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026-162-009
. 1: ILI k NOTES RESIDENTIAL PERMIT NO. J 026-162-009 00-2356 MENDEZ, VICTOR & ROSE 2334 KENILWORTH AVE. PALERMO CONTR: OWNER MOBILE HOME TO STORAGE r 11 SPECIAL CONDITIONS 11 SRA . FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY ✓ = OK 0 = Not OK - = Not Applicable * = Not Ready G. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. 2. Soils; Special MH Support Sketch Gas; MH Test -Demand -Valve -Connector 3. Sewer; Location -Test -Fall -C/O -Concrete 5. 4. Water; Location -Test -Easement Needed (Sketch) Water; MH Test -Regulator -Connector 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete S. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"tt./ /'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 S. Gas and Electricity Tagged 3. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rfirs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pan elboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Hangers -Post Caps -Anchors -Connectors Underfloor (Plans) OK except #'s Cling. Joist-Rftr. Ties -Purl in -Roll Brac.-Truss-Shting.-Ring. 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Fig., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 52. 4. Fig., Porches & Decks; Soils -Steel-/ r Fig. Depth Ext. Doors -One X -Check Garage 3rd Story, 2 Exits 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Siding -Nailing Veneer 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped Shear Walls; Nailing -Bolts 8. Piers -Fireplace Ftg.-Steel 61. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Infiltration -Walls -Windows 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Garage Fire Door; Swing -Landing -Closure 11. Water Pipe; Test -Anchors -Regulator -Service Test A.C. Duct in Garage -Damper 12. Electric Underground Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 13. Plenums & Ducts; Clearance -Material -Support -Ins. Plb., Elec. & Mech. Equip. Listed for Location 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Elec. Receptacles in Garage (F.F.I.)-Romex Protection 15. Access & Ventilation Insulation -Foam -Looked in Attic 16. Insulation Guard Rails & Deck Construction -Post Caps 81. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Stucco Brown -Finish 17. Water Htr.; Vent -Access -Combustion Air Baffle A.C. Unit Disconnect, Electrical -Plumbing 18. Water Pipe; Test & Anchor -Nail Protection Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 19. D.W.V.; Test Fittings & Anchor -Nail Protection Water Well, Disconnect, Electrical, Plumbing 20. Shower Pan; Test, First Floor -Tub Access Exterior Elec. Trim, G.F.I. Receptacle -Underground 21. Test Tub & Shower, Second Floor -Tub Access Ventilation Throughout House 22. Gas Pipe; Sixe & Anchors Glass Protection 90. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Energy Compliance Certificate -Other Certificates 23. Fixture & Transformer Clearance -Ins. Protection Address Posted 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled Card B-1 Date Card B-1 26. Romex Installed Close to Edge of Studs & C.J. Card B-1 Date Card B-1 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes E) No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing >ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties -Purl in -Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One X -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Insild./Drive :) Yes J No/Walks J Yes ] No/Planters J Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: f_ V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT 00-2355 ASSESSOR PARCELiNUMBER 026-16-2-009 AR 1 ZONING BU I LDI NG P ERM IT OWNER VICTOR & ROSE MENDEZ TELEPHONE 534-6817 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 2334 KENILWORTH AVE. PALERMO 95968 CONTRACTOR'S N.ME TELEPHONE EXR�X OWNER CONTRACTORS M.IUNO ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNGADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LCENSE NO. Filen Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENiINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2334 KENILWORTH AVE., PALERMO Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IR Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MOBILE HOME TO STORAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 RLE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affi-m 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.POWEPPARATUS License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to ccnstruct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I ha%e 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 370C of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. a ACC. BMS. 3.50FT. NEW CONS. NON -RES DT MULTH' CRR UTITS Qa 7.50 8 SINGLER AOUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BA0 @ 1 0 FIXED uTACS D OR Ex. Occup. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 fortFwith comply with those provisions. X Date _ 9 Signature -of Applicant - MrOwrer ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated a for which fees have been B4 C&AA/ D PERMIT EXPIRES O I r (DA,) provisions to do work paid. e 1()114A Receipt No 308530 35.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION. 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMeEa /'�/ O ZONNQ q2 BUILDINGPERMIT OwNZA1 Act Mab47� TELE Ne o O SO. FT. OCC.' BUILDING VALUATION OWNERS WAILING ADDRESS wo CONTRACTOR'S NAME TEUTIgNE CONTRACTORS MA11NG ADDRESS CONSTRUCTION LENDER . [Total LENDER'S MAILING ADDRESS Fireplace Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCMTECT OR ENGINEERS MAILING ADDRESS Permit Fee Plan Checking Fee $ SULDWG ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE LAT NO. SUBONISIONSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF ❑ Duplex Cl,MobilehomeOther Water piping 15.00 SPECIFY4 Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition, ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewer 15.00 ZD :2 �C Mobile Home I S I G W Q20.00 Describe Work: / PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service x�oa oa mss 23.00 Main Service tow TO ICODA 46.00 NEW CONST. DWELlIx3 OCCUP. OR AOONS. 6 ACC. BU)S. 3.SQso NEW ONS , MULT40UTI.ET NON•RE910. @7.50 POWER APPARATUS 6 SINGLE OUTLET CR. Ex. Occup. OUTLET OR PoRURES s20 1.50.00 EX. OCCU .i Eis PE O.OR. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ r h MECHANICAL PERMIT Fling Fee 20.00 *PERMIT FEE PAID $ �� '�(J Heating SRA $ Cooling SHERIFF $ Hood 6.50 ventilation OTHER. $ $ PERMIT FEt $ Mobile Home Installation Fee $ $ Energy Inspection Fee $ occ COST rrRE TOTAL FEE $N% �J� o b . KAZ (i HD ISSUE AMOUNT RECEIVED $ D. PEES IMP I FLOOD I CDP I PARCEL PO This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work `RECEIPT r� �n ��� indicated above for which fees have been paid. NUMBER TO BE PUT INTO COMPUTER By Date PERMIT EXPIRES ON Mato) September 7, 2000 Butte County Building Dept. 7 County Center Drive Oroville, CA 95965 RE: Existing Mobile home used as storage. 2334 Kenilworth Ave, Palermo APN. 026-162-009 'To Whom It May Concern: i am, replacing my existing singlewide mobile home with a new manufactured home, on a permanent foundation. Executive Homes, of Chico, will be installing my new home, and they will obtain the necessary permits to do so. I intend to keep the existing home as a storage unit, and leave it in its current location. The new home will be placed behind the existing unit. I understand that I must provide the following requirements: 1. Remove the kitchen (all cabinets, sink, cooking facilities, etc.) 2. Surrender HUD/HCD labels to HCD. 3. Provide letter of intent, which is what this letter is for. 4. Disconnect all water, sewer, and gas connections. I may leave electrical for lighting. So, consider this my letter of intent for the storage unit and that I will complete the above items prior to a final inspection on my new home. Thank you, Vico r Mendez 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. X 1. I personally plan to provide the major lab r and materials for construction of the proposed pro rty improvement : YES[(,f NO[ ]. _ ->/2.' I HAVE[V] HAVE NOT[' ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person .(firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work,- but I have hired the following • person -=to coordinate, supervise, and provide the major work: f 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: SOCIAL SECURITY NUMBER: DATE • �' : Z d O NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. _ . l41. : Fs This verification must be completed and returned to our office before we are permitted to issue the permit. OVER 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 "ownerbuildez" 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. .inc"brel Michael 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 Department C o u n t y j. micnael Grump, Director Warner C. Phillips, Ac6tant Director November 8, 2000 Executive Homes 3042 ,The Esplanade Chico, CA 95973 Re: Certificate of Merger A 0026=162=009 (Lots 8; 9 & 10)1 f Public Works` o f B u t t e LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7683 To Whom It May Concern: Enclosed please find the Certificate of Merger that was issued by the Butte County Department of Public Works and recorded on October 30, 2000, under Serial Number 2000-0041708, in the office of the Butte County Recorder. If you have any questions concerning this matter, please contact this office at (530). 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Stuart Edell 11- Manager, Land Development Division SE/kp Enclosur cc: Building Division Environmental Health Dept. Sierra West Surveying (7710) Victor L. & Rose M. Mendez, P.O. Box 703, Palermo, CA 95968 CERTIFICATE OF MERGER LANDS BEING MERGED: AP NUMOER(S) /6a SUBDMSION / PARCEL MAP: BOOK PAGE--'�_BLOCK 5,7- LOT(S) BOOK PAGE BLOCK LOTS) As of the date of recordation, those lands noted above are merged to create -L parcel(s) of land as described in Exhibits) /i attached hereto. OCTOBER 30, 2000 MIKE CRUMP DATE Director of Public Works OWNERS' CONSENT TO MERGER V !ems o� L AQJOE-4 —7�066- 1h as owners of all that real property to be merged, do hereby consent andagree to the 'merger of such lands into that / those parcel(s) as described in Exhibits) attached hereto. ALL SIGNATURESMUSTBENOTARIZED, - SIGNATURE V /C'�,e L . /'I1 a�o� z DATE -- 1(o D� SIGNATU osE />7 , �,vvrz DATE D:\Land DevebPmat\ADAcatlOn Forms\Certlr. Of Merger -LD 1530 (2/99) 24100-004 1 708 AFTER taECORDING RETURN TO: Recorded Official Records I REC FEE 13.08 I CORM County Of ,00 Butte County Public Works CANDACE J. GRUBBSReco I LAND DEVELOPMENT DMSION ROSEMARY DICKSON 7 County Center Drive Assistant I Fay Oroville, CA 95965 090 30-0ct-2808 I Page 1 of 3 CERTIFICATE OF MERGER LANDS BEING MERGED: AP NUMOER(S) /6a SUBDMSION / PARCEL MAP: BOOK PAGE--'�_BLOCK 5,7- LOT(S) BOOK PAGE BLOCK LOTS) As of the date of recordation, those lands noted above are merged to create -L parcel(s) of land as described in Exhibits) /i attached hereto. OCTOBER 30, 2000 MIKE CRUMP DATE Director of Public Works OWNERS' CONSENT TO MERGER V !ems o� L AQJOE-4 —7�066- 1h as owners of all that real property to be merged, do hereby consent andagree to the 'merger of such lands into that / those parcel(s) as described in Exhibits) attached hereto. ALL SIGNATURESMUSTBENOTARIZED, - SIGNATURE V /C'�,e L . /'I1 a�o� z DATE -- 1(o D� SIGNATU osE />7 , �,vvrz DATE D:\Land DevebPmat\ADAcatlOn Forms\Certlr. Of Merger -LD 1530 (2/99) T02 30(12.90)00 J TICOR TITLE INSURANCE (General Acknowledgment) STATE OF CALIFORNIA I COUNTY OFt�-TSS. o vaL On 1 efore m the undersigned a N ary Public in and for said Stat rw a hs2 IM , IrYI . pe rSnnalParPcl �l ' ��s J—y--t---- personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/shetthey executed the same in his/her/their authorized capacity(ies), and that by hislher/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the,instrurr*-�t. ► WITNE Signatl ------------- WENDY M. AUER Comm. A 1178379 'A NNOTARY PUBLIC • CALIFORNIA N Butte County 4OMy Comm. Expires April 3, 2002 (This area for official notarial seal) J EXHIBIT A 9-9 LEGAL DESCRIPTION All that certain real property situate in the Town of Palermo, County of Butte, State of California, described as follows: A portion of Block 32 of the Town of Palermo, according to the Official Map thereof, recorded on February 7, 1891, in the Office of the Recorder of the County of Butte, State of;California, IN book 5 of Maps at page 4, more particularly described as follows: Lots 8 through 10, as shown on Block 32 of said map The purpose of this description is to merge said Lots 8 through 10 into a single parcel. :. A 4 {.r 0 !