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HomeMy WebLinkAbout025-340-0094 4= -wo W/S Lone Tree -;ep Rd. p hO mi.N.,of Leslie Simonson �aa� 'Palermo Rd., Palermo o Permit #6 m1t �042- 77P,E (ut:4.,MH) ELEC. 9V 1116- "'Z . ..... . . ....... '/ !i;-- &h 0 .:0 = I f W5 P�A PERMIT#95-2848 - . 47 240 1 SUPPORT STRUCTURE REQ, M,o I FRANCO, Albert...- &PACTION TEST REQ, AW 354 Lone .Tree 'R ' d.', Oroville roville 'New Pri D6t Garage I Pj, AP25 -�-24 Les Simonson w/s Lone Tree Rd. app. 1-2/10 mi'. #,§ of Palermo Rd., Palermo • Permit 669-80 (MHI on Ex. Site Issued .,,g— �0 AV 924 24 8-92-3226 MH FRANCO, Albert 354 Lone Tree Rd, Oroville mhj- 29-3550E FRANCO, Albert ------- 354 Lone Tree Rd, Oroville elec serv/mh 2- �2-4246 B FR Albert 354 -Lone e Rd, Oroville q covered decks m. R 54 0 v e 0 LoneLo re d A e 1 de Albert e decksRd m ' 9 rovi �2-4 11 e `0 vorr 421� 94-1206B FRANCO, ALB 354 LONE E RD., OROVILLE C70MTPLBP#92-r42446 G25 2 A n r% on PERMIT#95-1789 FRANCO., Albert & Dolores Lockhart - 354 Lone Tree Rd., Oroville Cont; Jerry's Mobile Hope Service ,...-Ex-MH on Perm Fnd I . , Vh� - - , contr: Permit Oroville Trailer Sal. orov I ille #5605-77NHI. Issue. AP25 -�-24 Les Simonson w/s Lone Tree Rd. app. 1-2/10 mi'. #,§ of Palermo Rd., Palermo • Permit 669-80 (MHI on Ex. Site Issued .,,g— �0 AV 924 24 8-92-3226 MH FRANCO, Albert 354 Lone Tree Rd, Oroville mhj- 29-3550E FRANCO, Albert ------- 354 Lone Tree Rd, Oroville elec serv/mh 2- �2-4246 B FR Albert 354 -Lone e Rd, Oroville q covered decks m. R 54 0 v e 0 LoneLo re d A e 1 de Albert e decksRd m ' 9 rovi �2-4 11 e `0 vorr 421� 94-1206B FRANCO, ALB 354 LONE E RD., OROVILLE C70MTPLBP#92-r42446 G25 2 A n r% on PERMIT#95-1789 FRANCO., Albert & Dolores Lockhart - 354 Lone Tree Rd., Oroville Cont; Jerry's Mobile Hope Service ,...-Ex-MH on Perm Fnd I . , Vh� - - , I BUTTE COUNTY AREA DEPARTMENT OF DEVVLOPMENT SERVICES 1 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line (IVR) : (530) 538-4365 (Cut off time for inspections is 2pm) Due to recent reductions in staffing our department cannot guarantee inspections' on the date requested Office: (530) 538-7601 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: BIO -0813 Issued: 07/16/2010 Address: 334 LONE TREE RD, PALERMO APN: 025-340-009 Owner: TAYLOR, JESSICA R Permit Type: SFD-MOBILE HOME PFS Description: NEW MH NEW SITE PERM FNDN (1404) O ALL PLAN REVISIONS MUST BE Inspection Type IVR INSP DATE Setbacks 131 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 112 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House or Yard 404 Gas Piping House or Yard 403 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Do Not Install Floor Sheathing or Slab Until Above Signed Straps/Holdowns, 154 Shearwall/B.W.P.-Interior 134 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 153 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 4 -Way Rough Framing 128 Gas Piping House or Yard 403 Shower Pan/Tub Test 408 Fire Sprinkler Test or Final 702 Do Not Insulate Until Above Signed Permit Final 802 llnl Electrical Final 803 �a Mechanical Final 809 1 Plumbing Final 813 Flood Zone: None SRA Area: No SETBACKS for Zoning. AG. SRA. PW Front: Centerline of Road: Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road: BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE T -Bar Ceiling / RC 145 Stucco Lath 1.- Stucco Brown FFtCEOPY Setbac BId9Pe�"t . _. Pool PI ' p ddtess'• gid to Gas Tes �^pate : Pre -Gums li ( a Pool Ele GpSBy pate: Pool Fenci Pre -Plaster ?�E1ectnc y 507 Manufactured Homes Setbacks 131 Blocking/Underpining 612 Tiedown/Soft Set System 611 Permanent Foundation System 613 Site Utilities/Trench Insp. 137 Gas Test Yard 404 _ �- Manometer Test 605 , Continuity Te 602 p Skirting/St' s/L,andin 'J610 ` Coach Info Manufactures Name: — Date of Manufacture: Model Name/Number: Serial Numbers: 77, Length x Width: Insignia: Fil'ials Public Works Fina 538-7681 Fire DepartmentlCDF 538=6226 Env. Health Final 538-7281 Sewer District Final * *PROJECT FINAL *Project Final is a Certificate of Occupancy for (R iidential On y) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF I,,SUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS 11RIOR TO EXPIRATION Inspe,tor Copy i1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR)#: (530) 538-4365 OFFICE #: (530) 538-7601 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds TO BE DETERMINED CWIF MH 10 CWIF MH 10 CWIFAUD Impact Processing Audi CWIFDDS Impact Processing Fee DB CA BLDG STANDARDS SB 1473 DB SMIP RESIDENTIAL DBEH Building Review Fee DBFIRE Fire Pre -Inspection RES LORD, DORMAN Building Garage Remdl/Addn 1023 14TH ST SP 16A 1,404 OROVILLE, CA 95965 Other Porch/Patio Total (530) 680-6500 1117 FEE INF $1,777.51 $1,982.19 $50.00 $50.00 $6.00 $13.69 $105.00 $228.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires TO BE DETERMINED / / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 07/16/2010 Contractor's Signature Date �- WORKERS' COMPENSATION DECLARATION - , .. I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. ❑1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Carrier. Policy Number. Exp. Date: F]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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 07/16/2010 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. /IATION U PROJECT INFORMATION $28.53 Site Address: 334 LONE TREE RD DBMSC Mobile Home Plan Check 0 Owner: DBMSC Tech Invst Fee MISC Perm Permit NO: B10-0813 APN: 025-340-009 TAYLOR, JESSICA R Permit type: RESIDENTIAL 354 LONE.TREE Issued Date: 07/16/2010 By: KEJ Subtype: SFD-MOBILE HOME PFS OROVILLE, CA 95966 Expiration Date: 07/16/2011 Description: NEW MH NEW SITE PERM FNDN ( (408) 315-9499 Occupancy: R-3 Zoning: Q1 TO BE DETERMINED CWIF MH 10 CWIF MH 10 CWIFAUD Impact Processing Audi CWIFDDS Impact Processing Fee DB CA BLDG STANDARDS SB 1473 DB SMIP RESIDENTIAL DBEH Building Review Fee DBFIRE Fire Pre -Inspection RES LORD, DORMAN Building Garage Remdl/Addn 1023 14TH ST SP 16A 1,404 OROVILLE, CA 95965 Other Porch/Patio Total (530) 680-6500 1117 FEE INF $1,777.51 $1,982.19 $50.00 $50.00 $6.00 $13.69 $105.00 $228.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires TO BE DETERMINED / / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 07/16/2010 Contractor's Signature Date �- WORKERS' COMPENSATION DECLARATION - , .. I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. ❑1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Carrier. Policy Number. Exp. Date: F]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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 07/16/2010 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. /IATION DBMSC Gen'l Plan Maint Fee Mis $28.53 DBMSC Mobile Home Permit Fee. $380.40 DBMSC Mobile Home Plan Check 0 $253.60 DBMSC Tech Invst Fee MISC Perm $6.34 DP Planning Clearance for Perm $81.50 Total Charged: $4,962.76 Fees Paid: Balance Due: $0.00 Receipt No: 4- " OWNER! BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). I am exempt from licensure under the Contractors' State License Law for the reason: 07/16/2010 K., PERMIT APPLICANT DECLARATION ' _ _CONSTRUCTION LENDING AGENCY DECLARATION". ] I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name and Address Lender's Name & Address City State Zip By my signature below, I certify to each of the following: am U a California licensed contractor or U the property owner' or U authorized to act on the property owner's behalf". have read this construction permit application and the information I have provided is correct agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. California Licensed Contractor, Property Owner' or Authorized X INSPECTOR COPY 07/16/2010 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (53 - CORRECTION NOTICE z t 2/0-09V3 0""ER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date ! Z l Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: Curtis - RESIDENTIAL 025-240-080 PERMIT#95-1789 FRANCO, Albert & Dolores Lockhart 354 Lone Tree Rd., Oroville Cont; Jerry's Mobile Home Service Ex MH on Perm Fnd i .G THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING ;� HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) (2) LICENSE DECAL (3) STATEMENT OF FACTS >N7 SA°- A FA / 5� - ��. 8A.0 3 T7q 5� JOB FINAL (Date _ Signature .i J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UND LOOR (Plans) OK except #'s 1. Zo -Setbacks-Easements-Flood-Slope Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth '7.-Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6,o -"Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way'C/O-Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection --------- -------------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------------------ -------------------- 19. Shower Pan; Test. First Floor -Tub Access ------------- - --------------------------- 20. -Test -Tub & Shower. Second Floor -Tub Access -- ---------------------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ------------------------'------------------- ----------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection _-------------- ----- ---------- ---------- ----------- -------------------- - - 23. Elec. Receptacles Spacing -Lights & Switches at Doors - ---------- ------------------------------------------------ - 24. Size Boxes & No. of Conductors -Stapled --- -------------------------------------------------------------- --------------------------- 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ---- ---------------------------------- ---------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------------------------------------------- 28. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size r / ga. Cu or AI 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------------------- -------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect --------------- 31. Equip. -Clea ra-nces Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ---------------- 33. Smoke Detector ----------- ------------------------------------------------------- Date Card B-1 Date Card -B-1 -------------------- ------------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation --------------------------------- --- --- - ----- --- 36. Condem:ate Drain & Overflow: Size & Grade ---------------------------- ------ - -- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------------ ---I.-------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ---------------------------------------------------------------------- ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors ------ ------- ------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing -- - ----------------------------------------- - - - ----------- ---- 42. Draft Stop in Walls (rat proof) - ------------------------- --------------- -------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing tingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing _ 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------53.-Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection ----------- - _ _ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights-Plastic _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 --- ------------------------ Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings --------- - - 62. Smoke Detector -------------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection --------- ------------ 64. Bedroom Exiting ------------ ---------------- 65. G F.I. & Bath Fixtures & Tub Access -Spa ------------- 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------------------- 67. Stairs & Rails ---------------------------------- 68. Fireplace or Stove Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit Fixt_& Appliance_Grnd_Air Gap -Cooking Clearance _71.-Elec.-Outlets & Receptacles at Kit. Counter --------------------- -- 72. -Garage -Fire Door: Swing -Landing -Closer 73. A C. Duct in -Garage-Damper - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection ------------- ----------------- 75. Plb.. Elec. & Mech._Equip. Listed for Location ------------- 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7.. Insulation -Foam -Looked in Attic ❑ Yes 78. -Guard -Rails & Deck Construction -Post Caps 79, Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth _ _ _ __ Clearance Looked under Floor ❑ Yes 80. Following instld. Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------------------------- 81. Stucco: Brown -Finish - -------------------- ------- 82. A.C. Unit: Disconnect, Electrical, Plumbing ------ -------------------------- - -------- - -- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings - .---------- 84. Water Well; -Disconnect, Electrical, Plumbing ------------- P -- ----- 85. Exterior Elec. Trim; G.F.I. Rece tacle-Under9 round - . - -- - - - -- ---------------- 86. ------------86. Ventilation Throughout House -- ------------------------------ 87. Glass Protection - - ---------------------------------------- 88. ---------------- 88. Corrections from Previous Inspections ------- ---------------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric -- - ------------------------------------- --------- 90. Water & Sewer Connected -C/O to Grade -HD Approval -------------------------------------- 91. Energy Compliance Certificate -Other Certificates --------------------------------------------- ----- ---- Date Card B-1 Date Card B-1 --------------- ---------------------------- -- ---- Date Card B-1 Date Card B-1 ------------------------------------------ - Date Card B-1 Date Card B-1 Comments at Final: J=OK O=Not OK Not Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card 3-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures: Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION�AND PERMIT 9� �7?? ASSESSOR PARCEL NUMBER 025-240-080 ZONING aamff as BUILDING PERMIT ' OWNER ALBERT FRANCO & DOLORES LOCKHART FRANCO TELEPHONE 534-5580 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 354 LONE TREE RD OROVILLE 95965 1344 72 76.00 CONTRACTOR'S NAMETELEPHONE �' JERRY'S MOBIL HOME SERV. 876-0369 CONTRACTORS MAILING ADDRESS 479 BOGUEST BLVD Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 259.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS - Penalty $ BUILDING ADDRESS LONE TREE ROAD PERMITFEE S 0 302.0354 OROVILLE, 95965 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump Water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome CK Other SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _FXTOT MN PERM FOUNDATION Mobile Home I S I G W 1 920.00 15.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a OV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full fprce and effect. (� License Class I( — L Lic. No. '� � _. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ADONS. ( & ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS ) 97.50 ( & POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL .50 Ex. Occup. ( OUTLETS FIXEDA(RESID.°ea-) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s 43-00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation Of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith c y with those provisions. l XDate /=d Sign ure of plicant - ❑ Owner RLContractor ❑ AgentAnO HA permit is required for excavations over 5'0" deep and demolition or construction�Dateof structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 395.00 HAZ. 1 D. FEES — IMP FLOOD CDF PARCEL I PD ISSUE This permit is hereby issued under the applicable provisions *Buftemy Code and/or Resolutions to do work or which fees have been paid. PERMITEXPIRESON 4 �! (' q(o (Date) Receipt No. 180691 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVE , PMENTSERVICES - BUILDING DIVISION �yJM 7 COUNTY CENTER DRIVE - OROVILLE, CAl 1FORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER / A. P. r Ora Proposed Building Use uiIding Inspector Date o2 7 19S At time of permit application, I was advised the foll ing data must be submitted prior to perry i processing and/or issuance: DATE RECEIVED BY 1 • All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3j Complete plans, 3/4 sets, signed by pieparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............. �. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to planlcheck). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ............................................ AZ -ti. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . A!�*4. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking....... . 18 -Contact Land Development about (A) Improvements (B) Drainage. ....... 499 riveway permit (construction approval required prior to occupancy). ..... •Pre -Inspection req.uest 20. Pre -inspection for required. '- . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................ . 23. Owner -Builder Verification (Given to owner , Mail to owner . ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . .........................................: 26. Copy of recorded deed of parcel creation and 60'right of way to a public road. ..... 27. Letter of intent on building use. ..........-'...................... ....... 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access. ........ !............. :............. ...... 30. Documentation of 50% subdivision developed or (A) Road improvements completed It and (B) Parcel meets zoning area and frontage requirements. ..... Existing violations/a ' d_ ermits. !r././t//{ �, .. /� .... �T../•!./$ •f Plan When yo�issue the a it, pro ess as follows: \ Mail to owner. Mail to contractor. Telephone and hold for pickup�at V n office. Deliver with inspector. 72t Other i Parcel Creation Acreage Applicant Date !— Copy of Haz-Mat form sent Health Dept. Fire Dept. ' Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other __ Date _ The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: ance: (Circle new item not checked above). ontrac o , esigner, owner, was advised of above required data by hone _ mail Counter by Date ontractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by rf 15 f;Date 9-:3-1s I— Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works t. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: COUNTY OF BUTTE NAME BUILDING DIVISION DEVELOPMENT SERVICES DEPT STREET #7.COUNTY CENTER DRIVE ADDRESS OROVILLE CA 95965-3397 t CITY, STATE and ZIP m 9 ?7541 Recorded I Official Records I County' of I Butte 1 Candace J. Grubbs 'I Recorder I 10:19am 16 -Aug -95 1 Rec Fee Total COMS .00 .00 XX 1 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. Albert & Dolores Franco REAL PROPERTY OWNER/LESSOR 354 Lone Tree Rd. MAILING ADDRESS Oroville, Butte; CA 95965 CITY COUNTY STATE ZIP Same - INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP Same UNIT OWNER (If also property owner, write "SAME'l MAILING ADDRESS CITY COUNTY STATE UNIT DESCRIPTION Fleetwood MANUFACTURER'S NAME CAFLH1.7AO8215SW/CAFLH17BO8215SW SERIAL NUMBER(S) ZIP Butte Countv Building Division LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 County Center'Dr. MAILING ADDRESS Oroville, Butte, CA 95965 CITY COUNTY STATE ZIP 89 (916)538=7541 B ILDI O. TELEPHONE NUMBER /�(l�- 8/15/95 SIG ATUOF LOCAI AGENCY OFFICIAL DATE Non't DEALER NAME (If not a dealer sale, write "NONE'l DEALER LICENSE NO. 8/17/87 Sandalwood 3563 B DATE OF MANUFACTURE MODEL NAME/NUMBER 24 x 56 RAD399749/RAD399750 LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) 025-240-080 REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER Parcel 3, as shown onthat certain Parcel Map being a portion of Section 1, Township 18 North, Range 3:East, M.D.B. & M., filed in the office of the Recorder,,Eounty of Butte, State of California, on March 4, 1975 in Book 52 of Parcel Maps, at page 52. HCD FORM 433(A) Rev. 8/91 WHITE—County Recorder CANARY—HCD PINK -Applicant GOLDENR00—Building Dept. BUILDING PERMIT NUMBER: 95-1789 Address or location of unit:- 354 Lone Tree Rd., Oroville, CA'" 95965 - - Legal Description of Real Property: Parcel 3, as shown on that -certain Parcel Map being a portion of Section -1, Township 18 North, Range 'i Fast, M-n_R_ & M filed in the office of the Recorder, County of Butte., Stnte of California, on March 4, 1975 in Book 52 of Parcel Maps, at page 52. [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:. Owner's address: Albert & Dolores Franco 354 Lone Tree Rd., Oroville, CA 95965 RAD399749 INSIGNIA OF HUD NUMBER: RAD339750 CAFLH17B08215SW SERIAL NUMBER OR V.I.N. CAFLH17A08215SW MANUFACTURER'S NAME: Fleetwood YEA 87 OFFICIAL APPROVING INSTALLATION: DATE: 8/15/95 PHONE: (916) 538-7541 H.C.D.513C 7-� 000, 40, STATE OF CALIFORNIA -DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD MOBILEHOME DECALNO. AK5956 MANUFACTURER NAME/10 TRADE NAME MODEL DON DOT DFS SPC EXPIRATION FLEETWOOD/09534 SANDALWOOD 35636 08/17/87 08/20/87 08/31/8I-E AABEVINSIGNIA:NUMBER I WEIGHT LENGTH IMM ISSUE -:_ , SCC XEMPT T1- U:: .�. y SERIAL NU1 9 R _ IiAD39yi49' 015500 0006.72 0001'44;- 10/26/87'' 04 -' atL? LF= " �i.H17A08215SW A - Z-°Cti--Lri278a821;5SW---"' RAD399750 0128UP 000672,. 000144 •� , TOTAL 3 FEES 4 PAID: 5 $60.00 A LOCKHART DOLORES EDYTHE o 8100 MERRIMAC SITE 2 o OROVILLE CA 95966 R rot OF . E . S DUPLICATE COPY R LOCKHART DOLORES EDYTHE A Z", no E O B FILED WITH THE MOBILEHOME O M I A 8100 MERRIMAC SITE 2 S Z - Al OPERATOR AS REQUIRED BY LAW e L OROVILLE .. A 95966 E D � ... r r rfa� ttp R} Sm } E f o s LOAFER CREEK STATE P& E u OROVILLE CA 95966 -' Y d ` M L GECC SERV AGENT A PO BX 2689 � � o CHARLOTTE NC 28226 , f,� , . E. • . W DATE: 10/15/87 08 • S9 00 .• pa :Y�' N R G 1 uF N I I R O S R T L I - N S O C D N E D �.. ....A _A^67e 08/14/95 08:56 10916 894 0713 BTEC CHICO HIIIWFT1 TITLE 6 r.',rk(tb• sat. rts�-mo too_. To.,, -- a w— Albert P. Franrq Sr. 324 Lute n--rM pZald aeY,... Orearille, ca., 95965 eti e L Ree: Fe. Hao TAS STATewatre TO I DOC r Recorded t Cheek Offie181 Rfscorda I sv— SAME AS AROVF County of I .�.� Butte I Candace J. Grubbw yv L Rtaordtr ! J 8:00■tw 8-OCt-92.1 BWTC Individual Grant Deed THIS FORM FURNISHM 6y BI01AIPU Trn Z a ESCROW COMpANy . uc unacr5tgn9Q grantor($) deefare(s). Documentary transfer tax i$ S U. Ae ( a) computed On full value of property conveyed, or ( ) computed on full value less wmfue of liens and encumbrances remaining at time of tale. ( x) Unincorporated area: ( ) ,and FOR A VALUABLE, CONSIDERATION, receipt ,)f which is hereby acknowledged, CHARON M. 0•BRIEN, wltn acqul red title as SHARON -1, SIM.NBON 102 3.00 44.00 49.00 JJ 1 hereby GRANT(S)IO SR. ALBERT P. FRANCOAnd MLOAFS E. LOCI(HART-FRANCO, husband and wite the following described real property in the County of Rltt t P , State of California: Parcel 3, 15 shown un that rertain Parcel Map being a portion of Section I'Township IS Nnrtli, Range 3 EAst, M,n.B. I, M•, filed in the office of the Recorder, County n! Butlo. State of California, ort %(.irrh 4, 1915 in Rook 52 of Parcel Maps, at page S2, nRl.ed: September 29. 1942 Sha�14.Brion � I stale of California County of Sacramento } SS. On 10/2 IN before me, the undersigned, a Notary Avblie in and for said State pelaonally oppearcd personally known to ane (or proved to Inc on the basis of satisfaelory evidence) to be the per`on(,) whose name(,) islare subscribed to the within instrument and acknowledged to me that he/she/they executed tete same in hither/their authorized capaeity(ies), and that by his/herl .� OFFICLU SEAT. thcir.iFnaturc(a) an the instrument the persen(s) o: t e entity upon ` k1!! E. erAK':!k h.•Italf of which the pennn(,) acted executed the inatruen[. „ ro•a:•:_�t•: 7.•;;�a 1J r. SAC uvtv..cCc��� WITNlils Iny hated &41ffici2f seal. A ' ►) Corn Gares :r- Signaf ►,•cel TAY �TATrNt •,TS rf'rTrn Anr,t•r . [a 003 et j a v Shasta Financial Services �. , • �. y Mortgage Loans = Rgal Estate= Investments 4. TO WHOM, IT, MAY CONCERN, -MR. AND MRS..' ALBERT 'FR CO HAVE BEEN. PRE -APPROVED FOR A LOAN' AMOUNT f •� OF. $69,750.00., THIS IS• BASED ON THEIR CREDIT, INCOME AND ,APPRAISAL =ANL` THE ONLY STIPULATION THAT THE LENDER HAS 'TS THAT THE HOME IS PERMANENTLY'ATTATCHED TO THE -PROPERTY. ' ONCE THIS ;IS ACCOMPLISHED THE LOAN DOCUMENTS CAN BE SIGNED -AND 'LOAN RECORDED.- IF-ANYONE-OF.-'IN��'T_'EREST-'1'O 3'HIS2-LOAT�T HAS A Y-1PURPEP. QUESTIOItTS P,TASE p~. FEEL FREE TO CONTACT ME AT THE•NUMBER'LISTED BELOW. z ,; .: ., I a"' �` a � - u _.,•per .� _ '� r SINCERELY, n s } _ �• b r � 14 :MATT SCHIMMEL I (800) 78,7-5.363 • Y .3J ,• w _ .5 r r 5 1818 Mangrove Avenue / Chico, %CA=95926 / Telephone 916 891-1697 / Fax•916 891-6107 n , _ q ;. DEP TMENT OF HOUSING Alb„6OMMUIVITY®.EVELOP ENT ., DIVISION OF ODES AND, TIT NG SECTION P.O. Boz 21 x 1, Sa me oCalifomia 96810-2 I Number Y Serial Mlimber(s) C •n. W ..tt zexx•r yl .)I �•I 1 n Trade Nbme l Sticker Number j Al r UTIL ITYNi'X KITQtM p o a BTK A MoOtt 34836, WALK 414 approx,- 1,1284,sq fQ* LIVING ROOM., CL SHW MOROSE WAROR SMLP' 1,,bedfoomsi /'2 gaths MASTER BEDROOM 'PININGBEI)Rbom, AREA, L 9 W Alf, 'r-0, W ------ OPT, OPT. ItO-m UTILITY KITCHEN. LF T, V IW 3" . R:3 0 t m, - . BEDROOM MODEL 01, MODEL 35639, J. w, .4 '31 LIVING ROOM (apprq)� & sq. B"rooms 2-,Rdths, o3 PASTER i BEDROOM. DINING'' A'. NiIV KITCHEN 14 �'KITCHEN, �opl'. KLTCNEN ",FOR BOTH. MODELS I _p rM 4SANy. 'Rl r.. 3 j, ".,e�, ,fir ` /'�/\ ♦ r M F a,' 8 0'A^ fie^ 17- i y, ---- I urtIL)T1r f yr t r'tn (:: KITCHEN i1 i c.. ' ti ter'P. �f•� _ as BF.�OROOyC', 1. BgTH � ► - - i1����L 838 ,C�O$!T t , h OX �.1� 12$!sq;,-ff.)>. 23W W UVING ROOM' 1 . s C` . amwMDROOE 3 Bedr �y� , s WARDRO EiELF' OO�J �s ' /'•,� B.r .j MASTER BEDROOM,, ` DINING BEDROOM a 1, t - AREA 19NTRY t4 I 5•SL;B ?