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026-196-004
I I �--- 26-196-4 2 udlum Ave.,Palerm� ' Permit #6327- (ut ill .'YCERTIFICATE OF MERGER ELEC. 62(OVC16 '4Oy SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. L% 26- 96-4 ' 'erm�it ##638-75MHI ��6` - ------------------ 26-196-4 ------ --- Issued 26-196-4 Ed Smart�7� 2512 Ludlum Ave., & Fulton Ave., Pale Permit #k1455-77B,E(new cabana/MH) 26-196-4 Permit #�6 50-77B(fixeplace in cabana/ MH). 26-'196-14 Permit #k2469 -78B st. renewal/ _ 1455-77)- cabanal� wllil rem // �S 26-196-4 �i� #1696-81P�E(util., MH) . b�-yam-, fit/ Qpa ii ' GAS 6-/- t x1,47- ; SUPPORT STRUCtt-j: , HQ, v COMPACTION TEST REQ,, 2512 Lud �Ve- alermo Permit 881-82M1II " 1 Iss David Durnell 26-196-04 2506 Ludlum;. P Permit # _2963-'8 MH rrn Isseed 0 I �I 1 Department C o u n t y J. Michael Crump, Director Warner C. Phillips, Assistant Director February 14, 2003 Gary & Charlotte Warner 1915 Cox Lane Oroville, CA 95966 Re: Certificate of Merger APS 026-196-004 (Lots 9 —15) Dear. Mr. & Mrs. Warner: of Public Works o f B u t t e LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 Enclosed please find the Certificate of Merger that was issued by the Butte County Department of Public Works and recorded on December 27, 2002, under Serial Number 2002-0071413, 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 'IL Manager, Land Development Division SE/kp Enclosure cc: /Building Division Environmental. Health Dept. Michael Mooney Michael Evans AFTER RECORDING RETURN TO: Butte County Public Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 LANDS BEING MERGED: �femoil—go4a7 1 4- 1 3 Recorded Official Records CountyBUTTEOf CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 03:53PM 27 -Dec -200 CERTIFICATE OF MERGER AP NUMBER(S) 026-196-004 _ REC FEE 16.00 Barbara Page 1 of SUBDIVISION / PARCEL MAP: BOOK 5 PAGE 4 BLOCK—_4B---LOT(S) q_Tbr13 15 BOOK PAGE BLOCK LOT(S) As of the date of recordation, those lands noted above are merged to create 2 parcel(s) of land as described in Exhibit(S) A & B attached hereto. Z - MIKE CRUMP DATE Director of Public Works OWNERS' CONSENT TO MERGER Gary L. Warner, Charlotte Warner as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into that / those parcel(s) as described in Exhibits) attached hereto. ALL SIGNATURES MUST BE NOTARIZED: IGN TUR _ GARY L. WARNER SIGNATURE CHARLOTTE JANE WARNER D:\land Development\Appllotlon Forms\Certlf. of Merger -LD 1530 (2199) DATE DATE DATE /D --j --7- - d 1?- S %t R � i ♦- C ♦ •f —. tx Mid Valley Title and Escrow Company STATE OF CALIFORNIA }ss. COUNTY OF BUTTE } On NOVEMBER 14, 2002 before me, MARY A. THOMPSON, NOTARY personally appeared GARY L. WARNER AND CHARLOTTE WARNER i personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the t person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS`my hand and official seal., Signa`ure (This area for official notarial seal) MARY A. THOMPSON c�3 Commission #13514700 a Notary Public - California U Butte County My Comm. Exp. APR. 15, 2006 Title of Document CERTIFICATE OF MERGER i Date of Document No. of Pages Other signatures not acknowledged Oroville ' ! Chico . Paradise MICHAEL MOONEY CIVIL ENGINEER RCE 20647 5 MADRONE AVE., SU. A, OR0PULE, CA 95966 (530) 533-2131 FAX (530) 534-0902 EXHIBIT A All that certain real property situated in the unincorporated area of the County of Butte, State of California, being a portion of Lots 9, 10, 11 and 12 and all of Lots 13, 14 and 15 of Block 48, of the Town of Palermo, according to the Official Map thereof, filed 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, merged into one parcel and being more par-icularly described as follows: COMMENCING at the Southwest corner of said Block 48, said point being on the northerly right of way of Ludlum Avenue and the easterly right of way of Fulton Avenue, as shown on said map of the Town of Palermo; thence leaving said easterly right of way of Fulton Avenue and easterly along said northerly right of way of Ludlum Avenue 125.00 feet to the TRUE POINT OF BEGINNING for the herein described parcel; thence leaving said northerly right of way of Ludlum Avenue, northerly and parallel with said easterly right of way of Fulton Avenue 100.00 feet to the north line of Lot 9, said Block 48; thence easterly along the north line of said Lot 9, 25.00 feet to the Northeast corner of said Lot 9, said point also being on the westerly boundary of Lot 13, said Block 48; thence northerly along the westerly boundary of . said Lot 13, 50.00 feet to the Northwest corner of said Lot 13; thence easterly along the north line of said Lots 13, 14 and 15, 75.00 feet to the Northeast corner of said Lot 15; thence southerly along the easterly boundary of said Lot 15, 150.00 feet to the Southeast corner of said Lot 15, said point being on the northerly right of way of Ludlum Avenue; thence westerly along the northerly right of.way of Ludlum Avenue and the southerly boundary of Lots 13, 14, 15 and 12, 100.00 feet to the Point of Beginning. Containing 0.32 acres more or less The Basis of Bearings for this description is the same as shown on said Town of Pa=ermo map. All new structures must meet the Fire Safe Regulations of Butte Ccunty and Public Resources Code 4290. MICHAEL MOONEY CIVIL ENGINEER RCE 20647 5 MADRONE AVE., SU. A, OROVILLE, CA 95966 (530) 533-2131 FAX (530) 534-0902 EXHIBIT B All that certain real property situated in the unincorporated area of the County of Butte, State of California, being a portion of Lots 9, 10, 11 and 12 of Block 48, of the Town of Palermo, according to the Official Map thereof, filed 