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HomeMy WebLinkAbout026-222-0102(-222-10 Mary B.rimm >a 7715 Irwin �Ave. , Palermo Permit #374b=80P,E(util.,MH) 026-222-010 PERMIT#97-0934 ELEC .1'D- Z17` g0 -7,00,4 BRIM Penny - GAS /O - Z9 -&D �'h3/4 " �f/f�T, 7725 Irwin Ave., Palermo SUPPORT STRUCTURE REQS Open Deck/MH CCMPACTION TEST REQ.) pr ------ _0002-6-22 2 - Permit#5S01-9-OMHI I s spa - - - - v - 026-222-010 0 - 741�� 26-29 BRIMM, PENNY SNP �ermit ��2 15-85MHI (install,7725IRWINAVE.,PALE ISSUED -/ , CONT: PHIL DECANN r EX MH PERM FND EX SIT 26-222-10 3150-89B. , 026-222-010 02-2881 BRIMM, Howard BRIMM, PENNY 7725 IRWIN AVE., PALERMO ' 7715 Irwin St, Palermo ! I REPLACE GARAGE DOOR & REPAIR ContR: Allied Energy Products / , SIDING (vinyl siding/S)F I`b � 026-222-010 04-2145 - - - - - MAHAN f 26=2= 2 ' 1.0 2661-90E 7715 IRWIN AVE, PALERMO BRIMM, Mary Cont: ALLADIN ROOFING RE -ROOF 7715 Irwin Ave, Palermo c (J Contr: Chucks Electric / a (elec sery/sf)' 26-222-10 92-565 P,E BRIMM, Mary 7725 Irwin Ave', Palermo / (mh utilities) ELEC GAS COMPACTION TEST REQ SUPPORT STRUCT REQ 26-222-10 92-718MHI BRIMM, MARY 7725 Irwin, Palermo �y cont: MH Center (mhi existing site) 3 �� 11 A I I y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION Z.;- �µ��t County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT 0. r ' (Rev.12/96) APPLICATION AND PERMIT -- CZE= F ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER 4N 'ARTMM PENNY TELEPHONE SO. FT. OCC. BUILDING VALUATION 1536 R 82.944.00 "UWNEAS MAILING DRESS PALERMO, Q4 9-596-8- CONTRACTOR'S NAME7E -7 TELEPHONE CONTRACTORS MAIUNG ADDRESS 690-0 1_11N_=__LN BLVD. QRGkq1.LECA 95966 CONSTRUCTION LENDER S Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 82,.944.00 ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ 281. 50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23 00 BUILDING ADDRESS' 7795 IRWIN AW... PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ IAT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 . TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX ME PERM EX BITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ PO. 00 ELECTRICAL PERMIT Filing Feel 20.00 800V OR LESS Main Service 20.AORLESS23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i 'n f IV9rce and effect. �� License Class r l/ Lic. No. &70 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' ,compensatio Insurance carrier and policy number are: Carrier Cin L Main Service WDA TO 46.00so CCU000A NEW CONST. DWEL.ING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.5¢FT. NEW NCR61oTMU LTI. ' OUTLET 97,50 POWERAPPARATUS a SINGIE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL Q I. 0 Ex. Occup. DFIxLIEOTSA RsIDLNS°REn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 _ Pre—Ens eCt4 Oil PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number ec:> cl>— (rhe above sections need not be competed 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 forthwi comply wi those rovisions. X ate ��` a Z_ Igna ure of Appli ant - wrier ❑ Contractor ❑ Agent An OSHA pe it is re red for excavations over 60" deep and demolition or construction of structuress ova stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 404.50 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISS 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� !1/r' l �2 By \ h D to PERMIT EXPIRES ON (/ Date Receipt No. WHITE-D.D.S.-B. D. ARV- 3 PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-754PE R��O, APPLICATION AND PERMIT ' AOORIE" ` / .. 'to ORY Wre /� CONTRACTOR, nwallo ADORIM Q . a C' C� O • CONSTRUCTION LEMER UENOER7 VA"M AOORlE! ®1 ARCNrTECT on ENGINEER AACMTECr OR ENOINEER7 WJ UNO AGGRESS I LICENSE NO. LOT NO. tUaONUK)"MM! I PARCEL YAP USEOFSTRUCTURE Sl� ❑ Duplex ❑ Mobilehome# Other // __ �PEcsv TYPE OF WORK New ❑ Addition O Remodel ❑ ubbes O Insulation O �-Otthho/ q� Describe Work: Q L%:q= G / t �mt>� �'�►� d SAX Stivtr O 44Kc.e rj" am 6c'etwi, lh4e Nkinn SO. FT. I OCC. BUILDING VALUATION Total Valuation = FGn Fee $ 20.00 Permit Fee ' . rsZ $ , SZD Plan Checking Fee t± . UC) Energy Plan Checking Fee S S PERMIT FEE 1 S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Ma' Service Solar or heat pump water heater 23.00 Main 6iikce Water piping t S.00 — -�- Each gas water heater or vent 15.00 Gas piping system t- 5 outlets 1S.00 Jj- Building sower 15.00 Mobile Home I S I G I W (§?20.00 Ex. Occup. OUTET00F/XTURES'•FM AM14. 00 eu x Ex. Occur-. ouTEn IRESIO.1 EA) 5.00 I Mobile Home Facilities 1 1 20,001 V PERMIT FEE : MECHANICAL PERMIT I Filing Fes 1 20.00 Hood �� I I 6.50 Moble Home Instalation Fee I I S Energy Inspection Fee = OCC cc -T. Tree TOTAL FEES L/ O 4/: J� NAZ 0. FEET UP M000 COI FM, FO ND 65UE This permit in hereby Issued under the appkable provisions of the Butte County Code and/or Rssok1don3 0r- do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON PERMIT FEE S )-06) ELECTRICAL PERMIT Finng Feel 20.00 Ma' Service soODOYO N 23.00 Main 6iikce 200A To IOMA 46.00 NEW CONST. '`�/ M Annus OWEILING OCCUR , 3.54�T c Ex. Occup. OUTET00F/XTURES'•FM AM14. 00 eu x Ex. Occur-. ouTEn IRESIO.1 EA) 5.00 I Mobile Home Facilities 1 1 20,001 V PERMIT FEE : MECHANICAL PERMIT I Filing Fes 1 20.00 Hood �� I I 6.50 Moble Home Instalation Fee I I S Energy Inspection Fee = OCC cc -T. Tree TOTAL FEES L/ O 4/: J� NAZ 0. FEET UP M000 COI FM, FO ND 65UE This permit in hereby Issued under the appkable provisions of the Butte County Code and/or Rssok1don3 0r- do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON i COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 ` PERMIT APPLICATION DATA SHEET OWNER:C& ASSESSOR PARCEL NUMBER & Proposed Building Use: Counter Technician: Date: d Items required in ordereo apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans. ja--Z. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7._ Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ....................... • ............. ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in y ❑ 17. City of Chico Plumbing permit......................................................................... f ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ,! ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: j ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... fi y! ❑ 21. Encroachment Permit for driveway from the Public Works Dept.construction approval prior too , u Pricy) k: . �22. Pre -Inspection for O '% /55:t � q gar 4e- tJ regjOred ..... ❑ 23. Contractor's license information. (Number, NaFne Style, Classification) ...................... 0 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... O 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statemen................................... ❑ 28. Manufactured home utility clearance ............. ..... .... ❑ 29.E ' tng violation nd/or expi d periaa _ !0.. . 3D- �Gr t Deed, H. Tit Statement o ac r from Le �vne eck to H.C.D. $ ❑ 3 L�6t�ielp _ When issued Telephone .;2 y — and hold or pickup. I have been informed f the above Mems andbrequirements for obtaining a building ermn. Applicant: 1. Index permit application or the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cfthe above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the abov data y ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: �'L%j Date: Q -`z_ Plans approved by: /1� Date: v ej' Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Buildine Division Date: 1#A4)oz- IT o Lc.. 6 If HOUSE 74' -71 i 74z) BUTTE COUWN By )PNG DEPAR TMEW, (D (D (D r d M Ln CD M O 0 Ln fn N I- Q U O 0 a 2 "x 2`x 3/ I ti STEL ANGLE DETAIL "A" CHASSIS FRA1tE 1/4' GRIPPER PLATE (2) REQUIRED 1/4' GRIPPER BASE 1/2•-114JMC-007 K BOLS WffH WJTS (4) RCQUIM !1 Ile SCH 4D PWF RISER W" 01/2' ADJUSTER HOIES ANO 3/8' THICK TOP PLATE 02' SCH 40 PIPE STA90 WITH TWO 01/2' ADJUSTER NOTES 0 AKSCO ABS PAD #503 STEEL rRAIAE SEE DETAIL �A* .3j8- CAO; PLATM SCL.T, \'.:'• S W:SHEP COUNTER BORED FLUSH MATH BOTTOM AT 8' O.C. (8) REOUIREO 1/4' STAND BASE - ABESCD ASS PAD 1503 36" MAX t0 B07TOY Or 1PAD •1/2'x 3' C.R. LOCK PIN MATH 01/8, BRIDGE PIN I� 37' 1a I/z' I MAC" 'r' FRAME 2' CHANNEL-, 1/4°x1-1/4 *--, TEX STS (2) REOWRfD 1/4'B� ER 1/2' A307 BOLT (2) REOUIRED 3/8'x 5% 6' STEEL PUT( 1/2' A307 BOLT (2) REQUIRED �•-- 1000 —+{ T_ 0 %e 0 10:00 09/15 HOLE STAND BASE TOP VIEW TUF-1 PERMANENT FOUNDATION SY TEM A43ESCO-GUS GUARD 00WANY 5851 FLORIN - PERKATB ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX (916) 383-5207 'Sl 8 i- COACH 'J- FRAME r 1/4 GRIPKR I/1 x1 PLATE TEX STS (4) R£OUIRED e s: I/4' GRIPPER BASE 1/2' A3D7 5017 (4) REOUIRE.O C BE J— SEAM ATTACH,�,I�NT ATTACHMENT ¢ 0 4 g' 1/2* DIA. ' HOLE (B) PLACES �r - -- — 30' STS FRAME T OP VIEW ' STATE APPROVAL 6 1 r� Dam 1 ?' 1.: a WAYNE T. POLVADO, PE -LISTING NO. F94249 SHE(I 1 or 3 - Dam 1 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHE(I 1 or 3 - Q cL:uG tr a� c '< ti OAC � w�trn t _ co V a OXVI D 2 m rKUM URUVILLE PRODUCTS S30S347666 3335207 ASESCO PAGE 02 uCID rn w I� M IF 7TT7H� ~�+4 JL 1;m9 v�� � �i0 ^p 3 rr� V, rl1 7► r 1= to > igR C ]l'�,i mins U1 --1 U I MM G r VI WQsw 7ag� N q��c y� "�' } y�r� ! '� C::iii f` RQ1rNP� a 6� r t z iri c g 25 rot b >0> rC, C : ams Q IRG Ao Z� xLl {Q C2ro 8 1 3m Opp gt3tai O M > yj b CS M � o * If. T O < Mo5U2140MP.. POUNDA1i* SY!!'M Q HLk! TN AND!''. FIrT'Y CODE, SEM16 t W"t v m SUBJECT :. '.'..._.:: C:IlONS NO'I"J� V7 APD7t0vALW(:3 ,;,:! a.;;1'IIORt7.E0itARM6AliK ZOM MIC" 04. Uf.1'I. o IQN PAOM ffso �Qi'� O RPPLfCAaCb $ G1r:, '.Aws AND RSWJL.40MW Stott d Giif6mis . Z Defsmuent of Itvu.wi>6 god Comcnat; Dovokp" 0 .,i O[VISION O1'CODES AM. sr MM= fv D.d 2 �' tagnum:} SPA NO. 116 Pt.s AMova! Expirn N 0 w V) `4 ri W 0 P. 2 LINTY ppb '< ti '1 T O < Mo5U2140MP.. POUNDA1i* SY!!'M Q HLk! TN AND!''. FIrT'Y CODE, SEM16 t W"t v m SUBJECT :. '.'..._.:: C:IlONS NO'I"J� V7 APD7t0vALW(:3 ,;,:! a.;;1'IIORt7.E0itARM6AliK ZOM MIC" 04. Uf.1'I. o IQN PAOM ffso �Qi'� O RPPLfCAaCb $ G1r:, '.Aws AND RSWJL.40MW Stott d Giif6mis . Z Defsmuent of Itvu.wi>6 god Comcnat; Dovokp" 0 .,i O[VISION O1'CODES AM. sr MM= fv D.d 2 �' tagnum:} SPA NO. 116 Pt.s AMova! Expirn N 0 w V) `4 ri W 0 P. 2 LINTY ppb e m a cfl to co r d m Ln CD M j Ln A V r 3/4' nib. . r e" r i/2'x 3 1/2" 1/2'x 8- LONG (4) REQUIRED EXPANSION ANCHOR ANCHOR BOLT (4) REQUIRED (4) REQUIRED 3/8' CAD PLATED BOLT. NUT Q WASHER COUNTER BORED FLUSH VATH BOTTOM 1 f': AT 8' O.C. \ (8) REOUIR£D '� 031 1 " • .. 1 CONCRETC PAD INSTALLATION 1 ` POURED IN PLACE 16xt6xl2 CONCRETE FOUNDATION INSTALLATION CHASSIS FRAME 1/4' GRIPPER PLATE (2) REOUIREO 1/4" GRIPPER BASE 1/2-13tMC-A307 x 4 - BOLT WITH NUTS (4) REQUIRED 01 t/2' SCH 40 PIPE RISER Wf M 01/2" AMMSTER HOLES AND 3/8 - THICK TOP PLAyt 02- SCH 41) PIPE STAND WffI4 TWD 01/2' ADJIJST'ER HOLES ABESC:D An PAC /30.T STEEL FRAME,� / 3B' MAX TO BOTTOIi OF PAD O I /1/2"x 3" C.R LOCK PIN wITH 01/8" BRIDGE PIN 1 37' 18 1/2' LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION Kum -www tllF1lfg SRI= wmlr usm SIE24 Ill! 1 OLENM of VAMH Or 44 HOME 1 T 4 1 UP u s 8 a 12 UP TO 44' K =l 12 2 32 1S -1' fio 86 a B a Ie it, i 10 ig Ito t+111t81ER Of iTJF-1 REOWRED t11J119ER Of T1iF-1 REQuon sbmLE *18E L449S REQIARE (4) E --x ITE PADS. GUS GUAM TUF-1 PIERS ARE TO BE PKACED AT APPROsItATATEI.Y EOUA . INTERVALS ALONC EAt:It ntAW RAIL. TUF-1 PERMANENT FOUNDATION SYSTEM ABF -SCO -GUS GUARD COMPwEIY SSSI FLOPiN - PERKINS RGAD 8ACRAMFMr0, CA x5823 PH: (8x0) 582-6831 fAX: (91(j) 383-5207 TATE APPROVAL IN t J x f 1- WAYNE T. POLVADO, PE -LISTING NO. 194249 SHECT 3 of 3 A- ZZ fa COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7. County Center Drive • Oroville, California 05965 • Telephone (530) 538-7541 r1iT NO.`> ,Rev 12/061 APPLICATION AND PERMIT � ` ASSESSOR PARCEL NUMBER ZONING 026-222-010 TELEPHONE OWNERSO. Penn Br mm g' �SAve. , PalermoA�t --•- TELEPHONE CONTRACTOR'S NAME BUILDING PERMIT FT. OCC. BUILDING VALUATION est 500. CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER — -- Fireplace LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER UCENSE NO. Total Valuation $ Filing Fee $ 20.00 Permit Fee $15-00 ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS 7725 Trc.i; n 4vA Pal er-mn —.. Plan Checking Fee $ - Energy Plan Checking Fee $ $ PERMIT FEE $ 35,00 LOT NO. LAT NO. SUBDNIS IO NS NAME TU� PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other Pri Det Garage SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00, TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)g Describe Work: ^^lac P �arag r�nr��g��j g�0 j 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 Feel 20.00 Main Service 200AORLLEEss Main Service 200A To 1000A 23.00 46.00 — LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions o: Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. LIC. NO. License Class - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor:: license Law for the following reason: I, as owner of the property, or my employees with wages as their sole compr,nsavon' will do the work, and the structure is not intended or offered for sale. ❑ I, as of the property, am exclusively contracting with licensed contractors to construct the project. I ❑ 1 am exempt under Sec. Business and Professions Code for this NEW CONST. DWELLING OCCUP. OR ADONS. & ACC. BLDS. SO 3.5cFT. NEW CONS MULTI.OUTLET NON.RESID. BRANCH CIRCUITS 7.50 __ OWER APPARATUS. 6 PSINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 1.00 BAL c .so FULED APPLNS. OR Ex. Occup. ouTLErs REsID. En 5'00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE _ reason n WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number L (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I cer q that in the performance of the work for which this permit is issued, I shall not employ eny person in any manner so as to become subject to workers' compens ' n laws of California, and agree that I should become subject to the worke c mpensation provisions of section 3700 of the Labor Code, I shall fo ith omply with those provisions. Date �U.