�"}0�t9—••"��16tittY _ 41 i OPT. iUs is UTILITY i< . 1 DD KITCHEN r t� J OPT. `W 1 • f SHOWER' •> > f _ `=7 oa ' ' m BEDROOM MODEL 35639, m ==- i WµK IN CCO�yT �. (QppfOX 1,3,1.6 -sq, ft,')` 23 ' . ; ., -; '-t` LIVING ROOM _- 3 . Bedrooms. /, 2. Baths dMASTER -ip� r. y.. BEDFI ` DINING .4Y , i BEDROOM: 1 t '�REA. k- i° r �f7 41 ,/ ,. r .. -1, � ��t ; 1. i 1` £NT��,}i. t+ t� �'•��r.. r+1.-'bf l�s�..- , ,' .. • •1 L[jKi'�C�ENa OPT. XITCHEN f FOR'` BOTH, MODELS , SANDAL-11�00DM 56'-0" - 5' S'..'�B' 2'a"�10'-10" t6• -t0•• 4'-g•��g•_tt��— ovT. O OPT. O'HEAD ROMAN rue UTILITY OO; a (� Q1 KITCHEN ; i m �J = OPT. %OWER:IW HZ =, -Oa- O .F :1m BEDROOM MODEL 35638 O' - - -'- WALK-INCLOSET (approx. 1,316 sq. ff.) 23 = LIVING ROOM 3 Bedrooms / 2 Baths I 2 OPT. KITCHEN FOR BOTH MODELS MASTER BEDROOM DINING i BEDROOM AREA ENTRY 17. 4.. I 14. 8.._ 17/SW/AUG85 f� BY FLEETWC,OD — 48,_0" 5'-5�4"-►fie-6'-6Y.'" 9'-6" 13._2,.4._9 8'-7" O O _ UTILITY Oi �.J OPT. KITCHEN BATH BEDROOM O•HEAD I i O O BATH SHELF_ ® I MODEL 3483B 23'-6" WALK-IN CLOSET ;W I (approx. 1,128 sq. ft.) LIVING ROOM _S_HELF WARDROBE WARDROBE SHELF 3 Bedrooms / 2 Baths MASTER BEDROOM DINING BEDROOM AREA ENTRY ham-- 12'-0' 8•_0" 14._8•, •}E 13,_4" 56'-0" - 5' S'..'�B' 2'a"�10'-10" t6• -t0•• 4'-g•��g•_tt��— ovT. O OPT. O'HEAD ROMAN rue UTILITY OO; a (� Q1 KITCHEN ; i m �J = OPT. %OWER:IW HZ =, -Oa- O .F :1m BEDROOM MODEL 35638 O' - - -'- WALK-INCLOSET (approx. 1,316 sq. ff.) 23 = LIVING ROOM 3 Bedrooms / 2 Baths I 2 OPT. KITCHEN FOR BOTH MODELS MASTER BEDROOM DINING i BEDROOM AREA ENTRY 17. 4.. I 14. 8.._ 17/SW/AUG85 f� Standard Living Features • Selection of tasteful decors • Feature walls • Cathedral ceilings in living room, dining room, kitchen and master bedroom • Carpeting with pad throughout • Easy -clean vinyl floor coverings • Solid vinyl covered gypsum walls throughout • Brand name appliances • 30" free-standing range • Beautifully accented cabinet doors • Base shelves in all cabinets • Hollowcore cabinet doors • Deluxe medicine cabinets • Shower curtain and towel bar package • 60" fiberglass tub/shower combo in master bath • Simulated brass door knobs Look for these comfort and convenience features in this fine Sandalwood home. More extras from us, more value for you. • Plywood floors • Copper wiring throughout • Patio lights • Smoke detectors • 900 amp service • Hardboard siding • Composition shingle roof with 3/92 pitch Other options and features may bE available. Be sure to ask your deal) Sandalwood Homes are built by: FLEETWOOD HOMES OF CALIFORNIA, INC. — WOODLAND a subsidiary of Fleetwood Enterprises, Inc. 18 North County Road 101, P.O. Box 1308 Woodland, California 95695 (916) 662-3223 PRINTED IN USA 1982 FLEETWOOD ENTERPRISES. INC SW/17/NOV84 Options Is Luxurious carpeting • Dishwasher/garbage disposal • Total electric home Is ESP insulation package • Separate stall shower (some models) • Skylights • Stereo • Roman tub SANDALWOOD BYFLEETWCOD Note that square footage Is measured on the basis of exterlor wall to exterior wall, and Is an approximate figure. Length Indicated Inf lour plans Is floor length only. Add four feet to arrive at overall length when hitch must be Included In your calculations. Prices and specifications are sub- ject to change without notice. Renderings and diagrams shown here are meantto be representative and, In keeping with Fleetwood Enterprises' oollcv of constant updating and Improvement, may vary In some details. All dimensions are nominal. Ask your dealer for specifies. Jana-QVifivn eat• EitatE tit P 1_ c "2015 rincoln :Sheet Q' ' 7 c. r r d _EAPLY Y 95905 / !y Mrs. Dolores Lockhart Franco 323 Loafer Creek Road Oroville, Ca. 95966 Y\�� r �° I ''� •1 4 'S o.✓'%I •.�: ..K� � �w �� ;� •1 4 'S o.✓'%I •.�: ..K� � �w L, RESIDENTIAL 025-240-080 PERMIT#95-2848 FRANCO, Albert, 354 Lone Tree Rd., Oroville New Pri Det Garage l t Y JOB FINALED ( ate) — Signature �r .ti V=OK ' O = Not OK = Not Applicable ' = Not Ready 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-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / tUtt. / /Nat. or/ / L'ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demanda/alve-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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DE KS, COVERS, CARPORTS, GARAGES(Plans) OK except #'s 1. ,g Requirements -Setbacks -Easements , 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric (. Fmtg.; Sils-AnchorsStuds-Rttrs-Trusses Sidin ; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date - - r,'Card B-1 3 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s , 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except n's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection - --------- D.W.V.: Test -Fittings & Anchor -Nail Protection --------------------------------------------- --- - -- --- 19. Shower Pan: Test. First Floor -Tub Access - ---------------------------------------------------- 20. -Test -Tub Tub & -- Shower. Second Floor -Tub Access -------------------------------------------------------- 21. Gas Pipe: Size & Anchors --------- ------------------------------------------------------------- Date Card B-1 Date- Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except u's 22. Fixture & Transformer Clearance -Ins. Protection ---------- ---- -------- ----------- ---------------------------------------- --- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------------------------------------------------------------ ---------- 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------ ..._. .. 26. Equip Ground made up w/Mech. Fastners-Bond Gas & Water - ----------------------------------------------....-... _ ------ --- --- _. 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI ---------------------- ----------- - - ..-... --- .. 28. Subfeed Wire Size/ ga. Cu or AI-A.C. Wire Size / ga Cu or At - -------------------------_--------- ....... .. 29. Range Circ ' I ga. Cu or AI -Oven Circ. r ' 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 ------ - -- ---------------------- -. -- - ---- 33. Smoke Detector ---------------------------------------- I..-......... ... .. ....... ....... .. Date Card B-1Date Card B-1 -------------- ....-...- .............. .. - - ------ ..... ..... ... ... Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except rr's 34. A.C. Ducts Insulation & Support - ._................... 35. Vent Fan: Exhaust above insulation --------- ------ - --- - - ---- I.. .... 36. Condensate Dram & Overflow: Sze & Grade ---- --- 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---._.------ ... ....... ... 38 Attic Access & Platform if Furnance in Attic ------ -- _ --- --- --- ... _ . . Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a s 39. Sils. Proper Material & Anchors 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ...... ... ... .. .. . ....... ... ... .... . 41. Bearing Walls over Girders & Floor Nailing 42 Draft Stop in Walls (....... ... . . . 43. Fire Stops. Furred Ceilings -Stags -Chases -Tub ------ ---- ....... ........ .. 44. Headers & Beam -Sze & Bearing single & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46..Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing ----------------------------------- 51. Property Line Firewall & Openings ------------------------------------ - 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Head room -Rise- Run -Land in Fire Protection ------------ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers -------- 55. -Siding -Nailing Veneer ------------- 56. -Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------------------- - ____________ 57. -Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: -Nailing-Bolts ------------- - 59. Insulation -Walls -Ceilings ------------------------- 60. Infiltration -Walls -Windows --------------------------------------------------- -- Date Card B-1Date Card B-1 - - -- --------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings ------------------------------------ - - 62. Smoke Detector -------- ------------------------------ - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ----------------------------------------- 64. ---------------------------64. Bedroom Exiting ------------------------------ 65 G.F.I. & Bath Fixtures & Tub Access -Spa ...... -_. .. -- --- --------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------------- 67. Stairs & Rails _.----------- ------------------------ 68. Fireplace or Stove: Clearances -Hearth --- ..._..------------------------------- - 69Elec. Outlets at Wood Panel: Int. & Ext. --- - ----------------------------------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance -------------------------------------- -- 71 Elec. Outlets & Receptacles at Kit. Counter . .. - - -- - ------------ ------------------ --- 72. Garage Fire Door: Swing -Landing -Closer --- --------------------------- --------- --- -- 73. A.C. Duct in Garage -Damper ...... ..-....---------------------------- ------ 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection --------------------------------- ----- 75. Plb.. Elec. & Mech. Equip, uiListed for Location ...... -- ­---------- ------------------------------ - 76. Elec. Receptacles in Garage. (G.F.I.)-Romex Protection .. ...------------------------------------- ------------------ 7; Insulation -Foam -Looked in Attic ❑ Yes ...... ----- - ----------------------------------------------------- 78. G -- ------------------------------------------ -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following insil.cl Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No - - - - - ------------------------ 81. ------------ ---------81. Stucco. Brown -Finish ------------------------ ------ ------- ------- 82 A C Unit: Disconnect. Electrical, Plumbing - -- ------------------------- -- ------ 83. Vents Above Roof. Plbg.-Appliance-Fireplace.-Clearance to Openings . --- - ---------------------------- 84 Water Well: Disconnect, Electrical. Plumbing 85 Exterior Elec Trim: G F.I. Receptacle -Underground - - --------------------------------- 86 Ventilation Throughout House . -- --------------------- --------------- 87 Glass Protection 88 Corrections from Previous Inspections -- - --------------- 89 Gas Test -Meters Tagged: Gas -Electric - - ----------------------- 90. Water & Sewer Connected-CrO to Grade -HD Approval - ---------------------------- 91 Energy Energy Compl ante Certificate -Other Certificates ---------------------------------- Date Card B-1 Date Card B-1 . . _ ._ _-- ------------------------------------ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: _COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT - q�- a34R ASSESSOR PARCEL NUMBER 025-240-080- ZA &I2 . 5 BUILDING PERMIT OWNER ALBERT P.F*ANE-6-, SR T 0NS580 SO Fr. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 354 LONE TREE RD OROVILLE, 95965 7 M 12,168-.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNMOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 144.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 93-6 ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 354 LONE TREE RD PERMITFEE S 251 -.OU OROVILLE, 95965 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT No. J 2 SUBDIVISIONSS NAME PARCEL j�� 5 �( Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PVT DET. GARAGE SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New b Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (26'X26') Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service000R LES ( zooA, oROLEsSs ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exetmpt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.SO. OR ADONS. ( & ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESIO. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS E SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 0 .50Ex. Occup. OUTEiErs jPLNS °EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the- performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with t e provisions. Date — L�� Wignature of App ican - Owner ❑ ontractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ coVsT�rjPE Z.�'D.. jJFEES TOTAL FEE $ 257.60 HAZ. IMP FLOG CDF PARCEL PD HD U This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Dat v a (ale) Receipt No. 190338 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .'' E.H. USE SE QMz Plot Plan Attached_' Floor Ph n Attached Sent to B.H.—,3�U, TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 4o - Owner Location try AP# Plan Approved for: Sewage Disposal Water upply: Public Private Well Clearance for W I le. Other C�c rmal clearance V.K. tor: Environmental Health 2/01) Date COUNTYOF BUTTE - DEPARTMENTOF DEVELO.PMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965'- TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER h C 0 A. P. N Oc) -c�'�Q -08-0 Proposed Building Use 4je '' O F -IA g e Building Inspector Date // z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ........ 