� 4 C:Descriptions\7710Exei� .L�i F Robert G. Agee, Jr L.S. 4010 Registration Expires 6/30/00 IAN D �~ No. 4010 A N \z- \OF CA<� NOTES Q c RESIDENTIAL PERMIT NO -026-162-009 . 00-2038-- _ --, MENDEZ, VICTOR & ROSE 2334 KENILWORTH PALERMO ! CONTR: EXECUTIVE HOMES ! P MH ON EXISTING MH FND THE HCD FORM 433A FOR THIS MH CANNOT 1 BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DTV: (1) LICENSE PLATE(S) or DECAL(THE l INSPECTOR MUST RETRIEVE) (2) STATEMENT OF FACTS(ONLY ON J ` I NEW MH'S) c �.._ INSPECTOR. TO, VERIFY SERIAL & LABEL #. 11I SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. i FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address CHECKED BY GAS �/ Meter By p ELE Meter B � Meter B Da JOB FINALED (Date) aA I D I Signature ✓ = OK 0 = Not OK = Not Applicable MOBILE HOMES = Not Ready V r 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 e 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or-/ /"L"ft./ PLPG 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_KWf INSTALLATION (Plans) OK except #'s Zoni q.irements-Setbacks-Easements /) Footings; Size- Spacinq-Marriaqe Line Date Afff% MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector ater; M . Test -Regulator -Connector ate ewer Connected -C/O to Grade -HD Approval Gas and Electricity Tagged Ilation Cert. Exits; Insp.-Sketch Foundation Only; License Decal Card B-1 Date Card B-1 Card B-1 Date Card B-1 YC- (-Z-- r + MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel r 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rhrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI t 5. Elec.; Pool Lighting; 15 Volts-GFI f` 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 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date 46. Underfloor (Plans) OK except #'s 47. 1. Zoning -Setbacks -Easements -Flood -Slope Fireplace Ties or Type A Flue -Fireplace Throat Clearance 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 50. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Garage Fire Protection Framing 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 53. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 56. 6a. Hold Downs and Special Anchors Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 7. Slab, Steel -Wrapped 59. 8. Piers -Fireplace Ftg.-Steel Brace Interior/Exterior Wall Panels 9. D. W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 62. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground FINAL (Plans) OK except #'s 13. Plenums & Ducts; Clearance -Material -Support -Ins. 64. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Access & Ventilation 67. 16. Insulation Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date _ Elec. Outlets & Receptacles at Kit. Counter PLUMBING (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 17. Water Htr.; Vent -Access -Combustion Air Baffle 76. 18. Water Pipe; Test & Anchor -Nail Protection Plb., Elec. & Mech. Equip. Listed for Location 19. D.W.V.; Test Fittings & Anchor -Nail Protection 79. 20. Shower Pan; Test, First Floor -Tub Access Guard Rails & Deck Construction -Post Caps 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Following Insild./Drive J Yes J No/Walks ] Yes :1 No/Planters ] Yes ] No 83. Stucco Brown -Finish Date A.C. Unit Disconnect, Electrical -Plumbing Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle- Upderground ELECTRICAL (Permit) OK except #'s Ventilation Throughout House 23. Fixture & Transformer Clearance -Ins. Protection 90. 24. Elec. Receptacles Spacing -Lights & Switches at Doors Gas Test -Meters Tagged, Gas -Electric 25. Size Boxes & No. of Conductors Stapled 93. 26. Romex Installed Close to Edge of Studs & C.J. Address Posted 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or M-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral p Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B -i Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) r Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. _ Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper. 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Insild./Drive J Yes J No/Walks ] Yes :1 No/Planters ] Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle- Upderground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: rj 6 Q' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) a APPLICATION AND PERMIT `- ASSESSOR PARCEL 1SUMBER Mendez Victor & Rose Z° BUILD GPERMIT OWNER 026-162-009 T LMHONE i 5344817 SO, FT. BUILDING VALUATION OWNERS MAILING DDRESS 233/4Ke-d1worth Ave mo Paler R ID) 54 ' MI CONTRACTORS SM EXeciti,le Hames TELEPHONE CONTRACTORS MA.UNG ADDRESS 3042 Es 1 CONSTRUCTION LEADER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ' ARCHITECT OR ENGNEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 55412 $ 277.00 ARCHITECT OR ENGWEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2334 K w Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Ek Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 is oo Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities gi Installation ❑ Other ❑ Describe Work: hnufactured home on a permermt foundation, reply ' existing mobile home. 25x6G=l500 Gas piping system 1 - 5 outlets 15.00 Building sewer L 15.00 .00 Mobile Home s G w @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fee 20.00 RLESSFling Main Service 20 OA OR LESS 1 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. f License Class - 7 % Lic. No. �+ yQ �� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the fol owing reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to cons-.ruct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of -.he Labor Code, for the performance of work for which this permit is issued. My work ' compensation insyr9rice. arrier and policy number are: Carrie t cif Policy Numder I (The above sections need not be complete-& if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date f Saof plic❑ Ag nt 5n - AHA permit Is required for excavations over 5'0"deep and demolition or construction of structures over 3 stories in height. Main Service 200AWEE TO 1000A 46.00 NEW coNsr. DWELLING occuP. ORw c Pyr. ( 3.5QF°: MULACC. TLBRANC ,.ES. Noa RE5,0, c @7.50 PowER APPARATUS 8 SINGLE Otrr. CIR. 20 p 1.00 Ex. Occup. OUTLET OR FOCTUREs BAL p .50 Ex. Occup. oFIxEEOTSA Aa D OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TO AL FEE $ ,00 HAZ. D. F IM D CDF P EL H ISSU This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have SRA By EXPIRES ON the applicable provisions Resolutions to do work been paid. ,l 4 ate v I / D to Receipt No."40PERMIT WHITE -D.D.S.-B.I CANARY -ASSESSOR PINK-INSPECItC GOLDENR AP LICANT "' �7�y`�5�'�`���a'"ySir'�,ifl�'',�'r'i.,�j R�'+.'ep'+�.r`S^''". �+�`.�.�i3Sd'}�.���,�,."�;-yy�^7�'j�'r'hitt'�,""s-!^'�r�f�.!�l�i�+t.r'�.*++�''�yei'�`� i•=�.+'/""�'� VT COUNTY OF BUTTE -DEPARTMENT OF DgUMLPMENT SERVICES -BUILDING DIVISION A. 7 COiUNTY CENTER DRIVE - OR'OVI LLE, CALIFO,RNIA 95965 - TELEPHONE (530) 538-7541 �1 N PERMIT APPLICAf �' - DATA SHEET OWNER: /v ASSESSOR PARCEL, NUMBER: 4,' f jp Proposed Building Use:Aw a& 6A2 Building Inspector: L�7- _ Date: f—Z3 —D D At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: � P,6� '/l-1 D d Date Received By ❑ 1. All items have been submitted------------------------------------------------- ------------------------------------ � a ins, 3 Plot 1 . p /4 sets, signed by the preparer of plans. ------------------------------------------------------------ 10 E13. CompL-te plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- \11E4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- E15. En � e�ered gm truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statem.,nt of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- o ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ fr . Manufactured Home data and installation instructions including Tie Down Specifications .----------------- Feesof$------------------------------------------------------------------------------=------ ❑ 1 Impact -fees as showri'on the attached schedule. --------------,--- ----------------------------------------------- 2. California Department of Forestry plan approvaUfees. - --- - ------------------------------------- ❑ 1 .. Flood elevation certificate. -------------=-------------------------------------------------------------------------- 4..Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- •,❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: __________________________ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- W.. croachment Permit for driveway (construction approval prior to occupancy). --------------------- . Pre -inspection for 9 1 1211 required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. ---------------------------------------------------- 023. Owne---Builder --------------------------------------------------- ❑23.Owne--Builder Verification (Given to owner ❑, Mailed to owner ❑). El 24. Letter -of signature authorization. ------------------------------ 025. Recorded copy of Agricultural Acknowledgment Statement. 1126. Letter of intent on building use. --------------------------- El 27. Existing a utility clear ce. --- ----- -- -- _ gons and/�r -- --------=------------------------------------------------------- ❑29. 0433 A, Grant Deed, M.H. Title, n Check to H.C.D $071' --------------- _(Date) d W30. Other: When you issue the permit process as fo ows ❑ Mail to owner, ❑Mail to contractor. ❑Telephone " I and hold for pickup at QXV office. ❑ Deliver with inspector. Copy of Haz=Mat form sent ❑ Health Department, ❑ Fire Department, Copy of plans sent o Health Department, ❑ Fire Department, mer Date: Date: g "Z3 - e6 I„1 I . Index permit application for the above items numbered: El Plan Check List 2. Additional stems required: / Contractor, designer, owner, was advised of the above required data by ❑ phone, Amail, ❑ Building Divisionrcounter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised ed of the above required data by 13 phone, 13 mail, ❑ Building Division counter, by Date: Plans reviewed by: , G�yDate: _ ISIS Plans approved by: p- Date: �J--1 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. er. Note transfer by: Date: a , 7. COUNTY OF 'BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER PROP SED BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ 'L1-- Revised Plan Checking Fee ....... $ J / 2. SCHOOL DISTRICT FEES (paid at District Office) 3f SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Un UP D Commercial (sq. -ft.). $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x : = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES r7$510.00 (paid at Building Division) . SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P' #©-gy &a4x1 xq DATE ,7,3 too RECEIPT # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. DATE D® Pursuant to Gove&ient Cdde Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N( (Rev.12/9:1) T APPLICATION AND PERMIT - aen A�3a ASSESSOnPARCELNUMBEn ZONING a�r BUILDING PERMIT OWNERvTELEPHQNE 1--41 SO. FT, OCC. BUILDING VALUATION .OWNER'S MAILING ADDRES`S) — nn. Oov CONTRACTOR'S NAME rcu� e...-r,;r� e.-�.Es TELEPHONE Bg�-,,6992 CONTRACT RS MAIUNG ADDRESS �V %i -L- �C'.S � ter flfl �. (/1 � � 4300 CONSTRUCTION LENDEn LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDIVG ADDRESS 'Z 73 3-f ��.