� Signature of Ap Ican - O Owner ❑ 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 Z. D. FEES I IMP I FLOOD I COF PARCEL I PD HD SU 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 ave been paid. B Date�.Z LQ PERMIT EXPIRES ON 0 efe ReceiptNo. B.D. CA A Y WHITE-D.D.S.-- SESSOR PINK -INSPECTOR GOLDENROD-t,�f'LICANT /017 COUNTY OF BUTTE L4 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 r CORRECTION NOTICE (S (L - 2 -)Pi- / OWNER PERMIT NO. A routine Inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work Is completed.. If you have any questions pertaining to this matter, or need addl al explanation, please contact this office immediately. �- f ;a 1\ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-750;;L:20 1 ,� SIT NO. (Rev. 12/96) APPLICATION AND PERMIT < < 2 ASSESSOR PARCEL NUMBER 026-222-010 ZONING BUILDING PERMIT OWNER Penny Brimm TELEPHONE SQ. FT. OCC. BUILDING VALUATION est 500. °W19�2'�"LI SAve.., i Palermo Ali- pzl� CONTRACTOR'S NAME Z - TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS - Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7725 Irwin Ave-, Palemo Energy Plan Checking Fee $ .$ PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other Pri Det Garage 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 ❑ OtherXR Describe Work: re laC- Rara�Zin door & repair siding Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEIJNACG OCCUP. OR ADDNS. ( 8 C. BLDS. SO NpN•20NDDT. MULTI-OUTLETTS @7,50 APPARATUS b SINGLE OUTLET C'R. OUTLET OR FIXTURES Ex. Occup.SAL 20 Q 1.00 @ .50 IPLNS Ex. Occup. ouTLEEDrs RESID.°EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 1 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, forthe performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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' compen ' n laws of California, and agree that if I should become subject to the worke c mpensation provisions of section 3700 of the Labor Code, I shall fo ith omply with those provisions. Date aZ Signature of Ap Ican - ❑Owner 13 Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 I.AE FEES IMP I FLOOD I CDF PARCEL I PD HD SU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees ave been B Date PERMIT EXPIRES ON ewe provisions to do work paid. O/15_/0 Receipt No. - WHITE-D.D.S.-B.D. CA A Y- SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Pin COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT r� ASSESSOR PARCEL NUMBER —•� Q / Q ZONING BUILDING PERMIT l OW,N�ERS/-_7u �i�� In ��) TELEPHONE SO. Fr. OCC. BUILDING VALUATION GW" / �( ►c, )l s/S G. vi ) r h /a 1pvy,(.,�) CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILOINGADDRESS M V— —r- LOT T LOT NO. .1 SUBONMIOWS NAME LICENSE NO. USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other C1 J SPECT TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilif�ti�espp❑ Installation ❑ Other Describe Work: "PERMIT FEE PAID SRI . SHERIFF OTM AMOVNT MEWED $ *Ws. NV&VM aa3 * TO go !VT 214TO Comm 0. Fireplace PERMIT FEE $ Total Valuation Is Filing Fee 20.00 Main Service Filing Fee $ 20.00 Main Service Permit Fee $ / C-' NEW CONST. OR ADONS. Plan Checking Fee $ "I 111 T. NON-RESID. Energy Plan Checking Fee $ _ POWER APPARATUS 8 SINGLE OUTLET CTR. —.—_ _ PERMIT FEE S OUTLET OR FDMAES 20 p 1.00 _ SAL @ .50 PLUMBING PERMIT Each Trap 1 Filing Fee 1 20.00 7.001 5.00 Solar or heat pump water heater Temporary Service 23.00 Water piping _ 20.00 15.00 Misc. Wirina Each gas water heater or vent 23.001 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G 1 W @20.001 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 1 20.00 Coolin 6.50 Ventilation PERMIT FEE 1 $ 1 Mobile Home Installation Fee $ Energy Inspection Fee $ I OCC CONST. TYPE TOTAL FEE $ NAZ. I D. FEES I IMP I FLOOD I COF I PARCEL 1 PI I HD I SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date _ I PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 000v GR LESS 2ooA oR LESS -- 23.00 Main Service 200A To 1000A 46.00 NEW CONST. OR ADONS. DWELLING OCCUR ( & ACC. SLDS. ) SO. 3•S�FT. "I 111 T. NON-RESID. MULTI -OUTLET _ 7.501 POWER APPARATUS 8 SINGLE OUTLET CTR. —.—_ _ Ex. OCCU OUTLET OR FDMAES 20 p 1.00 _ SAL @ .50 EX. Occup. OFIXEOTS RL�ISS ORS 5.00 Temporary Service 23.00 Mobile Home Facilities _ 20.00 Misc. Wirina 23.001 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 1 20.00 Coolin 6.50 Ventilation PERMIT FEE 1 $ 1 Mobile Home Installation Fee $ Energy Inspection Fee $ I OCC CONST. TYPE TOTAL FEE $ NAZ. I D. FEES I IMP I FLOOD I COF I PARCEL 1 PI I HD I SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date _ I Ay Vit. rox; O`VNER-BUILDER VERIFICATION I Attention Property Owner: An -owner-builder" building permit has been applied for in your name and bearing your APMAM Please complete and return this information at your earliest opportunity to avoid tmneoeeraq►�y in processing and issuing your building permit. No building permit will be Wiwi uo�it his verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement :YES �r NO C3 I HAVE HAVE NOT O W� signed an application for a building permit for the proposed & ,. I have co traced with the following person (firm) to provide the proposed c�onstraCtioo: NAME: ADDRESS: CTTY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to eootdimb-, supervise, and provide the major work: NAME: ADDRESS: CM: PHONE: CONTR4CTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK S GNED: PROPERTYOWNER: r 4�'7'fiELY 1Yi E R DATE: (VOTE: This Owner -Builder Verification is required by Section 19831 and 198314fia California Health and Safety Code. This verification must be eongdoW and returned to our office before we are permitted to issue the permit OVER f 1 at OWNER BUILDER INFORMATION � CC!.- P70ce.7, Cw-= kn application for a building permit has beta 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 Off P C'M au such a permit. Building permits are not required to be signed by property owners unless they are personally paw t w own work. If your work is being performed by someone other than yourself, you may protect yourself from F. 6%te 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 acception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you tmploy or otherwise engage any persons other than your immediate family. and the work ('including materials and other toss) is 5300 or more for the entire project, and such persons are not licensed as contractor= or subcortractors. hen you may be an employer. ♦ [ f you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including stare and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be F.nancial risks for you if you do not carry out these obligations, and these risks are especially serious with resucc to worker's compensation insurance. ♦ For more sceci,ic information about your obligations under Federal Law, contract the Internal Revenue Service (and, i f You wish, ire G.S. Small Business Administration). For more specific information about your obligations under S:a:e Law, ccr.tact he Department of Benefit Payments and the Division of Industrial Accidents. I; he scvcn:re is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or hrough 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 "owner builder" building permit. erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting he Contractors State License Board in your corununiry or at 10:0 N SQeet, 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. I!N�f rely. �C6A_1 el C. Vidim C.B.O. ger, Building Inspection NOTE: Th :s Owner -Builder Information is required by Section 19810 of the California Health and Safely Coda. OVER lU/U3/LUUL Uu:IU NAI OROVILLE lih006 Iaa.. i I 9S-31342 2 Wbon rocordod return toe Q zoom= • LlOR IYI 3608 nantoo>n Btroot oacovialo, CaiiBosaio 85968 95-037342, 1 Rea Q@ 9000 Mail Tax Statomonts to& I Check9.00 Recorded I Rathtesa Orsdtord Ofilclel Records I i lreetwood ws Oroville, Ca 95965 CoButte9f 1 Condo" J. Grubb® I Aa NO: 076-222-010 Aeoo:dos 1 8i02■e 24•0ot•93 1 PtISL CA 2 l!d•9A1�1YItlb' 8�1!!i Q! ��OIR SRM I, the undereignod declare ao follows: I am over tho ago of 21 yours; Howard Prances erimm, the decedent mentioned in the attached certified copy of Certificate of Death, io the seals porson as Howard Francis Sri=, named as one of the parties in the Grant Deed, dated October 16, 1992, executed by Howard Francis Brio asd Mary IBlizabeth Brimm to Howard R. SrLvm and Pony L. brium, husband and wife ac joint tenaats as to an undivided 1/2 interest and Howard Francis Brim and Mary I1112abeth Brimm, Joint tenants as to an undivided 1/2 interest, rerm?.-A- i October 26, 1992, in at 92-46985 of the Official Records of Butte County, California, covering the property situated in the County of Butte, State of California, described as follows: Lots 1 to 6 in Block 36 of the Town of Falormo, which map eras recorded in the office of the Recorder of the County of Butte, State of California, February 17, 1691, in Map Book 3 at page 4. I declare undor ponalty of porjury that the foregoing is true and correct and that this declaration was made this,Lday of May, 1999 at Orovillo, California. een Bra ford, speoutor of the Metato of Mary Brimm 0 Description: B-tte,CA Document-Year.DoLD 1995.37342 Page: 1 of 2 order: 103239 Comment: iu/03/2002 08:09 FAX 0 4 OROVILLE 8005 low 45.02350 oil �--'-j �pe�►N«»o�„b u+1INCmR�oN►'I� .a�.aa�o�i,e�mnee. I tAl'81 TO a W SM seg OF WE TOWN PAt.EAMO, WHICH MAP was WI?OORO® M THE WMIJ OFTHE WOMB OF THE COUMY OF VJM BUM OF CA1lFOR10A, ffMWMY 17, 1811, Ill MAP WOK ' r 21=m s Wun VAL eouAftot CDQ�IsOaltt Copt 37361.7 1001" =a Mull 01 1NUM Tw TU WFAU M 011 fit DK=w TO 118100 ms fuT@P�il ie AT:IL�O 2""3i Fou""RM o1 MAtr odie� L4lP i taxa caam 37tQ a tette — D ���67CRJ07 :V 1'r•r JPS j r a 'CrAftR�iX%li'1/il'C!4 P a .. 16�yisiN�iwr. • s Dated ._immIF 17 tam WAR OF CSA ') CDUMYGF BUM an --- JNi11 y 17. 1995M96 p�1r p, p0mr. RULIZ .rr.. ter— petl * lawn b nw la pww b ns w M b" al pIM4Rogr ammoo b he go Pna1 I UM MMM Ww i0P0 N (D ft � YrtlrfaN rd �10LAr11p1d bwl136 hJ�hOfPnp.bgiW 136 etn» bad "m "oboe* ad " Ir NAIIDyYIr ' v�ona� MrOoart tliP�O/Klm�fpAiA�o�ernO+�r addl�Ipo�n O�hr d r osM�s>t�slN� COt>e 1�n j NoT�•aauccale,o�,r. . � wo...o�ia�..nlo.a aob a . 70011wt� Description: Butte, CA D0cument-Year.Doc1D 1995.2350 Page: 2 of 2tole Order: 103239 Comment: .'NT Iu/Ud/ZUUZ US:09 FA% OROVILLE Q004 t_. t OMO It" taagl M CI POW L eRAW or& Na EM W No. 100004 UM Na 1lVM F=== IML 7*. PENNY L BRUM 7725 IRWIN AVE PALERMO. CA. a= 95-02350 95-0023501 Rae Fee I DDC Recorded 1 Ch"It Official Rucorde I County of I Butte 1 Candace J. Grubbs I Recorder I 91136m 23 -.tan -95 1 PURL 9.00 10.45 1Q.44 XX 2 "W AS ABOVE p�Mat MeaWrreno ftn aPROW oororR Go APNMS,t"o ii ao *w m b won m a MA for am a mouhrnr rrriaraarMal► ftwa &A umn IMM in www" MMi a arra w aoelrm r h ooar.dy trraax � a,aw Y aAlFrra+uall a pd•1rrW orate awb edam carat wrrdYririaoat m oar.arNalrbAarrntaM.M, � b rsrrRaMm aq bgIwrMM a ift the .r►inrol�...,.. y_ .._-._ BbnNw dbft"QA9aM11aar1Mo 4- Imam INTERSPOUSAL TRANSFER ®RANT DEED i ck*daoaM"I"W%WC9MftCa MMAMft9AItdY4i dw Tthne Iha pig 1, g a a *Jft � � awnws� wdu 143 d IAM Rawnlo and T&Qft Code and GtmM ly hu prosy _ Atw afrl m a tr, WON trl+Mteid u>• as ■ apa+aq, a ab aunM� atm d a elaaaad trapdoor, or b�/ a oanola d ald� a to m ftMpaw d ftbv". a or a krmwr Mpoua h oarr+a�tloc, wtm. poportr sltdameM YpdnM or 400 of dMkMM d a nwdiq �. A caeltaL UmW. Of Wft&d l k MW MOM rpot M d alp 0 -ma's t waw �.'madial�Woadetpataaltyiapro�pr�baapauaalamwlpoliaaipp�ptrvgabllatrdnartds+dlaDaaatn�atpUrftl4► In = notion wah a pnpMgr aabbmrnt Val wit or a dans d d nAdw do m v&pr at 1%w raDcryo k - «vM•d v�vq►ba�art til oratrw tbawa: are,eto�naM tr taut acme p�aaoor. eNno mt avant amr�r ati +Ips au aIq Yreratt a mtr pnaW WA MMI WIN 41, b nd a hM hWQn dlaomad prop" 10 Me oma» a* 0110 ao4 and aaaarata pro/ Ry. � � vAw� eoNeloewfTaN.lrorfpl or «+aa, a n.�.ns,.do,oetrop� MOWMD R. ORBiM„ NUSIUND OF PENNY L SHIMY �►GRAKttB) � PENNY L SRR K A MAMAD WCVM, m M8R SOLE AND SEpMATQ pROpllIIIRY (Convaued on nerd PI�i UML TAX STATEUEMB AS aIAEM0 ARAVE 1aa Iwo Description: Butte,CA Document-Year.DocID 1995.2350 Page: I of 2 ie�1d! Order: 103239 Comment: STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY►"""r,. DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS • REGISTRATION AND TITLING PROGRAM n STATEMENT OF FACTS This unit is a:PI"Mobilehome Commercial Coach 0 Floating Home 0 Truck Camper Decal (License) No.(s) Trade Name Serial No. (s) - We, the undersigned, hereby stater � P-0uvva'� 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 ofperju that the foregoing is true and correct. Executed on/aT�-O ?