N. mobt 10 -fib mikdlih-e r directly h i, 77.: half ' 7.1 f-th, . - J oq.rIfis 10 s MUST be ,. fhhou Of of U61k V 5. lck .A h r PERMIT NO: Q — PERMIT EXPIRES U OWNER Rte, &—MARX L1QI-I A -R CONTR. ASSESSOR PARCEL 25=2-95 LOCATION 699 42e;".;ems ueuRt; HU-1,Rd, } a Temp. Power Pole Called Temp. Elec Called Temp. Gas Called JOB FINAL Signatu = OK G= Not OK Not Not Readyiable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1: Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed .(Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -131 Date Card -131. Date Card -131 Date Card -131 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -131 Date Card -81 Date Card -131 Date Card -131 Date MISCELLANEOUS Date DECKS COVERS,CARPORTS,GARAGES, (Plans)OK except #'s A-Zoni[Ig Requirements -Setbacks -Easements ooti gs; Soils -Size -Depth -Spacing -Connectors -Steel ec ;Girders and/or oists-Decking-Bracing-Stairs-Rails O. -Wood Awn.; P %fs-B s-Rf*T.--Coef(ec.- Shtbg':-�Rfg-rf6radrg 5,A+affr-Rwn.; Columns -Connections -Splice -Decal -Enclosures 4-Ceflpefts; Windows -Doors 7.7t"_tev-7- 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. ; Shthg-Roofing Ext.; Steps -Doors -Landings, Card -13 Da- r�Qzard-B1 Date Card -B1 Date Card -131 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test ICard -B1 Date Card -61 Date Card -131 Date Card -131 Date =OK 0 = Not - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready. Date UNDEAFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -61 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd' Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -131 Date Card -B1 Date Card -131 Date Card -61 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 79. Following instld.; Drive o Yes ❑ No; Walks ❑ Yes o No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish . 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) �• COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS (D?P RMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-75 �/lJ APPLICATION AN4O'PERMIT4 o L1 AS S OR PAR EL NUMBER s ZONI BUILDING PERMIT O'WN Maw a l� L HONE T 53� - O loa l SO. FT. OCC. BUILDING VALUATION V O O NER' (LING ADDR SS _-7-7-5 NTRACTOR' NAM r J�^!J CONTRACTOR'S MAILING ADDRESS -9 `y VX /W„ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $5-0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ � S 62 'On PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[l�6 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: (/ P(��,(� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP"' ,Zh�Sgft OR ACDNS. ( ACC. SLOGS. NEW CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS a (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETs OR FIXTURES 2AL got e00I 30t. FIXED ALNS Ex. Occup. OUTLETS p(RESID,)RE A,� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga' st said County in conse ence of the granting of this permit. %� Date �j�r Signature of plicant — Owner (�f Contractor ❑ Agent ❑ An OSHA p rmit is required for excavations over 5'0" deep and demolition or construct-WDIECTOR of structures over 3 stories in heighB� Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FE $ S 0Ccup. CONST,TYPIJ FLOOD P1ICEL P. 9u This permit is hereby issued under sions f the Butte County. Code and/or wor i dicated above for which OF PUBLIC PERMIT EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKSrion Date 3 sc b' 3 Sorg eceipt No. NITE-O.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT ..A 1rr+�i�F .��.� �'�r��ty, itt. rxe,a'ifi�''�s,4Af#+t�t+'f>�'(4�'r' y. ", �.�714��;t'i�/`��r•.-�+�.tv`�t -� jw�.rV :,i.).: i COUNTY OF BUTTE - DEPARTMENT OF,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE CAIf LIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Q Permi-, No. OWNER -fit I A. P. o. �S— 0 —OS Proposed Building Use 06V Building Inspector 2�1 Date 6X� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE. RECEIVED APPROVED 1. All items have been submitted. . . . . 2. Plot plans in duplicate/triplicate,i eparer of plans. 3. Complete plans in duplicate/triplicate, ' preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement .� . 6. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . /9. Letter of signature authorizesion: 1�@—Sanitation approval from:9v -AHealth 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 ❑ ) Improvements may be required. . . . . . . . . . Mobilehome Installation Data. . . . . . . . . Pre -Inspection for___ -__ _ _ - -.- _. _ Required. Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. 20. Plot plan approval from city of 21. F Pre-Inspec.request o (Date) Building Inspector jx -- 22. _ _ -- When you issue the permit, process as follows: MI,I to owner, Mail to contractor. Telephone�7�� and hold for pickup t/'�. / difice, Deliver w/inspector. s�J Other Applican to Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submit-tE 1. Index permit for above items No. i� 2. Additional items required: it,issuance: (Circle new itern not checked above). =C--t1-1tD-)designer, owner, was advised of above required data by phone___naiI—counter byf_<44 ate Contractor, designer, owner, was advised c: above required data by—phone —ma II—counter by, date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date 7 2 – F�,. TO Building Department t FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location.AP# Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other NOTE * * * Sanitarian Date - . .. .. . . . , - ? ,!.:I--S� a-.;.:-.-. I .. .i.. . . * . . 