� �{ Permit Fee -J $ . O 01 Plan Checking Fee $Q, Energy Pian Checking Fee $ PERMIT FEE t L07 NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobllehome Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 TYPE OF WORK a`61&V - 1 v New ❑ Addiilon ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: G-Tti► (101 1Ao r.%-4rOri q P'Eri rr��A,,.:t �o"'n t�T►w�, C�C'P�-'A Lt'n% Each gai water heater or vent 115.00 Gas I in s stem 1 - 5 outlets � 1 5.00 �._. Building ;sewer 15.00 Mobile Home J S G W 920.00 I PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 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 L - Lic. No. b� V S t� 3 OWBUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason OR Less Main Service 00 ZOOov OR A LESS Main Service 200A TO f000A 23.00 46.00 �� NEW CONST:' OTACNCO OCCUP. OR AooNs. , a AceLnS. c. gD 3.5dF 4EW coSIO ' MULTI.OUTLETNO"E IRCWt @7.50 PBH OWER AP S a SINGLOUTLETE CIR. Ex. Occu . OUTLET OR FIXTURES zo o I.00 94L @ .so Ex. Occup. FIXED APPLNS. OR OUTLETS RESID. EA. 5.00 - Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 OT PERMIT FEE $ t✓ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit Is Issued. My workers' co a satlo Insurance carrier and policy number are: Carrier ?.- E� \ Q� TW-% A \-- S. MECHANICAL PERMIT Filing Fee 20.00 Heatin Coolin Hood 6.50 Ventilation PERMIT FEt $ Policy Number W po 3n1vi 'L 11N (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 those provisions. �w__3_ X Date �Z 00 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 "AZ o. FEES IMP ��D CDF pgpCEL Pp 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. Com' By Date _ PERMIT EXPIRES ON eta Receipt No, v WHITE-D.D.S.-B.D. CANARY -AS ES OR PINK-INSPECTOn GOLDENnOD-APPLICANT E. M USE ONLY Plot Plan Anaeh•d Floor Plan AtIftched Sent to B.D. / 1 TO: Building Department(� 06,3-.�FROM: Environmental Health 6 I � SUBJECT: Sanitation Clearance —j D L M (4k r"Ic Y) I u0��r��-1-, Owner Location AP# Plan Approved for: Sewage Dispos �A Water Supply: Public Private Well Clearance for dwelling. Other C 1 �,j a 'DW P L L Wt l , 't). Q n ..r�lti_ I"*N1,1n / A , ► 9/I Hold final for: Final clparanrp O-Kfnr- (VOTE:'' �, �►� oY Environmental Health Specialist Date 8/96 I s Ai'?r:OVED Butte County r-nvironmental Heal h '9 �D�te �— Signature �V V C, A P'# 1/2 RND. 6248 7848 DORMER }� -i 6--a 30 \ / 20 za / DECOR CLASS MIR O 538 1 I i COOLER OPT 1440 RO 4 UNI 1 IUI 0 p REF - - 111 I -Tf 30 DHN6 AREA ELF P1,a CLASS DOORS 1—vCw � � w/11 °r• r 'i 7/K I -6 7/8' wAt�Ex i 3040 � 1' 5I 6 3 8 114, GAS �' REVISE, 10'-5 7 LEGEND M I R R 1 0 R I M A G E 4610 WT loo 01418 I- 22/ R 24 1 1 4-- I 1 C � � 41 1 > Ot l l (D O I} CLI ;' I IO V E �-� F Di o_> ct.m �i DECOR ASS Q +} C I I O I T m > I �� � � t LU 6248 1 s' -Y 10•—� T WO TTTI[' WOODLAND # 17 SHT. LINE DRAVING i suxcxEsr OF OVA' g nnc1 58l)4A 1 COUNTY OF BUTTE — DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ;,sic 2 9 2UCC 7 bounty Center Drive Oroville, California 95965 •Telephone (530) 538-7541 PERMIT N0. (Rev. 12/96) APPLICATION AND PERMIT -�& , 7 ASSESSOR PARCEL NUMBER Mendez Victor &Rase ZONING BUILDING PERMIT OWNER 026-162-009 TELEPHoN 5 7 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2334 Kenilworth Ave Palermo CONTRACTOR'S NAME ✓ Fxecitive F=ies TELEPHONE IRM -610A? CONTRACTORS MAILING ADDRESS 3042' Esplanade, Chiria CA CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ' ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee 55412 $ 277.M ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2334 Keeilw—m1h Ave. Pal pxm Energy Plan Checking Fee $ $ PERMIT FEE S LOTNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Q Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 is 00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities SI Installation ❑ Other ❑ Describe Work: Nhnufactured hone On a permenant foundation, reply existi% mobile home. 25x60=15T0 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Feel 20.00 e000Av ooR R IEss Main Service zoLEss 1 23.00 .23.W 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. L License Class / d s'd% 3 C - TT_ UC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. & ACC. BLD S. s0 3.50FT. NEW CONST. MULTFOIRIEr NON•RESID. c 7.50 FOWER APPARATUS a SINGLE AP=US Ex. Occup. OUTLET OR FIXRES TU.w BAL @ I FUCEO APPLNS. OR Ex. Occup. ounETs RESIO. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i 43.00 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. JQ[ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. Mywork ' compensation insyrq arrier and policy number are: Carrie ! /�V/ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Numder / V a 8 (The above sections need not be completea 0 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 those provisions. _ Date Sign a of plicant - ❑ Owner ❑ Contractor ❑ Ag nt An HA 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 $ .585,00 HA,z. D. FEES I IMP I FIfO I COF PARCEL I PO HD_n This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have SRA By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date Dete Receipt No.ZAAffiWzr/zX// WHITE-O.O.S.-B. 0. CANARY -ASSESSOR PINK-INSPEC GOLOENROO-APPLICANT en't Ave '?a\ 0 V- rrf o C Ar - N o b 1 b g REVEVVEC) By BUTTE vQ. FIRE DEPT. CALIF. !SEPT. of FORESTRY ❑ approved as Submitted J approved L with conditions DGIr attachif d : ,deet. /y �) Sigr�atura Cats Net(.) PPo/)EP_Ty r�LL STRUCTURES AND EQUIPMENT INCLUDIN OVERHANGS SHALL I3E. pC_LEAR ®FALLS SID e �'`34Q�� T F3AC.� OF ap.FR® �L----- -- A SE j%0 �.r FROM THE REAR F'RC3RI=RT`( LINES A� 0 FT, FROM THE ROAD CENTERLINE SHALL I ECLEAR OF STRUCTURES OVERHANG. EQUIPMENT EXCE T FOR A 2 F r. EAVE 0601 D Cc)f}7-E/2 'J5__ 0 9 .10 _. _._I O � `� i ti w o Ave 1'a1,rrn o) oPc Ty '3oce,c�av�� RES A�"®INGLUr®li7�Q'0 f 9J77;� L "✓• ,ALL STR�ICTU GL�� Q�; p�L E,., �. \ NQS GA�-L R ^ i °,T ` e�D''�hD OVERRA WJ7 I - R�D SET-- �--PT FCR A 2 r — zs'$" xbo' Cl y \40 0 � 00i I D 0ATE� K enl i L-cvoie-TN A -0E 7a CDF FIRE SAFE REQUIREMENTS l6 2 z�nez. AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County. local regulations which equal or exceed these standards. Field inspections will be made by the Butte'County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Drivewav Standards 1273.02 Surface. All driveway surfaces and structures. (bridges, 1273.07 culverts and other app-arteaant structures which supple- ment the roadway bed cr shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. {�[] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius (7(} 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to' those from 100-200 feet. [�} 2.. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts.• Shall be a minimum. of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [�y 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3. /0A4414 -Z AP # PERMIT # NAME I�) 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 8.00 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet,.turnouts shall be provided no more than 400 feet apart. [)CJ 1273.10 Turnaround. A turnaround shall be provided at all building sites -on driveways over 300 feet in -length and shall be within 50 feet of the.building. 1273.11 Gates [ 1. Gate entrances shall be at least two feet wider than the roadway it serves. [ 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ) 3. Where a one-way road with a single traffic lane -- provides entrance, a.50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [,] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. J 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�1 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r f_-ial inspection of a building permit. Page 2 of 3 AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves ] if Building Setback is Less Than 15 Feet. Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D Glass area not -to exceed 10% of wall area toward property line with insufficient setback Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry -veneer Metal Other Butte County Fire Department approved materials 7 CDF FIRE SAFE. REQUIREMENTS AP# PERMIT # NAME' Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County, local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these . standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards '$/I�L 1273.02 Surf_aca..,-All-_dr-iveway_sur.f.aces-.and_.struct.ures-_(bridges.,. 1273.07 culverts and other appurte:zant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1.273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet.to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum. of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [�y 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 1, AP # PERMIT # NAME I�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 8.00 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet,.turnouts shall be provided no more than 400 feet apart. [�() 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet_ in length and shall be within 50 feet of the.building. 1273.11 Gates [ 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where--a--one--way- road- with• z _s.i.ng•le• ,tra_f-f: c-la-ne�- provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ ] 1. All parcels 1 acre acid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [j 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation, and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r f_:ial inspection of a building permit. Page 2 of 3 AP # Ark PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves j If Buildina Setback is Less Than 15 Feet. Choose any.3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not, to exceed 10* of wall area toward property line with insufficient setback Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry - -<, Masonry -veneer— Metal Other Butte County Fire Department approved materials .i 2- -0� Date Signature Page 3 of 3 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 08 -Nov -2000 2000-0043269 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. VICTOR L. MENDEZ & ROSE M. MENDEZ BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNERILESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 2334 KENILWORTH AVENUE 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS PALERMO, BUTTE, CA 95968 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP SAME 00-2038 (530)538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUJI.Wq.1PERMO. TELEPHONE NUMBER it 7/00 CITY COUNTY STATE ZIP GNATURE OF LOCAL A Y OFFICIAL DATE SAME EXECUTIVE OMES UNIT OWNER (if also property owner, write 'SAME') DEALER NAME (if not a dealer sale, write'NONE') 92081 MAILING ADDRESS DEALER LICENSE NO. cm' =wry SrAw LP UNIT DESCRIPTION FLEETWOOD 2000 5604B SUNCREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEMMBER CAFLYI7A/B23923-SC12 60' X 25'8" RAD1284446/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL'NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 026-162-009 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept BUILDING PERMIT NUMBER: 00-2038 Address or location of unit: 2334 KENILWORTH AVENUE, PALERMO, CA 95968 ' Legal Description of Real Property: A.P. #026-162-009 SEE ATTACHED (x) Mo bilehome/Manufactured Home O 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: VICTOR L. AND ROSE M. MENDEZ Owner's address: 2334 KENILWORTH AVE., PALERMO, CA 95968 INSIGNIA OR HUD NUMBER: RAD1284446/7 SERIAL NUMBER OR V.I.N.: CAFLYI7A/B23923-SC12 MANUFACTURER'S NAME: FLEETWOOD YEAR: 2000 OFFICIAL APPROVING INSTALLATION: DATE: 11/07/00, PHONE: (530) 538-7541 H.C.D. 513C LEGAL DESCRIPTION kP. #026.162-009 All that certain real property situate in the County of Butte, State of.California, described as follows: LOTS 8 THRU 10, INCLUSIVE, IN BLOCK 32, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TOWN OF PALERMO", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 17, 1891, IN BOOK 5 OF MAPS, AT PAGE(S) 4. m7c'fwoo OF CODES AND STANDARD9 — — 'b . • t . `. - ..MANUFACTURED HOUSING PROGRAM. MQNUFQCTURER CERTIFICATE OF ORIGIN DISTRIBUTION: ORIGINAL (PINK)..,:.