—at /1 h(7! (Date) (City) St te) Signature(s) Printed ame(s) ' A't * City, HCD 476.6 (REV 9/91). State s I VU 1. -14 UI �IVIUN) IU LU F. UU1 CERTIFICATE MVESTIviENI' FUND October 14, 2002 To: Butte County Building Dept. Attn: Karen. Re:- 7715 Irwin Ave., Palermo, CA 95968 It is required that this unit be put on a permanent foundation and it Form 433A be recorded in order for this loan to be funded. The loan is being obtained through Certificate Investment Fund and any existing loans will be paid in 6411 at the close of escrow. CBR'1'IFIC T - INVESTMENT FUND BY -� Fenton I3. .Taco ttc abs President 3445 HIGHWAY 129 CALISTOGA, CA 94515 (7n7)942 -690n Fidelity National Title Compan l•• OF CALIFORNIA y FACSIMILE TRANSMISSION ATTN: Sarah DATE: October 10, 2002 Phil DeCann Construction NO. OF PAGES: 1 - Including coversheet 532-3304 ESCROW NO: 103239 -CC FROM: Cindy Costa TITLE ORDER NO: 00103239 The unit located at 7715 Irwin Ave. is being sold through the above numbered escrow. Prior to c of escrow a perm foundation system is being placed under the unit. Escrow is in receipt of the den - for payment in full from Conseco Finance and said loan will be paid in full upon close of escrow. I h this meets your.needs in obtaining the form 433A which is required to close this escrow. NOTE: If there are any questions concerning this transmission please call Cindy Costa at (E 533-5511 PLEASE NOTE: In the event any of these pages require an ORIGINAL SIGNATURE, please copy the transmittal page(s) and sign on the PHOTO COPY and return to us with the original signature. THANK YOU CONFIDENTIALITY NOTICE The information contained in this facsimile is legally privileged and confidential information inten only, for the use of the individual or entity named above. If the reader of this message is not intended recipient, you are hereby notified that any dissemination, distribution or copy of this facsi is strictly prohibited. If you have received this facsimile in error, please immediately notify us telephone and return the original facsimile to us at the address above via the United States Po Service. Thank you. 455 Oro Dam Blvd. # A • Oroville, CA 95965 9 (530) 533-5511 • FAX (530) 533-1526 fax ed ile by tal DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �v51NG q� wsion of Codes and Standards • u d• p ©®� oil Z 3 oil Title Search3G D 0 Date Printed: 10/01/2002 E� Decal #: LAS6301 Use Code: SFD Manufacturer: 09248 GOLDEN WEST HM Original Price Code: AKZ Tradename: GOLDEN WEST Rating Year: Model: UG561S1 Tax Type: LPT Manufactured Date: 03/17/1992 Last ILT Amount: Registration Exp: Date ILT Fee Paid: First Sold On: 03/23/1992 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width GW6CALGV9385A RAD628683 56' 12' GW6CALGV9385B RAD628684 56' 12' Registered Owner: HOWARD R BR VIM PENNY L BRDvIM (Joint Tenants with Right of Survivorship) 7715 IRWIN AVE PALERMO, CA 95968 Last Title Date: 01/08/1993 Last Reg Card: 01/08/1993 Sale/Transfer Info: Price $89,586.00 Transferred on 10/29/1992 Situs Address: 7715 IRWIN AVE PALERMO, CA 95968 Situs County: BUTTE Legal Owner: GREEN TREE FINANCIAL SERVICING CORP 2951 SUNRISE BLVD STE 175 - RANCHO CORDOVA, CA 95742 Lien Perfected On: 03/25/1992 16:54:00 Title Searches: FIDELITY NATIONAL TITLE 455 ORO DAM BLVD SUITE A OROVILLE, CA 95965 Title File No: 103239 * * * END OF TITLE SEARCH el 4 I. •Ll L PA /D -/S'- o -z- ND allin030 QOOA1331A MC US OCS X1'3 CO:CT 311.E ZO/ST/OT RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION' 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 15 -Oct -2002 2002-0054234 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. PENNY L. BRIMM REAL PROPERTY OWNER/LESSOR 7725 IRWIN AVE. MAILING ADDRESS PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP HOWARD R. AND PENNY L. BRIMM UNIT OWNER (i f also property owner, write "SAME") SAME MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE - MAILING ADDRESS ' OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 02-2741 (530)538-7541 B PERMIT N TELEPHONE NUMBER 110-19-09 OT ATLT.-_': OF LOCAL AGE)%fOFFIClAJt DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. GOLDEN WEST 1992 UG561 S 1 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GW6CALGV9385A/B 56 X 24 RAD628683/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNLVLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 026-222-010 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. '. o ��' N M H N d Y' � vl N W p] -a d m1 ¢�� _ « 4:.:� ...;t`_ � . �. _ LEGAL DESCRIPTION A.P. # 026-222-010 All that certain real property situate in the County of Butte, State of California, described as follows: LOTS 1 TO 6, IN BLOCK 36, OF THE TOWN PALERMO, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, FEBURARY 17, 1981, IN MAP BOOK 6 AT PAGE 4. �rv,4rt"^s � g ,�*r--- -r. T-�+crr�r""�-i •^?"�7�, r. 's'c �;r,- -�, i �'��t+-t^' `�- . a� a���. , arx,�t�''�"'��€k ;° DAT -40M t s n'�/�+i{.�ri +r r r Y e_. -_3 � 3.,, .CER3t 1 FaIC—AfT FQO rk�CUPAN,C�Y� �, }.•� �}�{r `n�.��'.�,..:�r'.-�.�:�J.'s�RK.,xa��...4-+�i{t'�-'�.�'��a�� 4e_�^''_.�.:'�.�4.;.��ttk.,>'.,.�-��',,._ •;•i:,�.,4a>.'L'. '±�Y:'���i. Y?i� i. BUILDING PERMIT NUMBER: 02-2741 Address or location of unit: 7725 IRWIN AVE., PALERMO, CA. 95968 Legal Description of Real Property: A.P.# 026-222-010 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: PENNY BRIMM Owner's address: 7725 IRWIN AVE., PALERMO, CA. 95968 INSIGNIA OR HUD NUMBER: RAD628683/4 SERIAL NUMBER OR V.I.N.: GW6CALGV9385A/B MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1992 OFFICIAL APPROVING INSTALLATION: DATE: 10-15-02 PHONE: (530) 538-7541 H.C.D. 513C y .: PRE -INSPECTION REPORT - of 7+ Wr 4 OWNER vim. r1,1 DATE: t LOCATION: 7 241,21 A.P. #- • �� :-� ;� � _/ J CONTRACTOR:_ t ice\ v�C.(� G�J4'l I�� ZONING: PRE-1NSPEMON FOR: DATE TO INSPECTOR: PERMIT HISTORY:( ) NONEFOLLOWS: BLIILDO M INSPECTOR'S REPORT Building Dewription: I . . Residentia]/A of Units:_1►ZJ, Currently Occupied %% Abandoned/Vacant Electric: Yes /No Electric currently On Off Condition of Electric Gas: Naturalropane None Currently On, Obvious Problems: Sanitation: Plumbing Working Well Working / Potable Water / e Obvious SewageProblems n C RECOM, "7$ ISS ; HOLD FOR— 'j R 94 Date /v J Sketch buildings on reverse -and indicate location on p'ropert, 0 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 '. CORRECTION NOTICE ac- ��z - OWNER -PE-RMtT-NO. 'A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, 'please contact this office immediately. f i � e f t,r Date ! �� ' �/' ' Z-- Inspector REV 10/92 7 County Center Drive - Oroville. California 95965 Telephone (530) 538-7541 PERMIT NO. t733ev. Af-96) APPLICATION AND PERMIT �sElfORPANCS Wei m"'s �Nt�ar civ 1info cev%?wir�r This permit Is hereby Issued under the appiablo Pro"isions of the Butte County Code and/or Resolutions b do work indicated above for which fees have been paid. By Date �--- PERMIT EXPIRES ON BUILDING PERMIT i T""o"! SO. �Fr.:] OCC. Sul L )ING VALUATION :5 OWNEP'S WAa,w ADOIIR" COWPAM" WAX TEdafgN! CONrRAC1-1 &VAJN0 A0011!!s - I CONSTRUCTION LEMEJI Fireplace ueNOERy 10"40 AWRtss Total Valuation = RaeNRlGTORENOt►�81 O— NO FGn Fee E 20.00 Permit Fee $ AACWEcr oR DOCI Nov WUNG ADDRESS Plan Checking Fee E Energy Plan Checking Fee $ PERMIT FEE S U3TNO• 11-'X!` MAP PLUMBING PERMIT Fling Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE S� ❑ Duplex ❑ Mobaehome Other t°��` Solar or heat pump water heater 23.00 Water piping 15.00 — Each gas water heater or vent 15.00 TYPE OF WORK tt iitt New ❑ Addition ❑ Remodel ❑ Utilities ❑ linsmintion ❑ -Other qL' Describe Work: Gas piping system 1 - 5 outlets 15.00— Building sower 15.00 Mobile Hom° S G W 620.00 I PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Mai Service m°OVOA DNR tE�sa 23.00 ' i rotr O �� �. # Mein S�Intice 2004 TO 10004 46.00 NEW Cae1. OwBilrO OOCUP. 3.5os OR A00M. A Aa. KM. T. NEW eSI0. �MUlTYOYTtbT Q7,SO POWFA MMRATUB ! ! CIA 0VW 011 fOfTURE!'• 20 G! J.00 Ex. Occu 604 eo 04 Ex. OCCu VT1ET7 EltDEs,o. EA 5.00 Tem or Service 23.00 Mobile Home Facilities 2 00 Mise. Wirin 23. PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heati Coo lie Hood 11.50 Ventilation PERMIT FEI: ! Mobile Home Installation Fee $ Energy hVectlon Fee = °" aowT. TYPE TOTAL FEE $ NAL I 0. n°9 NP, I r1p00 T/= ro w Esu �Nt�ar civ 1info cev%?wir�r This permit Is hereby Issued under the appiablo Pro"isions of the Butte County Code and/or Resolutions b do work indicated above for which fees have been paid. By Date �--- PERMIT EXPIRES ON MER 01 Concretc Sia 67 OUSE 714 ------ a - NOTES RESIDENTIAL 026-222-010 02-2741 4 PERMIT NO.—' BRIMM, PENNY-- - - - - - - — f 7725 IRWIN AVE., PALERMO CONT: PHIL DECANN ' EX MH PERM FND EX SITE - ;THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS �- BEEN TURNED IN TO THE BUILDING DIVISION: ! (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY JOB FINALED (Date) 4(s Signature i JOB FINALED (Date) 4(s Signature -I = a.re 0 = Not OK . = Not Readyable Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 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 8. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG Tie Downs -Type -Installation Cert. 7. Well Clearance & Disconnect 11. 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements . 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy " Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMA�NT END SYSTEM (ONLY). DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. otings; Size -Spacing -Marriage Line 3. Bloc 'ng " Footings; Soils -Size -Depth -Spacing -Connectors -Steel as�AH Test -Demand -Valve 5-'Slectricity; 6. 7. MH Test Water; MH Test Water and Sewer Connected 8. Gas and Electricity Tagged 9'. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5'. Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Parches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Win: Size/ /ga Cu or Al 31. Range Circlei /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No _ 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detec!or 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Comments at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps-An0ors-Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive O Yes O NoJWalks O Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP042146 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/19/2004 APN: 026-222-010-000 the Business and Professions Code, and my license is in full force and effect. License Class: —,3!2 License Number: Site Address: 7715 IRWIN AVE PAL Date: 7 / --oContractor. �P M& r€ gl Map Index: Description: REROOF W/COMP (14) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for. the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner•- MAHAN VICTOR T to its issuance, also requires the applicant for such permit to file a 7715 IRWIN AVE signed statement that he or she is licensed pursuant to the provisions. of the Contractor's State License Law (Chapter 9 commencing with Section PALERMO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95968-9625 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: MAHAN VICTOR T Code: The Contractors' State License Law does not apply to an lip owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. ALLADIN ROOFING and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). P O BOX 4262 ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95965 (530) 533-2934 Date: Owner: License #- 532834 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: e �� cc,, Carrier: C1 Total Square Ft: 0 S. F. Policy #: % (3 - / 9 7 7- 0 z / Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date' Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. - CONSTRUCTION LENDING AGENCY-- - - "` ' This permit is hereby iss ed under the applicable provisions of the Butte County Code anrl/or- -- I hereby affirm that there is a construction lending agency for the Resolutions to d A i icated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: ) Date: 1 l Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representati es of Butte County to e�cter upon the above mentioned property for inspection purposes Print Name: 6 Signature: Date: �d ❑ Owner ❑ Contractor ❑ Agent for Owner 13 Agent for Contractor ti BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQ UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last Name Name irst Name Address Address �- City ® State Zip Phon6 Phone.3_ Fax E-mail E-mail I APPLICANT NAME CONTRACTOR Name Name i C�d� Address �- Fax City Zip State Zips�;6 S Phone.3_ 3 C Fax E-mail I tic. # 3a�3 � Cla o-3 APPLICANT NAME i ARCHITECT/ENGINEER Name City Address Zp City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zp Phone Fax E-mail APPLICANT SIGNATURE X For offs a use only: Zoning AP# b�. Flood Zone PropeWddress`2­71IRK SRA I Yes I No Occ. Type Const Subdivision Name t Map Book I Page Lot # Planner Date Approved: UVtK I -UK SUBMITTAL REQUIREMENTS W-%r-n0hAQ\0I 111 nIAlf_` cnon AQ\DIA- A...JQ.J.M...-. .I•... PERMIT �X. - ', q', BP 143REA or Sq. Footage O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b Amount: G Bldg W SRA Re ipt # Sheriff SMIP Date: _7( C� Other .�� Total L _QCA T/q N AP# b�. _ 1 PropeWddress`2­71IRK , ^ \t \ Cross Street WORKER'S COMPENSATION Policy Number 3- 1`717- 0 1 Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time ofpermit issuance. LENDING AGENCY Name Address or Sq. Footage O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b Amount: G Bldg W SRA Re ipt # Sheriff SMIP Date: _7( C� Other .�� Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INS. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GR,4PHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. ' Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GR,4PHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS0dgApp1SubRgmts.doc Page 2 of 2 REV 6.16.04 � ! ' 0 1 + ° RESIDENTIAL 020-222-010 PEDMII#97-0934 ~ BRIM, Penny 7725 Irwin Ave., Palermo Open Deck/MD ' ' ' - -3 -7 JOB FINALED (Date V=OK - O = Not OKNot NotRealdyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd./ /Amp -Concrete 6. Gas; Location -Test -Wrap; / PL'tL / /Nat or/ /1_'ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size•Spacing-Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 i• MISCELLANEOUS Date DEC , COVERS, CARPORTS, GARAGES(Plans) OK except #'s g Requirements -Setbacks -Easements gs; Soils Size- thSpacing-C ec rsSteel ks; Girder d/or Jc -D -B in tai ails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnecbonsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sits-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. RW; Shthg-Roofing Ext.; Steps -Doors -Landings Date q-7 moi% Card B-1 12 13 Date Card B-1 Date C,;' ?, -Card B-1 '3Q Date Card B-1 Date POOLS (Plans) OK except 's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V ✓ = OK O = Not OK - = Not Applicable R = Not Ready RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) UNDERFLOOR (Plans) OK except #'s 47. 1. ZoningSetbacks-Easments-FloodSlope 49. 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 50. 3. Fig. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 51. Garage Fire Protection Framing 4. Ftg. Porches & Decks; Soils -Steel-/ /" Ftg. Depth Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 6a. Hold Downs and Special Anchors Glazing Area -Glass Protection -Skylights -Plastic 7. Slab, Steel -Wrapped Brace Wall Panels 8. Piers -Fireplace Ftg.-Steel Infiltration -Walls -Windows 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Date 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Card B-1 Date Card B-1 11. Water Pipe; Test Anchors -Regulator -Service Test 63. 