7 ............................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............. 5. Hazardous Material Form . ................................ ............ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. --? 14. Flood elevation letter (100 year floby Ca f rnia Engineer. . . Sanitation and plot plan approval r5 110 l% t eealth Department . ............� 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . .Pre-I�sp*edio; 20. reqs Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... '4 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When ou issue the er it process as follows: Mail to owner. Mail to contractor. Telephone -i hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date �l/- /G - QS Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ' .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 ' abor and materials for construction of the o erty improvement YES NO ]. 2. V HAVE[ HAVE NOT[ igned an application for a building permit for the work. 3. I ha, .contracted with the following person (firm) to provide the proposed construction: NAME: AL -e ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have _hire_ d .the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: ' _ CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: /2-44,04& SOCIAL SECURITY NUMBER: I. DATE: - ZZ / .3 5; --- NOTE: This owner -Builder Verification is required by Section 1.9831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.-1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and'protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. S*n'cl�reI Micha4l C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER RESIDENTIAL 92-3226 MHl r-�2�-24-0-080 jC0 Albert FRO Tree Rd, Oroville 354 Lone mhi ,kil FINALE Signature .J.—MOBILEHOME INSTALLATION ACCEPTANCE) %COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 1=1,4 _3av PERMIT NO. Address orObcation of mobilehomeS- �-044a Owner's name A L--,-6 EA/�--/ �G Owner's address Insignia or hud number Manufacturer's name FLEETW, ©eP3 J Serial numbpA of V.I.N.' Year of manufacture,¢g— (0 ficial pp oving Installation) (Date) IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBIL�EHOME IS INSTALLED ON A FOUNDATION SYSTEM. w.,,5�•nc�.,�.�-:�=sou, a'v�'r;�'et'``�1,'+rc.;�wxu,. J=OK O = Not OK N t Readyot MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test-Fall-C/O Concrete 4. Water; Location-Test-Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete i 6. Gas; Location-Test-Wrap: / /"L"ft. , / /"Nat. or/ /"L"ft./ /"LPG ; 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOB OME INSTALLATION (Plans) OK except #'s Zoning Requirements-Setbacks Easements Footings; Size-Spacing-Marriage Line z--tet-Demand-Valve-Connector lectricity; MH Test-Crossovers-Breakers-Clearances Drain; MH Test-Fall-Flex Connector 6. Water; MH Test-Regulator-Connector 7. Water and Se netted- o Grade-HD Approval _8_jGasend Electricity Tagged eit5; Insp.-Sketch . . Cert. of Occupancy Date - Card B Date Card B-1 Date - rd B-1 ate Card B-1 c _ q MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s_% 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Replicable = Not Ready RESIDENTIAL (; Date ' UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection ----------------- ------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------- --------------- -- ------------------ 19. Shower Pan; Test, First Floor -Tub Access ------------- -------------------------- 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection --------------------- ---------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- ----------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled - - ------------------------------- 25. --------- 25. Romex Installed Close to Edge of Studs & C.J. ----------------------------------------------- ---------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ------------------------ - ---------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ------------------------------'------- ---------------- 28. Subfeed Wire Size / i ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At ------ ---------------------------- --------- ------------------------------------ 29. Range Circ. / r 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 -------------------------------------------------------------- 33. Smoke Detector -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support 35. Vent Fan Exhaust above insulation ------------ ------------------------------------------------------------ 36. _Condensate -- Drain- - & Overflow: Size -&- Grade ------------------------------ - --------- - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------------------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic .-------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------- ----- - - ----- - -- --------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors - ------.-------------------------------------------- -- ----- - 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----------------------------------------------------- ---- --- 41. Bearing Walls over Girders & Floor Nailing ------------------------------------------=------------- 42. Draft Stop in Walls (rat proof) ------------- 43.- Fire -Stops: Furred Ceilings -Stairs -Chases -Tub --------------------------------------- ------ ------ 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. 1Ing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47ireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 53. _Stairs; Width -Head room-Rise-Run-Landin Fire Protection ---- _----- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer ------------------------- _____________ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings --------------------- 60. Infiltration -Walls -Windows ----------------------------- Date Card B-1 Date ------------------------------ - Date Card B-1 Date Card 6=1„ Card B-1 Date FINAL (Plans) OK -except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------ ----- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting --------- - - 65. G.F.I. & Bath Fixtures & Tub Access -Spa -------------------------------- 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ----------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth -------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. ------------------------------- 70. ------ ----------------------70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71.--Elec.-Outlets & Receptacles at Kit. Counter 72. Garage Fire Door Swing -Landing -Closer -- ----- 73.-A.C.-Duct in Garage -Damper -- - 74 Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb.. Elec. & Mech._Equip. Listed for Location ------------------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --------------- ------------------------------------ 7;. -Insulation -Foam -Looked in Attic 13Yes --------------------------- -- 78. Guard Rails & Deck Construction -Post Caps -------------------------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor- 11 Yes ----------------------------------------------- 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ----------------------------------- 81. -------------------------81. Stucco; Brown -Finish ----------- ---------------------- --- - 82. A.C. Unit; Disconnect. Electrical, Plumbing .--------------------------------------------- ---- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground ---------------- 86. Ventilation Throughout House - - ----------------------------- 87. Glass Protection ----- 88. Corrections from Previous Inspections - - - -- ---- ---- -------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ------- ---------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates------------------------- - -------------------------•------------------ -------- Date Card B-1Date Card B-1 -------------------------------------------- -- - Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY PF—BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,tCalifornla 95965 - Telephone: 916/538-7541 APPLICATION 'AND PERMIT ASSESSOR PARCEL NUMBER 025-240-080 ZONING ARMH 2.5 BUILDIN PERMIT OWNER ALBERT FRANCO SR. TELEPHONE 589-8516 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 323 LOFFER CREEK ROAD OROVILLE 95966 CONTRACTOR'S NAME AL CARL TELEPHONE 589-0758 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 - ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 0 D OROVILLE 95966 354 LONE TREE Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationF–I Other ❑ Describe work: MH I REPLACE MOBILE B.P. #669-80 3 BDRP 3C Permit Fee $ I Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 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 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A' 37.50 NEW CONST. ( DWELLING OCC UP'81 OR ADDNS, l ACC. BLDGS. 3.6Q sq.ft. NEWCONSTR ULT' -OUTLET NO ESID BRANCH CIRCUITS) @ 5 00 POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES20@76 FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) 3.00 Temporary service 15.00 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 15.00 Heating Cooling g Hood 6.50 Ventilation Pertnit 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, cost ,and expenses which may in any way accrue against said County j')_r�ris3pence of the ranting of this permit. X42 ' Date ��y�fjZ. Signature of Applicant — Owner Contractor ❑ Agent ❑ `work 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 70.00 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 105.00 HAz I DFEES i IMP I FLOOD — I COF PARCEL I PD I HD (/ ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do iridic d bo a for which fees have been paid. R OF PUBLIC WORKS By Date? -17-19Z, PE MIT EXPIRES Date�— / 7�— / 7– f� Receipt No. 123228 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT .�YTye:h{x„�a:. !: r' ,. :` l�{.1: ✓- .,x ..1 re.4, Aw COUNTY OF BUTTE *WPARTMENT-ff PUBLIC WOF��, - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE,,(9.16) 538-7541 PERMIT APPLICATION, DATA SHEET Alheoe?4_1411veoOWNER . P. No. C%ZS' - Zy -- OSO 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 RFCOVED BY 1 • All itemsI been submitted. . 2. Plot plans, 4 sets, signed by preparer of plans . .......................... lS 3. Complete plans, 3/4 sets, signed by preparer of plans . ......................' 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material f orm.............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. 9. Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. l' /-j L 10. 11. ........... Fees of $ .. �.�. Impact fees as shown on attached schedule ............................... 12. California Department of Forestry plan approval/fees. ........................ 13. 14. Flood elevation letter (100 year flood) by Caifornia Engineer. .............. .: . Sanitation and plot plan approval 0(7'00"1C Health Department. ......... . 15. City of Chico plumbing permit ...... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. -�' 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . ` 19. Driveway permit (construction approval required prior to occupancy. ..... . 20. PreJnspeeXion reques�- Pre -inspection for required. .. to Build'in'g Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . . . ........... . 22. Certificate of Workmans Compensation Insurance . .......................... 24 Owner -Builder Verification (Given to owner Mail to owner _)............ Recorded copy of Agricultural Acknowledgement Statement . .................. / �p Letter of signature authorization . :.....................................: . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... . 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access. ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When�you issue the permit, process as follows: Mail to owner. Mail to contractor. (/ Telephone89- 6 7,5? and hold for pickup at 4?60 office. Deliver with inspector. Other Parcel Creation g Acreage Applicant �:( Date Copy of Haz-Mat form sent Health Dept. Fire Dept.- Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to pe ssuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: - - Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date !