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, merged into one parcel and being more particularly described ollows: BEGINNING at the Southwest corner of said Block 48, said point Being on the northerly right of way of Ludlum Avenue and the easterly right of way of Fulton Avenue, as shown on said map of the Town of Palermo; thence leaving said easterly right of way of Fulton Avenue and easterly along said northerly right of way of Ludlum Avenue 125.00 feet; thence leaving said northerly .right of way of Ludlum Avenue, northerly and parallel with said easterly right of way of Fulton Avenue 100.00 feet to the north line of'Lot 9, said Block 48; thence westerly along the north line of said Lot 9, 125.00 feet to the Northwest corner of said Lot 9, said point also being on the easterly right of way of Fulton Avenue, thence southerly along said easterly right of way of Ludlum Avenue, 100.00 feet to the Point of Beginning. Containing 0.29 acres more .or less. The Basis of Bearings for this description is the same as shown on said Town of Palermo map. All new structures must meet the'Fire Safe Regulations of Butte County and Public Resources Code 4290. END OF DOCUMENT b ,vk IV Temp. Power Pole Called PG&E _ Temp. Elec. Service 1 Called PG&E Temp. Gas Service CalledP &E JOB I ALED (Date) Signature ,PERMIT NO. 2963-82MHI PERMIT EXPIRES OWNER David Durnell CONTR. Owner ., ASSESSOR PARCEL 26-196-04 LOCATION 2506 Ludlum i -LI Q�,j b ,vk IV Temp. Power Pole Called PG&E _ Temp. Elec. Service 1 Called PG&E Temp. Gas Service CalledP &E JOB I ALED (Date) Signature V = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date .Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 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 Cate Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except k's 67. Garage Fire Door;. Swing -Landing -C loser 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. EIEC. Receptacles Spacing -Lights &Switches at Doors 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 70. Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic CJ Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails &Deck Construction -Post Caps _ _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75, Following instld.: Drive E] Yes ❑ No; Walks F-1Yes E] 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, Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. _Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) V= OK. 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1, Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILE E INSTALLATION (P s) OK except k's Date POOLS (Plans) OK except N's oning Requirements—Setbacks—Easements 1. Setbacks—Easements ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability s; MHTes — emand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI fir; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed Q"Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit ixit., ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test C B-1 at and -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date . COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector s,- Date,/ ?� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CEMTER 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 location: Owner Owner,'s Address Mobilehome Mfg - Model," Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By 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 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT AS SSOR PARCEL NUMBER ZO ING �— ,, M BUILDING PERMIT OWNSEL PH �h SO. FT. OCC. BUILDING VAL TION OWNER'S MAI LI ADDRESS � p p�`•(n„y`v` CONTRACTOR'S TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Q�w VYl UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS . Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$• Penalty $ ARCHITECT OR ENGINEER'S MAILING ADD ESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each pas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomega"�Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK ,, / New ❑ Additio Remodel ❑ Utilities ElI stallation L'T Other F-1 Describe work: 'r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main Service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.5i OR ADONS. ACC. BLDGS. 20 Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR TI -OUTLET 2.50 ea NO N.RESID BRANCH CIRCUITS) 61 NEW .CONSTR. ( POWER APPARATUS , / NONR ESID. SINGLE OUTLET CIR EX. OCCUp OUTLETS OR FIXTURES BAL@1 FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. f* I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 agai �Cpuin cons nce of the r ting of this permit. X� � Q ��_U .[� Date !'-rte Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. bile Home Installation Fee $ v'�r S S . b TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte Count Code and/or work indicated above for which DIRECAR OF PUBLIC By PERWT EXPIRES Date the applicable to do' resolutions to do fees have been paid. WORKS Receipt No-__q,_/?_6/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 9-�a - �a � �� � � ��� ��� q.�r�-gz .-Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8:1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a,building permit. OFFT!AL hEv()C2U5 BIJ77E Cc?UekJTy_ GA1.!- t'COROS R C:iJF 1-r''r, I y SEP Z� 107 A �9 The property described herein .is adjacent to land or included within an area zoned for agricultural purposes, and residents of CLERK- 11•BECKEROEE CLERK - RECOR(�Eft CLERK - this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise; and odor. Butte County has established.agricul- tural zones which have as a 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: j r Fc, i- / a IV 7 Date: 0 A Los C/llOJ L/ kC_ -TowN o+ -3Loc-JC_ pa'evmo ,gam o -� . iNi ►4,�.! �' �'� ,� �, PROPERTY OWNERS: I 'batj, State of�� � � ) On this the day � da of ��P fi-frwc,?yz— , 19 <S -Z-. ) SS.