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CLEARANCE DATE INSPECTOR ELE TRIC GAS Support Compaction Pipe Str c. Test Req. Type Size Length YES NO YES NO service size Other Load Oroville, California April 14, 1986 Department of Public Works 7 County Center Drive Oroville, CA. 95965 Jim Glander Chief Building Inspector Dear Mr. Glander: This letter is in reference to the storage room that was constructed at 6003 Power House Hill -Road. I will be getting a permit in 1987 to build a home. When the house is completed and we move in the room that is now a storage room will.be moved and used as a tack room. Thank you. o� File No. BUTTE COUNTAction 1, 2, 3) Sincerely, Public Works Dept.; formation �e ) p (4� 41Do •(,Y/j_/,// Director I 1. aL Dep. Dir. Sec.. -1F f 't `a i .v. '.fie ��'•J•�''.A, " To: Planning Director, County Counsel, Administration, District Attorney FRC H: Vince Anzalone, Zoning Investigator, Planning Department SUBJECT. Bill Dollar, AP 2S-23-78 to 81 DATE: November 3, 1981 Assignment Complaint by Margaret Coomes, Rt; 2 Box 2787, Oroville, Ca. 95965, letter dated September 22, 1980. Owner Bill Dollar; P.O. Box 2650, Oroville, Ca. 95965 (Also, P.O. Box 1482) Marysville; -Ca, 95901) Zoned "A-3" (Agricultural) Ordinance "937 dated 6/20/67 "A -S" (Agricultural) Ordinance#1629 dated 10%7/7.5 Investigation Telephone message from r-Targaret Coomes in"regard to construction yard and construction equipment on referenced parcel and inquir- ing if it is legal to be there. Letter with more detail received September 24, 1980 September 16, 1980 Visited parcel and observed a sign "Dollar Construction" I also observed two (2) large structures with construction paraphernalia, nearby. September 23, 1980 Letter to Bill Dollar from Butte County Zoning Investigator Vince Anzalone in regard to violation of Butte County Zoning Ordinance Sec. 24-72 "A-51' (Agricultural) Zone (A) (3) Return Receipt dated October 10, 1980. .October 28, 1980 Letter from Bill Dollar to Bettye Blair, Planning Director, con- taining written (typed). admission to using parcels in construction operation and requesting 15 to 18 month extension to abate. November 4, 1980 Letter to Bill Dollar from Butte County Zoning Investigator, Vince Anzalone, extending the abatement date to October 30, 1981 with. Planning Director, County Counsel, Administration, District Attorney. Page -2- November ,3, 1981 the condition that he inform staff of the progress and status of his,efforts toward abatement, quarterly. January 30, 1980 Letter from Bill Dollar to Butte County Zoning Investigator, Vince Anzalone, stating "not able to find anything". July 17, 1981 Letter from Georgia Laraby cosigned by --Bill Dollar, stating "hasn't been able to relocate tip to this time July 29 1981 Bill .Dollar applied for a building permit for a deck and ramp and use.of structure was'written "office receipt #55768. August 4, 1981 Letter to Bill Dollar from J. F. Glander, Butte County Chief Build- ing Inspector requesting removal of (mobile) "office" or have prop- erty rezoned: September 14, 1981 Letter from Bill Dollar to Butte County Zoning Investigator, Vince Anzalone requesting an additional year extension.' Conclusion Reasonable amount of tine was given to Mr. Dollar *to abate his violation. Mr. Dollar applied for a "permit" to place an "office" on referenced parcel (July 1981) 10 months after receiving 12 months to remove his business to where it is legal. .By his own admission i,Tr. Dollar is in violation of Butte County. Zoning Ordinance Section 24-72 "A -S" (Agricultural) Zone (A) (3) which states: Accessory building and uses pertinent to the permitted uses including agriculture processing plants. VA: 1r t.'S't'",, x,' ,4, i'k`+�,t�r r; w ,F * 91. 144 y r f � NOTE:—All Materials & Workmanship Shall Be in d 3 ! Pnrn d Good Prrmfices and �CCOr ar,r wiir.� ....._hns-c, of a qu--!iiy pre:(. 'see:: nor 'rkhe SYz)cif:cA use in the Uniforn-i Buil!z; g, 'Nurn6ing & I-vIechanical Codes and cvj the National Electrical CodeL , This set of plans and spec'fications MUST be kept on the job at all dries and it is unlawful to make any cha.7-res or a'tcratibns on same without written permission from the Department of Pub. lic Works, County of Butte. t h A setback of 5 ft. from the property�f ines and a setback of 50ft. Jom the road centerline shall be clear of structure$ o: equipment except for a 2 ft� eave overhang. ��QLv't{Ciil.a+ Nle! R,J_ 11 Utility,connection shall 6 within 4 ft. of the mobil 'home, either directly behind o within the rear half,of the roadsi ' e (left) of the 1 # mobilehome. - F 1 tj � s j t ^� W I1 1 � w t i - F 1 tj t f .r� . �W4' 555 ,�.. •JN BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT r Owner: A.P. Address: 0' �---� 7 Z;� Date of Inspection '2-=�5- L Tenant: Inspector Building Location: Type of Inspection requested: 7.1,. Housing "'2. Financing 4'. Other (specif; Present use.of build 3. Change of Occupancy to A Sanitation (HousiriA)_ 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. 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: 12 ALI- 13.- Rubbishandgarbage facilities: 14. C omment s : ' B. Structural 1. Piers and footings: 2. Floor construction: 3'. Wall construction: rj ia 4L le 4. Ceiling and:roof construction: 5. Fireplaces:' 6. Coma ents • C. Electrical. 1. Service :e ground: - 2. Recept4 c.. is: ' 3. Fusing:_, 4. Couanens: s, D_Plimlb 1. !-ixturef; connected and vented: 2. Gas water heater: 3. Gas heating vents: 4... Coaanents • ' E. Other 1. Maintenance and repair.: 2. Fire hazards:. '.3. Safety hazards:' 1 4. Weatl!er protection:__ ' 5. Iiii.de.rfloor and attic. ventilation: 6. Comments: . F. Conmercial Buildings 1. Rc;of covering,: 2. Distance to property lines: 3. Physically handicapped: 4. R est-ooma floors and walls: _ 5. Exits: _ 6. Improvements: 7. 8. Corrtmzrit: G. Field Probl emis or Violations 1. Problem :r -:olation,;gi " - .etz deI rripti,r,')/; 2. WI -at L:ction taken egive complete-Jescripti.on): 3. Wh.!It ai-- :Jon recrnuiended : 77A. -.nfonaation only - fi' , I _ ., . / /.B. Hold for te:) (10) days, then wri c— letter. � � r 'rlMl.