-'– _FORWAROTO T� fIYVENTORY.CREDITOR. UNLESS THERE.IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD TO TTMMEE DEPARTMENT AT P.O. BOX S ENTO, CA 9502-1828, WRNIN Fn%E (5) DAYS OF RELEASE.. ,: COPY 2 (YELLOW) " DELIVER TO THE TRANSPORTER TO ACCOMPANY THE NIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCD 483.0 - Side 1 - (7/97) ❑ CHECK IF THIS IS A DUPLICATE MC04 NTER ORIGINAL MCO NO. ' MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING XXX ❑ SFD (SINGLE FAMILY DWELLING) Cl MUMH.(MULTI-UNIT MANUFACTURED HOUSING NUMBER OF 2 TRANSPORTABLE SECTIONS -COMMERCIAL COACH".:, OCCUPANCY GROUP -MANUFACTURER NAME: - - MANUFACTURER LICENSE NUMBER: FLEETWOOD HOMES OF "CALIFORNIA: INC.-;: 9534 MANAAVVRft:AVE . SUGGESTED RETAIL PRICE PO ' BOX , 1308, ... ... .. ... _. _ ........ _. _ . ..WOODLAND. ... . _.. .... _ ...� '9577 Street Ci State MANUFACTURER TRADE NAME. MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: . SUNCREST `-` -5604B 2001 ;10/09/2000 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): •: S13CUR_ITY CALIF. DEALER NUMBER OR : DATE OF TRANSFER: X/H SH_ OW/NORTH, INC. TRANSFEREE DESIGNATION: DBA: EXECUTIVE "HODS 92081 10/09/2000 DEALER OR TRANSFEREE ADDRESS: 3042 ESPLANADE CHICO CA Street CI State Rip)95973 INVENTORY CREDITOR NAME: TRANS •AIaERICA' ........., .. -- ..... .. .. . INVCilT4� LC tDWj&§ERCE BLVD 350 Street) . CHARLOTTE. .. State (City) NC 28226- .. SECTION MANUFACTURER SERIAL NUMBER HCo INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT 1� (INCHES) INCHES (POUNDS) 1 CAFLY17A23923—SC12 RAD1284446 720 154 22,38 2 CAFLY17B23923—SC12 RAD1284447 720 154' 2340 TRANSPORTER NAME: D & R" TRANSPORT TRANSPORTER ADDRESS: P.O. BOX 179 street(City)DIIRBAM state CA z 95938 DESTINATION FOR UNIT DESCRIBED ABOVE -- - (NAME) NAM Street C' State Z l cwt4•under. Pwtw<Y of Per)urN under Me Jaws of the State of California that the ahwe tads, ere. true end ConOM. Executed on 10/09/2000''.:.. WOODLAND _ YOLO (oats) 'City),. (C lY)j (County) (state) �� SIGNATURE OF AUTHORIZED AGENT: 1 1 DISTRIBUTION: ORIGINAL (PINK)..,:.-'– _FORWAROTO T� fIYVENTORY.CREDITOR. UNLESS THERE.IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD TO TTMMEE DEPARTMENT AT P.O. BOX S ENTO, CA 9502-1828, WRNIN Fn%E (5) DAYS OF RELEASE.. ,: COPY 2 (YELLOW) " DELIVER TO THE TRANSPORTER TO ACCOMPANY THE NIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCD 483.0 - Side 1 - (7/97) 10/02/00 09:46 BIDWELL�.--TITLE CUSTOMER SERVICE 4 530 891 8753 NO.896 P002 I ul .No. Escrow No. 400440S-3 WARA"kCOADED MAIL TO. 9.4..0.0.8252 11'Re-0 'Fre • .9.00 I b0c .16.50 VICTOR L. MENDU Reearlfiwd: f Chuck ROSE M. MENDEZ Off k0a 1, Recorde I. 2334 KENILWORTH AVE Cput?ty PALERMO, CA 96968 as 111) 2 MAIL TAX STATEMENTS TO. DOCUMENTARY TRANSFEA TAX UAM us" 0 "ka d 00" a I op SAME AS MOVE an .14 OMMUMM.0 VON bu* W4 91 walewom T•hA ngd8tSIpqd GrnnlA;.dGrlpnm 0 AUNT FOR A VALUAAU CON606P.ATION, tWelpt of which (A!Wsby, ALICE L VICKERS, an unmatriad woman haraby GRAW(g) to VICTOR L MENDEZ and ROSE M. MENDEZ, husband ifild*118 ,is Joint TlftntS CW* of elm. FOR LEGAL DESCRIPTION SEE ATTACHED I 10/02/00 09:46 BIDWELL.TITLE CUSTOMER SERVICE 530 891 8753 NO.896� P003 •:!••.r,'� '•i_ �� I,j:t>,^.'.,Z,: ::ivj,A`>::i�'S r):LG'r�:'. ';1' ..�r., r .. s:•:..',,,. iiil,'�ijk:•. •:i:` t':C'i�'£• jnK r..:a : t.�;, �' :fir: ',. •ra �:`: `vI� r ... ,ri • •�' 6`.k2}: `:r' ,:rs %.:! a /rti �.: �; �,$ .%• x � 1..,' , t • � •, • i;l"✓:1.' ;.i;L no, i.,:,� '.5r< p•1' :;4. !t` , (.:.: ).,!"7:�LYW:`•i�a�;l.!:",'.:;. - vlt, •.>.• _t:: plt .a� ,�.+t ��'!:flrr, ����� .. r, y;''o'w• ; n',.5, �� .:`>,��?. r.d-�:�: •,,,.: ,a••:::; r",. ice;: �•., 1. i :: i � • ::�a• .ti, r �.;:AJ .r...� ; ,., j .:,,.1'��Ca`!p`• =c:- '•:'1�'.. 1' a. ' ,,: `.., i •': :1.� .I 1. •,1: �,�, '..��: �'i;•. ,�>> �„Z'`.°'•�ri.� y'�!y','�S��:rr!.,'!(';�?:+::?rtr's::.. t:�:,};!;S:F.....'..�;••,.,•<. � •ti:,,:�>':•. I 1 � i' . > , ryg�; rr,•, ;!'.,r;,-• 5'•.. t1;. ,t .l .'A'':': r'''' • >�.: f. , i. .. ,,:,,':ir:..f. i r!; J-•.'. 1,.. tv�w• '� ��`=iCf `1'7 �'- ,•..', ' .. - I 8D=1te 40044-3: ALL Tii11T ,CERTAIN R871L .PROP81'Y: SI'1'D11'1'$ IH:' TEi$':STATIt :OP' CAI.Y�'ORNIA� '^ ,.. COMM OP'.W_M,' DFSCR%BED M,'POLLONB't, LOTS 8 TBIW 10, INCLO6IVBiI�T~SLQClC.'32� �1S SHOWN ON TEAT C 3tTAIN '{ t'. Up Bt�TITLBD# • *TOWN OF:' PALF.RBO!� : lilfZQ! ' li11P. ,lIA3..•R800ItDBD IN m i :.. • ��' OFFICE OF THE RBCORDRR O�!•'�'iB' CQUti'�'X OF $U'1'TSy $'1`ATL, OF CALIFORNIA, f� ON PRBRUARY 17; :1891, ZN • BOOR • A* .Cr- XM 0 AT • P, G= . 4 �. • . J : ;;`' .. • :: Vit. � .. , J+9: V. .•A r �' ,,.i' .i'�'-J!{'� ••t�fr:fi. q lira :I " ,:t •.��:i . �i•� P':':;::•y, f••� / JAS •' .I %1�'. '�t.'•va:>,.>, .},.•:,*;.. •� '4-11 �?moi'- .D:� :)i 7n :;:�:•,':�• i.;yE;'.; :. • •1 1 •� - ..•:'r , a, f^`, 'a�,••.ti l,`..,jy. ,r�' .J,•,,}';s. ..( �.•rL;a •.r!i�:�%�°: r , •:l':�{ •' , ;s:.., .:.?'...�..,,.y,. .*1�"• .� `,.�' : w<:,r,. .,, ,.i. •,. ).. .• J.•::::�� �•x:t'•�.,+r-. :}�-isr { , Vii• .,, •, -: •� ,,,:. i i• 1, BUSINI� , TRANSPORTATION AND HOUSI(_ AGENCY DEPARTMENT OF HOUSING AND COMMUNITY uEVELOPMENT - DIVISION OF CODES AND STANDARDS' REGISTRATION AND TITLING PROGRAM STATEMENT .OF FACTS NEW UNITS PERMANENT FOUNDATION This unit is a: El Mobilehome 0 Commercial Coach 0 Floating Home 0 "Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) �Le.�Tood 24�L/Y/�A//�2-39a3sc-l;L �c.cncre.eS�' S60 -y$ I/We, the undersigned, hereby state: DEALER REPORT OF SALE THE ABOVE DESCRIBED UNIT HAS BEEN PLACED ON AN APPROVED FOUNDATION SYSTEM IN ACCORDANCE WIT11 18551 OF THE HEALTH AND SAFTY CODE I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on,/49'/1 Yod at , let4� Dat) (City) Signature(s) Address Printed names) City (����.� ,State HCD 476.6 (REV 9/91) , MCI (State) -- BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District A.P. Number Df 4Of — MIILrisdiction: City Property Owner Property Location/A4 Subdivision Building Department No. 032-()67 County '~ Lot No. �� ................................................................................................................... Residential Development 0 No of Living Mobile Home Addition/ 'Supplemental to Units Installation Conversion Permit # '(No foundation inspection); ................................................................................................................... Commercial/Industrial New Addftion F1.1lufflno Department Representative. (Floor Plans reviewed by School District District Identification No. 010-044 1 Sehool District certifies that (City) has compliec with the requirements of Resolution No. /,5-[Jz) square feet. IF School District Representative Paid by Check # Remarks: 1 (State) Sq. Footage f�� (Group R) Sq. Footage (Including Exterior Roofed Areas) Date (Applicant) (Phone Number) (Zip Code) V r -w Q Jy by payment of $ AB 2926 FULL MITIGATIO S Date Notice: You ruay protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant►, Yellow (building department), Pink (school district) feeformAs 110/98)dmm PRE -INSPECTION REPORT LOCATION:_ CONTRACTOR:-RE:7,�, PRE-INSPETION DATE TO INSPECTOR: 1S64-- . PERMIT HISTORY:( ) NONE Building Description: Electric: A.P. #: ZONING: /111 -AS FOLLOWS: BUILDING INSPECT'OR'S REPORT Commercial/Usage: Residential# of Units:_ Currently Occupied ?�� AbandonedNacant t Yes_ No Electric currently On ® off Condition of Electric Gas: Natural Propane None r Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working ;Potable Water Obvious SewageProblems Comments: ; ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector• Date D10Z1(9 Sketch buildings on reverse and indicate location on p-roperty- 26-162=%2%1 - `E VICKERS f M 6337 --'Palermo Rd., .oroville Permit #188-79E (ele ser ch & wiring) WTI r g) SF: i n � a '•} 26-162- /. Permit#1655-80E (ele ser ch) / _ �y ~•��, fk w 1 26-162.4 i P�02302-83P,E(util, MH) ELEC ',/& -S 4- oVo jq - GAS A/4 ___.. SUPPORT STRUCTURE REQ v2i� COMPACTION TEST REQ 26-162-2-- 0 Permit#158-84MHI Issued_ 26-162-W j PErmit#2938-87MHI ( ffe;existing sit ISsued���"- /�!l /�J871 Nt 11.44 IN i , . •. t' ,t•' ,11 SYS j' •.o: 1 . - Myti CY,17' 107' L -� Z w 0/ O (.7t -y r)o9-- N F �'f xL 'RSF �k. ti � ��1 a I 9� F y:•rF SYr } �� fu � x"- �_y Y'�J��A`�. uv. :!; - ��''''�,�o,�c.� -'�•w� �.: ���� . �.,. Lys , vY .. � -•Tx�f h:r'rx+r Y �•'♦avtt ...,d.'� F .,�.�:•�, t ,., Y'v f• Y v .,, h 5.2� y5;3•".� ,'�3r¢:�L��,.r� ���+t'•e+�,i - ��° _�4 .`°• i i6``��lk't i;;�'fi4`�4Sai` a"�� ��,„�3'n`a�il F`-,i�"",�'jiY3y�q!.+,°erssgt°3?�• � •'+„• •A� �x� . ��$� 2c`o '�'lq r�i;,W a G r•+ 1 t irA Yy., y, ryt.,st „ix,�eyr V 4"y'i: ry �'ir.a4 1. �ti'�. •ice !L~� :;,•:1` iF+.. i'r. �_ �,, 'Z: � '"�: y tri K"�*.: .. 1:. v.1�;r. .N *r 1%n•!• � ,fir so. and spec fications 9 ; all times c nd it is un R � cne+ges r alterati ns on sa . hoist ywriften pernr►isot+ r©m the D Dparfment f PubI1Q t 1Nlats County Buf#e. F 7 a l 'IoC"x'1���4��•St+4.��T,� �`S2�Fy S ` � u'i •F��y��r Y'��j%' .•�� . LVOT k''A{4 %late z2s i WorKm nship ,h, AcaoTdance witLrt f oc nized GodFrame�nf off. o q00bty prescrii a or the S oecifiod t D Uniform i3udirg, RlOmirxg iu Ma hamaal an the Ngtiona! Electnca Cbdo. ���aC«r"Zt t. ��a}'fh� I � 'zm �rY}' .r �� Md h'±r+,et+j•�rr6 c' 01, I _ tility co nec ions shall b with In f?Sr ft. of thes ' m bilehome, dither I j �• rlc,/e irectly b hin I or within ho roar z t elf4 f the s f�ifeho ~ e. ^� y a c y. fa•: .i}x3 r x �J„F'JTra�d'• � �``f�+rti,"+-�'" u'w,+y� Zv+�.``�'*`.'f � 'C�'Y'r„ " �� j ° S: S � 1 c L 1 _n ,�.•`�.+�Y-F•3 .y:�T'•`ra 4�ri* ILDI19�r"i��`+.M'x.st 4�,t•e3, 7i . t S pp. f A se#f�ack� • ,, . rom.thr o' e , property lines and a setback ,of 50ft, from the road M1N•.NvsT'GleOSS� centerline shall be clear of Ppb 0�t I�iIKAI tA�N { structures or equipment except M�Ns�SE'CRRtK . overhang:. _ - July 21, 2000 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 53877541 (530) 538-2140 FAX Victor Mendez P. O. Box 703 Palermo, CA 95968 RE: Existing Mobilehome used as storage building. 2334 Kenilworth Avenue, Palermo, CA APN: 026-162-009 Dear Mr. Mendez, The existing mobilehome placed on the site with permit #2938-87 (final inspection made 10/12/87) may be used as a storage building with the following revisions. 1. Remove the kitchen (all cabinets, sink, cooking facilities, etc.). 2. Surrender HUD/HCD labels to HCD. 3. Provide a letter stating that the structure will not be used for any purpose other than storage. 4. Disconnect all water, sewer, and gas connections. Electrical power may remain connected for lighting. A permit will be required to convert the existing mobilehome to storage. Please contact me if you have any further questions or concerns regarding the above. Si erely, Micael C. V eira, C.B.O. Man ger, Building Division 1 i Post -W Fax Note 7671 Date 7-�- 00 pages / TOP . L.Filefti l l From /V. (//6/l A Co./Dept. Co. Phone # Phone # Fax# g%S3 Fax# ICf?p.2/�ID c) -33y T CC 4� V- ✓nv . 1� I ��Ol 00 0( -O -f LZ Ob �i� �fevu2Z P� 3ox '103 we,-� �G � 530-851- 9753 �. 2. 3. 4. 5. 6. B. C.I.-1 Drainage: A. Thermalito Area 1. Residential - $510.00 per living unit 2. Commercial - per schedule in Ordinance 3304 Recreation Districts: A. Chico Area Recreation and Park 1. Residential - $1189.00 per living unit. 2. Commercial - None. B. Durham Recreation -and Park 1. Residential - $1.04 per square foot. School Districts: A. All 1. Residential - per schedule of each district. 2. Commercial - per schedule of each district.. Sheriff: A. Entire unincorporated area 1. Residential - $360.00 per each single living unit. 2. Multiple - $252.00 per each living unit. 3. Commercial - $0:03 per square foot. Street Improvements: A. Chico Urban Area 1. Residential: a) $1670.00 per each single living unit. b) $1010.00 per each multiple living unit. C) $755.00 per each mobilehome living unit. 2. Commercial: a) Retail - $2.20 per square foot. b) Office - $0.36 per square foot. C) Industrial - $0.13 per square foot. d) Other - per schedule in Ordinance 3305. B. Thermalito Urban Area 1. Residential a) $595.00 per each single living unit. b) $355.00 per each multiple living unit. 2. Commercial a) $23,849.59 per acre developed. b) $11,924.80 per acre - office. 