� before me, the undersigned Notary Public, personally County of v-`-s,-i_- ) appeared OFFICIAL SEAL DANIEL F. HUNT - NOTARY PUBLIC— CALIFORNIA= PRINCIPAL OFFICE IN THE ' COUNTY OF BUTTE nh Comm. Exp. Oct. J, 1982 I�dmcomememnnmiunnmii�iuxwunuull Present A. P. NO. o{ /�� V i' U�ozivi� R, if-LTS ' known to me to be the person(s) whose name(s) subscrib d to the within instrument and acknowledged that e- executed the same for the purposes therein contained.- IN WITNESS WHEREOF, I herLnto my h ad official c seal. 9,(� END OF DOCUMV41 m Notary Pu lic OFFICIAL SEAL DANIEL F. HUNT - NOTARY PUBLIC— CALIFORNIA= PRINCIPAL OFFICE IN THE ' COUNTY OF BUTTE nh Comm. Exp. Oct. J, 1982 I�dmcomememnnmiunnmii�iuxwunuull Present A. P. NO. o{ /�� V i' U�ozivi� R, if-LTS ' known to me to be the person(s) whose name(s) subscrib d to the within instrument and acknowledged that e- executed the same for the purposes therein contained.- IN WITNESS WHEREOF, I herLnto my h ad official c seal. 9,(� END OF DOCUMV41 t �•'t.f Ri ;j. ?� 1t r r � r, L � r, N NOTE:—A,'l Materials & Workmanship,-, Shall Be in Accordance Pray;- ices C!.,d of a qu.-d',�-%, I wee in fho Unifc.Tn L,i.*,�`,i;., Codes and the National Electrical Qode, A setback of 5 ft. from tiae property lines and a setback of 50ft. from the road rentefh-all be clear of structures or equipment exci for a 2 ft. eave overhang. . This set of plans and specifications MUST bt: kept on the job at all'times and it is unlawful to Ma.1--a any ch.:_,n- .6 1 .yns or al`ke'a-F,ns on sai-ri e v/:'�'ofjl wriffen Perrrlssion from the Deparfrnent of Pul;, lic Works, County* of Butte. z 67(o 3 fig, BUTTE COU APPS MOBILEHOME SUPPORT DATA - LL goloo-Aer than single wide, (o Mobilehome Mfr.&JUD Pl/U furnishi' Setup Model No. 0 AFC?x9ao6q73a ear `1. Width(ft.) Box Length, i0 D. `(+ft'.) 2, Tagalong or Exparido Size 'eft. 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. r Footings (check.one) ` Single n'r' ® L. •Wood either pressure treated or r foundation grade. (ft.)(in.) 2. Other: (specify)`Center support locations* 7nte 'Support.a(check one)_ ` l: Concrete block' (� 0. . 2: Other. (specify) L—_J (ft.)(in.) x � *--Tagalong or Expando,' show support details. (ft.)(in.) ( n.) in.) , 2X.3o" 4 Mn.)(i -_Typical Support (in.) Footing Size x (ft.)(in.) (in.) (i .) L ' -- Max. Pier Spacing (ft.)(in.) Max. Overhang (in.) (in.) (ft".)(i _ BUTTE COUNTY BUILDING G DEPARTMENT `APPROVED /7! *if center piers ier are other than drawn above, draw in•locations, spacing,. and dimensions. BUTTE COUNTY . DEPARTMENT OF PUBL IC - WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: )R(A 1> \)( i VK\C-� ( (: (f ISL h C�%�'+\1* 1A )T L LJ--- UIU �U� 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR Is the site an existing'site? Yes /yI -No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of. all setbacksand easements? Yes Z2 No (If no, clarify `* ) 11. What is the gas pipe length from meter or tank to the mobilehome? U/ . (ft.) 12. What is the mobilehome gas demand? ------------------------------• N11 � (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) 5. -What is the mobilehome electrical rating? ----------------------- D O Amps 6. What is the mobilehome site service rating? --------------------- s'c� Amps 7.. What is the mobilehome site circuit breaker rating? ------------- b Amps 8. Is there any other electric load. to be served by the mobilehome siteservice? ---------------------- --------------------- ------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- Al19 (in.) 10. What is the type of gas service? ----------------------------- Natural 77" LPG 11. What is the gas pipe length from meter or tank to the mobilehome? U/ . (ft.) 12. What is the mobilehome gas demand? ------------------------------• N11 � (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) PERMITNO MH. 6327-75P,E P E M MH UTIL. PERMIT NO. PERMIT EXPIRES. OWNER Ed L. Smart �CONTR. owner LOCATION (A.P. 26-196-4 2560 Ludlum Ave., Palermo 4 p r t � .I, 61, H yyl f { 1 Temp. Power Pole Called P.G&E Temp. Elec. Serv. I Cal -d PG&E Tem Gas Serv. F Called PG&E JOB FINALED � -<.-I) % 3 %L (Date) (Sign ure) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping 3 -G - 76 Piers Roofing Sewer 'L, — 6 --7 Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test O ilf Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS— el 0"0'10/ ORRECTIONS_c+o".-10/ to_ 40,� o �— . N sl��%-•� �. �G LtldK`v �iy.G`e 9. Electrical 3 2-.17 A. Is service large enough to, provide adequate amperage. to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes-Zko B. Is there properclearances around panels? .Yes Z-`�No C. Is power supply cord or feeder assembly properly fused? Yes 4-�No D. Is continuity test satisfactory as per the following procedure? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test.instrument to the mobilehome grounding conductor and apply the other lead to each ro.obilehume supply conductor, including neutral, S. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the*above.procedure, the power supply cord or feeder.asse'mbly conductors. shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle N ��i/�s0/1 Length 4 6 - Width v Vehicle Serial No. A/N Gy State Identification No. Additional,Informati.on or Comments: / MOBILEHOME INSTALLATION INSPECTION CHECK LIST . 