�.F_• lt3�t'L. DD. U-ther: _ 1D 12 1.1 U.') Z" or C ,o 711 !)CU -Lc- Y, u �7 dr QU Z,Q Ll I n1w, e s t ti Bill Dollar P.O. Box 2650 Oroville, CA. 95965 Dear Mr. Dollar: August 4, '1981 RE: Mobilehome Office (AP 25-33-80) With reference to the above subject and the permit applications you made for the mobilehome you have installed on your property on Powerhouse Hill Road and are using as an office, this office cannot issue the required permits because the area is coned "A-510. Since the mobilehome was installed .without the required permits, inspections, and approvals of this office,without sanitation approval from the Health Department, and the zoning doesn't allow a business use, you must either remove the mobilehome or have the property rezoned. Please advise this office of your intentions within ten (10) days of the date of this letter. Should you have any questions concerning this matter, please contact me. Yours very truly, Clay Castleberry Director of,Public Works JFG:dd cc: Planning Dept. Environmental Health, Oroville J.F. Glander Chief Building Inspector File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop '& Yards Bldg. Insp. q D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. T ran sp. R/W Mapping Land Dev. Ref. Disp. Drng. / S. 1. Sub. & Pcl. Maps Permits f'' �' COUNTY OF BUTT_ E - DEPARTMENT OF PUBLIC WORKS -- - 7 County Center Drive - Orovilie; California 95965 - Telephone 916/534-4.541 APPLICATION AND PERMIT PE MIT NO. ASSESSOR PARCEL NUMBER 2�-Z3 —So ZONIN _S_ BUILDING PERMIT OLf 1 / V0( SO. FT. OCC. BUILDING VALUATION OF- RIOS. IL_LNG(-36) ADDRESS r(�l CONTRACTOR'S NAII\/ TELEPHONE CONTRACTORMAILING AD SS , / , / �k ��� V �(.( Fireplace C NSTRUCTION LENDER UNKNOWN Q Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEI ICENSE NO. Plan Checking Fee $ &_00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD G ADIP�Nj� s PLUMBING PERMIT Filing Fee 10.00OL.oO ®C` /n'`c-AnwO Each Trap 2.00 Repair drainage or vent piping 5.00 pigteewo Water piping /O.00 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 PF�1� SPECIFY Building sewer Q_00 Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation El Other ❑ Describe work: Penult Fee $ 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 OCCUP.&i OR ADDNS. ACC. BLOGS. 22 sq ft CONTRACTORS LICENSE LAW I declargAnder 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 L,er.�}j - .y ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. I -OUTLET 2,50 ea NON BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS 6Jr NON-RESID. (SINGLE OUTLET CIR. Ex @ zs¢ Ex. Occup OUTLETS OR FIXTURES BAL@1 EX. Occup.�OUT ETS FIXED PIRESID ILNS RE A. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filirig 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 �f Consent to Self -Insure. LTJ 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 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County ' consequence of the granting of this permit. !� 7���i_�/ X �_ �'/ Date / Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0 e;() OCCOP. GROUP I TYPE OF CONST, I JPA7LJ PD NDJ ISSUE This permit is hereby issued under sions of the Butte Count Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. ✓ 7 ( WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 25-23-80 Contr: Dollar Const, Oroville Permit#2857-81P(util, 1R) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT �f PERMIT NO. V ASSESS R PACEL NUMBER 11Zj �LI) ZONING BUILDING PERMIT Ow��/ �OG�n� rI' TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C2 W& / /C AME&/ r - 3 C Oy�D CTQI�Q� (LING gppit.F�55/// //%%// 2,S U Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 0 Filing Fee $ 10.00 LENDER'S MAILING A DRESS Permit Fee $ ARCHITECT OR ENGINE tnL LICENSE NO. Plan Checking Fee ,$' 0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ X06 BUILD G ADD R S PLUMBING PERMIT Filing Fee 10.00 (�G 0 � 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 TRUCTURREE� USEPother SF ❑ Duplex ❑ Mobilehometet 4A Ge SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel Utilities ❑ Installation[] Other ❑ Describe work: . Permit Fee $ 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 OCCUP,y) OR ADDNS. ACC, BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declar 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 License No. 1 � a `a 4t Classification FIC �/E.t'i41-go_ ❑ 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-RESID BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS 6) NON-RESID, (SINGLE OUTLET CIR, 50 @ 25C Ex. Occup OUTLETS OR FIXTURES BAL�1 Ex. Occup.(oUTLETS FIXED APP(RESID )PEA. 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 onsent 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 $ 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 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 ' consequence of the granting of this permit. Signature of Applica t — 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 $ 0C) OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD 199UE 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 applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 5576 K WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT _ 25-23-80 Consr: Dollar Const, Oroville PErmit#2859_81$(deck & ramp)NH office R A COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO a2 �) P ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT Ow / 1 p/ / TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C/©�VOSG _MEn ' YLLEP / / 3�& /S�f��/ CONTRACTO AADDRESS,,,, I/ / Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRE Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /0--0o Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL NG ADD S g, LSC. I LIL& ep• 3D0d S 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❑ Mobilehome2__.�Other ���`w SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK �,� New ❑ Addition [:1 Remodel [:J Utilities ❑ Installation) Other ❑ Describe work: �"Gls� A S 40�G61!9 F04 Z�7L �J4e�� �� �`j �1 r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2-.50 NEW CONST. ( DWELLING OCCUP.al OR ADONS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declarg,6nder penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force an effect. 7 %[,� •-��/ License No.,2_%!q 0 Classification ❑ 1, 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) Fl1, 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 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTRPOWER APPARATUS &) NON.RESID. ('SINGLE OUTLET CIR. 50 @ z,¢ Ex. OCcU OUTLETS OR FIXTURES IBAL@100 Ex. QCCup.