12. Electric Underground Smoke Detector 13. Pienums & Ducts; Clearance -Material -Support -Ins. 66. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies G.F.I. & Bath Fixtures & Tub Access -Spa 15. Access & Ventila ion 69. 16. Insulation Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance Card B-1 Date Card B-1 Date 74. Card B-1 Date Card E-1 Date A.C. Duct in Garage -Damper PLUMBING (Permit) OK except #'s Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 17. Water Htr.; Vent -Access -Combustion Air Baffle 78. 18. Water Pipe; Test & Anchor -Nail Protection 80. 19. D.W.V.; Test Fittings & Anchor -Nail Protection Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 20. Shower Pan; Test, First Floor -Tub Access 83. 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles pacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts 'n Kitchen & Conductor Size GFI 29. Suhfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Ranke Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 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. Furnance 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 (Plans) 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 Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: TrussShfing: 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 HgL & 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 -Fre 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 Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Card B-1 Date Card B-1 Comments at Final: 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-Conector- 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 & Recepticales 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 (G.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 0 Yes 82. Following Instld./Drive 0 Yes 0 NoANalks 0 Yes 0 No/Planters 0 Yes 0 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 Throught 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: © COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541/� �RUT„NO. (Rev. 12'/96)' - - APPLICATION AND PERMIT '�` �JZ - ASSESSOR PARCEL NUMBER 026-222-010 ZONING ARMH1 BUILDING PERMIT OWNER PENNY BRIM TELEPHONE - 534-0681 SO. FT. OCC. BUILDING VALUATION 352 0 2464 OWNERS MAILING ADDRESS 7725 IRWIN AVE. PALERMO CA 95968 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER NONE LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filin Fee $ 20.00 Permit F@@ $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 35.10 BUILDING ADDRESS 7725 IRWIN AVE. PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ 109 ' LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome jai{ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition UX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD OPEN DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE 3 ELECTRICAL PERMIT Fling Fee 20.00 UE Main Service 200OV A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.8 License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1�1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. SD 3.5Q FT. -RE CONST.O LUT BRANCI C'RNEW ITS 97.50 PSINGLE UTLET COWER APPARATUS OIR. EX. Occup. OUTLET OR FIXTURES 20 p I.o0 _ BAL. Q .so Ex. Occup. pU17ELET3PgESIpOREA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 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.) ❑ 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' compens laws of California, and agree that if I should become subject to the worker co pensation provisions of section 3700 of the Labor Code, I shall fort ith c mply with those provisions. X —�_J Date w Sig ure of Appl'TO�nt - caner ❑ Contractor ❑ Age 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 $ 109.10 HAZ. D. FEE IMP FLOOD r., COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica ov for hich fees have been paid. c By �C/" �� Date G 1047 PERMIT EXPIRES ON S1 fq` G 8 Date Receipt No. 221897 WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT T TIM '77 TWIR -� • COU]C TY OF BUTTE DEPARTMENAOFrflsEFEWPMENT SERVICES — BUILDING DIVISION 74 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET er',141 /yOWNER: ASSESSOR PARCEL NUMB 0lp – 0-1 d -0/0 Proposed Building Use: uilding Inspector: Date: At time of permit application, fwasadvised the following data must be su mitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted ----------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 05. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 116. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ 118. ---------------------------------------------- ❑8. Hazardous Material Form.--------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- El10. Fees of $---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. JS012.aliforniaDepartment of Forestry plan approval/fees. --------------------------------------------------------- lood elevation certificate. ---------------------------------------------------------------------------------------- anitation and plot plan approval � d Health Department. ------------------------------------------- .ity 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. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ -Y ❑22. Workers' Compensation carrier and policy number.----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization.-------------------------------------------------------------------------------- . ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑ 28. Existing violations and/or expired permits.---------------------------------------------------------------------- WZ33 A, Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- �— er. When you issue the permit, process follows Mail to owner, []Mail to contractor. Ad -1714A_5 ❑Telephone an of or pickup at office. ❑ Deliver with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Departm 11Copy of plans sent Health Department, 13 Fire Department, ❑xin Pollution Date: Date:_ By: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check . List 2. Additional items required: Contractor, designer, owner, was advised of the above required data ❑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 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, ❑ Buildin `-Division counter, by Da edw ., Plans reviewed by: Date: Plans approved byDate: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. USE NLY F, Plot Plan Attached Floor Plan Attached R%D Sent to B.D. I Owner Location Plan Approved for: Sewage Disposal Water Supply: Clearance for dwelling. Other (n ?(r1ey C l Hold final for: Final clearance O.K. for: NOTE: / ' ZIA--7 — 4�14�114el Environ`6�enV Health Specialist 8/96 - (I)ro - --\ AP# Public Private Well Date 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: YESIX NO ❑ 2. I HAVE E� 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: 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: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION 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: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, 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 "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by 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. rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information is required by Sectio: 19830 of t/re California Health and Safety Code OVER COUNTY OF BUTTE BUILDING DIVISION - DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 ' - CORRECTION NOTICE q7 - OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. l `-11 d // C/ Date Inspector �,� !? :-5e !!S— REV 10/92 NO`M.--.11I Materials & Workmanship Shall Be in Acodrdancey4h Recognized Good Practices and ?kL\q6libJprsscro'bs�d,;ar•lie Spedified u e 4 A setback of 5 ft. from the property linea and a setback of 50 ft. from the road centarlin.e eball be clear of straotures or equipment except yl fbr a 2 fk eave overhang. 4 --- -- --- 15�JI ----- - i This set of plans and specifications MUST be kept on the job at all times and it is unlawful to I make any changes or alterations on same without Written permission from the Department of Public Works, County of Butte. v - ._ VEIL L �y o n c yr LOC ion of structures & C aqui ment shall be as sho Lo, 6 & cle r of all easements. T l7-4 HOSE --1q,— I i 1 714 — y5' 7 BUILD w NG • DIEP,� R- P P R .! V IA1E _--P OU�Ty - V E V 0 J � 1 i v + at J � m 6" O Z �� � --,.< . - Nis 4,4 bv- ck, 00UI*;,'TY ROVED,, jh VARIES .36" MIN... P'Vll N x � ; 3 �m O z � m C", 0 m 2Q • r' r �A rnx N N I mmo N N �CA • • ., • � t 9 Q I 34° o •. HWAZAIL RE16HT z \811 . NI AX. m W I DT4 6. DING °o'er R T; 6� r 4 . (i MAX. c ~ A r1l X SIJ/ I N01t:-411 Materials & Workmanship Shall 8e in Accordance with Recognized Good Practices and _ ityprssc a Specified u e h'� nif Building Plu bine & Mechanical S'c s�r. I A setback of 8 ft. Prom tha I/2 1"o, -lV hr•_ =.7 i5 T _—P-a� E�9_- ✓I�Ei3 �r. i • ,This set of plans and specifications MUST be i kept on the job at all times and it is unlawful to I make any changes or alterations on same without vnitten permission from the Department of Public property lines and a setbaok -1= Works, County of Butte. of 50 ft. Prom the road v centerline eba11 be clear of str'sotures or equipment except `V fbr a 2 ft. eave overhang. APPROVED !� Butte County F L Environmental Health 7 y I! --- a n " /te Concrett . Loc ion of structures & �a 6 equi ment shall be as sho � LA4 � ` S & ,!e r of all easements. tj , k OUSE . , z - Bu Ou - BUILDII� PAR APPR VEV' 74 - y5. F�tic� 1_-A1E w T �� • RESIDENTIAL 26-222-10 — BRIMM, MARY 7725 Irwin, Palermo cont: MH Center i(mhi existing site) JOB FINALED Signature Address 92-718MHI OFFICE COPY GAS Meter By- ELECT y ELECT C ��.�cf,� � Meth By Data"��E— MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVL OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT N0.T 2,11�' Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name c/�%h�% �1 /.�.%p c4)Az57-- Serial number of ) P.N.C.li�/Y_ Year of manufacture Z 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. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 'mow 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 PERMIT N0. 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. r Date Ins J=OK • O = Not OKNot = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES Plans OK except #'s i and B- Date Card B-1 Card B-1• Date Card B-1 1. Zoning Requirements -Setbacks -Easements MOBILE HOME INSTALLATION (Plans) OK except #'s 2. Soi ; Special MH Support Sketch 1. Zoning Requirements -Setbacks Easements mer; Location -Test -Fall -C/O Concrete '' 4. Water; Location -Test -Easement Needed (Sketch) 3. Gas; MH Test -Demand -Valve -Connector 5. Electricity; Location-Ciearences-Grnd-/ /Amp -Concrete 4. Electricity; MH Test -Crossovers -Breakers -Clearances 6. Gas; L on -Test -Wrap: / %"L"ft. IL�at. or/ /"L"ft./ /"LPG 5. Drain; MH Test -Fall -Flex Connector 7. Clearance& Disconnect 6.:Water; MH Test -Regulator -Connector 8. Utilitv Clearance MISCELLANEOUS -Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements _..2. Soils; Compaction -Structure Stability _ 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances -GA 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Dat ♦ Date i and B- Date Card B-1 Card B-1• Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6.:Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval _ 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS -Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements _..2. Soils; Compaction -Structure Stability _ 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances -GA 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except If'sW 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wra pped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection - - ------------ 18. D.W.V ;-Test-Fittings & Anchor -Nail Protection ------------------ ------------------ 19. Shower Pan; Test. First Floor -Tub Access ----'----- ---------------------- 20. Test Tub & Shower, Second Floor -Tub Access --- - -------------------------------------- -- 21. Gas Pipe: Size & Anchors Date --------- Card B_1 - DateCard B-1 ------------------- ------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------------------- ----------------- -- ---- 23. E-lec. Receptacles Spacing -Lights & Switches at Doors - ----------- ------------------------------------- -- 24. Size Boxes & No. of Conductors -Stapled ---- - --------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ---------------------------------------------------- 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water ----------- --------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI - - --------------------------------------------- 28 Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At ------------ -------------------------------------------------------------- 29 Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or At. Insulated Neutral ❑ Yes ❑ No --------------------------- ------- -------------- ------- ------------------------ -------------- 30. Service -Riser Conductors & Ground -Main Disconnect - -------------------------------------------- 31. Equip Clearances Panels -Motors -Meth. Equip. ---------------- 32. Clothes Closet Lignt-Shower Light -Spa Light ------------------------------------------------------------ - -- 33. Smoke Detector ------------------------------------------------------------------------------- Date Card -B-1 Date Card B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ----------- -------------------------------------------------------- 35. Vent Fan Exhaust above insulation ------------------------------------------------------------ 36. Condensate Drain & Overflow; Size & Grade --------------------------------------------------------------- ------- - - -- - -- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - - -.. - --------------------------------------------- 38 Attic -Access-&. Platform ii Furnance in Attic -- ------------------------------------------------------------------ Date Card B-1 Date Card B-1 ----------------------- ------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors -------- -------------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------------------------------------------- 41. Bearing Walls over G rders & Floor Nailing ------------------------------------------------- 42. Draft Stop in Walls (rat proof) - ---- ----------------------------------------------------------------- -------------- 43.. Fire -Stops: Furred Ceilings -Stairs -Chases -Tub --------- ----------------------------------------- 44. Headers & Beam -Size & Bearing • >ingle .Duplex,) Date FRAMING (Continued)_ 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing Property Line Firewall & Openings 52. Ext. Doo•s-One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ----------- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------- _ 55. Siding -Nailing Veneer _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights- Plastic Shear Wa Is; Nailing -Bolts -- 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows --------------- ----------------------- - Date ______ _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s -------------- 61. Ext. Steps -Door & Sidelight Protection -Landings ---------- 62. Smoke Detector ------------- ------------ - 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting ------------------------------ --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa -------------------------------- ______ 66._ Elec. Trim & Subpanel; Breaker Sizes & Labels ------------- ___________ 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth ---------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance --------------------------- --- - _71.