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to . plot plan? Yes -4-*" No 2. Does the mobilehome have required clearances above ground? (Sec. 5085) Yes Z -""No 3. Are footings and supports properly sized, spaced, and braced as W approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes I/_ No 4. Is -the mobilehome level? (Sec. 5088) Yes �No_ 5. I.f more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No N At 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes 1__*No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 0 A/ AL 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum 1-4 foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running- 3- allons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes NoL_4 9 4- 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobile ome gas line inlet without reductions other than the mobilehome" connector. Yes No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter,to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents PP properly installed. Yes No � A v J. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,J auL11UrILeI7 P 1' JCIIL0L1VeJ UI Me t UUllly UI MULLU LU efller UpUn Ine above-mentioned property for inspection purposes. X _ Date IL 15- 75 Signalure of PGermitee or Agent Receipt No. d V/ 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 i By _ Date 2 Iding permit expires -Date BUILDIN Owner �"� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. 3,3-, Fireplace Contractor l�� y� Total Valuation Mai I Ing Address Permit Fee Plan Checking Fee &/or Penalty Telephone Na. Permit Fee $ i Building Address o PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1,50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees- W --r— -9aP"aU= Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 BI ns R oecd Parc pproval Plans pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 '— /fo71- Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1,00 Water Heater or Space Heater 1.00 Light fixturesb0 (d 25 Receps., switches & fix outlets 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: Hood, Ex. FanorF.A. Furn. Motor. 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring am exempt from the Contractors License Laws of the State of California. Permit Fee $ is 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. ertify 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.1 @ FEE PERMIT FILING FEE J$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 TOTAL PERMIT FEE $ X19 auL11UrILeI7 P 1' JCIIL0L1VeJ UI Me t UUllly UI MULLU LU efller UpUn Ine above-mentioned property for inspection purposes. X _ Date IL 15- 75 Signalure of PGermitee or Agent Receipt No. d V/ 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 i By _ Date 2 Iding permit expires -Date h ' h BUTTE COUNTY' DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,:CA. PHONE: 534-4541 MOBILEHOME INSTALLATION.SHEET 1. owner's name:�- 2. Install.er's name: Shcn f� 3. Is the site currently under permit? (If yes, furnish permit number Is the site an existing site? Yes No / 3,-7 7 ) Yes / / No 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. /� No (If no, clarify ) (This information not required if pipe length less than 6 ft. on natural gas or �less� than 50 ft. on LPG.) site service? --------------------------------------------------- Yes / / .. 5. What is the mobilehome electrical rating? ----------------------- c¢ Amps (Load) (Amps) 9. What 6. What is the mobilehome site service rating? --------------------- (in.) Amps 7. What is the mobilehome site circuit breaker rating? ------------- a Amps 8. Is there any other electric load to be served by the mobilehome is the gas pipe length from meter or tank to the mobilehome? (This information not required if pipe length less than 6 ft. on natural gas or �less� than 50 ft. on LPG.) site service? --------------------------------------------------- Yes / / .. No / (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service?.-------- --------------------- Natural 7 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. :What is'the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or �less� than 50 ft. on LPG.) MOBILEHOME 'SU1JPUK'1 UNIA Mobilehome Mfr. ,A -)I Setup Model No•S Year %dD Width (ft.) Length (ft.) -Expando Size ft.x ft. (Draw support details below) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). le J *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings- (check. one) //fit Wood 'either pressure treated or fdn.`grade.: / 2. -concrete pad. 3. Other,' -specify Supports (check one) /44'1. Concrete block 2. Concrete piers 3. Steel piers . ........ .... 4. Other, specify Typical Support Footing Size I Max. Pier Spacing in. Max. - ,Overhang RUTT5 COUNTY BUILDING DEPARTMENT APPROVED N e'• COUNTY OF BUTTE DEPARTMENT OF, PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT i —SII 1 — I FI—viltall vca UI 111= VUU11ty Ui DUllO LU CIIlC1 UfJUII 1110 above-mentioned property for inspection purposes. ✓X Date Signatury of Permltee or Agent Receipt No.13P-1_6 9 White-D.P.W. — Yellow-Asse or — 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. DIRECTO F PUBLIC WORKS ByDate Building permit expires Date 7 42 v BUILDING Owner ,C-� k,,- S�JI ��� SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. 3 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee $ Building Address �" PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1:50 Repair drainage or vent piping 1.50 Water piping 1 50 Each gas water heater or vent 1.50 A. P. No. �� — - �Q� �Zon Gas piping system 1 - 5 outlets 1.50 . 