�OU TLE TS XED P(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 $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for. inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X 06,4&04 -t:11 -m 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 storiesinheight. Mobile Home Installation Fee $ _0 TOTAL PERMIT FEE $ 50.00 OCCuP. GROUP I TYPE OF CONST. I PARCEL PD I ND I ISSUE 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 applicable provi- resolutions to do fees have been paid. • WORKS Date Receipt NO. 57�/ &4ei WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 25-23-80 l-.ar Const, Oro vi11e Consr : Do permi02858 -81IM' Issued BUTTE COUNTY DEPARTMNV OF PUBLIC WORKS. .7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: T3 I,- Z)L L A, Y? 2. Installer's name: 5 t YA C� 3. Is the site currently under permit? Yes / / No 77/ • (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No/ / ' ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- AMPS 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome t.4 site service? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ------------------------ Natural /% (Amps) . (in.) LPG 11. What is the gas pipe length from meter or'tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas ' or less than 50 ft..on LPG.) r MOBILEHOME SUPPORT DATA Q If other than single wide, Mobilehome Mfr. (' 6 h, 12110 furnish Setup Model No. Year Width__�10_(ft.) Box Length_(ft.) Tagalong or Expando Size ft. x ft., (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973,t 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.. JS •'i z• Footings (check one) (in.) (in.) x (ft.j(in.) (in.) (in.) IL� (ft.)I (in.) (in.)l (in.) *If center piers are other than drawn above, draw in -locations. spacing, and dimensions. Tagalong or Expando,'. show support details. 2- is ,Z -- Typical Support n.) (in.) Footing Size -- Max'. Pier Spacing -- Max. Overhang Single L4 --L. Wood either A A pressure treated or x foundation grade. U (ft.)(in:) (in.) ('n.) - 2. Other: (specify) Center support locations* Cente support foot' g sizes Supporta (check one) ( n.) Concrete block. x El •2: Other. (specify) (ft.)(in.) in.) (in.) (in.) (in.) x (ft.j(in.) (in.) (in.) IL� (ft.)I (in.) (in.)l (in.) *If center piers are other than drawn above, draw in -locations. spacing, and dimensions. Tagalong or Expando,'. show support details. 2- is ,Z -- Typical Support n.) (in.) Footing Size -- Max'. Pier Spacing -- Max. Overhang t BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name:ter LL T-) c,LL 1�c 2. Installer's name: 5 A IYZ 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes /.1/ No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear�of all setbacks and easements? Yes / No (If no, clarify ) 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 5. What is the mobileiome electrical rating? ----------------------- /C> C) _Amps What 6. What is the mobilehome site service rating? --------------------- a U fps 7.. What is the mobilehome site circuit breaker rating? --=---------- f p 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) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural 77 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft: on natural gas or less than 50 ft..on LPG.) N,. (ft.) (BT�) MOBILEHOME SUPPORT DATA If other than single wide, Mob ilehome Mfr. G A v.v furnish Setup Model No. Year S-7 Width Z b (ft.) Box Length(ft.) Tagalong or Expando Size 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 A A pressure treated or foundation grade. x - (ft.)(in;) (in.) (in.) 2. Other: (spec ify) Center support Center support locations* footing sizes Supporta (check one) (in.)Concrete block. .2: Other. (specify) (ft.)(in.) (in.) (in.) (in.) (in.) 1. l n -"1 (ft.)(in.) (in.) (in.) (ft.) (in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. E ---Tagalong or Expando,' show support details. 1 x ? -- Typical Support (in.) (in.) Footing Size �7 -- Max. Pier Spacing (ft.)(in.) (ft.)(in.) -- Max. Overhang //1: ' -� 2 -2, Z PERMIT NO. PERMIT EXPIRES OWNER BILL DOLLAR CONTR. owner ASSESSOR PARCEL 25-32-05 LOCATION 6003 Power House Hill Rd,, Oroville (74" q - A j Temp. Power F OFFICE COPY Called PG Address ,� �- Temp. Elec. S] GAS Called PG1 Meter By - ELECTRIC � Meter By (I Temp. Gas Ser Cal led PG1, JOB FINALED (Date) Signature J = OK 0 = Not OK - = Not Applicable MOBILEHOMES *. = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's o 'ng Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -.Easements Soils Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 40'9-e.Location-Test-Fal 0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails *,'Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing ectricity; Location-Clearances-Grnd..OZ Okmp-Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Gas ovation -Test -Wrap:/ /"L"ft./ P'Nat.or/ "L"ft./ LPG 6. Carports; Windows -Doors Utility Clearance 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 (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stabilitv 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. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date 1 Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK f = Not OK = Not Applicable = Not Ready RESIDENTIAL, (Sing.le and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings 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 -B lockouts -Wrapped -S lab 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 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice 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 Card -BI Date Date Card -BI Date Date Card -BI 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. 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 Date Card -BI Date ELECTRICAL Permit OK except N's 66. Elec. Outlets & Receptacles at Kit. Counter 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 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 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. 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 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 El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters []Yes 0 N 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 Date Card -BI 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. 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 =urnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING Plans OK except q's Card -BI Date Card -BI Date Comments at Final: 36. Sills; Proper Material & Anchors 37. 38. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 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. 