-Elec.-Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer ---------------------------------- p er -------------73.---A.C.-----Duct in Gara-------------9-Dam--------- - 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb. Elec. & M_ech._Equip. Listed for Location ----------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -- - ----- ---------------------------- 7 '. Insulation -Foam -Looked in Attic ❑ Yes --------------------------- 78.-Guard-Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --------------------------------- ------------ - 80. Followinginstld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ------------------ 81. Stucco: Brown -Finish ----------- --- 82. A.C. Unit; Disconnect, Electrical, Plumbing ------------------------------- ---------- - -- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings _____ _ 84. Water Well; Disconnect, Electrical, dumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground a6. Ventilation Throughout House - - - - - - - - - - - - ------------------ --------------- 87. Glass Protection 88. Corrections from Previous Inspections -------------------- ------------------------------- 89. Gas -Test -Meters -Tagged; Gas -Electric ______ _____ 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------------------------ ------------------ --------------------- - Date Card B-1 Date Card B-1 ----------------------------------------- - Date Card B-1 Date Card B-1 -------- -------------------------------- - Date Card B-1 Date Card B-1 Comments at Final: r COUNTY OF BUTTE - &� OARTMENT OF PUBLIC WORKS 7 County Center Drive - 6roville, California 95965 - Telephone: 916/538-7541 • APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 26-222-010 ZONING ARMH 1 BUILDING PERMIT OWNER MARY BIM TELEPHONE 534-0586 $t]. FT. OCC.1 BUILDING VAL N OWNER'S MAILING ADDRESS 7715 I 14IN PALERMO CONTRACTOR'S NAME MORTTY, HOME CENTER TELEPHONE 533-4403 CONTRACTOR'S MAILING ADDRESS 1740 FEATHER RIVER BLVD OROVILLE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20,00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 7799 TRWIN PALERMO 95968 Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation Other ❑ Describe work: MH I TWO BDRM 500 SQ FT MIN _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force�nd effect. License No. Classification f.l� % ❑ 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.tr\ OR ADONIS.( ACC. BLDGS. // 3.6asq.ft. NEW CONSTR ULTI.OUTLET NON.R ESI D. BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. I Ex. Occup(OUXED TS OR FIXTURES 20 76 Ex. Occup. OUTTS IPRESID IAPLNS.KEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliti judgments, costs, and expenses which may in any way accrue against saA unty in con en of the granting of this permit. �1 X c Date s�"%'�7_ si nature of Applicant - caner g pp ❑ Contractor ❑ Agent ' t An OSHA permit is requi d for excavations over 5'0" deep and demolition or construct- ion of structures over 3 ories in height. Mobile Home Installation Fee S 70,00 Ener Inspection Fee $ 9Y P occ CONST TYPE TOTAL FEE $ 1 5.00 HAz DFEES IMP FLOG cOF PAR PD HD Issu This permit i hereby issued under the sions 0 the utte Co n C de and/or work in c ed a v or hich fees I CT R O P IC BY PERMIT EXPIRES I Date applicable provi resolutions to do have been WORKS 1p Date Receipt No. 110453 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT (4zA-1 -D 504.3Ac, -31 TO 2. PTN F PTN PARCEL 8 C 2t! AC. 42 ,_ PTS PARCELS 38 17AC PTN PAR( 1 COUNTY OF BUTTE - DEP."TA�T OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE -b TELEPHONE: 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. — n OWNER 111Ae4 13li'A4M �1 A. P. No. a(D Proposed Building Use Building Inspector Date—,513/12— At ate ,5 33 92-- Y At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ......................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form? ....... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout: in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions. .......... ... �.................. 10. Fees of $ 1 ........................ 11. Chico Urban Area fees paid ................................... XL2. Park fees paid....... s ................................... � �� fh�� >t School District fees paid .............. ... ZE!7�-� 4. Sanitation approval from S 'Z e&Ed &h ZZ Health Department 15. City of Chico plumbing permit!1......!'r�.%....�le?'.tr'(v.•5.' 16. Plot plan and business license approval from City of� t : (see City for other requirements) �17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20:. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 211 Contractor's license information (No., Name�Style, Classification) .. 22. Certificate of Workmans Compensati&hSlnsu"ranee .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... �> 25. Letter of signature au�thori� tio�t 1 q� pL 26. Sher r"FfS t JKZ✓RIA CE byr nle� MoCp;( � 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 0586 and hold for pickup at office. Deliver w/inspector. Other Applicant ate2-- Copy Copy of 1-Haz-Mat form sent Health Dept. Fire Dept.it Pollution Date _.y Copy of plans sent Health De'pt.� Fire Dept. O er Date By The following data must be submitted prior to permit issua ce: (Circle new item not checked above). 1. Index permit for above items No. .2do7 2. Additional items required: � t Cont�r, designer, owner, was advised of above required data byL�_phone___rnail—counter be "..A aa Z_ Contractor, designer, owner, was advised of above required data by_phone_mail_counter by date Plans checked by Date Plans approved by nrk44Date Sets of plans on hold in File cabinet AP folder Copy—DPW ''° { COUNTY OF BUTTE - DERARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovire, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER /D ZONING BUILDING PERMIT OWNER �2OSB -TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 1 7 i -,f CONTR CTOR'S NAME � ,t,/E C ;4 TELEPHONE - CONTRACTOR'S MAILING ADORES�j /wr Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee 15,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee $ 350 - PLUMBING PERMIT Filing Fee 15.00 i Each Trap1 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.001 i Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeh— Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 i Mobile Home S I G jW @ 15.00 TYPE OF WORK New ❑ Addition ❑ eRAemodel ❑ Utilities[:] Installation a[ -Other ❑ Describe work:/N/ `�� S� Z Iv ,57C>0 �� � T,�;� j Permit Fee $ Contractor ELECTRICAL PERMIT Fee 15.00 n�l Main service 600V OR LESS 200A OR LESS 8.50 Main service 20CATO IOOOAI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract-. ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d OR ADONS. ACC. BLOGS. 3.6Q sq.ft. NEW CONSTR IJLTI-OUTLET NON-RESID. BRANCH CIRC 'ITS @ 5.00 POWER APPARATUS .&) �sING LE OUTLET CIR. EX. Occup( OR FIXTURES L. 76d dA 0 Ex. OCCUp. OUTLETS:RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling FHood 6.50 Ventilation permit Fee 71 $ L20=ntractor 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant – Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ,on of structures over 3 stories In height. Mobile Home Installation Fee S 7d v — Energy Inspection Fee $ - OCC CONST TYPE TOTAL FEE $ HAz I I) FEES I IMP I FLOOD CDF PARCEL I PO HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. uff573 "MITE-D.P.W.. YELLOW -Ase ESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT BUTTE!COUNTY SCHOOLS D.SVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A. P. Number.26-2U-010 Building Department No. School District(Wo City = County M Jurisdiction nA n Property Owne Project Location/Address % 72 L(R1� [(V PAL0 Subdivision Residential Development:. Rep lace rr em I- O� exls 'irly l�Y►p b/l e, of Living MHI BUILDING DEPT Commercial/Industrial: CNK 6 New Build/ffig Depr' &ent Representative Lot Number Sq. Footage /3w Addition (Group R) Sq. Footage Addition (Including Exterior Roofed Areas) 3-16 ? 2 Date (Floor Plans reviewed'by School District Personnel) District Id No. 920416.. Oeoulim, ofi/b/V 414zh School District certifies that (Applicant Name) (Phone Number) GSI A/ (Street Address) 1 (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $� representing L%c% square feet. School District Representative Date PAID BY CHECK NO. REMARKS: BANK NO PAID BY CASH , white -applicant, yellow -building department;' pink -school district SCHOOL.FEE (8/88) NOTE.,"Ail Materials & Workmanship Sh`afl Be in Acooniance with Recognized Good Practices and litypngsc�ae�e Specified u a i h'$ /� - -�j - £ F�/vc Al a] E er ES -S _-7 JMER _ t' Yr M i This set of plans and specifications MUST be kept on the job at all times and it is unlawful to Make any changes or alterations on same without A setback of 6 ft.'fcom the written permission from the Department of Public property lines and a setback -i_ Works, County of Butte. of SU ft. from the road �l . centarltn.s shall be clear of structures or equipment except fbr a 2 ft. eave overhang. t, --/o' -4 Location of structures & equipment shall be as shown tA S Lm b & clear of all easements. NA l tCS ; Hous" i. ---- 3 7 7q' - 1 )" I BUTTE COU � BUILDING APPR0VEU"". 7 lims a e` BUTTE COUN3Y DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: M vy-�. 2. Installer's -Name:., nO t u hL /Y► C C�N1�2 / L 3. Is the site currently under permit? Yes U No L Ah.% ' (If yes, furnish permit number ) OR existing Yes No :..Is'+the...s.ite..an .site? . (If yes, furnish two plot plans.) 4. Will the mobilehome be'located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no,'. clarify a; ) 5. What is the mobilehome electrical rating? --------------- l 6 y Amps ..6. What is the mobilehome site service rating. -------------� U Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the ---------------- ------------ mobilehome site service? - --- Yes., No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- - (in.) YP g ? ------------------- . 10. What is the type of as service Natural LPG 11. What is the gas pipe length from meter or tank"to the f 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 it. on LPG.) _ BUTT -COUNTY BUILDING DEPARTMENT A P P R ®-V E,. .01 J. MOBILEHOME SUPPORT DATA �-� If other than single £s wide furnish Setup No.,,�Mobilehome Mfr. �S� Year�_�.l-� Width9S"Lf (ft.) Box Length - (ft.) Tagalong or Expando Size ✓� ft. x.A�d_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)�//U1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 91--- Concrete block. 1:1 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 _ Line 1 Main Beams Line line Line 2 Main Beams -- --- --- � Tag or Triple Line 1 Piers: Line 1 Oceninits: Size -Min. ............ Size -Min ....... .•. . .. 1 nx u Spacing -Max. --------- Each Side of 0. 1 go V From Ends -Maxx-------- '. " With Width es -- ----- Iine-2-Piers: Line 3 Piers: (Under Bear in Wall Only) Size,rX Mio.�-..._.------ �d' Size -Min... <Sp"ac3rig-Max:--------- - Spacing -Ma From Ends -Mex. ------- '- ' From Ends -------------- ,LJ ne-3-Roo f -L4Dads-: v -------------,Line-3-Roof-Loads-:v tSize=Mi_nty----------- - n u ,, n r n rrx n r,� n ,rx —Li L^T I n Line 4 Piers: ` Line 5 Piers: (Under Bearing Walls Only) Size -Min.------------ , „ , Size -Min.--------------- --- k rk „ Spec ing-Max.---------_ From Enda-Max. ----- . n From Ends -Max.-� -- '- Line 5 Roof loads: Size -Min ------------- n n , o k x 'k Location (Prom Front) `t _... _._._........ - -- .._.._.. _..._... .. _ ....... ...._-.._ IJ ___ J1.. LE- l C (i 714 -- FC/1/C 1 1,71 Concretc ro Lo.A I rn HOUSE` ! . 714 -- FC/1/C 1 1,71 r eount* ✓Joffe OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Z / /121 1 LL ADDRESS: 2275 Stump Dr CITY & STATE: Oroville, CA 95966 IMPORTANT: March 25, 1992 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES irl DATE i DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT I towner has decided not to do work. Permit #92-565MHU, AP#26-222-10, Receipt #110042, dated 3/3/92. I ;Total Permit Fees Paid ------------------------------- $128.50 lRetain Plumbing ----------- ' Retain Electrical Permit Filing Fee--------- 15.00 Total Permit Fees Retained--------------------------- 30.00 TOTAL REFUND DUE ------------------------------------- $ 98.50 I i TOTAL $98 150 I,the undersigned, .feclare under penalty of perjury that the services or articles claimed have been erformed or delivered, and that this claim is true and correct as stated. _ Dated this de of 'iL'� ;.V` 19 C 17:.