07 Each additional outlet .30 F Sa i n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA PPlans Derkinclaration I Parcel Map 60' R/W i Improvements Lawn sprinkler system 2.00 Bid . Ions Rec'd Parcel Approval / Plan s'7 pprovol Permit Fee $ $ 3 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 i " (� V Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST' ODWELLING R ADDNS. ( ACC. B OGS.CCUP. &) 22sgft , NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CON5TR. (POWER APPARATUS & NON-RESID. (POWER OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@'25C BAL�1 Ex. Occu FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2•�� Temporary service 10.00 Mobile Home Facilities 15.00 ; License No. Classification Misc. Wiring 6.25 ~ am exempt from the Contractors License Laws of the State of Cali fomia. Permit Fee $ $ p� -. 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. @ I FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building constructicn, and hereby TOTAL PERMIT FEE $ —SII 1 — I FI—viltall vca UI 111= VUU11ty Ui DUllO LU CIIlC1 UfJUII 1110 above-mentioned property for inspection purposes. ✓X Date Signatury of Permltee or Agent Receipt No.13P-1_6 9 White-D.P.W. — Yellow-Asse or — 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. DIRECTO F PUBLIC WORKS ByDate Building permit expires Date 7 42 7 -7 � Gt • All utility connections shall be located Within 44 "&_:.J- ., ire section of the mobile hor-�e ,� on �� . home.. E,;� ., �:, a mobile s s -t of pans ,M1U5T b'�lQ kept on the iob at all times_amLit_is_unlaw#uk' S moa any changes or alterations on same with®u �• . wren permisson from the partment of hibh - i Works, Cguft of Butte, UN 51 F NOTE -,All Materials & Workmanship Sh4l Be in Accordance Wri4 Recognized—fid— racti es anrf . of a quality prescribed for Spe-c fi-ed_us' in the fi Uniform Building,' Plumbing & Machanical Co es and t S. —tit"C'Nonal-Electrical-Goode. - ..i� , .5 - .1 •4 fi=r- file 1346g. Setback shall be 5 ft. t the side property line and 50 ft tf-c- i®erTter-line-of-the--road; perrrri m -tom• AF t • ing a maximum a 2_ft.. eave overh evv��,.— n . .of - _• _ S PT -c system -- to .be_as_pter_ - Butte County Health Dept. Re-. €-COUNTY BUILD1ING: DEPARTMENT- - - ------ ^-- ---�---- A -P P RSO V E D i — �•a ... 1 f t. � .., �, � i s .. _ � � i i ,. �„jf' i•.r.r4� /" -- � J ` 1 M .. t 4 •. C., rL .. Y�, C _ „ �'� , v t . � � 1 1 _ � � ; '1 � � 1' e� r � ' i _ 1� � M �. �. � � i — �•a ... 1 f t. � .., �, � i s .. _ � � i i ,. �„jf' i•.r.r4� /" -- � J ` 1 M .. t 4 •. C., rL .. Y�, C _ „ �'� , v t . � � 1 1 _ � � ; '1 � � 1' e� r � ' i _ 1� •+ '� � 1. � ass �.... "' _ �. I/F) 'PERMIT NO. PERMIT EXPIRES— OWNER XPIRES OWNER Ed L. Smart CONTR. owner ASSESSOR PARCEL 250.6 Ludlum Ave., Palermo LOCATION u Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB I LED (Date) `— Signature PAV W J = OK p = Not OK c i - = Not Applicable MOBILEHOMES MISCEJANEOUS �e = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's t1/Coning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except ✓<'s 1. Zoning Requirements -Setbacks -Easements FIs; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors Wer; Location -Test -Fall -C/O oncrete 3. Decks; Girders and/or Joists-Decking-Bracirg-Stairs-Rails ater; Location -Test ase t Neede Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5--Eq-ec-tricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Location -Test -Wrap:/ /"L".ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors Utility Clearance 7. Elec. Card-BIDated �/Card-BI Date Card -BI Date Card -BI Date Card -BI Dat Card -BI Date Card -BI Dale Card -BI Date Date! M0 ILEHO IN ALLATION (Plans) OK except N's Date POOLS (Plans) OK except H's a . Zoning Req irements-Setbacks-Easements 1. Setbacks -Easements 2. Footings; Si z_Spaci -Marri ine 2. Soils; Compaction -Structure Stability 3. Gas; MH st-D a V e on for 4 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Ele ricity; MH t-6reeeeaerS re .Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI ra' ; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts -.GF) ate; MH Test -Regulator -Connector / 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed Water and Sewer Connected -C/0 rade-HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Exits; Insp.-Sketch ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date ar I Date and -BI Date I and B -I OeV,at i X- and -BI Date Card -BI Date Card -BI Date ,/-ag3s? , 19 7� J = OK = Not . K Notable Ready Not Ready RESIDENTIAL, (Single and Duplex) ' Date UNDERFLOOR Plans OK exce tk's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth _ 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts-Joists-Vents-CrioDles Card -BI Card -BI 51. Date Card -BI Date Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air Date Card -BI Date 15. Water Pipe; Test & Anchors -Nail Protection Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 16. 17. D.W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access Glazing Area -Glass Protection -Skylights -Plastic 18. Test Tub & Shower, 2nd Floor -Tub Access _ 19. Gas Pipe; Size & Anchors 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access -& Platform if Furnace in Attic Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date ELECTRICAL (Permit) OK except p's 20. Fixture & Transformer Clearance -Ins. Protection Date Card -BI Date 21. Elec. Receptacles Spacing -Lights & Switches at Doors Date Card -BI Date 22. Size Boxes & No. of Conductors -Stapled Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 23. Romex Installed Close to Edge of Studs & C.J. _ 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water G.F.I. & Bath Fixtures & Tub Access 25. 