3. Industrial a) $5,962:40 per acre - Light. b) $1,192.48 per acre - Heavy. State Responsibility Area fee of $89.00 for parcels located within the S.R.A. for California Department of Forestry plan approval and inspection. Rev. 2/6/97 Vi' Ave, 0 09 Met(.) P"QoPE.P- T -Y voce f4-)4) P ll Iropozed — 2 e! 1w, moo' �olnl- *'c 06c) 1 FAJ t5u /,r) / X-) A 7/'-F 0 r-, nr-PA�lwerll't& ( RUILUIN p p R o V Q6 1. Owner's Name: \l N c, -r' �L 4 �5� M-&%-6 IE Z— _ 2. Assessor's Parcel Number: 3. Installer's Name: zS 4. Is the site currently under permit? Yes[ 1 No J Permit No. 5. Is the site an existing site? Yes[` 1 No[ 1 (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? V40 Amperes. 7. What is the mobilehome site circuit breaker rating? \00 Amperes. 8. What is the electrical rating of the mobilehome site? _-00 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ j NoN ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] N)o [41 If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural'►) Propane[ 1 None[ ] 12. Size of as.. pipe at the mobilehome site from the meter or tank: 3inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 10 ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE O'T'HER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION n PUILDING FPA-P7'Wflr-Fr1. May 1995 8.5 M.H.I.- 2 Mobilehome Manufacturer: wo-o'b Manufacture Year: Zoe 1 If other than single wide, furnish Setup Model Number: , SVOM 13 Width:?,';/ %, (ft.) Length: 610 It (ft.) Tagalong or Expando Size 2p+ (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation gradeN ] Other: SUPPORTS: Concrete:block[�4 ] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 Line 2 ................................................................................................ Main Beano Lice2 ............................................................................................... ine 2 Line I Line 3 Line 2 ................................................................................................ Main Beams ..........................................................................:.................. Line 2 Line 1 ................................................. ine S Tag or Triple ine 4 ine 1 f . Line 1 Piers: 3bx3t� 3b�c3o 'N,0,9 3b�?o Size minimum: r, T11 x r z'l Spacing maximum: $ ` O From ends -maximum: N ` 01 Line 2 Piers: Size minimum: x Spacing maximum: to 0 ` From ends -maximum: Line 3 Roof Loads:• Size minimum 1R Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: ] x [ Spacing -maximum: From ends -maximum: ` 4,,,3,g 3bx3t� 3b�c3o 'N,0,9 3b�?o -1.300 O bM 19 &iU6lLDING PAR . May 1995 ' . 8.4 dile aa« 1 pt -3 M R CC FRI r 4 �o p0 _1101 � / I /ro 9 i •F I Y r w s J p d -- m 1 pt -3 M R CC FRI r 4 �o p0 _1101 � / I /ro 9 i •F I Y r w s J p 1^i r -- 'r r £0/ZO 'd q U • V N u � � ^.i � •� YI o q ► u N to > m> pt) m D m> m�> ��� N m T m D m D m D� D m>��� qr i a u a m a l� r fs '4 M � q a APPRO�� SM 399 069 'ON Xd3 V0,010M S3WOH 000M,1331d Wd 63;60 03M 00-£Z-O(ld n R CC -10 r 4 b A ry £0/ZO 'd q U • V N u � � ^.i � •� YI o q ► u N to > m> pt) m D m> m�> ��� N m T m D m D m D� D m>��� qr i a u a m a l� r fs '4 M � q a APPRO�� SM 399 069 'ON Xd3 V0,010M S3WOH 000M,1331d Wd 63;60 03M 00-£Z-O(ld Ld 6' (D 36' ar. � Q 0- . 3/8' PLATE 8' B' � carcow � i I-- • - yr'iun r' Wim• (, R Pp MATE m :i' z 4' balm 0 0 0 Typ a4 - szszslTrL - . Dr - OF` ' GRIPPER BASE GRIPPER PLATE O 1i II 0 w TOP WEEW - MG P - PAD. Q TUp_'. �� I•i ar:: wlotaatn , 1-1i2'SCH. 40PIPE r— WITH 3 OR MORE !6' GARDE 3 PIt1 CR E�tJAL • ♦ LOCK Wii7{ Y LOCK¢JG LI ADJUSTER HOLES _ ♦ NUT OR PW r SCH 40 PIP£ ' ., w/ 2 ADrJST•ER HOLES ' SIDE VIEW - MGP - ,PAD 2' SCH 40 PIPE a f + WELDED TO 1/4` j N i BASE PLATE - m VW XT BRAC£ N 2'X 2X3136' BARWfMN3A6' ° X 3f4'FMIEr'NE D. LO ANGLE IAO / 7YP OF a m 28' LONG 00 m 3 r%2'GIa nA7®_/' I mm 90cm (I 4k: FAIr CD m ;• IfQ! m END VIE! - MGP - PAD IAGP a, UNDERLAYMENr GRADE PLrWD. P S S CCA PRESSURE TREATED CV L m DESIGN LISTED AND TESTED BY: BSK ASSOCIATES WAYNE T, POL•VADO, PE - LISTING NO. F94249 LIGHT - HEA�'rWBC++T PAC} o I 16" X 6' ANCHOR BOLTS TYP OF 4 pRelmuca f xaanFxotnE povt+DimDa sysZzx EE AMANDSAF1-YODDS•sE3=Cff-PACtFIC i011SBl71MS EI961ilEEI3 APPRO'!ED 21SOftlAvwrAw*1 6 Pft246 S64 4431 fteranuwAs, CJL SO= Fes. 914.85/-d03i SLm= m COBREcrAm5 NOTED . m„ AUrAORMCRAPPRMAMv TUF-1 PERMANENT AVhXAeLB �,fn �"�`�"°O1° FOUNDATIOK SYSTEM Dgaceeoi d7iauiuj aif Cba.®iq � . CrM N CPCDOESAM STA 0AAM ABESCO - GUS GUARD COMPANY sa►,» _ 40 —low CATEMYS VALLEY, CA. 95306 ,• se ro,Y=kX �20*"&"43 dram _ ZOSG YYi ,F -N 0C Z 4 r¢ ti E-49- V, o 0P)J 02b - 1bZ - Dpg a C4 y C'4 W - ('J a n {)h rl - EACXTILL W1 A -C. r c� r t✓ ►!✓ a+fs ASPHALT SET :STIR CONCREsTB PAD O U cn LLI CQC Q 3x1C'�7 Q TR* M FT' MORTAR, :S MAX THICKNESS, f=0.6 CONaV= SET Wrrd COMMIE PAD W RED HEAD OR EQUAL Z' FROM CORMM ~ TOTAL4 m N Ln fcc�e 2a m co 1 - mfrTco - COBE M SEI WTM MGP PAD co m CD CD CN L0 CN Lr) CD 'SNGLEWiDEUMLISRECtARE Gus GUARDEzTiEPADS Nati ius &m� TLS JPays are la trP pfatYd ttt �"awutelY 2L1[d arlet7mfs td� ends kmae lora .SBiGF,SYIDE ANC`M+S@ y 5 INSTA1LIA E - Z TIE DOWN SYSTEM 7'395X Tini7:a, . Da.—, -N APPROven AN'�G101G0E11dT'AL))IgR� QlAnXo" RT . APAiCAB[L STJ= L.ALAWS ANG 8MOULArlZa� SPANa . �Y pyb d/Z3/6c7 44 FW Aipmd &4- TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO -GUS GUARD COMPANY P.O.BOX 323 CATB3;4S VALLXY, Ck 95306 4000,FAX 2�bii�9 SHEET 3OF3 u ►IM r` 10 12 14 18 1.- 66' 6 E B d 'SNGLEWiDEUMLISRECtARE Gus GUARDEzTiEPADS Nati ius &m� TLS JPays are la trP pfatYd ttt �"awutelY 2L1[d arlet7mfs td� ends kmae lora .SBiGF,SYIDE ANC`M+S@ y 5 INSTA1LIA E - Z TIE DOWN SYSTEM 7'395X Tini7:a, . Da.—, -N APPROven AN'�G101G0E11dT'AL))IgR� QlAnXo" RT . APAiCAB[L STJ= L.ALAWS ANG 8MOULArlZa� SPANa . �Y pyb d/Z3/6c7 44 FW Aipmd &4- TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO -GUS GUARD COMPANY P.O.BOX 323 CATB3;4S VALLXY, Ck 95306 4000,FAX 2�bii�9 SHEET 3OF3 SN9DE UWM Tx 10 12 14 18 1.- 66' 6 E B d B8 1 10 _10i: 101 10 'SNGLEWiDEUMLISRECtARE Gus GUARDEzTiEPADS Nati ius &m� TLS JPays are la trP pfatYd ttt �"awutelY 2L1[d arlet7mfs td� ends kmae lora .SBiGF,SYIDE ANC`M+S@ y 5 INSTA1LIA E - Z TIE DOWN SYSTEM 7'395X Tini7:a, . Da.—, -N APPROven AN'�G101G0E11dT'AL))IgR� QlAnXo" RT . APAiCAB[L STJ= L.ALAWS ANG 8MOULArlZa� SPANa . �Y pyb d/Z3/6c7 44 FW Aipmd &4- TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO -GUS GUARD COMPANY P.O.BOX 323 CATB3;4S VALLXY, Ck 95306 4000,FAX 2�bii�9 SHEET 3OF3 33. LIGHTHEAVY-WEIGHT PLASTIC AND S7EEL, PADS MAY BE USED IN PLACE OF WC'L)AAN= PADS Id0B16; E _z TIE DOWN USED ON S1T1QE-WAIL; ROUND STAKES [3k x 141 MAY BE USED IN PLACE AM 2FiO A FTT CD P,. m SYST191 �'a1271AW0 su-FrYcooE.s�crn^e( as OFTHE 1"X ]!S' FLAT BAR W}ff3t 50>JI.IS EXTREMELY HARD OR FN R0f3:. HOLES MAYBE PRE -DRILLED, WEEN NECESSARY. APPROVED 17. (Z, IS WAStIy TLff-1 FOUNDATION SYS-TEMpROYi]DES ALLOWABLE SNORT LOAD TO 100 PSF 3U873CT70 CURAEL-7%= 7Knw WHEN INSTALIM WITH =STING S' ANDARD'o RE•QUIRFD $Y COACHMANUFACTUREK w910%LVMN rxvTISCIasa.pewfs. n OR RI -LACE Tn=—d ON A ONE TOOK BASS +�uoaQvea®r+r v{rew�oaa:o ArVIXAMU aerie LAwa MD UCUL.Qpa 1b. FCXD, TlCNBLO=16' x t6' x 12' PotIAF33IN P1.AC.-AT OtCgM,FVEL MAYBE USED. "afcaada -- ILoprt�dlka sal c�4 -AT DISTALI37RS.DLSCR nCK AS ALTER14AI.,'.T0.?A7-S': ' - D2Yi41 P! OF C=S3 AM STA?07A8D8 VAUE1 Sd' - 71✓ SEE TAa-r ad 3NOr j pyA�� S/S or m L-' L I3--M.ri?-a-.T w ' J F `-= — Q (�3fDG= AS ;z-=-0 1 YY Hllilk'ACiL'RM TYP. GENERAL NOTES GUS GUA" TUF-.I . Iti a'- LL ❑a t. DESIGN LOADS ; LIVE LOAD - 30LB. n FLOOR LIVE LOAD - 40 PSQ o� WAND LOAD - 80 WN EXPOSURE -C- SE3SF4C ZONE -s" � u • SNOW LOAD 100 PSF /I 2.. THIS FCUNDATION SYSTEM IS DESIGNEP 7 013E CaQSTAUC l CIN A FAIRLY LEVEL SITE �! I •WITH NO STING SILL PROBLEMS 3. CHASSIS BEAM SUPPORT SHALL BE LOCATED AND SHED FOR THE LOADS AS SHCRVN IN - THE MOBILE)J0M(E DtSTA1LA7I2N fNSTRUCTMN. - 4. n, AREAS WICEREDIFFEREmmi.SETTLEMENT fD.S.I CAN OCCUR. mANuFAC7TIRED ROME SHALL 3` READIUSTED VMEN D.S. EXCEEDS ]AT' CHR WFEN IT WR.L HE ADYFRSFE.Y ASFECT MANUFACTURED HOKM UN7T. S. CAM) ALL FOC7ITNGSDOWN TOFDL%LUNDLM11MDSOLL.FOOTINGSARE DESLGNM FOR 10(8) PSF TOTAL LOAD SC IL PRESSURE AND SHAH BE CCM PAMELU WITH LOCAL. Sta COMMONS. CC&IPACTED SAM MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. SFMfJCTURAL STEEL. FABRICATE ACCORDING TO ASIC SPECIFTcATRMNS WE1ID O ACCnMING70AWS SPECIFICATZONS: ELECTRODES -370 PLATES -ASTMA36 BOLTS U) SAE GR c -ASTM A449 - A•S'TM A3M- Ld Q 7. THE GUS GUARD ASSEMBLIES SHOWN BEL W. SHALL BE LISTED AND LAB.R M BY BSK AND ASSOCIATES FOR TIM FOLLOWING LOADS: ALLOWABLE E LOADS IHOPJZON TAL VDCTICAL GUS GUARD TUF-t �� . ' 6000E GUS GUARD MGP PAD 22000 600D)t GUS GUARD EZ TIE PAD 22wx 60ow E DUR24G PRELAUNARY INSPECTION. THE ESTDAATOR SF[AL L ENS[IRE 1 -}LAT IaoBILE FD06M CHASSIS BEAACS ARE OF STAtmARD SEC XX 9. EXISTING COACHES MAY BE RiTRAFTTTEDTORESISTSELSi4CFORCES BY114STALLIXG GUS GUARD 7TIF-1 UMTS AS SHOWN ON THIS PAC-'= OF7YPICAL f:O(jNDAi70N PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION RH FIAOD PL IU N AREAS WIRE DEPTH OF FTOCOBVG DOES NOT EXCEED THE HEIGHT CIP T7ARm FE7:7 ti C'4 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUI IBM OF TET -1 UMTS In UNDER EACH UNIT IS THE SAME AS SROW N REQUIRED PER EACH UNIT. m M I2. MNG F -WIDE UMTS REQUIRE ADDITIONAL RESTRAINT '(SEESHEETow I3. ALL METAL CtWGIOKENTS AND ATTACHMENTS ITE3AS SHALL BE PRfOTECIIVE COATED. m 14. FOR MGP PADS USE I IB EXTERIOR PLYWOOD WITH WOLMANLZED TREATbfiWr To o.40 MAX PCF RE-CF1MOfv %LTH DRYING AFTER TREATMENT. m m CD CD c�1 U7 C'4 Ln CS) 33. LIGHTHEAVY-WEIGHT PLASTIC AND S7EEL, PADS MAY BE USED IN PLACE OF WC'L)AAN= PADS Id0B16; E _z TIE DOWN USED ON S1T1QE-WAIL; ROUND STAKES [3k x 141 MAY BE USED IN PLACE AM 2FiO A FTT CD P,. m SYST191 �'a1271AW0 su-FrYcooE.s�crn^e( as OFTHE 1"X ]!S' FLAT BAR W}ff3t 50>JI.IS EXTREMELY HARD OR FN R0f3:. HOLES MAYBE PRE -DRILLED, WEEN NECESSARY. APPROVED 17. (Z, IS WAStIy TLff-1 FOUNDATION SYS-TEMpROYi]DES ALLOWABLE SNORT LOAD TO 100 PSF 3U873CT70 CURAEL-7%= 7Knw WHEN INSTALIM WITH =STING S' ANDARD'o RE•QUIRFD $Y COACHMANUFACTUREK w910%LVMN rxvTISCIasa.pewfs. n OR RI -LACE Tn=—d ON A ONE TOOK BASS +�uoaQvea®r+r v{rew�oaa:o ArVIXAMU aerie LAwa MD UCUL.Qpa 1b. FCXD, TlCNBLO=16' x t6' x 12' PotIAF33IN P1.AC.-AT OtCgM,FVEL MAYBE USED. "afcaada -- ILoprt�dlka sal c�4 -AT DISTALI37RS.DLSCR nCK AS ALTER14AI.,'.T0.?A7-S': ' - D2Yi41 P! OF C=S3 AM STA?07A8D8 VAUE1 Sd' - 71✓ SEE TAa-r ad 3NOr j pyA�� S/S or PADS 1N ANYPAI Mb y BE RDATI'D 90 DEGREES GI ROFFSET- O G03F3LSIDE TO AVOID CZEARAMa •. :. �. -• •.. -r - ice• •.• i a •err yr ..i .r.v r. •. SINGLE INTOE UNITS E= Z' uIN ! 8' MAX S= t1' m1W 16 MAX DOUBLE WIDE UNITS ABESCO - GUS GUARD COMPANY P.O.DQX I28 e 22' CATZKYS YA OXY, CA. 95306 269wg�&SW FAX -019-%6."O ym-3lt;l- k?.3 % SJ••IETE 2 OF 3 L mca carx smum SUPPORT PAD . TYP. TUF-1 PERMANENT FOUNDATION SYSTEM L-' L I3--M.ri?-a-.T u ' J F `-= — (�3fDG= AS ;z-=-0 1 YY Hllilk'ACiL'RM TYP. . Iti a'- �a ❑a n 17--1 n o� �a CI � u /I .1 �! I PADS 1N ANYPAI Mb y BE RDATI'D 90 DEGREES GI ROFFSET- O G03F3LSIDE TO AVOID CZEARAMa •. :. �. -• •.. -r - ice• •.• i a •err yr ..i .r.v r. •. SINGLE INTOE UNITS E= Z' uIN ! 