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng.-Rfng_._ _ Fireplace Ties or Type A Flue -Fireplace Throat 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 jobs ite) I ' PEROT NO. 2521-81E NH) PERMIT EXPIRES_/�� OWNER BILL DOLLAR r CONTR. Webster Electric, Oroville ASSESSOR PARCEL . 25'-2:3-SO <- LOCATION __ P. ZS Power House Hill Rd, 3000' S Palermo Rd, Palermo i 1 r' H. Y . r Temp. Power Pole t 3 Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E y, �. JOB FINALED (Date) S Signature ,r/ = OK 0 = Not OK = Not Applicable * = Not Ready MOBILEHOMES { MISCEL'LA'NEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS; ETC. (Plans) OK except N'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—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing Electricity; L ion—Cle ces—G04._/,a Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Locatiort—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance f 6. Carports; Windows—Doors 7. Elec. ----- -- Card -BI Date — I Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBYEHOME INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's z4ning Requirements—Setbacks—Easements 1, Setbacks—Easements Ftings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability Ga"H Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining . EI ii 'iy; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI P15—'D< MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI W 'e ; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ter and Sewer Connected—C/0 to Grade—HD Approval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater and Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit s; Insp.—Sketch PO"Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B- Date ,,')O). Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK O - Not OK otReady,�ble Not Ready RESIDENTIAL (Single and Duplex) � = N Date UNDERFLOOR Plans OK except #'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. 8. Piers -Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic 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 Date Card -BI 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 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 & Aichors-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. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth r 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-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 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 ❑ No; Planters []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. 80. 81. 82. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Card B -I Date Card -BI Date Date MECHANICAL (Perrr,it) OK except N's 31. A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. _Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ _33. Condensate Drain & Overflow; Size & Grade 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. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. 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) _ MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 'PERMIT N0. Address or location of mobi lehome Owner's name {� 0, E Owner's address %��a i',, r %w,• < f„ t� E Insignia or hud numbery, r Manufacturer's name e-, �.c. n/? �.✓ Serial number of I.N. (,G 58136, Year of manufacture r? U (00icia -App%o I ing Installation) (Date) g. IF THE MOBILEHOME IS'MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ` ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink -D.P.W. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE ,t. DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVI•LLE, CALIFORNIA — 534-4541 y PERMIT N0. 7: Address or location of mobilehome JgWS7 0003 1/ Owner's name t Oc�llaiS ;ri Owner's address (0003 ` o--, Awsc b,'// Insignia or hud number :Y/'? 2a,to .y Manufacturer's name ��/� �✓ Serial number oj�Ak.I.N._Q9/' p S 19136 Year of manufacture /Q7o f�f (Officio App o ing Installation) (Date) S� 1� IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE "MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. B White - Owner, Yellow, -Installer, Pink -D.P.W. --••I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Pho e: 891-275h t 7 County Center Drive, Oroville -- Phone: 53411541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 r CORRECTION NOTICE L71PQ0'-e- 9pa S- 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. F - - --1- 19 _ -g-, Inspector_` �� ,�(�C/;�hf� Date _�- 3 Inspector_` �� ,�(�C/;�hf� Date _�- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961. Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �.` l a&jn WG1-e-r l J `F- NcL.J S( -r,, c•� Inspector__ 1"r� Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise -- Phone: 872-2961. Ext. 57 CORRECTION NOTICE 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. i'fiiiiiiiiiiiIP-0 J-0IiQ.IFOMi_W4;�3$/��\�hW—.!�a7�111111111111111111111111 InspectorDate_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIIe — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE %'�)nI/a .r — its OWNER PERMIT NO. A routine inspection indicates that. the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question• pertaining to this matter, ,or need additional explanation, please contact this office immediately. S2c.., c -e Mwy �.r•v�c-e , oi• \ 1(9 ++ reauc,e l� Mori d a 2 rn rN N ' L r Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 .1,, CORRECTION NOTICE 4� i IIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector • Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 RRECTION NOTICE BUILDING OR PROPERTY AD 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 1 7 County Center Drive - Oroville, California' 95965 - Telephone 916/534-45 APPLICATION AND PERMIT ASSEST PARCEL NUMBER /'^ ZONING BUILDING PERMIT OWNE TELEPHONE SQ. FT. OCC.1 BUILDING VALU ION ' OWNER'S MAILING ADDRESS CONTRACTOR'S NAME V W h 1 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ .1 c) ng-� LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING AIDDRESS Permit fee $ BUILDING ADDRESS 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❑ Mobilehome��ther ❑ SPECIFY Building.sewer 5.00 Mobile Home 10.00 e 3 18d VM O'D TYPE OF WORK New ❑ Addition ❑ Remodel ❑ ,--, � Utilities � Installation❑ Other ❑ Describe work: — Permit Fee $ 0 ,D Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 00 10.O.DO IR Main service EA. ADD'L 100 AMP 2:50 NEW CONST. DWELLINGOCCUP.