2 Appliance Circuits in Kitchen & Conductor Size - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Stairs & Rails 27. Range Circ. / / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al, Insulated Neutral ❑Yes []No Fireplace or Stove; Clearances -Hearth 28. Service -Riser Conductors & Ground -Main Disconnect Elec. Outlets at Wood Panel; Int. & Ext. 29. Equip. Clearances; Panels-Motors-Mech. Equip. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 30. Clothes Closet Lioht-Shower Liaht Card B -I 51. Date Card -BI Date Card B -I 52. Date Card -BI Date Date MECHANICAL (Permit) OK except N's Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 31. A.C. Ducts; Insulation & Support Glazing Area -Glass Protection -Skylights -Plastic 32. Vent Fan; Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access -& Platform if Furnace in Attic Card -BI Card -BI _ Date Card -BI Date Card -BI Date Date Card -BI Date Date FRAMING(Plans) OK except N's Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 36. Sills; Proper Material & Anchors _ 37. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound G.F.I. & Bath Fixtures & Tub Access 38. Bearing Walls over Girders & Floor Nailing Elec. Trim & Subpanel; Breaker Sizes -Labels 39. Draft Stop in Walls (rat proof) Stairs & Rails _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Fireplace or Stove; Clearances -Hearth __41. Header & Beam -Size & Bearing Elec. Outlets at Wood Panel; Int. & Ext. 42. Hangers -Post Caps -Anchors -Connectors Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 43. Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Elec. Outlets & Receptacles at Kit. Counter 44. Fireplace Ties or Type A Flue -Fireplace Throat ' 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles A.C. Duct in Garage -Damper 46. Bm. drWindows or Exiting Doors -Sill Hgt. & Dimensions Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 47. Garage Fire Protection Framing 50. Stairs; width -Headroom -Rise -Run -Landing -Fire Protection ICard -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: (NOTE: An entry must be made each time youvisit jobsite) 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FINAL (Plans) OK except k's 56. 57. 58. Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. 83. Glass Protection _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates ICard -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 �,-/,CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector!/%( - �•"' Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, �'please contact this office immediately. J Inspector v9 it Date�-- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the Administrative Code, Title 25, Chapter 5, under permit c 1 CaliforniaA 'ia number zs � �' n � for the following location: Owner Owner's Address Mobilehome Mfg.".`Model `�' Year Insignia No. 40 C-35'1 Serial No. 475�24< It is hereby certified for occupancy at the �aaboye described location and may be occupied. Director`of Public Works, Date 'L" —T " g = By ��_; t`.• `¢ THIS CERTIFICATE CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. � ,. i �. ,. m�-�.. z� ,,. I, i � � � n I� ���� � ? 2 y COUNTY OF BUTTE - DEPARTMLENT OF PUBLIC WORKV P RMIT NO. 7 County Center Drive - Oroville, California 95965- Telephone 916/5 541 8 APPLICATION'AND PERMIT Fl ASSESSOR P_ E C� LSSEL / - ZONI BUILDING PERMIT owNE��AjC GCL - TELEPHONE SQ. FT.. OCC. BUILDING VAL ATION OWNER'S MAILING ADDRESS ZS�2 L.uD " NC- 1��YLcEao 0 - CONTRACTOR'S NAME - ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEMD UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGIN R LICENSE No. Plan Checking Fee $ t &o Penalty $ ARCHITECT OR ENG% EER'S MAILING ADDRESS Permit fee $ ,v BUILDING A CSS ZSlI/ V PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 �Z, Water piping LOT NO. SUeCI VISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USEOFSUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system +__00 TYPE OF WORK New ❑ AdditionElpRem/odel ❑ilities ❑ nsja la 9n Other ❑ Describe work: �'��1 LI�L � /&/W 41? Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 5.00 ���[_ 7 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. `/ DWELLING OCCUP.Sj� OR ADDNS. ACC. BLDGS. 2Q sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): (� I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No: Classification ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NE NON-RESID CONSTR BRANCH CIRCUITS 2.50 ea NEW CONSTR. IPOWER APPARATUS Js NON-RESID, %SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 150 @� 00 FIXED APPLN5, OR EX. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I' have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 0 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 gnd expenses which may in any way accrue against said County in cople-qu#yb of the granting of this permit. X 7 Date Signature of Applicant — Owner [ Contractor ElAgentwork 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 $ S©, 0 a OCCUP, GROUP I TYPE OF CONST. PARCEL PD NO 159 This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR OF PUBLIC By PE PIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ate Date____ `� V Receipt No. U/(/ -S J% WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. L 5L� a&iAwl furnish Setup Model No. Year Width j � (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. Foot ings' (check one) • Single W1 1Wood either Afoundation •pressure treated or O x grade. (ft.)(in;). (.in.) (in.) 2. Other: ( specify) Center support locations* Center support footing sizes Supporta (check one) (in.) l; Concrete block. r .2: Other. (specify) (in.) (in.) 4 --Tagalong or Expando,' show support details. (in.) (in.) �' -- Typical Support (in.) (in.) Footing Size (ft.)