8' MAX S= t1' m1W 16 MAX DOUBLE WIDE UNITS ABESCO - GUS GUARD COMPANY P.O.DQX I28 e 22' CATZKYS YA OXY, CA. 95306 269wg�&SW FAX -019-%6."O ym-3lt;l- k?.3 % SJ••IETE 2 OF 3 L mca carx smum SUPPORT PAD . TYP. TUF-1 PERMANENT FOUNDATION SYSTEM PERMIT NO. 2018-872 VKL41,z1� PERMIT EXPIRES u OWNER AI ICE VICK4's CONTR. Owner � ASSESSOR PARCEL 26-162-02' ,(. O LOCATION a ^� itv f OFFICE COPY I Temp. PowerP1 Address — Called PG&E 1 GAS Temp. Elec. Servl Meter By Date ELECTRIC d��l �17 — Meter By Called PG&E Temp. Gas Service Called PG&E —7 JOB FINALED (Date) Signature = OK t!!Zo ing Requirements -Setbacks -Easements Card -B1 0=Not OK I It -Footings; Size -Spacing -Marriage Line otReaableNdyMOBILE HOMES MISCELLANEOUS s - ema d -Valve -Connector Date' MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s POOLS (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements rain; MH Tes - I -Flex Connecto 1. Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Soils; Special MH Support -Sketch Water, MH Test- Reg -Mato r -Connector 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Compaction -Structure Stability 3. Sewer; Location -Test -Fall -C/O -Concrete 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Pool Structure; Steel -Connections -Thickness - 4. Water; Location -Test -Easement Needed (Sketch) 8. G and Electricity Tagged 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec, Dead Men -Lining 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete zits' nsp.-Sketch Shthg.-Rfg.-Bracing 4. Elec.; Receptacles and Lighting, Distances-GFI 6. Gas; Location -Test -Wrap: / P11t. ert. of Occupancy 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Elec.; Pool' Lighting; 15 volts-GFI / /"Nat. or/ P L" ft./ /"LPG 6. Carports; Windows -Doors 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Utility Clearance 7. Elec. 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -81 Dat�p� and -B1 Date 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date Date b La--Mand-Bl Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 . Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s r t!!Zo ing Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date I It -Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date s - ema d -Valve -Connector . Ele tricity MH Tes - rossovers Breakers • learances Date POOLS (Plans) OK except #'s rain; MH Tes - I -Flex Connecto 1. Setbacks -Easements Water, MH Test- Reg -Mato r -Connector 2. Soils; Compaction -Structure Stability ., 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. G and Electricity Tagged Dead Men -Lining zits' nsp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI ert. of Occupancy 5. Elec.; Pool' Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -81 Dat�p� and -B1 Date 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date b La--Mand-Bl Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date 0 7 Card -B1 Date Card -B1 Date r I = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable -Not. ReaOy Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. De 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -131 Date Card -137 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. Date FRAMING (Continued) 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic 13 Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive o Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes D No 80. Stucco; Brown -Finish Card -81 Date Card -131 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -61 Date Card -131 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval Card -61 Date Card -61 Date 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE [DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 • PERMIT N0. Q93 7 Address or location of mobilehomey 33 y /l -finJw to i k l j Owner's name V I C' iy__Ar`r_ �M 4.1c, `� `J Owner's address Insignia or hud number �1' I Manufacturer's name ` �?� � A" ►7l R�l'� /��( n� i'� l �F i Serial number of.V.I.N.---C� -Z-- Year of manufacture tial Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT -BE USED WHEN THE- MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector a Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Inspector Date ! Q - 9 7 r' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS pEZYN7 Couty Center Drive - Oroville, California 95965 - Telephone: 916/538-7 41 APPLICATION AND PERMIT -� ASSESSOR PARC NUMBE BUILDING PERMIT :::JNINp' OWNER e L P o E SO. FT. OCC. BUILDING VALUATION OWNER'S MAI"NG ADD,ES r CONTRACTOR'S NAME V TELEPHONE CONTRACTOR'S AILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ AdditionRemodel ❑ Utilities ❑ InstallatioA Other ❑ 197— Describe work: i Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one P Y P er 1 Y( : ) F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license is in full force and effect. License No. Classificationzoeaoe I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING occuP.m , OR ADONS. ACC. BLOGS. /20sgft NEW CONSTR MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 200030 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Co t in,cons7e eece,of;h�gran ' g of this permit. X (�,(/(t� Date z Signature of Applicant - Owner Contractor 11 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 $ =0 Energy Inspection Fee $ TOTAL PERMIT FEE $ , Occup. CONST.TYPC IScNooL F7;1 PARCEL PD ND 117 This permit is hereby issued under sions of the Butte County Code and/or wor " dicated above for which 1 O,TOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS I/ p Datea ' r ✓� �+- Receipt No. l WNIT[-D.P.W.. YELLOW -ASS Ce SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ►. L'.. �'. . iri •ti'L r .ri., .'ry K _. <�`i1 r t ., `4.��� r' ~��`i�`� A ell �3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI iErdC4UL e,ORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET f s Permit No. OWNER !�� �I/G�/��t1� A. P. No. a Proposed Building Use �%%% 77 Building Inspector 1�2 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 All items have been submitted. . . . . . . . . . . — �� Plot plans A�in riplicate signed by preparer of plans. 1 _ 3. Complete plicate/triplicate, signed by preparer of plans, 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. S8,* Fees of $ Letter of signature authorization. . . . . . . . -0. Sanitation approval from t _ Health Dept. 11. Planning approval for (A) User (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information, (no., name style, classif.) -a/id. Owner -Builder Verification (Given to owner0, Mail to owner] ) . Improvements may be required. . . . . . . . . . . I .AN- Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to (Date) 7. Pre -Inspection for Required. _ .... _. _ Reqed. Building Inspector �8. Recorded copy of Agricultural Acknowledgment Statement. l/ 19. Driveway Permit. — 20. Plot plan approval from city of _ 21. 22. _ — When you issue the permit, p1 ss as follows: Mail to owner; Mail to contractor. _ ne S3'>� and hold for pickup a�1T__office, Deliver w/inspector. Other _ -- 0.Se Applicant 41". Date Copy of plans sent Health Dept.; Fire Dept., Other - Date The following data -must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. — 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone___rnailA_*4_counter by date Contractor, designer, owner, was advised c? above required data by—phone —ma il—counter bye/ date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance 2-7 3 `.�.,,,,�,� �(o ` I6 � — D U. - �1 7--Z- Owner Location AP# Plan Approved for: Sewage Disposal Water Suppl4?--, Hold final for: Final clearance O.R. for: Clearance for _.--Z—bedroom mobile home. Other NOTE * * * ..j Water Supply Water Supply - zn., ��� - — / - Sanitarian Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,.Oroville., CA 95965 Phone: 916-538_7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will.be issued until this verification is received, 1. I personally plan to provide the.major labor and materials for construction of the proposed property improvement (yes or no) 2. I((hav /have not) signed an application for a building permit for aro osed work. P P 3. I have contracted with the following person (firm) to provide the proposed', construction: ,Name Address City Phone Contractors License No. 4., I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work*but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed Property Owner Social Security Number!� / Date !2ZZ-07 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. _/� 2—ooz I Ar Sg � f PERMIT N0. 2 PERMIT EXPIRES OWNER ALICE VICKERS CONTR. _ owner ASSESSOR PARCEL 2&462-2 LOCATION 2335 Palermo Rd, Palermo OFFICE COP r Addresses—' --3 4k_ a GAS Meter By-00Date ELECTR Meter By AWN'— Da4 --! Temp. Power Pole Called PG&E _ Temp. Elec. Service i Called PG&E_ Temp. Gas Service _ Cal led PG&E V JOB FINALED (Dat ✓ b Signatur J = OK 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOB( OME UTILITIES (..) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's A-"Zgaing Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements So' : Special MH Support—Sketch 2, Footings; Size—Depth—Spacing—Connectors Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails a r; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.. Bracing 6,-'E'lectricity; Location—Clearances—Grnd.—bUAmp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6 as; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors tility Clearance 7. Elec. C d -BI ate Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHbME INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date POOLS (Plans) OK except p's g Requirements—Setbacks—Easements 1. Setbacks—Easements Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability . Merest—Deed—VaW—Coryec-tor 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining ctricity; MH Test—Crossov s—Br ers learances 4. Elec.; Receptacles and Lighting; Distances—GFI D ; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI _ . Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. W and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater (jXas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panelboards—Ins. to Main in Conduit xits sp.—Sketch 0, rt. f Occupancy 9. Health Department Approval Afil .2 10. Plumb; Cir. Test—Water Supply Test Card B- Date Card -BI Date Card -BI Date Card -BI Date C B-1 _Datokkn Card -BI Date Card -BI Date Card -BI Date J 0= 0 K r 0 = Not OK = Not Applicable RESIDENTIA1 (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits j 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. 8. Piers -Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground Card -BI 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p's 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ; Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails & Deck Construction -Post Caps 25, 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI - --- -.----.Date _-- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. Proper Material & Anchors _ 37. _38. 39. _Sills; Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A' Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A 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. Inspectgpe_j Date/—(F'=T COUNTY OF BUTTE " DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. Inspec Date`~ L� r.F COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2'i51 --- 7 County Center Drive, Orovi Ile — Phone: 5344541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 �) CORRECTION NOTICE V j c j�er s A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this ter, or reed additional explanation, please contact this office immediately. f Inspector Date —�� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY dENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following�Iocation: f F Owner��s7 Owner's'Address ^1& Mobilehome Mfg.I�'� -- � � Model 'e 14 J - � `� Year Insignia No. 6M Serial No. w It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date... r t $y.!_'- THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 9.5965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. ASSESSP RCEL UM E = ZONING BUILDING PERMIT OWNER S TELEPHONE SO. FT. OCC, BUILDING VAL T N OWNER'S MAILING MR SS y�M AA S,!,; - CONTRACTOR'S CONTRACTOR'S N ME q� n cinCONTRACTOR'S TELEPHONE MAILING ADDRESS Fireplace CONSTRUCTION L=NDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 9M LICENSE NO. Plan Checking Fee $ r Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ .. BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USEOF $,TRUCTURE SF ❑ Duplex ❑ Mobi lehomej�/Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 Be TYPE OF WORK [9"'Other New F-1Addition❑ emodel Utilities ❑ Installation [9 / Other E]Contractor Describe work: , 'r' �)_l DD, -9 3 Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (/ DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. 