& OR ADDNS. ACC. BLDGS. t 2�2P.SQft CONTRACT RS 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 0111 -, � 1, 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 NON•RESID CONSTR BRANCH CIRCTITS 12.50 ea NEW CONSTR POWER APPARATUS a NON•RESID. SINGLE OUTLET CIR. 20@50C Ex. OCcup(oUXED Ts OR FIXTURES SAL@3O FIXED APP LNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home. Facilities 15.00 %1300, 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 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 purposes. I also agree to save, indemnify and'keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Appl cant - Owne Controctor ❑ Agen ❑ 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 $ 0CCUP. GROUP TYPE OF CONST. PAR L PD HD 550E / a/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE TOR OF PUBLIC By PER IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I Z 5 F- P T I C- TA,.,l 10r t1na be a , -Ju, rml �� tooll c, 500 SQ. FT. 0 0 L FOR MOBILES a C. 0. 9 --- 9 G S G 0 0 0 0 0 C) 0 0 0 0 0 0 0 0 0 0 .. ............ 2A a (I r*0TEs—All Mat .rials & Workmanship Shah Be it \0 ,- ' 3 Recognized Good Practices and Accordance with the Specified- use in the rf a quality pres,-ribed for � UnifAwm Building,[ plumbing &.Machaniccd Codes =0 ..*e National. Elec rical Code. -e A setback of 5 ft. from i property lines and. a setback FI� from tbe.road 13 ANik of - 50ft. clear of centerline shall. be men'. except ste.uctures or equ-9 for a 2 ft, gave ®verba di (This set o plans and specifications MUST die P kept on the i b of all times and if is unlawful +0 4 -an chainelesoralf�rci+ionsonsame without HA! Sri 7 BAQv ' ,j written permission from the Department of Public , Works, C^vvl,�y of Bu++e.* BUTTE COUNTY RUll-DIN"G-7 DEPARTMEN!' APPROVED 5 C A L- E L E U W009 Lc : r3Ar9"6r,7 d) �J 1 1 / 50 LEAC-R. utility connections shall be within the mobilehorne, either d) 0 0 0 C) 4 ft. of directly behind or within the rear (left).of the half of the roadside 0 ` D. 0 0 mobileho'me. I Z 5 F- P T I C- TA,.,l 10r t1na be a , -Ju, rml �� tooll c, 500 SQ. FT. 0 0 L FOR MOBILES a C. 0. 9 --- 9 G S G 0 0 0 0 0 C) 0 0 0 0 0 0 0 0 0 0 .. ............ 2A a (I r*0TEs—All Mat .rials & Workmanship Shah Be it \0 ,- ' 3 Recognized Good Practices and Accordance with the Specified- use in the rf a quality pres,-ribed for � UnifAwm Building,[ plumbing &.Machaniccd Codes =0 ..*e National. Elec rical Code. -e A setback of 5 ft. from i property lines and. a setback FI� from tbe.road 13 ANik of - 50ft. clear of centerline shall. be men'. except ste.uctures or equ-9 for a 2 ft, gave ®verba di (This set o plans and specifications MUST die P kept on the i b of all times and if is unlawful +0 4 -an chainelesoralf�rci+ionsonsame without HA! Sri 7 BAQv ' ,j written permission from the Department of Public , Works, C^vvl,�y of Bu++e.* BUTTE COUNTY RUll-DIN"G-7 DEPARTMEN!' APPROVED 5 C A L- E L E U W009 Lc : r3Ar9"6r,7 OOT COMPAREQ WIT" —.AGRICULTURAL STATEMENT, OF ACKNOWLEDGEMENT 85-10143 -Op,iGR•{AL DOCUMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement O O'>E>bOUN'T'Y-;rAIt be recorded prior to issuance of a building permit.ow�9 The property described herein is adjacent to land or included - APR 10 7 5.1 Am "a., within an area zoned for agricultural purposes, and residents of thi property may be subject to inconveniences or discomfort arising fromt�.Ep� -+,tl0,.tr31 R the use of agricultural chemicals, including, but not limited to herbicides, pestic and fertilizers; and from the pursuit of agricultural operations including, but not 1 mited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: S I 7 J� LOT 3 as shown on -that certain Parcel Map recorded on May 8,1980 in Book :76 at Page •74 of Butte County—Official'—Records. 4 V Dater _ J� _ $ s7- PROPERTY OWNERS: State of California ) ) SS. County of Butte ) SEAL AYLOR Ea= CAUFORNIAMOCT 1d. 1984 On this the 9th day of April , 19 85 , before me, the undersigned Notary Public, personally appeared AMNIFINOM /X/ Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose hame(s) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. � �- a - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillet Califorgia J5965 - Telephone 916/534-4541 ` APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �" 3 ZONING BUILDING PERMIT OWNER r TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW 'S MAIL#hLq ADDRESS CONTRACTOR'S NAM TELEPHONE , 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 ,$' ' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ p't� BUILDING J40DRESS s PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 r -D 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 [:1SF Duplex❑ Mobilehome SPECIFY Building sewer 5.00 Mobile Home I S1 G W 10.00 e • TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR AMP ORLESS10.00 a2 I, Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. L ACC. BLDGS. , 2/20Sgft CONTRACTO S 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 L21I, 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 NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR, POWER APPARATUS &\ NON•R ESID, SINGLE OUTLET CIR. / Ex. Occu / SAL@30 P\o FIXTURES 6AL®aom FIXED APPLNS. OR FIXED A PL 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. - Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 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 said County in consequence of the granting of this permit. e�•—� %� �(� Date "go Signature of Applicant — OwnerControctor ❑ 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 $ S r TOTAL PER IT FEE $ LA OCCUP. GROUP I TYPE OF CONST. r PARCEL I PD HD IS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Sil Com( Receipt No. 3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 6.1i Dollar Awer - goll,3-e 1)dl�d BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville. CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET' (If yes, identify'the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe _size? ---------------------- (in.) 