- '7 Plans approved by _ fW1 Date 92 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works "` O� N i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORes PERMIT NO. 7 County Center Drive - Oroville, Califofnia 95965 - Telephone: 916!538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER /yam O Z NTNG,y` / V � BUILDING PERMIT OWNER �x f-Alveo Sit TELEPHONE G9975/6 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI LIfJG gDD_RE� O� NO•/f(/'4IEr'C^ CONTRACTO s / TELEPHONE CONTRA C R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ - Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3�L -- Permit fee $ 35 oc7 alU�'� E� PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME P4RCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex lJ Mobilehoml Other Building sewer 15.00 Mobile Home S G W @ 15.00 SPECIFY TYPE OF WORK New ❑ AdditionI:] Remodel Utilities ❑ Installation Other ❑ Permit Fee $ Describe work: I a Contractor ® Eug—VA 19(Z ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO too0A1 37.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUP. �\ 3.6Q aq.ft. I declare under penalty of perjury (check one): OR ADDNS, l ACC. BLDGS. I NEW CONSTR ULTI.OUTLET 5.00 El am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.RESID BRANCH CIRCUITS POWER APPARATUS e and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. License No. Classification Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d ❑ I, as the owner, or my employees with wages as their sole compen- FIXED Ex. OCCup. OUTLETS PIRESID IRE A.� I 3.00 sation, will do the work, and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring g "15.00 ❑ I am exempt under Sec. Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating - ❑ 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. Cooling g ❑ I shall not employ any -person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S ZC3 is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyOt Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. OCC CONST TYPE 1 also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEES D��o all liabilities, judgments, costs, and expenses which may in any way accrue HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE against said County in consequence of the granting of this permit. I I X Date This permit is hereby issued under the applicable provi- Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA over S'0" deep and demolition or construct- oin work indicated above for which fees have been paid. ion of structuresover3Qstories height. DIRECTOR OF PUBLIC WORKS By Date Receipt No. PERMIT EXPIRES Date WHITE-D.P.W.• YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD-ARPL I CANT 4 o >% Return to DPW AG12ICULtJRAL STATF1` FM OF ACKNOWL.EDG rF` ENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned 92-04148.3', for agricultural purposes, and residents I of this property may be subject to incon— Recorded I veniences or discomfort arising from the Official Records I use of agricultural chemicals, including, County of I but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit Candace J. Grubbs I of agricultural operations including, Recorder I but not limited to cultivation, plowing, 2:08pm 16 -Sep -92 I Rec Fee 5.00 Check 5.00 PUBL XX 1 spraying, pruning, and. harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of follows: California, described as /�e� 3/ S/-�Ow.n� _ o, hql^ Cehl t4t�^- �, �gvC°e �►�� b�� f� R).r ,, F SNC,�o�'' . �I 70wm.�ilp I � farI^h �,�KS� 3 .psi, M. D.,9. �,, o f Fic O F �C eCpc� rl r U 0 ST C,#l,`For r,g 0e- M4►Ch ql1q�S' 6�o �' S Z o �' ��rc'el 1'yl y4p�, q % Pi4r Y-2. P,P_ Po .o ZS — 2 �o —o �0 Date: PROPERTY OWNERS: State of ) On this the /5- day of 19 %.—, before me, the SS. undersigned -Notary Public, per onally appeared County of �- M. Personally known to me.Z Proved to me on the basis P�nv� c�a� of satisfactory evidence. l*% aft be the person s ) whose name s ) 1 BUTECOUNN bscribed to the within instrument and acknowledged that N►rCOnm «ptrMMMY »•1ecuted the same for the purposes therein contained. IN WITNESS EREOF, I hereunto set my hand and official seal. Present A. P. No. �n Notary Public / - - - - �..l�i CIR v - _ 7,- ADd 46 ' 1 .LS�� AVO h U pp 1. Owner's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 2. Installer's Name: 3. Is the site currently under permit? Yes No u (If yes, furnish permit number�p % ,lS ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of -all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- y er e &) r- Amps 6. What is the mobilehome site service rating? ------------- Ci Amps 7. What is the mobilehome site circuit breaker rating? ----- V d Amps 8. Is there any other electric load to be served by the ' � mobilehome ------- ---- ---- site service? ---------- ------ - Yes No ,�, (If yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? -------------- 6FA 2 10. What is the type of gas service? ------------------- Natural D 11. What is the gas pipe length from meter or tank to the (Amps) (in.) LPG F] mobilehome?--------------------------------------------- * 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 BUILOI G -PLENY AvrRO ED MOBILEHOME SUPPORT DATA If other than single wide S Mobilehome Mfr. furnish Setup Model No Year / 9 ftr" x�. f t . Width C -i ft.,) Box Length (ft.) Tagalong or Expando Size, _ 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) ❑ 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) a 1. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Main Beams — — —Tag or Triple — — — — MULTI -WIDE Y Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min- ------------------- x n n "x Spacing -Max. --------- '- , Each Side of Openings From Ends -Max. ------- ! �_ " With WidthrOver-----' LLine 2 Piers: I Line 3 Piers:, (Under Bearing Wall Only) Size -Min.------------ „x „ Size-Min------------------- Spacing-Max - ------------------Spacing-Max. --------- ,: n Spacing -Max---------------- From Ends -Max.------- _ " From Ends -Max .------------- Size-Min.------------ Location (From Front) 24"x 18 " 24"x2Z„ 244'k3. „ Z4'k 3(o„ I Z4"x34„ ,Z4,kZL„ "x „ "x Line 4 Piers: Size -Min ------------- `k Spacing -Max.--------- „ From Ends -Max .------- Size -Min.------------------ Spacing -Max---------------- From Ends -Max -------------- Line 5 Roof loads: Size -Min .------------ x "x 'k "x 'k "x " "x "x Location (From Front) X DOUBLE WIDE PIERING ICWSHEET PSF ROOF LOAD PLANT # 17 9 '-0"0: MAX. 2'-9" MAX. REAR OVERHANG .(TYP) EE MATING LINE PIERING TABLE 1'-0" MAX. c !E: SEE PIERING-PLAN DRAWING FOR MAIN RAIL SUPPORT FOXING SIZES. MATING LIM PIERING TASTE R=GE BEAM INITIAL PCST LST nTMUOR ZM INTERIOR 3RD INTERIOR 4TH WIMM 5TH R M UL POST LOCATIONS AT FRONT ' POST POST PCST PO ST ti� 300 �� IN IBSZOO 3300 497 6700o 5-400 0 �' OC. MINIKM - 24x 6W Zgx 22.. OL 2Ax 34 V 24x FOaPI21G SIZE -1_f ... osr5 /tc,M o' a. .. .._ ,.._.. 41- 666 r Fsto,� -T- NOTES: NOTES: 1. Footing sizes based on 1000PSF soil bearing value. If soil conditions differ see the plan drawing or the Home Technical Installation Manual for method of calculation piering BUTTE COUNTY BUILD -MG TMEN! 'f Y 3' --`� -7 . APPROVED Butte County Environmental Health ate Signature ----- i APPROVED Butte County Environmental Health ate Signature �.- -�;. ,fr �,,..tw,,, .�-.. .. v.-.�� �.. ,� , .i.y .mer .-. e -...--v. � T, y,, ..� s�aS'8i1`rF•�'7+'i17B•`f ,�v�..,-. —r. m BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) 0 School District IM0 Building Department No. A.P. Number J- Zy0b,?O Jurisdiction 0 City [c%—County Property Owner fi�/ 1(/ AA)C O 50 . Property Location/Address SLS' AOAJC 'J �(�%L� 0/00 Subdivison Lot No. Residential Development 0 No. -of Living M Addition Units i. Sq. Footage 13W (Group R) Commercial/Industrial Ok; 0 Sq: Footage ' New_.. Addition (Including Exterior t , Roofed Areas) <44W9 114 9 z -.Building Department Representa ' e Date (Floor Plans reviewed by School District Personnel) • r r District Identification No. Q Q .A A ©� or School District certifies that Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. ���- �� by payment of $ 2' representing square feet. _4 JUL IKI;71j-1 School Distric Representat' a Date Paid by Check Number Remarks: Ju L -X_ Bank Number ;j Paid by Cash o If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this,project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district)r J feeformmkl (4/92) Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDG rMMNT FOR RESIDENTIAL .Section 26-8.1 of the Butte County -Code- _DEVELOPMENT requires this acknowledgement be recorded 3� show.- prior to issuance of a building permit. Miq The property described herein is.adjacent��� to land or included within an area zoned . I "%wm-561 for agricultural purposes, and residents i of this property may be subject to incon- Recorded I veniences or discomfort arising from the Official Recorde I use of agricultural chemicals, including, County of I but not limited to herbicides, pesticides, Butte I and fertilizers; and from the pursuit Candace J. Grubbs I of agricultural operations including, Recorder I but not limited to cultivation, plowing, 2:O8pm 16 -Sep -92 I 92 4.1433 Rec Fee 5.00 Check 5.00 PUBL XX 1 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent .property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real. -property. situate in the County of follows: Butte, State of California, described as fie/ 3� show.- CP -Alf CO -I- P' Ce! Miq b� / � I "%wm-561 the- orFlce �F � �erpYdcer� CutiTj/ o� 6v7l�� STr oK- 1wrch H� 199-rT bo 5 2 0 Pgrrel V� n TPA F2. pp- PO 02,-- 2qo--090 Date: /�' ��, PROPERTY OWNERS: , State of On this the Z. day of 192, before me, the SS. undersigned Notary Public, per onally appeared County of ) Q Personally known to me. 0 Proved to me on the basis PATBYLCARTER of satisfactory evidence. Notuy PageCimrlo4EREOF, be the person(s) whose name(s) WTTE Cow bscribed to the within instrument and acknowledged that ecuted the same for the purposes therein contained. IN WITNESS I hereunto set my hand and official seal. Present A. P. No. J=OK O=Not OK Not =N tReady MOBILE 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 MISCELLANEOUS Date DECAM COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zonin uirements-Setbacks-Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel rl=3. Dec. s Griders and/or Joists -Decking -Bracing -Stairs -Rails jOr-Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9, Siding; Nail i ng-Veneer-Stucc-Mesh 0. Roof; Shthg-Roofing II 11. Ext.; Steps -Doors -Landings Date and B-1 Date Card B-1 Date Card kiam Date Card B-1 Datef OOOLS (Plan 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /" L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECAM COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zonin uirements-Setbacks-Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel rl=3. Dec. s Griders and/or Joists -Decking -Bracing -Stairs -Rails jOr-Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9, Siding; Nail i ng-Veneer-Stucc-Mesh 0. Roof; Shthg-Roofing II 11. Ext.; Steps -Doors -Landings Date and B-1 Date Card B-1 Date Card kiam Date Card B-1 Datef OOOLS (Plan 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i J=OK O=Not OK NO =b -=Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd..-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-$hthng.-Ring. 3. Ftg., Garage; Soils -Steel -Flet. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches &Decks; os- tee- /Ftg. Depth --------- 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------------- ------------- 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ---------- ---------'=------------------------------------------ - Date - - -Card -B_1---- Date - - Card B-1 ------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture _& Transformer Clearance -Ins. Protection ------ ----------------- -- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -- --------------------------------------------------------------------- --- 24. Size Boxes & No. of Conductors -Stapled ----------------------------------------------------- ------ ---- 25. Romex Installed Close to Edge of Studs & C.J. --- - --------------------------------------------------------------- 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water ---- --------------------------------------------------------------- _ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -- - ------------------------------------------------------------ 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size / / ga. ___Cu or AI --------------------------- ----------------------------------------------- 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ---------------------------- ------------- --- - - - 30 Service -Riser Conductors & Ground -Main Disconnect ---------- -- ------------------------------------------ . P --------------31-Equip ----------Clearances ------------anels-Motors-Mech. ----------- Equip. ---------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------------------------------- 33. Smoke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34.-A.C.