1 2/20sq ft CONTRACTORS LICENS 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 5d I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NO N.RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS &) NON.RESID. ( SINGLE OUTLET CIR. 20e50C Ex. Occup(ouTLETs OR FIXTURES BAL®30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, co ts, an expenses which may in any way accrue against id County in c se e�ce f the granting of this permit. X Date "" Signature of Applicant — Owner K 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 $ r TOTAL PERMIT FEE $ 7V 10D OCCUP. GROUP I TYPE OF CONST. I V PARCEL PD HD ISS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC Ia OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ^�_�.S— Receipt No. �i9� Q WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT MOBILEHOME SUPPORT DATA If other than single wide, / I 9 Mobilehome Mfr. /�i� � �� furni;sh Setup Model.No.�- � Ye$r Width_(ft.) Box Length, ('ft:) ` Tagalong` or,Expando -Size; ft. x---- ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single U (ft.)(in.) Center support locations* (ft.)(in.) Wood either pressure treated or foundation grade. 2. Other: (specify) Supports (check one) 1: Concrete block.. -2. Other. (specify) ragalong or Expando,' show support details. -- Typical Support .) Footing Size Max. Pier Spacing (ft.)(in.) ' (ft.)(in.) .- Max. Overhang I *If center piers are other than drawn above, L draw in -locations, spacing,, and dimensions. _......_.._.._._ _...._ _... .. _... 0! (ft.)(in.) CA r� U (ft.)(in.) (ft.)(in.) Wood either pressure treated or foundation grade. 2. Other: (specify) Supports (check one) 1: Concrete block.. -2. Other. (specify) ragalong or Expando,' show support details. -- Typical Support .) Footing Size Max. Pier Spacing (ft.)(in.) ' (ft.)(in.) .- Max. Overhang I *If center piers are other than drawn above, L draw in -locations, spacing,, and dimensions. _......_.._.._._ _...._ _... .. _... BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS '7 County* Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes -)F// No (If yes, furnish permit number J3 e) Is the site an existing site? Yeso / OR (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 lel. No / 7 - (If -(If no, clarify ) S. What is the mobilehome electrical rating? ----------------------- / Amps ------------- 6. What is the mobilehome site service rating? -------- fps 7.. What is the mobilehome site circuit breaker rating? -- ----------- y 0 Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes L No . (If.yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas -pipe size? ---------------- 10. What is the type of gas service? ----------------------------- Natural LPG T-1 11. What is the gas pipe length from meter or tank to the 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.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californi495965 - Telephone 916/5344541 APPLICATION AD -PERMIT PERMIT NO. -v ASSESSOR PARCEL NUMBER ZONING AZ_ BUILDING PERMI OWNER / e-E �le�E�� A MAILING TELEPHONE 63 �3�3 SO. FT. OCC. BUILDING VALUATION OWNER'S ADDRESS � �C 87)W I U CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ —44-ee� LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINE R LICENSE NO. Plan Checking Fee 1 CIO $ /S Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 15 BUILDING ADDRESS 0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewereA 5.00 Mobile Home S W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities'gi Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 " Main service 6101 OR LESS 100 AMP OR LESS 10.00 dim Main service EA. ADD'L 100 AMP r0 2.50 .21 5 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. SLOGS. 2/20sgIt 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) r ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS. NEW CONSTR. (POWER APPARATUS &') NON-RESID, `SINGLE OUTLET CIR. / 20@50e Ex. Occup(o OR FIXTURES Ts BAL®300 FIXED ED APPLNS. OR Ex. DCCUp. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 157 Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 19 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 againat said County in c nsequ ce of the granting of this permit. �, �' X .e% �� �'l.!!� Date Signature of Applicant — Ownerrg Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE of CONST. i _ PARCEL PD HD 1551 // This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC By. , PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Oat@ Receipt No.ty � 0� WHITE-D.P.W., YELLOW -ASSESSOR, PIN -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDRNTI&L DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit.' SF4®i(if� The property described herein is adjacent to land or included An I .4 ?[ F;-IgRI within an area zoned for agricultural purposes, and residents ofELEb1dOR this property may be subject to inconveniences or discomfort arising CLERK - RECikU[ft € from the use of agricultural chemicals, including, but not limited to herbicides, F pesticides, and fertilizers; and from the pursuit of agricultural operations includin , but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lots 5 to 10 and Lots 31 to 36, in Block 32 and that portion of the South 40 feet of Gibraltar Avenue (abandoned by order of the Board of. Supervisors of Butte Colj_nty) lying 14Torth of and adjacent to said .0 — ji tc 3b, in Block 32, as shown on that certain Map entitled, "t;ap of the Town of Palermo, Butte County, California", which 14_ap was recorded in the office of the Recorder of the County of Butte, State of California, February 17, 1891, in 'Book 5 of Maps, at page 4. Date: �.,2 State of ) County of ) On this the day SS. before me, the undersigned � ■r�rrrrrrr■rrrrrrrr■rrrr© ■ PAMELA J. EUTSLER a ■ sa ■ ,� NOTARY PUBLIC CALIFORNIA r■ .,r Butte County IAy Commission Expires August 9,1987 On Present A.P. NO. of ,19 Notary ic, personally known to me to be the person(S) whose name(s) � subscribed to the within instrument and acknowledged that, 4 executed the'same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. � n Notary Public ®TE;®Il Maferials I Workmanship S ail Ite'in Accordance with Recognized Good Practices and of a quality prescribed for the Specified wse in the i4 Uniform 'Building, Plumbing & Machanical odes and fhe National Electrical Code �I l Utility connections shall be witt,`n Q ft. of the mobilehome either �- directly behind or within the rea half of the roadside (left) of the mobiiehome, I �-f i permit will b ae.srallaticn 1 of the mobi,al:or ie. This set of plans and specifications fvil��$/` be kept on the job at all times sand it is-ur;law�'ul t make any chaa;ges or alterctions or same without writtel permission from fhe Department of Public. Works, r-rntntY of Buffe. WUNTY WILDING pEPARTdN A 3etback of 5 ft. from t'he i property lines and a setbackXiaete�rdls APPO0Vof 50ft. from the road`'li�,.�w centerline shall be clear of loft let structures or equipment except e 2 fit eave overhang, �iirM � .. ,. .. ,. �i ... . r _.,,,._.�1'^- w`R 9s+, cr. .w.�)yt ,. (��\��`Jl.i//JJ//� *� ��� Gi C�i� � p ' / M /��` x �^ . � Ir i I ��� 4 'f 4 • � k j; 1.. r ' �. '� � � t i 1 s ' ft y k ! yy I 6 it E .� � � � {� ;; �, .« t � . i t U f . ' ' a .� :� t +. ' ,� k r � Y i ._, . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 ' TelepfIune: **,4-4541 APPLICATION AND PERMIT .. I 1co.11 v.. UI I I6 vuumy UI oUL V U VIRUI uNUn t11e ve abo-mentioned property for inspection purposes. q Signature of Permitee or Agent Receipt No. Date White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date _ BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address — Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address _ Plan Checking Fee &/or Penalty Permit Fee $ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. Sanitation FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Provements Imp Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family ❑ Duplex Mobil Home Others ❑ ❑ ❑ Main service S00V OR LESS 100 AMP LESS 5.00 -L Main service EA. ADD100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1 1.00 NEW CONST DWELINGOR ADDNS. ACCLBLDGS.CCUP. 4� 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCH CIR T NON-RESID, BRANCH CIRCUITS)-2.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTIIPES) 50�2SC BAL @ 101 Ex. Occu FIXED APPLNS, OR P• OUTLETS (RESID.) EA) 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 Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL iNo. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all Cointy Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ .. I 1co.11 v.. UI I I6 vuumy UI oUL V U VIRUI uNUn t11e ve abo-mentioned property for inspection purposes. q Signature of Permitee or Agent Receipt No. Date White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date _ N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS " `County Center Drive - Oroville, California 95965 Telephor&534-4541 APPLICATION, AND PERMIT BUILDING yy�� Owner 14-" CE ✓1&V—E/Z SQ. FT. OCC. BUILDING VALUATION Mailing Address 23?s- PWCEPmo P__b. 23 . Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee BuildingAddress ��� /��lo ��` Plan Checking Fee&/or Penalty $ Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �ppn�er, ll �`-^V l Repair drainage or vent piping 1.50 A. P.t0 - �(� Z_D ZonitB�anning Water piping 1.50 Each gas water heater or vent 1.50 es I tolSan4att m Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Each additional outlet .30 Building sewer 5.00 Bldg. P+aff-Tet'c'h— Parcel ApEroval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITII,,ON❑ UTILITIES ❑ OTHER Permit Fee $ L G6� 5EA&//.i C ffV 1 j . ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00' V OR Main service 10°o AMP ORSLESS 5.00 5. 00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 OR ADDNSNEW T 1 ACCLBLDGS.LING CCUP. B) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9. Div. 3, of the State of California Business & Professions Code under the name st it le of: NEW CONSTR BRANCH CIRCUITS) NON.R ESI D. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXT(IRES) 150 '� x. ccu FIXED APPLNS. OR EO p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 - ZS 15�I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 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 building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property f r inspection purposes. X Date Signature of Permittee or.,gent Receipt No. �6 / �jV' J White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE This permit is hereby issued under the applicable provisions of thu County Code and/or resolutions to do work indicated ve fo whic ees have been paid. E OR OF PUBLIC WORKS / 0 3' By ��l � "" Date - t�— 3 -S/ Building permit expires Date / Z 3 3 x Is k�. COUNTY OF BUTTE' =' DEPARTMENT OF PUBLIC WORKS 7 County Center Drige — OroviIle, California 95965 1 Telephone: 534 4541 j �' APPLICATION AND PERMIT nu a lvllcc Ic�/I c.I. GIRaU VCJ UI lli0 VUunly UI DUlla N C111C1 UPUII IIIc above-mentioned property for inspection purposes. X // - Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated ab ve'for which fees have been paid. I DIRECTOR OF PUBLIC WORKS /.J(�.' Date SII, Building permit expires Date BUILDING Owner � �. ���� SO. FT. OCC. BUILDING VALUATION Mailing Address 2'' , _ e A Ted ephon Ali Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address ' Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ) / /jl�9t! Repair drainage or vent piping 1.50 A. P. No. 0� Zoni 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees -W:1- Sani4ati•on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Each additional outlet 30 Building sewer 5.