` Calif. Ate' eof let 1 ................ y/.�................... �,t.... _ Sign mant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation IJ or Specific Board Approval E] (Check one) for th�/ Dated this 25th day or March 19 92at Oroville calif. .. ... ....... .. ... /. �i[lpartment Heed or Authorized eputy Dept. ......4.4Q.-QO2.................. de......42JQ5.0.0...................... PAYABLE FROM ....... Coast....P.exmits............................................FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. I SUB. OBJ. I CLAIM NO. INV. NO. I INV. DATE I ENCUMB. GROSS AMT L(.. l fo CeeP Im ac� o � C�� BLUE Shear walls, straps, holddowns, sp. nailing. YELLOW \Bearing walls, offset story's. PINK Firewalls: Loc, area or occ sep. 6. Occupant loads shall be calculated for each room and boxed in green - somewhere in th room. / 7. Exits shall be arranged over z the diagonal apart; put this dimension on plans. / 8. Building toco ply to handicapped regul bions. Provide 32" clr on those doors into access ble handicapped porti ns of building. Provide lever handle, or eq. doo hardware provide 2 ' or 18" strike edge clr on all appropriate doors. 9. Partitions shall ave approved �.chorages at floors and ceilings per Table 23-B, UBC. 10. Provide landings a d ramps too the primary entrance as required from handicapped parking stall and identify as P.E. 11. Truss plans shall breviewed by and acknowledged by the architect or engineer. 12. Provide listed and labeled fire dampers and duct opendings to corridors. Dampers shall be approved by tate fire marshall. 13. Handicap mini- Stora_/e wa ehouse accessibility requires that only 10% of a representative num er of each size cell shall be handicap accessible. T-24 says lever handle or eq. hardware, 8; lb. max force at outside door to open, and z" max P.E. thresho d. 14. Commercial Pooi: Provide n approved assistance device (Hoyer Lift or equal) or rampto assist han 'cap into pool per T-24, PII, Sec 2-611. Provide addition 1 engineering cal ulations from contractor. (Not a master plan situation.) 15. Above ground storage tanks for\gaine and diesel: Uniform Fire Cocte 79.508, NEC,; Art 501 and 514 if dispfuel. - Provide seismic design of tankrts, address diffential settlement and p�vide anti -corrosive tank ts (protect for 2 Ilr if. steel supports). 16. Residential care facilities foor fewer persons ar-- exempt from handicap, T-24, zoning or other reions. By ordinance plan check as an R-3, single family residence. 17. No battery charging in an H4 repaigarage. Two exits if over 200 sq. ft. Service pit requires chain aroun perimeter, floor grate 'or so.].i.d floor planks, or guardrail per sec. 1711. 3/4 p/A1 it 3 - 60 /6 9 -e �h- CO- lPJ 06 06 1i COUNTY OF BUTTS r DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 92-565 ASSESSOR PARCEL NUMBER 26-222-10 ZONING U BUILDING PERMIT OWNER Mar Brimm TELEPHONE 534-0586 $O. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7715 Irwin Palermo CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS F i replace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ }579(} Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7725 Irwin Palermo Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15-001 45.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities l] Installation❑ Other ❑ Describe work: MHU Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification f_1I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec.'7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft. OR ADDNS. 1 ACC. BLDGS. NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 4 POWER APPARATUS e (SINGLE OUTLET CIR. ) r Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED Ex. OCCup. OUTLETS PIRESID )RE A.) I 3.00 Temporary service 15.00 . Mobile Home Facilities 15.00 00 Misc. Wiring g 15.00 Permit Fee $ 48-50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 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 Iiabil' e , judgments, costs, and expenses which may in any way accrue against ai ounty in consequence of the granting of this permi . Date .►'Z Signature of plicant — Owner ❑ Contractor ❑ Agent An OSHA ion of structures tover 3gstories oineheight Ions over 5'l1" deep and demolition or construe,- Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 128.50 HAz 1 0FEES I IMP FLOOD CDF I PARCEL D I HD ISSUE j This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 1110042 WNITE•O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT !. ' - iT i^� �� ���17��+."+ ' -"�iy R3j.�f`'�'6-�i'`./ j+-��t�•T �i C i COUNTY OF BUTTE - bEPARTrJENVOF PUBLIC WORKS - BUILDING DIVISION 4, 4 7 COUNTY CENTER DRIVE-`bROVILLE, CAJ_IEORWA' 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. U� OWNERSV'f !fit A. P. No. 26 Proposed Building Use _ M Building Inspector Date 3 .z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED J1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans . .. `�—u1— l Z. 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with Wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions .................................................... 10. Fees of $ ...................... 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... —oaf 3. School District fees paid .............. 14. Sanitation approval from Cfid p • Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 0. Pre -Inspection for required ' • ' Pre-Inspec. request to Building Inspector i� (Date) 21. Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans 1n pensat�•o,,n I ur Owner -Builder Verificatio (UQ�t"ien t6 owne� rtotwn r ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statem nt ....... :��4Lett r of ure authorizatiQirda 924 on� .......... -42 o— When you issue the permit, process as follows: Mail to owner. - _ Telephone MY ne) Firl and hold for pickup at office. Other Applicant Mail to contractor. _Deliver w/inspector. Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle n Contractor, designer, owner, was advised of above required data by—phone---mai [—counter by .date Contractor, designer, owner, was advised of above required data by—phone _mall_counter by date Plans checked by Date Plans approved by Date 'NSets of plans on hold in File cabinet AP folder Copy—DPW By above). TO .'' Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance 40W gs��� 15 C9AWt;II_, 2-26 Owner Location AP# Plan Approved for: Sewaqe Disposal Hold final for: Final clearance O.R. for: clearance for t-9, bedroom mobile home. I=19-119 M��& MIAW-t "A Sanitari Other Water Supply Water Supply Water Supply couffrr of BUTTE BUILDING DEPT MAIf 4 �yyt IJ ' z3 4 -- -- u. -r fir!M►it Aseback of S fl~ from ft j Property lines and a setbetak of v 50 ft. from the road centerline shall be clot of structures or equiPm"t axew for a a ft. save ovathanp. AV/) OF Au— Eases Fz .. �oncretc d- U `o grab !'� /D }WEA'%q0W top 70 rill pl 1 rhof so. V4bflal''� iqOUSE C. 37' I 74' XV, ►-12•—; oti� PrZci��>y This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same wlthC BUTTE COUNTY out written permission from the Department ai pB"�,�� �p�T�N� Public WbAs, Counter of Buttn. v NOTES --All Materials do Workm mhlp Shalt Be to AP R Accordance with Recognized Good practices olid of a gPality prescribedfor the Sppecified use in fhe Uniform Budding Pbmbing & Meahanleati codes and National sectrical Coda, . 1%11oft a Iv iv 1, r I lop ull puiV. 2"A nq bilij; of'4 .44 jV1,4ilft; ot, il Ott ;;.,t 4-1 O"t March 3, 1992 To Whom It May Concern; I authorize Penny Brimm to sign for all or any permits pertaining to 7715 and/or 7725 Irwin Ave., Palermo, Ca. Mary E. Bricom n COUNTY OR Owffe BUILDING DEPT MAR 4 1992 'Re turn to DPW AGRICULTURAL STATEMENT 0}F, ACQNOwLEDcE,vf&yr FOR RESIDENTIAL DEVELOPNIENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of..a building permit. The property described herein is adjacent MAR 0 4 19912 to land or included within an area zoned for 'agricultural purposes, and residents of this property may be subject to incon- 92-009322 veniences 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 occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lots.1 to 6, in Block 36 of. the Town of Palermo, which map was recorded in the office of the Recorder of thp County of Butte, 3t,ate of California, Fobuary 17, 1891, 'in P,,ap Book 5 at page 4. 111"�' 1-1,21- aaa -/d Date: March 3, 1992 PROPERTY OWNERS: /1STATE OF OF CALIFORNIA Butte !Ss. COUNTY OF -- I On March 3, 1992 before me, the undersigned, a Notary Public in and for said State, personally appeared Robert L. Burt personally known tome pOpCcA�0)4ig Wi+d7$:4�?61:4tQ: $T9kaC-X X:�C X-�C X 7C X;�GX +C X�{Xa{ X �{ X +C�{ y�qp¢{rs¢?yp�o?,se{@pnp}nptgrxtgro be the person whose name IS subscribed to the within instrument, as a witness thereto,who being by me duly sworn, deposed and said. That he/Ad(resides in Orovi l l e , _CA , that he/" was present and saw Mary E. Howard B r imm personally — OFFICIAL BEAL • known to himXK to be the same person(s) described iri and who MICHELLE A. MILLER � executed the within instrument. aS a partyh, s; ,nowto. Sion. seal NOTARY PUBLIC -CALIFORNIA and deliver the same and that said partyues) d�ily ar,F;; nwlr•pc)ct In BUTTE Co. in the presence of said affiant, that he/she/they c}.ecwed the OCT. 20,1985 same, and that said affiant, thereupon at the party's(ies') request, �� r,^ • • • • • • • • • • • subscribed his/her name as awitness thereto. MAR 4 1992 WITNES911 y d tti i Signature ....-_ ._— _ _._ _.. (This area for official notarial seal) Michelle 1ller before me, the he basis vidence. dged that ined . IN WIT` ESS 1. )lic 7-z3-/�J7 U o� �7j_5_In - pgL-EANlO_ OV1_DM_JE 2vc 5' X53' ------ d?�_�=v.:mss -1 • - 1 A sebadc of 5 it. from ft j. PmAeRY lines and a setback gtt 50 ft. from the road centert s shall be clear of Wires or equipment exc" fpr a 2 ft.. awe -CH) C45ft L ,f L Concretc d. Sla 6 ! /D �I�B4t10f1 of Ow M+ is 0 i �9' HOUSE H �V i z�r r �-!2•--. oz/ p�c,�•�y ,tit —565 "is set of plans and scationl� E OUNTY kept on the fob at all times and it is unlawful fe APPRND BUILDING DEPARTMENT make any changes -or alterations on sat "4 wttls I Butte County but written permission from the Department of i Environ ent I H alth APPROVED PublicVYOticS, County dffttte. CouNro>"suna, ate IAR 4 19�Z NOTE---Afl Materials h Worjmanahlp 14, ------ ------ Accordance with Recognized Good practices i W Signa, u to of a quality prescribed for the S�c i f ied use in yg Uniform Building, Plumbing & Mecirantcal Cod. e the National .Ehctrkel owe. L ell ze to lic-11-:1 za !X%� 0 f}Vfl^- Ji f; 4 via flA "NA 15'ir A q -�N pr+ob to iv, I if moll ilotvim.13q w,,thw,, Jul rj COUNiLo1 FT DEPT BUS 1'iv�K � i9�2 19' il/C ,E ?6 /53 .1 - - ---\ -_-- A "Maoof 5 ft, from the v property tines end a setback of 50 ft: from the road centerline shall be dear of ,.OrUckm or epuipmeM *1t � for A 2��.�°overn,,,°.Au°" f` , FZ --_ 74' vs ��il/C L ItiE ��•• ►- . i•---otiPrZc',��>'y � „tet 7-21-80 gee"/ ad./ This set of plans and specifications MUS0 ba kept on the job at all times and it is unlawfUl to make any changes or alterations- on tern* with. out written permission from the Department of Public Works, County of Butt*... NOTES --AR Materials & Workmansh;pp Shall Be M Accordance with Recognized Good Praatice>s and Of a quality prescribed for the Specified use In fhe Uniform Building, Plwnbing B Mechankal Codes and. *4 National Electrical Code, T A _ "I Concrck c�i� A .!T!Ll IgOUSE Al r I I n 1 I �— 37, 74' vs ��il/C L ItiE ��•• ►- . i•---otiPrZc',��>'y � „tet 7-21-80 gee"/ ad./ This set of plans and specifications MUS0 ba kept on the job at all times and it is unlawfUl to make any changes or alterations- on tern* with. out written permission from the Department of Public Works, County of Butt*... NOTES --AR Materials & Workmansh;pp Shall Be M Accordance with Recognized Good Praatice>s and Of a quality prescribed for the Specified use In fhe Uniform Building, Plwnbing B Mechankal Codes and. *4 National Electrical Code, ��:U 2 •.:=::.!alert! ..ii.G'.yi,�Cy1 9�"'�t�'�" ,�lJ#;��lLd �,�:i�'t:Ntr�r �:�tSi�t;iwi�� �`�"�!'F",:fh5#�:`.i� S° -Sic". �►ai gar r� �tz)z is►cs :; *i *� %.ItC C;.t'�;"ftr' CE', ic,i�i3 j�mL"C7�.J1'iT{,� S;`•�C2r;CR �'t''i.::^�'t"•R�t $::sf� • �ir� �-���ltti.ii.��� � ff�{5'''�#.iiwi.'t'EI�°b2 �'�iM�r j'�if #1! OM. PAif JGi� ' 4,403 F.WjJ?ellil tLCI : 4jJG CvF'U!4 Lyf.f.:+v ��� j Y;f`. C aS 2'21 t;.t ;Op �3} '0t1! #iLlt "a it tr r tike nit�ll� s'! wa pc,ut. r tf,tlrtt'3l,;;O+hif' 0i 14-1 spu tin" t)'YF' 5:33 ; • i. a .fPE,RMIT NO. J PERMIT EXPIRES 'OWNER Mary Brimm owner CONTR. LOCATION (A.P. 26-2?2-10 i} t: 7715 Irwin Ave., Palermo t 4 Temp. Power P. le Called PG&E Temp. Elec. Serv. / �8 Called PG&E Temp?Gas Serv. e — Called PG&E JOB % g FINALED (Dat (Signature) COUNTY OF BUTTE — DEPARTMEN-r OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING'(Cont'd) A PLUMBING Se ` ack Fi ewall Skil Piping For Par ets t Floor Mai .Bldg. Rest om Finish 2n Floor Fo tins Windo s Ste , all Sidin Slab I Roof She thin Piers I Roofing Garage X Fdn. Vents Footings `, Garage Vents Stemwall X Insulation Slab x Prov. for physic Ily handica ed Carport Conformance of ex Footings structure Slab A Final Patio IR PLACE Footings Footing Masonry Walls X Throat Reinf. Steel X Final Bond Beam FIRE SPRINKL I Framing Test Stucco Final Mesh MECHANICAL Scrat h Heat Bron Co Ing F Ish D cis In rior Lath fientilatlon f.00r Closer Final MOBILEHOME UTILITIES ------------------ Elec. Service Water Piping _ Sewer 4 E OM .INSTALLATION - - - - - - - - - - - - - - Support - p Water Piping �. v. Drainage V DATE REMARKS OR CORRECTIONS. 