-Ducts Insulation & Support _ 35. Vent Fan: Exhaust above insulation -------------------------------- ----------------------------------- 36. ----------------------------------36. Condensate Drain & Overflow: Size & Grade -------------------------------------- ------- --- - - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -------- - ----------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ------------- ------------------------------------------------------------------ Date Card -B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors ------- -------------------------------------------------------------------------- 40. Walls -Stud s -Nailing. Spacing & Bracing -Plates -Sound ---------------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ----------------------------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) ------------------------------------- ----------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- -- - - --- ----- ----------------------------------------- 44. Headers .& Beam -Size & Bearing 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Properly Line Firewall '& Openings 52. Ext, Doors -One 3' -Check Garage -3rd Story, 2 Exits ----------- --------------- 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Peotection -------------------- - 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------ ----------- Date - ------------ Card B-1 Date Card B-1 ------------ - Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings --- ---------- --------- 62. Smoke Detector ---------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------- 64. Bedroom Exiting --- ------ --------- ----------- ---- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ----------------------------- 66. Elec_ Trim & Subpanel_Breaker Sizes & Labels 67. Stairs & Rails - -------------------- -------------- - 68. Fireplace or Stove: Clearances -Hearth -------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer ------------------------------- 73. A.C. Duct in Garage -Damper r' --------------------------------------- ----- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor -Meth. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------------------------- ----- 77. Insulation -Foam -Looked in Attic_ ❑ Yes -------------78.-Guard--Rails & Deck Construction -Post Caps ---------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ -No 81. Stucco: Brown -Finish --------------------------------------- -- - 82. A.C. Unit: Disconnect. Electrical, Plumbing ------------------------- -- 83. Vents Above Roof: Plbg.-Appliance-fireplace.-Clearance to Openings -------------84.--Water Well: -- Disconnect, Electrical, Plumbing - ------------------ -- - 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House ------ --------------------------- ---------- 87. Glass Protection 88. Corrections Corrections from Previous Inspections ------------------------------ -- ------ ___ 89. -Gas -Test -Meters -Tagged: ------ Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval ---------------- 91. Energy Compliance Certificate -Other Certificates ----------------------------------------- -- - Date Card B-1 Date Card B-1 ------------ -------------------------- -- - _Date____________ Card-B-1----------Date------Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT- OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Californiat959 G°-- Telephone: 916/538-7541 92-4246 APPLICATION AND PERMIT ASSESSCIR PARCEL NUMBER 025-24-0-080 ZONING ARMH2.5 BUILDING PERMIT OWNER ALBERT FRANCO TELEPHONE 534-5580 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 354 LONE TREE ROAD OROVILLE CA 95965 g61 C 11 193 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. NONE Filing Fee $ 15,00 Permit Fee Plan Checking Fee $ 12.50 $ 56.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Ener Plan Checking 9Y g Fee $ Penalty $ BUILDING ADDRESS 354 LONE TREE ROAD OROVILLE Permit fee $ 183.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: COV DECKS Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 Main service 200A To 1000AI 37.50 NEW—CONST DWELLING OCCUP.gd\ OR ADONS. ACC,BLDGS. 3.64 sq.ft. NEW CONSTR. ULT' -OUTLET NON-RESID BRANCH CIRCUITS 5.00 (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR\ EX. Occup. OUTLETS (RESID•) EA./ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 L_ I 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 1 15.00 Heating Cooling Hood 6.50 Ventilation Penult 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 Coun in onsequencee000ff the granting of this permit. X r_� i -o rr- lDate 12 - t- -' �1 Z Signature of Applicant — OWnerX Contractor ❑ Agent ❑ An OSHA ion of structures tover 39storiesoineheigvhttlons over S'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 183.75 HAz 1 DFEES I IMP I FLoo I CDF I PARCEL I PD HD ISsu This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI ECT OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 129987 WNITC-D.P.W., YELLOW-A88[;980R, PINK -INSPECTOR, GOLDENROD -APPLICANT 70 '001111FR 0;:.' COUNTYOF BUTTE - DEPARTMENTOF DEVE,LOPMENTSERVICES - BUILDING DIVISION i 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 r .y PERMITAPPLICATION DATASHEET OWNER / P. No. ('a� Z yU -UPO Proposed uidingUse ('-d Ulf -ft) / s Building Inspector�; Date t 'C— At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ....... .................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ...................................... . 11. Impact fees as shown on attached schedule. ............................. . . California Department of Forestry plan approval/fees. ....................... . 3. Flood elevation letter (100 year flood California Engineer . ................ . Sanitation and plot plan approval U/%/k- Health Department. ........... -f ity of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. P . . ' re -Inspection requeis - 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). Certificate of Workmans Compensation Insurance. ........... J.a%ilk 9a Owner -Builder Verification (Given to owner , Mail to owne ............ Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .................. . ....................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 'Al Existing violations/expired permits . ...................................... Plan check ist............................................ ? When you issue the permit, process as follows: Mail topAmerl Mail to contractor. C/ Telephone Say- 5`5-90 and hold for pickup at (S✓Z office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date / �z Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. - Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: ce: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Department df Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-538-7541 OWNER -BUILDER INFORMATION Dear Property Owner: 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 pro- tect 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 bene- fit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact.. the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Depart- ment of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed con- tractors are allowed to perform their work personally or through their own employees, without a licensed contractor -or subcontractor, only under limited conditions. . A frequent practice of unlicensed persons professing to be contractors is to secure an'"ow-rer-builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed.by property owners unless they are performing their own work personally. Information about.licensed contractors may be obtained by contacting the,Contrac- tors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete and return the enclosed owner -builder verif ication form so'that' we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. / truly ours, al nA Jr) J.F. Glander JFG:dd #. oa�`,.�D _ �Q/j`� Manager, Building Inspection Enclosure NOTE: This Owner -Builder Information is sent to you as required by Section 19830 of the California Health and Safety Code. 1 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 ma'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 work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address_ City Phone Contractors License No. 4. )I plan to provide portions of this work, but I have hired the following person to coordinate, superv'se, 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 ndicated: Name . Address Phone Type of Work Signed: Property Owner (4, 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 per- mitted to issue the permit. L.H. U F, ONLY Hol MLI Attached Flow Man Auached ..i 1111 IU Ii. D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Avie --1 ree- Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public / Private Well C ooll hom`. Other 4)A2J/.7�, 3,-o, � 1D ��L.�ft�:� Hold final for: COUNiN OF ellifE Final clearance O.K. for: SVC NOTE: Envi&nmental()jealth Specialist 8/92 Date tk h''I'I' `.la"a".+it11:47y�'t�j:t itEv�;�-'•n .. .r ,I '9� '`�:�4�':I n. r.,� I' - � ,.ii i(:�...'1' s.l i' l,i'•.. : ai, it �,:. :: L'�� ;i:'�' :.•L7''.d. `•� l t r t � s �n I �s.: •�'7' �i,u: f j t is L.�M,I 11�h7I � •��' _ ..li:rJ •� � r'< "(7 Ir � i'1 •.IfIts `.I'• Yr ;.j.�:`: r .5G APPROVED . Butte County Environmental rrHealth_ Dater Stgno%.r r COUNTY OF BUTTE BUILDING DEPT DEL IU19be Environmental Health DEC 091992'. 4 ©royif(s� �szlifpMCa ..�: ill .,1. ;e;, � .. .. � � r i , .,�,,,•.. � r:.• ,i; ., ., .. ,!i r i�, il Oil JI If d specifications MUST. be ® ns opt at;ail .; ::..:, , : ' titrtes and rt is unce to.{�.-%A lialki, ai%rations on Some allq�?; n:'ftom ttae De pa tAf' 1 �•. �, / »1. Q. NOTE.—A(I � off Accordance w th of -'o quality presc Uniform. Buildin , I the National EI c#i 1. t V" .'.�Z Location of structures & equipment shall to as shown. & clear of all easements. & Workmanship Shall Be In ogniaed Good Practices and d for the Specified use in the Bing & Mechanical Codes and Code. c-Vc'�� L. 0 wo & RD, 3 . COUNT DEPAPTIAEN L k F 35' 80 � - MIR K 2 4' — 881 suare feet of ground area covered r Albert & Dolores Franco 354 Lone Tree Road Oroville, CA 95965 (916) 534-5580 3' 7� 71 6' 7 "fop rail to be 36 in. high with intermediate rails to be not overd in. apart. 7 o I 2"x6" Redwood !n 1A �2"W Redwood Girders `, ILL -----.42 sac h per upright) AW , SPW -7 / 3 it �eoWs ® qe* oJJ .C___ Notes; Footings are 12"x12"X8" Awning supports are 4'W" DF Decks are redwood Guard rails are filled with Redwood Lattice Auxiliary Deck supports rest on 12"x12" pier blocks � Rae / Mn Puu Bun measured We to toe. %* maz. tolerance betweem & smallest rise/r= Redwood BUTTE COUNTY BUILDING DEPARTMENT APPROVED /--- Ufetai rrmg Ciip .5' �i 12" ST ER DET AIL �ZNMATI T _>�_-8�—�I� 4�-i<— g, —> 2, Notes: The -roof shah be- constuccted-of-DF 2" x4" on_24". cente atop . K4' girders. The sheathing shall be 9/2" sturdi-board covered with composition. `The -awning shall contact themobile ,home with flashing -only) COUNTYBUTTE BUILDING DEPARTMENT t APPROVED a� TO Buildina Department M: Environmental Health SUBJECT: Sanitation Clearance q (p d Omer Location A Plan Approved for: Sewage Disposal 'dater Supply Hold final for: Water Supply' 7inal clearance O.K. for: Water Supply ='Clearance for bedroom mobile home. Other NOTE * * * _ 1 9-ILI.(7 �- Date unitarian 4! J I . b < 3, APPROVED Butte County Environmental Health - Date . ---- -------------- Signature (�-P_ 4:c s —.-.') y _ y pe V COUNTY OF BU;, E - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Orive - Orovillez-Calif&nja 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT � -/ a a(!;:, ASSESSOR PARCEL NUMBER 025-240-080 ZOARMH2-5 BUILDING PERMIT OWNER ALBERT FRANCO TELEPHONE SO. FT. OCC. BUILDING VALUATION EST 3,0 00.00 OWNER'S MAILING ADDRESS 354 0 LONE TREE RD OROVILLE, 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 5 .00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 94 LONE TREE. RD PERMIT FEE $ 74.00 OROVITLE, 95969 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ MobilehomKX3 Other COM DECKS SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation C1Other Describework: COMPLETION OF WORK STARTED UNDER PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 #92-4246 Main Service "' R LESS ( ORLESS ) 23.00 Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCCUP. So, OR ADDNS. ( & ACC. BLOS. ) 3.5C FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 Ex. Occu FIXED APPINS. OR p' ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of a granting of this permit. Date ^ ZS'-- Signature of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. 