(in.) .(in.) (in.) -- Max. Pier Spacing J Max. Overhang (ft.) (in.) (in.) (in.) (ft.)(in•) ppAA 1 a' !` F1T �Ii PP 0VEDol, /•v *If center piers are other than drawn above, draw in-locations,.spacing,. and dimensions. 1' 1 11 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 1. Owner's name: 114 2. Installer's name: 3: Is the site currently under permit? Yet No ( If yes, furnish permit number OR. Is the site an existing.site? Yes No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of. all setbacks.and easements? Yes. No ( If no, clarify ) 5.What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? ---------- 2Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to-be'served by the mobilehome ; (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) siteservice? --------------------------------------------------- Yes No -fes (I£ 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 !3 LPG 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 WORKSP RMIT NO f 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT A ASSESSOR PARCEL NUMB R 2&-1 — ZONIN v BU DING PERMIT OWNERY ED . L , SA44P_/ LEPHONE _ 33_� S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2�/2 G(ibLUM f►VE. Pi4l_4�55evo X59 CONTR AC 1 OR'5 NAM/E�/� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking FeeIff $ O, v(� Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDINGI4 D�RESs� L.UDa..L /V/ � V C� �L/� 57 � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5. 0 f /lm -te-'e c Water piping LOT NO. SUBDIVISION NAME • PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USCOF STRUCTURE SF [:]Duplex❑ MobilehomeQ�her SPECIFY Building sewer O8 Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation❑ Other[] Describe work: Permit Fee $ .Q tl Contractor ' ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 J�vO 0 Main service EA. ADD'L 100 AMP -S Y 2.50NEW CONST DWELING OR ADDNS. ( ACCLBLDGSCOUP.N\ / 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license_ is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason DTR BRANCH CIRCTITS NON.RES, 2.50 ea NEw CONSTR. ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. OCCUR(OUTLETS OR FIXTURES 50@25¢ BAL@t FIXED APLNS. Ex. Occup.(oUT LETS P(RESID )REA, 2.00 Temporary service 10.00 Mobilo Home Facilities 15.00 , Ov Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. J X T Date Et ^ �r Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ rs0 occuP. GROVP I TYPE OF CONST. JPARCyl PD H� ,V/ ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR PUBLIC SL By �' PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS / Date �� v Receipt No. 57/ OC) 9 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT This set of plans and specifications MUSTe I kept on the job at all times rind it is unlawful to on some without make any changes or alterv+ions written permission from the Department of Public Works, County of Butte. NOTE:—All Mat rials & Workmanship Shall Be in Recognized Good Prnctices and Accordance with of a quality pres ribed for the Specified use in the lumbing & Machanical Codes and Uniform Building, the National Electrical Code. Utility connections shall be within 4 ft. of the mobilehome, either r � `�- directly behind or within the rear half of the roadside (left) of the ', - t� mobilehome. !for }hal • permit will be require the mobi home. installation of � / I A setback of 5 ft. from the 7.1 property lines and a setback BUTTE COUNTY BU of 50ft. from the road BUILDING DEPARTMENT centerline shall be clear of structures or equipment except r APPROVED t for a 2 ft. eave overhang, e Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 82- 9501 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement i3UTTF be -recorded prior to issuance of a building permit. `-CORE)s R The property described herein is adjacent to land'•or included 0'i l within an area zoned for agricultural purposes, and residents -of A.1,S�i�e this property may be subject to inconveniences or discomfort arising P P Y Y J g-RECORULFt from the use of agricultural chemicals, including, but not limited to her es, fi pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited.to cultivation, plowing, -spraying, pruning, and harvesting which -occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a 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 9,10,11,12,13,14, and 15, in Block 48, of the Town of Palermo, according to the Official Map thereof, filed 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: State of1k ) SS. County of OFFICIAL SEAL ANGELA D. KELLY NOTARY PUBLIC. • CALIFORNIA PRINCIPAL OFFICE IN BUTTE COUNTY MY COMMISSION EXPIRES SEPT. 7. 1952 Present A.P. NO. PROPERTY OWNERS: On this the day ofc\,mp,� 31 1 before me, the undersigned Notary Public, personally appeared known to me to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the'same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. NO OF DOCUMWT I -o c� rrt F� a „ PERMIT NO. 1455-77-B';E7' PERMIT EXPIRES OWNER Ed Smart CONTR. owner LOCATION (A.P. 26-196-4 � 2 12 ud um ve Palermo ,' ; ���7, r n R 1. Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. alled PG&E _ T mp. Gas Serv. _ Called PG&E _ JOB FINALED I° J COIff�1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD M HANICAL BUILDING BUILDING (Cont'd) Heating PLUMBING Setback // �T Firewall Soil Piping Finish 4 Forms Parapets 1st Floor Ventilation Main Bldg. Restroom Finish 2nd Floor Final Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing ---7 Water PI in Piers �,�i� Roofing /f. Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure Appliances Gas Pi In & Tes Temp. Gas Slab Final Sanitation Patio ,�41FIRIEPLA& 31 Final Footings Vooting ELECTRICAL Masonry Walls Throat 1% -i P,,7 JW R o u a h .1 S -7 7 Reinf. Steel / I Final -// "—�/ " " 'V of ` I Fixtures FIRE SPRINKLERS Mesh M HANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish 4 Ducts Underground �i y Interior Lath OAC Ventilation I Permanent Door Closer ----� Final Final MOBILEHOME UTILITIES ----------•------- Elec. Service Elec. Pedestal ` l' Water Piping Sewer Gas Piping M 1 EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS -01 a e- (NOTE: An entry must be made on this form each time you visit the job site.) V ^ "PERMIT NO. 6750-77B PERMIT EXPIRES 0 07 OWNER UU. Ed L. Smart G CONTR. owner LOCATION (A.P. 26-196-4 2512 Ludlum Ave., Palermo Temp. Power Pole Called PG&E _ emp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E _ JOB FINALED COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS BUILDING INSPECTION' RECORD BUILDING BUILDING (Cont'd). PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEMOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone.' 534-4541 APPLICATION AND PERMIT BUILDING Owner 's M art SQ. FT. OCC. BUILDING VALUATION Mailing Address ��/'� I hone � 1 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 PaIg Repair drainage or vent piping 1.50 _ 9 / , A. P. No. O� l0 (g Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F ire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 _!QA Parking Plans ParcelEach Declaration I Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 AUG ec Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L too AMP 2.50 Main service OVER 600v ESS 25.00 100 AMP OR L Main service EA. ADO'L 100 AMP 1.00 NEW CONST.( OR A.D.S. ACCLBLDGS.CCUP. Y� 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 st le of: y TLF NEW CONSTR BRANCH CIRCUITS) NON-RESID ( BRANCH CIRCUITS 2.50ea NEW CONSTR (POWER APPARATUS 8 NON-RESID, `SINGLE OUTLET CIR. EX. OCcur)(OUTLETS OR FIXT11RES50@251 BAL@100 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 1 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. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �_' Date S 7, St r/ Signature of '► Permitee or Agent Receipt No. 1:1:7 :7 D 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. I PUBLIC WORKS By Date permit expires gate • - COUNTY CSBUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive , Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Y�5 YL_�1�7 __ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 7 X G Date1 —7/ Signature of Peerrmiitee or Agent Receipt No. ad V 7 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. IREPXR OF PUBLIC WORKS Wv, r2 B ate Building permit expires Date BUILDING Owner b �� F� SQ. FT. OCC. BUILDING VALUATION ^3 �"-. Mailing Address z 1�d(1v� ��� � rem G fes..•'- Q ° Tele ho e�N/q(�/ ^ 7 4 Fireplace S � Contractor (,V /�/� �, . Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ 2— Building Address O L PLUMBING No. @ FEE PERMIT FILING FEE $3.00 th� fie' PLA L ` oa 4 V E • Each Trap 1..50 C1�iG►,►'V� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — Zoning & Planning Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 V, �Vx and i n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. lane Recd Parcel Approval Pl0 royal Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 _- Main service 600V OR LESS 5.00 100 AMP OR LESS • - Main -service EA. ADO'L 100 AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service// EA. ADD'L 100AMP1.00 NEW CONS.OR ADDNST \ACC LBLDG SDWELING O -J &) 2¢sy ft NEW CONSTR. (MULTI -OU ET NON-RESID. BRANCH CIRCUITS) 2.50ea - >A NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@� BAL@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Tdmporary 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. KII certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ ri authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 7 X G Date1 —7/ Signature of Peerrmiitee or Agent Receipt No. ad V 7 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. IREPXR OF PUBLIC WORKS Wv, r2 B ate Building permit expires Date N COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 r Tdl ephone: 534-4541 /� APPLICATION AND PERMIT Ji, authorize representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. XF-AZ ��ADateVEc ^ 7 Sig oture of Permitee or Agent Receipt No. Uals � 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. DIRE OR OF BLIC WORKS --� BY Date i Building permit expires Date ���" BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address)�ZA v -le ho o. ✓ Ctk�� � S Zen Fireplace Contractor (.- Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. a Permit Fee $ 1 Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. +� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F&el�d Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA PPlans Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bld Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service io00o AMP OR ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home Others ❑ ER Main service 10 0 AMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDGSNG ,CCUP. &� 2¢sgft NEW CONSTR. MULTI -OUTLET 1 NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL2¢ 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 No. @ FEE 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 TOTAL PERMIT FEE authorize representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. XF-AZ ��ADateVEc ^ 7 Sig oture of Permitee or Agent Receipt No. Uals � 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. DIRE OR OF BLIC WORKS --� BY Date i Building permit expires Date ���"