3rd Kloor To out Water Pip,.Rg Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final L Rou h Fixtures It Prot. Pole N Final Elec- Pedestal — — Gas Piping �? Elec. Continuity 44 J Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) RICIA L 1�CD MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with equired separation from lot lines and buildings and generally conform to plot plan? Yes o 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_V No 3. Are footings and supports.properly sized, spaced, and braced as p�,r approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No_ 4.' Is the mobilehome level? (Sec. 5088) YesNo_ If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No O Water A. s flee' le co ector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test Does water piping withstand working pressure or 50 lbs. air test? Yes .No_ C. Backflow - If coach is not Stat of California approved, does station have backflow device and pressure -relief valve? Yes , o 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end?.YesNo_ B. Does it have minimum '" per foot slope and is it properly supported? Yes_ZNo C. Are any leaks detected in drainage system after running 3- llons of water through each fixture includingwashingmachine standpipe?..Yes NO ti D. Ifh is not State of California approved, does station have required trap and vent? Yes No _ I8/ Gas Piping andGas 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 mobil home gas line inlet without reductions other than the mobilehome connector. YesNo= B. Test OK aser following procedure? Yes( No P g P 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 app Iiance'vents properly installed? Yes /� No, Electrical. -- - _--� - -- - � -- ---- — . A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 0 amp) and other facilities on lot,,i.e., water pumps, garage, cabana, etc.? Yes' No B. Is there proper clearances around panels? Yes -e---No • e C. Is power supply cord or feeder assembly properly fused? Yes 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. 1 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity'from such equipment and the grounding conductor. a 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. , 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle U Lengt �r0 Width/_ Vehicle Serial No. State Identification No. d 6 Additional Information or Comments: County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 CORRECTION NOTICE cr..........................:. ............... 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. .............. 7 ............................................. .............. ............................................................. ............. P... ........... ............................................................. Do Not Remove This Tog Cann -a% County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 CORRECTION NOTICE .. ..57' . - ..��........ 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. �..........'%.�.f'f'�'........... ... ............. • .... -c1....:.......... 9 f .............................. 01 ... .. ..../ z�)......... .. .................. A. Date/,;;...,.. /7.:.:.. Inspect Do Not Remove This Tag /Ann -a1 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 California Administrative Code, Title 25, Chapter 5, under permit number r -4--A / - " 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. Directo,of Public Works Date /-- - ByTHIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico#- Phone 343-4211 ,,Ext. 70 � 7 6ounty Center Drive, Oroville — Phone 534=4541 Skyway and.Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE r 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. a i 1 /-- Inspector' / Inspector' Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534- 41�/��� APPLICATION AND PERMIT AS SS R PA C L UMBER ZONI G Z BUILDING PE M 'r OWNETELEPHONE i SO. FT. OCC. BUILD G VALUATI N OWNE S A G A R SS r IP CONTRACTOR'S NAM TELEPHONE - CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER L5-Y\le UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ r Penalty $ ARCHITECT OR ENGINEER'S MAILING A DRESS Permit fee $ 0, BUILDING ADDRESS N— tA Ave PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2,00 Gas piping system 1 - 5 outlets USEOF STjier SPECIFY UCTURE SF [I Duplex ❑ Mobi lehome Oth Lam/ Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ emodel ❑ Uti lities ❑ Instal lation ❑Other ❑ Describe work: %, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR101 OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONSOR ADDNST ( ACCLBLDGS.CCUP,&) 20 sq It CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one):, ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business nd Professions Code and my license is in full force and effect. icense No. Classification /1L,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 NON -RESIT R BRANCH MULTI-OUTLETITS 2.50 ea NEW CONSTR POWER APPARATUS 8 NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(ouTLETS OR FIXTURES 50@2SC BAL L®t0s FIXED APP LNS. OR Ex. Occup.(0UTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 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 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County i nseq`u�ence of the granting of this permit.11*1 '�11 /LNC Date �" — V Signature of Applicant — rOwner ❑ 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 $ t Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date '• ���/ Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET ` O 1. Owner's name: '3C1yyXyVN 2. 0 Installer's name: W Y `. 3. Is the site currently under permit? Yeh m No r ( If yes, furnish permit number OR r 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. awayf om septic tank and leach fields and clear of all setbacks and easements? Yes / No ( If no, clarify ) r 5. What is the mobilehome electrical rating? -------------------- Amps is r QDn Amps .6. What the mobilehome site service rating? --------------------- 7.. .What is the mobilehome site circuit breaker rating? - t�D 0 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) A (Amps) 9. ---------- What is the mobilehome site gas pipe size. ---------- -- 3,41 (in.) 10. What is the type of gas.service?----------------------------- NaturalLPG 11. What is the gas pipe length from meter or tank to the mobilehome? c/ O( (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.) t MOBILEHOME SUPPORT DATA 1 If btlier +than single wide, Mobilehome Mfr. /le J?7/,�7 furnish Setup Model No. Bear-✓ to C� Width_(ft.) Box Lengthy (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturers 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. Foo in (check one) Single 1 Wood either i (ft.) in.) A pressure treated or foundation grade. 0 2. Other (specify) as x (in.) (in.) Center su ort location * Center support footing sizes Supports (check one) (in.) 1: Concrete block: 2: Other (specify) x (ft.)(in. (in.) (in !r-1Pagalong or Expando,' show support details. in.) (in.) X30 -- Typical Support (in.) (in.) Footing Size x (ft.)(in. (in. (in.) — -- Max. Pier Spacing \ r x ? _ -- Max. Overhang (in•)I UP min (ft.)(in.) *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. 55©l-eo BUTTE COUNTY BUILDING DEPARTMENT APPROVED COUNTY OF,BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONIyG BUILDING PERM DWN R y 1-3P—amG/r� L/EEy�I?'HaSV��y SQ. FT. OCC. BUILD.IN UATION OW AlING ��V,/ �✓/�9 /�/T 77/TO/ • CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDREISS LENDER / �%4 / G ��� UNKNOWN Fireplace Total Valuation $ LENDER'S MAI LIr�I Ch ADQRE$S 40/ L&G Permit Fee $ ARCHITECTOR ENGINE R LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENG EER'S MAILING ADDRESS Permit fee $ Bul/AES/ n L /7 PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping A0.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets .00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[�i�Other SPECIFY Building sewer 00 Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [�'nstallation❑ Other ❑ Describe work: Permit Fee. $ (� Contractor ' ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORV OR LESS5.00 �QO Main service EA. ADD'L too AMP 2.50NEW CONSDWELING OR ADDNST ( ACCLBLDGS. OCCUP,&) 22 sq It 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 NON -RESIT R BRANCH CIRCMU UITS) 2.50 ea NON -R ESID R. (POWER OUTLETTUS 8� Ex. Occu 50 @ � OUTLETS OR FIXTURES BAL@tOQ FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 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. 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. 7_ / 8_ u 0 X Date Signature of App ant — 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 $ Land Development Fee $ 2Cj_aCU TOTAL PERMIT FEE �� �� OCCUP. GROUP I TYPE OF CONST, 177WFLF_P. 1(t� HD ssD This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE TOR OF ELIC BY a PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid.' WORKS Date Receipt No. �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT /- V P Z v/V 4 t/z�j- 14—'e: -A1C 1E- NOTE. --All Materials & Workmanship Shall Be In I Accordance with Recognized Good Practices and 4, of a quality prescribed for the Specified use in the v Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. This set of plans and specifications MUST be kept on the job at all times and it is unlawful to �i make any changes or P e alt+ on some without written permission from hDe artment of Public Works, County of Butte. 153' A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. Ct a��b�e�rettea� o L o 1 r� ��re `0 153 A eon ,`�. e. 9�I jet Concrete L� b HO USE 74' `O\ro �e �o e -sv ,fie IS y �oS BUTTE COU = .—_ _—H_ --* BUILDING DEPA fZltic E Oti 10R tr APPROVED Lw v ; /I RPM /- V P Z v/V 4 t/z�j- 14—'e: -A1C 1E- NOTE. --All Materials & Workmanship Shall Be In I Accordance with Recognized Good Practices and 4, of a quality prescribed for the Specified use in the v Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. This set of plans and specifications MUST be kept on the job at all times and it is unlawful to �i make any changes or P e alt+ on some without written permission from hDe artment of Public Works, County of Butte. 153' A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. Ct a��b�e�rettea� o L o 1 r� ��re `0 153 A eon ,`�. e. 9�I jet Concrete L� b HO USE 74' `O\ro �e �o e -sv ,fie IS y �oS BUTTE COU = .—_ _—H_ --* BUILDING DEPA fZltic E Oti 10R tr APPROVED Lw v ; /I BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Address: 7%i L[/�•yi AnJ'OP",`� Tenant: Building Location:IYJ L-1 14 Lo- OAV�,�.. . Af A. P. Date of Inspection Inspector Typ.e.'of Inspection requested: 1. Housing / / 2. Financing 3. Change of Occupancy to - 4. Other (specify) �® Present .use, ofbuilding: �w r7. A. Sanitation -(Housing) 1. Water closet::. ; = 2 . Lavatory 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: ..6. Heating'facilities: 7. Natural light and ®entilation: 8. Room and space requirements: '9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 3 11. Connect i_oxi:to sewage disposal: 12. Connection fo.water'.supply: { 13. Rubbish and garbage facilities: .14. Comments. B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and'roof construction: 5'. Fireplaces: 6. Comments=' C. Electrical , 1:. Service and grounds 2. Receptacles: ' 3. Fusing: 4. Comment: s: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas hearing vents: 4., Comments. frnntin,nri nn {,nnl�l• . E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Continents: Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls. - 5. Exits: 6. Improvements: 7. Zoning-_ 8. Coutu ents: G. Field Problemis or Violations . I I I I 1. Problem oma_ -violation 'give cofete descripti�yn): /m ZiAa&,�,, p 2. What action 3. Wh���_-ction recommended: information only - file. /Hold for tc-n (10) days, then write letter. -Write letter. 7 D. Other: w,#-k14J I,qs O.F 2- (existing site). PERMIT NO. 1 2915-85MHI PERMIT EXPIRES ' OWNER MARY RRTMM CONTR.. Owner ASSESSOR PARCEL 26-222-10 1� LOCATION 7725 Irwin, Palermo OFFICE COPY Address GAS Meter By Date Temp. Power F ELECTRIC Date ll Meter By Called PCS, . Temp. Elec. S Called PI Temp. Gas Se Called PG JOB FINALEI Signature = OK = Not OK tp NoteRicable R = Not Ready RESIDENTIAL' (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except k'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 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑Yes E)No; Walks E) Yes 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 -I Date Card BI Date 81. 82. Ventilation throughout House Glass Protection Card B-1 Date Date Card -BI Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/0 to Grade -HD Approval 31. A.C. Ducts; Insulation & Support 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date 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. 45. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin- Roof _Brac.-Truss-Shthng.-Rfn_g_.__ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) V = OK 0 = Not;,OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS n Date MOBILEHOME UTILITIES (Plans) OK except Ws 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—Deptn—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; LocatiorrTest—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 Datp Card -BI Date MOBI OME INSTALLATION (Plans) OK except N's . Card -BI Date Date Card -BI Date POOLS (Plans) OK except Ws ing Requirements—Setbacks—Easements 1. Setbacks—Easements. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3 as; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickiess—Dead Men—Lining lectricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI rain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GF] ter; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater Gas and Electricity Tagged 6. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9 lits; Insp.—Sketch 10. Cert. of Occupancy g. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date v and -BI Date Card -BI Date Card -BI Date Card B-I Date Card -BI Date Card -BI Date Card -BI Date 19 V �✓iLfi��, � �C/ -... �7�///� �/ ver �liti�r/,.Gs�,.� �� S MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 �y ,�rc� PERMIT NO. Address or location of mobi lehome __ L / A � ::r�—tu i V\ Owner's name A Owner's address Insignia or hud number Manufacturer's name— Serial numbeof V-�-N (Official Approvilg Installation) Year of manufacture _® S% IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION ACCEPTANCE 41 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT Address or location of mobilehome / le .