1 D. FEES I IMP I FLOODCDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. q By Date / PERMIT EXPIRES ON 1"-295 (Date) Receipt No. 162625 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department_of De✓elopment Services /^ Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: • 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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 ' 2. I (have/havejwo S signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions .of this work, but I have hired the following person to coordinate,' supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name. Address Phone Type of Work s Signed: Property Owner Crt 97— Social 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 permitted to issue the permit. `''n'"�"""�1?'1.a'Y"•�nt"'z ��.--^'tiq++�,r-.J•r�-^.-.Alr.,�q,.y�:�1wr•.,,�tar"b''1�.--'�•^�'u7�'(f"X r''Y`�'.-r.+'ti...•����1;�.^'�'�"�''��: ti..l�.i 7rw's.,��°'�u'�:TM`�����`"`'R`,"."-'' COUNTYOF BUTTE. DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 OWNER Proposed Building Use RMIT APPLICATION DATA SHEET ±,r i Fra o c o A. P. No. Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by pr'eparer of plans . ..................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ...................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ....... . 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . Pre4nsp�'°"'64°� 20. Pre -inspection for - required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ............ 0 ............. 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization. ................................. 0 ...... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ............. 0 ........................ 32. Plan check list . ............................................ 0 ....... . 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for p'cku at office. Deliver with inspector. Other 7 Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder - Copy - Department of Public Works r 025-24-0-080 29-3550E FRANCO, Albert 354 Lone Tree Rd, Oroville elec sery/mh ' t .• r y l 4r 4 • yy7 �0 e1 1 s i ' t .• a OFFICE COPY Address GAS Meter By Date ELECTRI Meter By Da' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT P�iMI ,G c ASSESSOR PARCEL NUMBER 025-240-080 ZONING ARMHI BUILDING PERMIT .� OWNER ALBERT FRANCO SR. TELEPHONE 589-8516 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 323 LAFFER CREEK RD., OROMIE CA 95966 CONTRACTOR'SNAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER OTTIILL' UNKNOWN Total VE-luation $ LENNNDII�*\\ER++'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCH'IIT�T``ii,ECT OR ENGINEER NO LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 354 LANE TREE RD. OROVILLE Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME --]PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[l Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK yy New ❑ Addition El Remodel ElUti lities U` Installation ❑ Other ❑ Describe work: UPGRADE FIECTRIC SERVICE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service .7p0A DOR LESS 18.50 8.50 Main service 200A TO 1000A) 37.50 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 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 OCCUR.&) OR ADDNS. ACC. BLOGS. 3.6dsq.ft. NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5•00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 76d ZO 464 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) I 3.0011 Temporary service 15.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 Cou,inll"sequence ranting of this permit. X Date _Id, l —Gf �i 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 48.50 HAz I DFEES I IMP I FLOOD I CDF PARCEL PD HD Issu This permit is hereby issued under the sions o> the utte County Code ancf/o5,�esolutions work,incliVifted a 9�' which e /� Dl�i OF UB BY , PE EXPIRES Date applicable provi- to do have been poi ARKS , D to G i �. ' Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 (/ APPLICATION AND PERMIT �PRMI�� r ASSESSOR PARCEL NUMBER 025-240-080 ZONING ARMH .5 BUILDING PERMIT OWNER ALBERT FRANCO SR. 'TELEPHONE 589-8516 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 323 LOFFER CREEK RD., OROVILLE CA 95966 CONTRACTOR'SNAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS i Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Vzduation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Ener Plan Checking Energy g Fee $ Penalty $ BUILDING ADDRESS 354 LONE TREE RD., OROVILLE Permit fee $ PLUMBING PERMIT FilingFee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomel Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities U Installation❑ Other ❑ Describe work: UPGRADE ELECTRIC SERVICE Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 00V OR LESS Main service 1001 OR LESS 18.50 18,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, Or my employees with wages as their SOIe COmpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA) 37.50 NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. 3.6Q sq.ft. NEW CON5TR ULT' -OUTLET NON.RESID. BRANCH CIRC 'TS @ 5•00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 0 16 FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15-00115.00 Misc. Wiring '15.00 Permit Fee $ 48.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 FilingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 Cou in c sequence of thpyoranting of this permit. Date si nature of A IiDanr owner g pp ❑ 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 S Energy Inspection Fee $ OCC CONST TYPE ITOTAL FEE $ 48.50 HAz I DFEES I IMP I FLOOD I CDF PARCEL PD I HD I ISSU This permit is hereby issued under the sions o e Butte Coun Code an wor Indi Led r which a LDI O U B PERMIT EXPIRES Datezve pplicable provi- /o-!Zutions to do ave been pa d. ORKS ate Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.`538-7541 APPLICATION AND P,JERMIT PERMIT NO. ASSESSOR PARCEL NUMBER �-9Q- (0 t;, ZONING . f� • ' YlL - BUILDING PERMIT OWN % F►^ n C 0 sr. 'TEL PH NE S _ 5 SO. FT. OCC. BUILDING VALUATION OWNER MAID O TRE S ^,, u ` CJ CONTRACTOR'S NAME Ow no- ,- TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ L N E 'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ CTAR-CHITEOR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUIL ING ADDRESS J �h �7 r, e- Q 1„V i c� ( C� Permit fee $ PLUMBING PERMIT Filing Fee 15.00 / Each Trap I 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFE] Duplex[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel❑�% Utilitie Installation Other E] Describe work: CT e�r t L Car i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 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 1-1I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. . Business and Professions Code for this reason Main service 200ATOI000AI 37.50 NEW CONST. ( DWELLING OCCUP. 3.64 sq.ft. OR ADONS. ACC. BLDGS. NEW CONSTR. ULTI-OUTLET @ 5 00 NON-RESID BRANCH CIRC ITS POWER APPARATUS 1, (SINGLE OUTLET cIR. 76d Ex. OCCup(OUTLETS OR FIXTURES 20FIXED APPLNS. Ex. Occup. OUT ETS RESID )REA.1 3.00 Temporary service 1 15.00 Mobile Home Facilities 1 15.00 Misc. Wiring g 15.00 Permit Fee $ cao 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 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County or 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 Si nature of Applicant — Owner 9 PP ❑ Contractor ❑ Agent ❑ An OSHA ion of structurestover r3gstories oin height. excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I DFEES IMP FLOOD cDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-O.P.W.. TELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 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.ry. 3.. I have contracted with the following person (firm) to provide the proposed construction: _ Name Address City Phone - Contractors License No.- - 4. I plan tq provide portions of this work., but L 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 IAddress Phone Tvpe of Work Signed: Property Owner 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 per- mitted to issue the permit. PERMIT NO. 6049-77P,E I PERMIT EXPIRES OWNER Leslie Simonson- , CONTR. owner LOCATION (A.P. 25-24-80 W/S Lone Tree Rd.,app'.1.2 mi.N.of Palermo Rd., Oroville Temp. Power Pole Called PG&E Temp. El ec. Serv- I Called PG&E Temp. Gas Serv. 011771" Called JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING S back it PI inFo s [Arewall a ets t Floor Ma Bldg. est om Finish 2n Floor F tins lndo 3rd loor Ste wall ldin To out Slab Roof Sheathina Water PIPNg Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings A Prov. for ph sicay handicaped Conformance of ex. structure Appliances Gas PI In &Test Temp. Gas Slab Final A Sanitation Patio FRE ACE Final Footings Footing Ef-ECTRIbAL Reinf. Steer \ I Final / \ I Fixtures / Stucco Final Sub ane Mes MECHANICAL Grd. F ult Prot. Scr ch I Heatinif Servl e B wn 1 C00114q I Timm Pole ( erlor Lath N I V ntilation I 4Permanent oor Closer anal Inal MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS uo �'� ( TE. nen must be made on this form each time you visit the job site.) 0 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome locatedth required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. 3. 4. 5: Does the mobilehome have required clearances above ground? (Sec.5085) YeYL No Are footings and supports properly sized, spaced, and braced"as.Wr approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes ,No Is the mobilehome level? (Sec. 5088) sl�( No unit, are are connections properly installed? (Sec. 5088) Yes No 6. Water A. Islexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No , B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No G. Bac - coac is not to a ifo,rnia approved, does station have backflow device and pressure -relief valve? Yes_ No_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum '" per foot slope and is-it.properly supported?.Yesx No 'C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes N�X D. If California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents i A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobgehome.gas line iiil"et without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? YesJK No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes Y No I 9. Electrical 1. A. Is service large.enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes (-,No B. Is there proper clearances around panels? Yes No C. Is power supply cord,or feeder assembly properly fused? Yeses No_ D. Is continuity test satisfactory as per the following procedure? Ye,,:�L No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. , 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length v� Width Ze Vehicle Serial No. State Identification No, Additional Information or Comments: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - UroviIle, California 95965 D , � ' Tel'ephone: 534-4541 D •,� APPLICATION AND PERMIT -� to % Signatures ooff Permitee or Agent // Receipt No. 072Y White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. BY eDJOQiR OF P LIC WORKS J1A T Date L3 c8v81dYrng permit expires Date lC Z3 BUILDING Owner S. A tiI ®A., o A SQ. FT. OCC. BUILDING VALUATION Mailing Address Z7 7 SOa7 Of"X OtIs !" L �- Telephone No. .�3 �05 Fireplace Contractor Total Valuation Mailing Address Cu Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address "r-opAle- r'� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 . -,A -A 1- U � to L Repair drainage or vent piping 1.50 Water piping 150 /0,00 kpaning Verificefion Only Each gas water heater or vent 1.50 A. P. V6. -- $Q3 �Zoninngg & Planning Gas piping system 1 - 5 outlets 1�d 0. a additional outlet .30 d'71Each et's .C. Sa i on FireDept. Fire Use Permit -Building sewer &:913 I 0.®© EQA PlanParkins eclaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Rec'd r 3Parcel Approval P s Approval Permit Fee $ dO $ NEWADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q Main service 600v OR LESS 100 AMP OR LESS 5.00 r QC Main service EA. ADD•L 100 AMP 2.50ER Single Family ❑ Duplex ❑ Mobil Home Others ❑ 600V Main service 10 0 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. I DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. 2¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le Of: Y & tA P Ad any 3 AAP Ex. Occup(OUTLETS OR FIXTURES 0251q!04 FIXED APPLNS. OR - Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S,�o License No. Classification Misc. Wiring 6.25 JUL, am exempt from the Contractors License Laws of the State of California. Permit Fee $ 2_7.J_0 $ .1 7 S -o WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑'w have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. p y an certify that in the performance of the work for which this ermit is issued I shall not em %Sl to y person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation L2.00 Hood Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the ,k /- De veto PAA e a7— fleG �, •©D TOTAL PERMIT FEE $ C This permit is hereby issued under the applicable provisions of -� to % Signatures ooff Permitee or Agent // Receipt No. 072Y White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. BY eDJOQiR OF P LIC WORKS J1A T Date L3 c8v81dYrng permit expires Date lC Z3 Ths' plans and specificrytions MUST be kept on, the iob at all times and it is unlawful to mak,- onv chrynges fir rlt-rnaions on some without written permission from the Department of Public Works, County of Butte: . ' NOTE:—All Materials & Workmanship Shall Be in Accordance wi;lz Recni d Good Practices and ®f a qualify prescribed for the Specified use' An .the Uniforn Building-, Plum ng • Mechanical Codes and U National -Electrical od a. �- 0 a. A permit will be required for the installation of the mobilehome. eS G. 1 F tQl, 571m oAJSOv .heTline Setback shall be 5 ft. from the- ideerty line and 50 ft. from the':' cenof the'oad, permitting a maxi ` mum2 ft. eave overhang but entirelyout easements. f O Septic system 0Q /� / 4�0 7,as per Bufte County Health Dept.' Re-.. quirements.Al�/u',. Mfy connections shall be locafed within 4 ft. outside the- real third ` secf ion .of the mobile home on the- left (road) side of the mobile - home. Q BUTTE COUNTY BUILDING DEPARTMENT APPPO�/E-D COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS !� 7 Gounty Center Drive — UroviIle, California 95965 ��v Te?ephone: 534-4541 77 APPLICATION AND PERMIT /f? auarrvriac rcNrcacnta above-mea*ronsd-sroA'a ner UPUn the Receipt No. I L V/� A^ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF"PUBLIC WORKS ByDate /Z 7 Building permit expires Date BUILDING Ownerk 421, 1A SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Bleph a No. Permit Fee $ Buildin Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 b QA` Rd Each Trap 1.50 Repair drainage or vent piping 1.50 8% Q�T-(N1 D Water piping 1.50 Each gas water heater or vent 1.50 �^D A. P. No. ^` Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA IParking Plans I Parcel eclaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg.ons Recd Parcel pproval P I arokpproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �. S Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home e/Others ❑ OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 411 NEW CONST. OR ADONIS.(ACCLBLDGLING OCCUP. &) 2¢sgft NEW CONSTR/MULTI-OUTLET NON.RESID. \ BRANCH CIRCUITS) 2.50ea NEW CONSTP- POWER APPARATUS & NON_RES,(SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed rider the provisions of Chapter 9, iv. 3, of the State of Cal' or is Business & Prof sions Code der the name style of: _ / l Ex. Occup(OUTLETS OR FIXTURES) 50 BAL� EX. OCcu FIXED APPLNS. OR P• (FIXED As (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.c;26 19Q:> Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE t am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wor men's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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--t�ilding construction, and hereby A ST a 2i TOTAL PERMIT FEE $ auarrvriac rcNrcacnta above-mea*ronsd-sroA'a ner UPUn the Receipt No. I L V/� A^ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF"PUBLIC WORKS ByDate /Z 7 Building permit expires Date 1. Owner's name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 2. Installer's name: OROVILLE TRAILER SA 3. Is the site currently under permit? Yes. / "/ No (If yes, furnish permit number ). OR Is the site an existing site? Yes / / No 7 (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 /1// No ( If no, clarify ) 5. What is the mobilehome electrical rating? -------- ------ d Amps 6. What is the mobilehome site service rating? ---;------------=---- /off 5� Amps 7. What is the mobilehome site circuit breaker rating? ------------- �d Amps 8. Is there any other electric load.to be served by the mobilehome site service? ---------------=----------------------------------- Yes / / No (If yes, identify the load•and size: (Load) (Amps) ``'� 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service. - .Kat -u -rales --"PG / L` 11. What is the gas pipe length from meter or nk to the mobilehome?( Q ft.) 12. What is the mobilehome gas demand? --- -------------- ------------ ®® (BTU) (This information°not required 'f pipe length 1 ss than 6 ft. on natural gas or less than 50 ft: ori LPG.) C AI MOBILEHOME SUPPORT DATA Mobilehome Mfr. Setup Model No. Year Width IC> (ft.) Length(ft.) Ekpando Size t.x _ ft. (Draw 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). i — Sin le - Footings (check.one) i / Wood either Center Center Suppor Support Footing Size Locations (in.) r in. f •w"' x / ft) in /(�in.)(in.) i (in.) in. in. -in.) . ft ) . in. X (`in.) in.) I *If center piers are other than drawn above, draw in.locations, spacing, and.d�mensions. pressure treated or fdn. grade. 2. Concrete pad. 3. Other,: specify Su` orts (check one) / 1. Concrete block 2. Concrete piers 3. Steel piers / 4.. Other, speeify Topical Support x � Footing Size Pin. in. Wt (..Max. Pier �J Spacing .S- ln•) i Max. Overhang BUTTE COUNTY BUILDING ®EPARTMENI APPROVE® 4 : 1 Y PERMIT NO. 669-80MHI (existing site) ' PERMIT EXPIRES 172 19 1 OWNER Les Simonson CONTR.' owner LOCATION (A.P. 25-2440 ) w/s Lone Tree Rd. app. 1-2/10 mi. No. g of Palermo Rd., Palermo 1 . a f . a A • - 1 • l i 1 j Temp. Power Pole Called PG&E ` Temp. Elec. SeJv. Called PG&E Temp. GasSrerv. � Called PG&E JOB i 401- ' FINAL "D (Date) r 1x (S ignatur e ) — 1 p J i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS i 695 Wander Avenue, Chico — Phone 343-4211, Ext. 70 ' 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately.On If Ir IP Inspector �'? r DateL.0 _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soli Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Car ort p Footings Prov. for ph sically handicaped Conformance of ex. structure Appliances Gas PI In &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footino ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS' Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service,,:Elec. Pedestal Water Piping Sewer as Piping MOB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity i• Water Piping 0-0— Drainage Gas Piping DATE REMARKS OR CORRECTIONS -��CA w 0?lrcr� (9 WIT i iv Vlf1 /1 /� ��i�-��i��l,�"C'/�y � (`yam �y�� (�� 4►j/w��,� �CJ�'` ✓ -`^"� r a�\ \ .� " : "� / V / � r W'v. •� r tel/ (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1.- Is the mobilehome located wit irequired separation from lot lines and buildings and generally conform to plot plan? YesNo_' , 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_j 3. Are footings and supports properly sized, spaced, and braced as peapproved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes P No 4. Is the mobilehome level? (Sec. 5088) Yes='' No_ 5. If moLe an a single unit, are crossover connections properly installed? (Sec. 5088) Yes - No 6. Water A. Is flex' le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes c No_ B. Test – Does water piping withstand working pressure or 50 lbs, air test? YesA1-"`N0_ C. Backflow - If coach is not Stat o Lalifornia approved, does station have backflow device and pressure -relief valve? Yes 7. Wastes and Drains � A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Ye'�'o B. Does it have minimum ` per foot slope and is it properly supported? Yes v No C. Are any leaks detected in drainage system after running 3`-ga ns of water through each fixture including washing machine standpipe? Yes— No__ D. If coachi o�State of California approved, does station have required trap and vent? Yes® No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum. mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobile me gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes No_ 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"--14',water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 'I. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No_ 9. Electrical A. Is service large enough to provide adequate amperage -to mobile;iome (must equal rating of mobilehome with a minimum of, 00 amp) -,and other facilities on lot„ i.e., water pumps, garage, cabana, etc.? Yes _V No_ B. Is there proper clearances around panels? Yes No C. Is power supply cord or fedder assembly properly fused? Yes PO' No_ D. Is continuity test satisfactory as per the following procedure? Yes_o 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. ,Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. S. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME_ DATA Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identification No. Additional Information or Comments: COUNTY OF BUTTE — DEPARTMENT 0'F PUBLIC WO 7 County Center Drive - Oroville, California 95965 . Telephone: 5,W,-4541 • APPLICATION AND PERMIT Cod BUILDING `� Owner �vS s'1"QA1SD SQ. FT. OCC. BUILDING VALUATION Q. Mailing Address /&&C /��8i- ``77 77 JJ Tele honelo.. 95 5 3— Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee ,-/ Building Address K/s �� ��o PP Plan Checking Fee &/or Penalty Permit Fee Z/D �Gl/ /�,. ar PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �w' Repair drainage or vent piping 1.50 A. P. No. v ZS' Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 W41 Sa n ire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improv tints Each additional outlet .30 Building sewer 5.00 Bldg. P s Recd Parcel ApEroyal Plas Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ QV 77AJ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service O100VERAMe0ovPOR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.LING CCUP. B) 20sq ft / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID.CONST(BRANMULTH CIRCUITS) NON-RESID, `BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 0 NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES) g L 1� 0¢ FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor I @ MECHANICAL No. FEEPERMIT FILING FEE $3.00 Heating e which requires every emp oyer to be Insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 9I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. A Date Signature of Pe'm]itee or Agent Receipt No. :§q 0z? White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cool Ventilation Hood 1 1 2.00 Permit Fee $ $ Lan opmept Fee. TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR CTOR PUBLIC WORKS By Date Building permit expires Date�5�� t BUTTE COUNTY BUILDING DE-PARTMF-10 APPROVED -r k 7.. What is the mobilehome site circuit breaker rating? =------ Amps 8. Is there any other electric load to lie served by the.mobilehome siteservice? ----------------------`---------------------------- Yes No / / (If yes, identify the load and size: (Load) _:Zn) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 3.. (in.) 10. What is the type of gas service? ------- --------- Natural/ / LPG 11. What is the gas pipe length from meter or'tank to the mobilehome? ft•). 12. What is the mobilehome gas demand? (BTU) (This information not required .if pipe length fess than 6 ft. on na or less than 50 ft, on -LPG.), BUTTE COUNTY BUILDING .DEPAPTMENI APPROVE . BUTTE COUNTY DEPARTMENT{OF PUBLIC.WORKS 7 County Center Drive, Oroville, CA.'' PHONE: .534-4541 MOBILEHOMEINSTALLATION SHEET 1. Owner's name: LX S E. 1-1 nom) C n All 2. Instalher's name: L„vC.OL.✓ Viet A/'-1�- 3:. Is the site'currently under permit? Yes / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes %b/ 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? ----------------------- //iiAmps 6. -What is .the,mobilehome site service rating? -- /2_ Amps 7.. What is the mobilehome site circuit breaker rating? =------ Amps 8. Is there any other electric load to lie served by the.mobilehome siteservice? ----------------------`---------------------------- Yes No / / (If yes, identify the load and size: (Load) _:Zn) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 3.. (in.) 10. What is the type of gas service? ------- --------- Natural/ / LPG 11. What is the gas pipe length from meter or'tank to the mobilehome? ft•). 12. What is the mobilehome gas demand? (BTU) (This information not required .if pipe length fess than 6 ft. on na or less than 50 ft, on -LPG.), BUTTE COUNTY BUILDING .DEPAPTMENI APPROVE MOBILEHOME SUPPORT DATA If'other than single wide, Mobilehome Mfr. (� �� c, �; �,� furnish Setup Model No. o%% �� Year_ WidthL_(ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) t 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 othe t. a sp fi Footings (check one) Single 1. Wood either, pressure treated or - foundation rade ratiOns* (i� Centpport to -X: (£t.)(i U (ft.)(in.) (ft.)(in.) (ft.)I (in.) (in.) (in.) Center support footing sizes (in.) (in.) (in.) (in.) (in.) YD (in.)[ (in.) *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. g 2. Other.(specify) { Supports (check one) Concrete -block. 2. Other (specify) Tagalong.or Expando..' show support.details. t/-2_xjOl Typical Support (in.) (in.) Footing Size Max. Pier Spacing (ft.)(in.) (ft.)(in.) -- Max. Overhang