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑Q Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 G 600V OR LESS Main service 100 AMP OR LESS 5.00 M QfJ Single Family Q' Duplex Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 100 AMP600v OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. /DWELING O OR ADDNST % ACCL BLDGS.CCUP. 4) 20 sq 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 st le of: y NEW CONSTR MULTI -OUTLET NON.RESID, ( BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES BAL01 BAL @ 10s Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID•) EA) 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 $ 7Y.5 `i$ /�{ 5 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 12.00 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 Land Development Fee $ TOTAL PERMIT FEE nu a lvllcc Ic�/I c.I. GIRaU VCJ UI lli0 VUunly UI DUlla N C111C1 UPUII IIIc above-mentioned property for inspection purposes. X // - Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated ab ve'for which fees have been paid. I DIRECTOR OF PUBLIC WORKS /.J(�.' Date SII, Building permit expires Date COUNTY OF BUTTE{ =' DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orov;lle, California 95965 _ ;%� ,. -Telephone. -4541 / X / APPLICATION AND PERMIT V authorize representatives of the County of Butte to enter upon the above-mentioned property for i spection purposes. v��_ Z,�� Date — Signature of Permitee or Agent Receipt No. ZL�� ;,? - 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 abov which feesffiavp been paid. IRE_ C OF LIC WORKS Date �'S Building permit expires Dat L BUILDING Owner SQ. FT. OCC. BUILDING VALU TION Mai I i ng Addre s /04� p� (O O T" 1 Contractor 0CU414W Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address A f� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. ;L_6" -1G %- O� Zoning & Panning Water piping 1.50 Each gas water heater or vent 1.50 F -w-L sgao4 torr Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach I Declaration I Parcel Map 1 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q' permit Fee $ $ C ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,CX:;) 600V OR LE Main service 100 AMP ORSLESS 5.00 —Qb Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service(( EA. ADD'L 100 AMP 1.00 NEW CONS.DWELING OR ADDNST (ACC`BL GS.CcUP. 91 22 sq ft I 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,CONSTMULTI H CII T NON-RESID BRANCH CIRCUITS 2.50ea NEW CONSTR (POWER APPARATUS & NON -RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTIIRES g L 1W FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 �. I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ �� oZ5 authorize representatives of the County of Butte to enter upon the above-mentioned property for i spection purposes. v��_ Z,�� Date — Signature of Permitee or Agent Receipt No. ZL�� ;,? - 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 abov which feesffiavp been paid. IRE_ C OF LIC WORKS Date �'S Building permit expires Dat L BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS, 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating?-------------�00 Amps 7. What is the mobilehome site circuit breaker rating? ----- 0200 Amps 8. Is there any other electric load to be served by the -------------------------------- mobilehome site service? Yes (If yes, identify the load and size: (Load) 9.. What is the mobilehome site gas pipe size? -------------- 10.. What is the type of gas service? ------------------- Natural 11. What is the gas pipe length from meter or tank to the mobilehome? --------------------------------------------- 12. What is the mobilehome gas demand? ------------------ ---- No 0 _(Amps) (in.) LPG [] *(This information not required if pipe length less than 6 ft. on natural gas;or less than 50 ft. on LPG:) (ft.). (BTU) 1. Owner's Name:( 2. Installer's Name: o),a0C Yes F-1 No FX1 3. Is the site currently under permit? (If yes, furnish permit r)umber ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehonie be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes W No 11 (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating?-------------�00 Amps 7. What is the mobilehome site circuit breaker rating? ----- 0200 Amps 8. Is there any other electric load to be served by the -------------------------------- mobilehome site service? Yes (If yes, identify the load and size: (Load) 9.. What is the mobilehome site gas pipe size? -------------- 10.. What is the type of gas service? ------------------- Natural 11. What is the gas pipe length from meter or tank to the mobilehome? --------------------------------------------- 12. What is the mobilehome gas demand? ------------------ ---- No 0 _(Amps) (in.) LPG [] *(This information not required if pipe length less than 6 ft. on natural gas;or less than 50 ft. on LPG:) (ft.). (BTU) MOBILEHOI F -,SUPPORT DATA If other than single wide, Mob ilehome Mfr. 4412 A' furnish Setup Model No. Year i 7 Width (ft.) Box Length�A_..(ft.) Tagalong or Expando Size ft, x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one )EI 1. SUPPORTS (check one)�1. Wood -pressure treated or foundation grade. 2. Concrete block. a 2. Other (specify) Pier'Footing Sizes and Locations S1NCLE-WIDE MULTI -WIDE Main Beams — — — — — 4 Line 2 ---� --- --- ----- �Ltg Z — — — — — -Main Beams — — — — � Line 2 l,lne Line 1 — — — — — — — — — — _ Line Tag or Triple — — — -- --- --- --rte t—i"e Line 1 Line. 1 Piers: Size -Min. ------------ Spacing-Max - ------ 7 -- From Ends -Max. ------- Line Z Piers: Size -M Li. ------------ "x Spacing -Max. --------- From Ends -Max .------- " Line 3 Woof loads: Line 1 Openings: Other (specify) Size -Min. ------------------ "x Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- „x Spacing -Max._______________ From Ends -Max.------------- _ n Size -mi n.----------- — "x "x Location (From Front) I.,i.ne. 4 Piers: Line 5 -Biers: (Under Bearing Walls Only) Siza-Min. - - k WSi.eAM?n.-cyy-{'- - -- ' appp nx n ago Spacing -Max. --------- , „ SpdC-in�� Ate'- _ From Ends -Max. ------- �tc _ ��om F,nds-Maxim•- - Line. S, Koof Wade: f% Size -Min- location (From Front) " x "X " "x "X 7111 "El ; "x R^ ,x 'EQUES'f'E RETURN TO PUBLIC WORKS The undersigned, 7.00 7.00 10:47am 15 -Jun -90 CD 2 NOTICE OF CONSTRUCTION AFFECTING ADJOINING PROPERTY do hereby declare as follows: 1. I am, (We are), the owner(s) of that certain real property situated in the 'County of Butte, State of California, described in attached Exhibit A. 2. I, (We), intend to apply to the County of Butte for a building permit and, pursuant to said permit, to construct improvements on the said property. I, (We), do hereby place all subsequent purchasers and encumbrancers on notice that such improvements will be constructed over a parcel or lot line(s) as described in the above noted Exhibit A, and that subsequent purchasers and encumbrancers should be aware of the location of such improvements. 3. So long as such improvements remain, said parcels.or lots cannot be sold separately. DATED: /n — / 3 O l��ao.. Signature of owner of record Signature of owner of record STATE OF CALIFORNIA ss. CCUNTY OF BUTTE On`. June 13 , 19 90 , before me, the undersigned, A Notary Public in and. for the State of California, residing therein, duly commissioned and sworn, personally appeared Alice L. Vickers known to me to be the person wliose,narne issubscribed to the within instrument and acknowledged that she executed the same. WITNESS my hand and offical seal. s � 7 OFFICIAL SEAL Si a ture SANDY A. STACK • NOTARY PUBLIC -CALIFORNIA Pdocow Office M SUITE County Sandy A. Stack . • Ion Ez ►ea: Ec Name typed or printed AFTER COMPLETION, THIS DOCUMENT MUST BE RECORDED IN THE OFFICE OF THE COUNTY RECORDER. LD 1540 (5/88) '90-025243 Re c F e e Cash Recorded Official Records County of Butte ; Candace J. Grubbs 1 Recorder 7.00 7.00 10:47am 15 -Jun -90 CD 2 NOTICE OF CONSTRUCTION AFFECTING ADJOINING PROPERTY do hereby declare as follows: 1. I am, (We are), the owner(s) of that certain real property situated in the 'County of Butte, State of California, described in attached Exhibit A. 2. I, (We), intend to apply to the County of Butte for a building permit and, pursuant to said permit, to construct improvements on the said property. I, (We), do hereby place all subsequent purchasers and encumbrancers on notice that such improvements will be constructed over a parcel or lot line(s) as described in the above noted Exhibit A, and that subsequent purchasers and encumbrancers should be aware of the location of such improvements. 3. So long as such improvements remain, said parcels.or lots cannot be sold separately. DATED: /n — / 3 O l��ao.. Signature of owner of record Signature of owner of record STATE OF CALIFORNIA ss. CCUNTY OF BUTTE On`. June 13 , 19 90 , before me, the undersigned, A Notary Public in and. for the State of California, residing therein, duly commissioned and sworn, personally appeared Alice L. Vickers known to me to be the person wliose,narne issubscribed to the within instrument and acknowledged that she executed the same. WITNESS my hand and offical seal. s � 7 OFFICIAL SEAL Si a ture SANDY A. STACK • NOTARY PUBLIC -CALIFORNIA Pdocow Office M SUITE County Sandy A. Stack . • Ion Ez ►ea: Ec Name typed or printed AFTER COMPLETION, THIS DOCUMENT MUST BE RECORDED IN THE OFFICE OF THE COUNTY RECORDER. LD 1540 (5/88) R[CORDINO REQUESTED Oroville Title Cc #106425 jl "No Waft "CORMO "AIL .O _r Alice L. Vich.ers "^•' ! . 0. Dox 415 c" L�alerno9 California .An too RAtrwo.t. ro F .w... V«, • Addressoc auovc H.N L OFFICIAL Ftt:QkUS EU TE COUNT` 11tf. Rfe`:rf:;P.� ... - n, olt&W wu C.V. Auc 30 1 is PM im I.ou.•st 1..;; � ,. COUNTY RELvnc F}� FEE saC64 SrAC[ ASOV[ THIS LIN[ FOR R[CORD[R•S use Individual Grant Deed TM.. IORwt /URNIUNsO ar TICOR TITLa INaUR[Ra A. ► The undersigned grantor(s) eeclarel Documentary transfer tax is { '•2•a1 `_ -- - - (X31 computed on full value of property conveyed. cr ( ) computed on full value ler value of liens ar a encumbrances remaining at time of ole. (Xi Unincorporated area: ( ) City of - — . and FOR A VALUABLE CONSIDERATION, ree6pt of wbieh is hereby acknowledged, PALERMO IMPROVEMENT CLUBS a corporation hereby GRANTS) on ALICE L. VICKERS9 an unmarried woman the following described real property in the County of Butte , State of California: Lots 5 to 10 and Lots 31 to 369 in Block 32 and that portion of the South 40 feet of Gibraltar Avenue (abandoned by order of the Board of Supervisors of Butte County) lying North of and adjacent to said Lots 31 to 369 in Block 329 as shown on that certain Map entitled, "Map of the Town of Palermo, Butte County, California'' which Map Strecorded office alifornia,February 17, 1189Recordhun 1891, in :wok5 ofMapButte,ty of Maps, atpag 4. PALERMO a corpQ Dated --- AuOust 249 .?�8__ B BY s r0 ... C t C/v{. fstinn 1 KPRUVEMENT CLU3, tion r'. TF. OF CAI.IFIIHNI.t _ r_ f+r/fr�►�WL�. . tib. 11.. .q,yru r,l l.�s.G G ... .._._-... _.... INTY I Y/Ia-;a ii: 2; "%._ _ 4r1um re r. t r rdrr•iR . V;a.r j'ublic in .nd r Aai. �I_tr. IwT..mdlr apprarrd �.l:a !x�.a }:.'1ovn to --BO O i•0 L1�10�11''1'CC, (IC)l� r Iiwiwwiw :+�r►Ti� YL.11ia '_� C7�� i=1 J_ . {�3 ti•Ai1G1- :.::Z1Cd : .�. ill �� i t L i known to mr to I. 1hr rorpuation that rtrrutrd the within In.ttumrm. r ►n..wn to mr t.. hr thr 1--n. wh.• rtrrutrd ihr rithin In•tnnnrm ..n Wall .d thr nrprnati-.n Ihrwin mon-1. and n -►....w lydt!rA 1., rnr that -0, r.•;prat ion caruufd thr within e- in•rru•nrnt purwam w it• h1•Lw .,r. r—,Iuti,. .I it. I.wd 1�{TlpAk tiK ..1 .1 i;..•tor •. ,.t.. It)Tt. F, A. LONG t�• =' R'1'f V F:%% my hand and nRlrial .rd - — ' r 9tpteAr 1vu1C • C/lltOnlaA Iuttt cotartT �; �•� M Ina�YalKOM i ----Xamr tTr .••I of 1'rimr•11-- �hAI� D® 13ro C* r....... .... .....; ....... END Of I A 4 Eosas-oe co DO 4