10. What is the type of gas service? ---=------------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? �� (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (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 1. Owner's name: 2. Installer's name: 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 the mobilehome,be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit,-breaker.rating? ------------- Amps 8. Is there any other electric load. to be served by the mobilehome siteservice?I--------------------------------------------------- 'YesNo (If yes, identify'the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe _size? ---------------------- (in.) 10. What is the type of gas service? ---=------------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? �� (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (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 MOBILEHOME SUPPORT DATA If `other'• than single wide, Mobilehome Mfr. furnish Setup Model No. Year k��(fidth . x �'ft. t.) Box Length Tagalong or Expando Size (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 1*. Wood either pressure treated or foundation grade. x (f ')(in.) (in.) (in.) 2. Othei (specify Center su port Center support location * footing sizes Supports.(check one) (in.) 1: Concrete block. X -2. Other. (specify) (in.) (in. (ft.)(in.) L. (in.) (in.) (in\) ft.) (in.) (in,) (in.) 1 *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. tagalong or Expando,' show support -details. /A? -3p x Typical Support .T(in.) Footing Size -- Max. Pier Spacing (ft.)(in.) Max. Overhang I _ r COUNTY OF BUTTE"- DEPARTMENT OF PUBLIC WORKS PERMIT O. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 41 - - APPLICATION AND PERMIT PPEP NUMBERo ASSESSORRCEL ;1-. AS O ®� ZONIN BUILDING PERMIT OA/ LL- - TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CDN ACTO 2r957� �� ✓3,3�D� CONTRALTO 'S MA. O?,I&PS V1//WCfr 3 6:5 8WR Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI G ADD S�S" � S dsS ��I✓s� %LL %1/� ®�0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL M.AP 7 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[E"'�Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New F1 Addition❑ Remo-d�ejE] Utilities I/Inst llation❑ Other Describe work: -�// �/C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 5.00 `�j (J(' Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.N OR ACDNS. \ ACC. BLDGS. 2¢ sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q/f 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. 3G� G/�� Classification `�~/o ❑ 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. MULTI -OUTLET NON.RESID BRANCH CIRC TS 2.50 ea NEW CONSTR / POWER APPARATUS .&) (SINGLE SINGLE OUTLET CIR, Ex. Occup OUTLETS OR FIXTURES a �@1 00 FIXED APPLNS. OR EX. Occup. �pU TLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 - O Misc. Wiring 7.50 6 0 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 o� Consent to Self -Insure. rL—__ 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 upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in/consequence of the granting of this permit. X �.�� /�� '��% Date Si nature of Applicant — Owner ❑ Contractor L agent ❑ An 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 $ occuP. GROUP I TYPE OF CONST. PARCEL PD ND 99UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By / PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date st Receipt No. 6 J 9' ? WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT NOTE:—All Matericls & V/orkmanship Shall Be Accordance w; -'h Peco gnized in Good Practices and M of a quc4iiy prescribed for ;;ie Specified use in the Uniform Bui!„ing, Plumbing & Mechanical Codes and the National Electrical Code. t This set of plans and specifications MUST bE i kept on the job -t cell Amts and int is unlawful fo j make any i i r r c..: n._ . ; fr e�tfieroticns on same wi h�u written permission from the Department of Pug" � lic Works, County of Butte: 1 Utility connections i�jsfAer�'f 4 ft. of the mobiieH directly behind or �. half of the roadside rnasilehome, A setback of 5 ft. from t eo6,� o'r°� property lines and a setback �a? �@ of 50ft.'from the road centerline shall be clear of structures or equipment except for a 2 ft. Pave overhano { 5 q. t __T" .)all be withal )ME,, either. 4thin the ream rU1 I (lert) of the 2 s- z BUTTE COUNT IU I LDI NG DEPA.4M 'T APPRC3y/�,��q� � • % � /til r Ile 1� NOTE:—All Matericls & V/orkmanship Shall Be Accordance w; -'h Peco gnized in Good Practices and M of a quc4iiy prescribed for ;;ie Specified use in the Uniform Bui!„ing, Plumbing & Mechanical Codes and the National Electrical Code. t This set of plans and specifications MUST bE i kept on the job -t cell Amts and int is unlawful fo j make any i i r r c..: n._ . ; fr e�tfieroticns on same wi h�u written permission from the Department of Pug" � lic Works, County of Butte: 1 Utility connections i�jsfAer�'f 4 ft. of the mobiieH directly behind or �. half of the roadside rnasilehome, A setback of 5 ft. from t eo6,� o'r°� property lines and a setback �a? �@ of 50ft.'from the road centerline shall be clear of structures or equipment except for a 2 ft. Pave overhano { 5 q. t __T" .)all be withal )ME,, either. 4thin the ream rU1 I (lert) of the 2 s- z BUTTE COUNT IU I LDI NG DEPA.4M 'T APPRC3y/�,��q� • � •moi t7 t PERMIT NO. l 3572-87B PERMIT EXPIRES OWNER MARY & BILL DOLLAR CONTR. Conrad Lewis ;. ASSESSOR PARCEL 25-32-05 LOCATION 6003 Power House. Hill Rd, ORoville 0 Temp. Power Pole Called Temp. Elec, Called Temp. Gas Celled JOB FINAL Signatu = OK. - 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES, MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DE KS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch s -Size -Depth -Spacing onnectors Steel 3. Sewer; Location-Test-Fall-C/O-Concrete..3d ticks; Girders and/or Joists-Deckin - ra g t ' ails 4. Water; Location -Test -Easement Needed (Sketch) GWood Awn.; Posts- Beam s-Rftrs. o Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG mns-Connections-Splice-Decal-Enclosures s -Doors 7. Utility Clearance 7—Elec. 8- tuds-Rftrs-Trusses 9. - -Stucco-Mesh Card -B1 Date Card -B1 Date 0.. Roof; Shthg-Roofing Card -B1 Date Card7B1 Date 1 s- oors- an Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -Bl(' Date//- and -B1 Date 2. Footings; Size -Spacing -Marriage Line Card-B Date _Gand-B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining - 8. Gas and Electricity Tagged' 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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-Panelboards-Ins. to Main in Conduit Card -61 Date Card -81 Date Card -B1 Date Card -B1 Date 9. Health Department Approval `' 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date = OK o = t Not Applicable - RESIDENTIAL (Single and Duplex) - =No = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -131 Date Card -81 Date Card -B1 Date Card -81 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -81 Date Card -61 Date 66. Stairs & Rails Card -131 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic 0 Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive O Yes 0 No; Walks 0 Yes O No; Planters 11 Yes 0 No 80. Stucco; Brown -Finish Card -131 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -81 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -81 Date Card -131 Date Card -61 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -131 Date 38. Sills, Proper Material & Anchors Card -131 Date Card -131 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) Ile- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 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 ml�iter; 'or,need additional explanation, please contact this office Immediately. r Inspector Date �' 1 • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSP MIT N7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541APPLICATIOI(AND PERMITgs__7_9�6 ASSESSOR PARCEL. N_UMBERR �- p��jTELE ZONIN BUILDING PERMIT OWNER 1- ,' r HONE - j`Q, FT. OCC. BUILDING VALUATION p ` 7 � V NEQoR'S M LI G ADDRESS � I/ i — or CO RACTOR' N COWTRACTOR'S MAILING ADDRESS -a— /jam ` L/�•7 //J Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee .$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS A$ ,, 4.71 V—J Permit fee $ 6_9 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Qoo V ' _ Solar or heat pump water heater 20.00 LOT SUBDIVISION NAME PARCEL MAP I 74--r Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeN Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G E=1 0.00ea TYPE OF WORK New❑ Addition❑ Remode Utiliti ❑nstallation❑ Other Describe work: o ✓ �C_ '� I i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 j Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADC'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification EJ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ACDNS. l yzQsgft ACC. BLDGS. / NEW CONST R.MULTI-OUTLETNCHCIRCUITS) 2,50 ea NO. -RE SID .BRA CH CRC ITS APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURESeA 50 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consemence of the granting of this permit. X Date/ -0-42'1— o� Date / Q Signature of A Icont — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ `� h TOTAL PERMIT FEE $ lJ OCcu P.PC CONST.TY I SCHOOL .-- P o c PA PD .� ND Is This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By P OT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW-A389330R. PINK -INSPECTOR, GOLDENROD -APPLICANT •% s-' ' ��vh7 {'t�.�4�} ` ,'1`y�S.;-r'�.+ti.?xis' ✓,�1•-A'� 4�t'.. 'A✓L{7` .i+ .'W j' ,.` uiLA, 1* -- 1^..' '1,1F�56t{+'Yti�{./ YyaF'v ^v.J �v.'1 tir•.-' ���t"' i1A'/�.. . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING D'I'VISION.t 7 COUNTY CENTER DRIVE - OROVILLE, CALIF,ORNIA 95965 - TELEPHONE: 916/538-7541 / / r PERMIT APPLICATION DATA SHEET ' Permit No. ll OWNER Irl O Q A. P. No. S ( Proposed Building Use V .+sok Building Inspector CIIA& Dat' , At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted, . . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . 6. School District ''Fees Paid" Stamp on FloortPlan. 7 Statement of Intent for Non -Heated and AC Buildings. . . . . 8. Fees of $ . . . . . . . . Letter of signature author izaatt-i.9n. I�10. Sanitation approval from C/1'0V.1 HealthDept. g 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❑❑) f Mail to owner _.__..._15. Improvements may be required. . . . . . . . . . . . 16.' Mobilehome Installation Data. . . . . . . . . . . . Pre-Inspec. request to (Dcte) 17. Pre -Inspection for _ ___ __ _...__. _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. a 19. Driveway Permit. — — _ 20. Plot plan approval from city of _ 22. _ -- W en you issue thepermit,/^�p�ocess as follows: Mai to owner; Mail to contractor. Telephone��� %Mi and hold for pickup _office, Deliver w/inspector. Other AppI ican to Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must -be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by Contractor, designer, owner, was advised c? above required data by—phone —ma il—counter by Plans checked Sets of plans on hold in Copy–DPW Date Plans approved by File cabinet _AP folder ti date date Date TO Buildincr Department FROM: Environmental Health SUBJECT: Sanitation Clearance -- - C) Owner Location AP# Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply____ Clearance for bedroom mobile home. Other NOTE * * * t L .: .,1 ,/� r 11 ; t ' Itt • .. „ v ...:.t~c,�..:r..:y....n.a�.:J•i.�r�.7, �.,._/•' ••�1t r .6� , ,. r4b. 7 Pe rl b . ..,.../ r, l• r .:,,�'..:.-1. .w�--+rw../S..'n ' f. . = Q ' :.�•p AI!r �n lta tb; py� - ''�Rgtl, ','�,'r r ` on$ l- bQ �1 wr�fteh ,t ► TY __. r peC►n.10on,. 0,61.r : fie' Win. fah �' fhout ' �� , CauYrFy Qf s ' ,14 .�'rpment , u611 j\o a flelc��i f{^b£FY•'1 , SQA. V i .i v Y/ �' yy .c� O r , w r1 v. ! p - I 71 5 f I,e, S a, I t i r + r' tp i r -r e > r / r ?1. 1 , ` I1; ,' 1.i <' t ,. Yt /! ^J �'' Y t , !1\� + ,\ ` 1. l 6S i'\ i, lry ':•..: `{ i i \ } 1. , t o l ' d 1 '� + i' I. !II a ': l : !' �•.:. f ,%'0 s 6r k _17@6� .1 r } f .11r."I.1� ' .tb . -- t' ft i t I. ' 1 1 .. , t l t II t. t ick .:. .� e..... - .v !' ..� %,til, J %.., 111' .t" ._ . Utility coinectEans shall be wrf r,` �,f 4i11 ' �l W�.� . K 4 ft:-ofIfke;mdbGlehome, etyltier e,Gr ,j.r` i ,� t C C �OH �j#: directly: 6hh i..,;;'d,or witMEE th re r% ` "- - .*. 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