�— J i h Owner's name Owner's address i?- Insignia or hud number IP4 Manufacturer's name Serial num,9( be of V. d�1. Year of manufacture (off icial rovi g Installation) ( ppate) j. . 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. w � 513B White - Owner, Yellow - Installer, Pink - D.P.W. 3.1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS , ., 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. roped e Inspector Date) 2 2.v - kle- 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 � q1s- &s" 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. .. .r�S¢ iM�N Gf rug✓ a N c -CA. I w I Q to u r r, C4 NQ Inspector r.�` Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION "AND PERMIT PERMIT N0. .� 1 ASSE550/g^PARCEL NUMBER ^ J YJ ZONIN BUILDING PERMIT OWNS r` nn TELEPHONE 56 - SQ. FT. OCC. BUILDING VALUATION OWN 'S AI ING DORESS I r CO AC TOR'S NAMETELEPHONE -tit 77C RAC R'S MAILING ADDRESS Fireplace CON RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC TECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r 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[] Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FG JW I 10.00ea TYPE OF WORK New❑ Addition Remodel❑ Uilities❑ nstallationy) Other[] Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 LESS Main service 61000vAMP 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury (check one P ) Y hk : ( ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification l� 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.S , OR ADONS. ACC. BLDGS. /20sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS h) (SINGLE OUTLET CIR. EX. Occup( OUTLETS OR FIXTURES eAL030 FIXED APLNS EX. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. / ' X Date /a — iC — cS Signature of Applica — Owner Contractor ❑ Agent F-1 An OSHA permit is quired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ ' Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ I IF:�ARCEL PD ND S9UE This permit is hereby issued under sions of the Butte County Code and/or workindicated above for which DIRECT OF LIC j r By a PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ycz Receipt No. _ �tJCJ WHITE-D.P.W., •ELLOW-ASeE,SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL; E;->" ,LIRORNIA 95965 -, TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET -~ j� Permit No. / �7 OWNER AV' ICJ✓ I 0 _ A. P. No. Proposed Building Use /y� zx ► . 11 it %e- Permit Fee Based Upon: Complete Contract Price DPW Valuation Other F x la' ) Building Inspector Date J� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/tri.plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . atLetter of signature authorizatioj _ / . . . . . . l anitation approval from_ v i /! 0- Health Dept. .2 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) Improvements may be required. . . . . . . . . . . . 16 Mobilehome Installation Data. . . . . . . . . . Pre -Ins -Inspection for Re uired,•Pre-Inspec. request to (Date) p q Building Inspector ecorded copy of Agricultural Acknowledgment Statement . . . . Other 1t W en you issue the permit, process as follows: Mai��X ner. Mail to contractor. Telephone 6CW_05a and hold for pickup at office. Deliver w/(inspector. Other Applicant 1'y\ k &,lmve-- Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above imep I' tion, circle item.) 1. Index permit for above Items I 2. Additional items required: (Contractor, Designer, Owner) was advised �aberequired to by —T,16,ephone Mail Other By Date Plans checked by Date — Plans approved by ate 7C Other: f Copy—DPW T'o : Building Department From: ,environmental Health r Subject: Sanitation Clearance 0.r �l S .� �v�,,. lig- ;2- Owner - Location AP//. Plan Approved for: Sewage disposal Crater supply Hold final for: water supply Final clearance O.K. for: water supp Clearance for �bedroo mobile ome.. Other P-0 'n a d � i Sanitarian Date :J �.`N ) 1b.—All Materials & Workmanship Shag Be in cordance with Recognized Good Practices and a quality prescribed. for the Specified use in the form Building, Plumbing & Mechanical Codes and National Electrical Cade, . This set of plans and specifications MUST be pt on the job at all times and it is unlawful to ske any changes or alterations on some without itten permission from the Department of Public 'orb, County of Butte. \ COnCrc�c g Lo. b 4z. s FEiric � 53 If marYAri Utility connections shall be within 4 ft. of the mobilehome, either v directly behind or within the rear -half of the roadside (left) of the mobilehome. I� 2'Z gni - -_ - ____-=-�1=� A setback of 5 ft. from the p lines and a setback property of 50ft. from the road R•, centerline shall be clear of structures or equiprilent except LH for a .2 ft. eave overhang. W, r Cn i' i� B�93Try COUNTY �r A P :OVA® !-,C)Vv ,t ��i iO 41 *rj io C 11 A LbUl Oilf n u, AdT doi ;-4o c-,4 v %4' 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: ,,, 2 yr & V' 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 / Z/ No ( If no, clarify ) S. What is the mobilehome electrical rating? ----------------------- �� Amps 6. What is,the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be'served by the mobilehome siteservice? --------------------------------------------------- Yes E No (I£ 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 7,77 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 13 (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.)- 01 MOBILEHOME SUPPORT DATA If other than single wide Mobilehome Mfr. furnish Setup Model No. Year )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) ( t.)(in:) (in.) (in.) Centerupport Center supp locati s* footing s s (in.) (ft.)(in.)\ I (in.) Ain.) 1A(ft.)(in.) (in.) (din.) ft.)( (in.) (in.)1 (in.) Single 1•. Wood either /A pressure treated or foundation grade. 2. Other: ( specify) Supports.(check one) 1. Concrete block. E] •2: Other. (specify) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. Tagalong or Expando,' show support details. ►2X3o -- Typical Support in. (in.) Footing Size S -- Max. Pier Spacing (ft.)(in.) TO, (ft.)(in.) -- Max. Overhang QED C0mplaint-Date1a/Z5 ❑ Other -Date' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Z ON"ING Owner:- I ' LCC�J��% m A. P. # Address: '7215 =-T=�2L91h Ayt- . Po -L ri7y-<-�? Date of Ins pection4O t Vt Tenant: d&e l��,�• (p .� Inspector i Building Location: �r'�,t�i� Y-�tJ �- 1�2��i,_,�� Type of Inspection requested: Housing / / 2. Financing Work W/0 Permit / / 3. Change of Occupancy to / / 5. Other'(specify) Present use of building: hg� M-9 '0/�q he A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, Headroom, 1HR, Tolerances,Handrails) 15. Comments: IM Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6.* Comments: C. Electrical i. 2. 3. 4. N Service and ground: Receptacles: Fusing: Comments: L D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description) : -1ZNoL.,, - 2. What action IItakren (give complete description) : u!/�e -fes .a e .4— k�a� !`Ps1J^w./c.n..laL� -18r ALPsn/ AINTi AL Gni t,, &.11 ♦A-rnr, k' t/-tj1K n.. 1aiP/. - O(O .itN IQ r- 3. Wh t 5rtiofi recommended: IV A. Information only - file. �B. Hold for ten days, then write letter. C. Write letter. / /'D. Other: R 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. 85-309:-6 85-30956 ;AEQ0 QSi)1N O T'IGN1 L RECORph -.OF BUTTE COUNTY CALIFORNIA LLI AT THE REQUEST Of Pages PARTS{ SHOWN - The property described herein is adjacent to land or included i:JW0.XT -,8 PH 2; 3 3 within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from; L-ANOR M.'BECKER -� the use of agricultural chemicals, including, but not limited to herAARW�CPg9�ci4rf@ and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation,. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as fol lows . Lots 1 to 6, in Block 36 of the Town of Palermo, which map was recorded ` in the office of the Recorder.of.-the-County•of-Butte; State'of-Calif- ornia, Fe6ruar`y l7 ,1891, in Map Book 5 at page 4. I J � Date : ! Q ZS PROPERTY OWNERS: State of) On this the �� day of 197 �, before SS. me, the undersigned Notary Public, personally appeared County of ) �y /)J Personally known to me. / / Proved tome on the basis of satisfactory evidence. to be the person whose name(fie) ' 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. Present A.P. No. �6 END OF DOCUMENT f N tary Public OFFICIAL SEAL DOROTHY A. WISE Notary Public-Callfornia BUTTE COUNTY My Comm. Exp. Aug. B. 78Bg t:: COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I'personally'plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social•Security Number Date 6 5?— �S k 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. 0 1 OFFICE COPY Address 7 2 GAS Meter By Date_ ELECTRI G�Date Meter By COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilie, C,4ifor6ia b5965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 26-222-10 ZONING . .,. BUILDING PERMIT - owER Lary Brimm TELEPHONE 534-0586 SO. FT. OCC. BUILDING VALUATION DWy715 MAILING Irwin ADDRESS Palermo CO&RACTOR'S NAME uCks Electric TELEPHONE 533-'7033 CotJ'r23C VE MAILING ADDRESS 1Y�l /V�.l. Oroville 95966 Fireplace CONSTRUCTION4t�/ LENDER UNKNOWN Total Valuation is ' Filing Fee $ .. 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ 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[] V.obilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: electric ehan-,P Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LE 10.00 i0• 00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business force) and effect.SINGLE and Professions Code and my license is in full We-062 License No. fin ( �r/ Classification EJ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING D=CUP.p OR ACDNS. ACC. SLOGS. /z¢sgft NEW CONSTR_ ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS S OUTLET CIR. ) EX. OCcuo(OUTLETS OR FIXTURES 2AL@30 eAL030 FIXED APLNS Ex. DCCUp. OUTLETS PIRESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin g 15.00 15 00 • Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sal Co ty in consequence of the granting of this permit. X Date e- /— le)Th;s 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 $ Energy laspection Fee $ occ CCNST TYPE TOTAL FEE $ 35.00 HAZ CUA PARK[SCHL FLD PAR PD HD ISSUE permit is Hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated abo%e for which fees have been paid. DI EC•TOR OF PUBLIC WORKS By '�41 (((( D//a/ At PERMIT EXPIRES Date Receipt No. 70496 WHITE-O.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Or,�ville, Calornia 95965 - Telephone: 916/538-7541 APPLICAT100 AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 26-222-10 ZONING 1 BUILDING PERMIT OWNER Mary Brimm TELEPHONE 534-0586 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7715 Irwin Palermo CONTRACTOR'S NAMETELE Chucks Electric PHONE 533-7033 CONTRACTOR'S MAILING ADDRESS 4723 VE Rd. Oroville 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 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 FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: electric rhanoa _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service V OR LE 100 AMP ORSLEWO 10.00 10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under provisions Of Chapt. 9, Div. 3 of the BuSlnesS and Professions /Code and my license IS In full force J /and effect. License No. ('r /n� Classification s(/ ❑ 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 OCCUPM OR ACDNS. (ACC. BLDGS. I , 2/z ¢sq ft NEW CONSTR MULTI -OUTLET LET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS h (SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES5A 090 FIXED APLNS. Ex. OCCUp. OUTLETS PIRESID 1REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 Permit Fee $ 35.00 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 9f Consent to Self -insure. N lo ' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sal Co ty in consequence of the granting of this permit. X �Z ���Date Signature of Applicant — Owner ❑ Contractor � Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DI ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL $ FEE ALL E 35.00 HAz CUA PARK PAR PD HD ISSUE Th:s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees OR OF PUBLIC BYif PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date PX 19- Receipt No. 70496 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovill,e, California 95965 - Telephone: 916.1538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERa» 2& = Z2� !O f" ZONING BUILDING PERMIT OWNERTELEPHONE *'YI �`.Irn� -6 � � SO. FT. OCC. BUILDING VALUATION OWNER'S/IMAILING AOORESS � Pio CON CTOR' NAME e� TELEPHONE 533 633 CONTRACTOR'S MAILING ADDRESS '7'/% 03 E Ed Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 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❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 10.00ea TYPE OF WORK New❑ Addition❑ Remodel Utilities❑ Installation❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS Main service EA. AOD'L 100 AMP 10.00 !6 QU 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NO 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 licensedcontract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.tr\ OR ADONS. ACC. BLocs. /22sgft 'JEw RES.., ULTI.OUTLET N.R ESIBRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200306 6ALO 30C FIXED Ex. Occup. OUTLETS PRESID )LNS REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the .County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date ' Signature,of Applicant – Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over ST" deep and demolition or construct- ion of structures over 3.stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $35' HAZ I CUA PARK rL I FLD PAR PD Ho ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No* • 704r -)Io WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �a5'�',.'Crv- �,�'�p.nr,'£. th+J;i'Gi. �„{Ji ti9 k 26-222-10. 2661-90E A f. rBRIMM, ' Mary ; ' 7715 Irwin'.,.Ave, Palermo , Contr: Chucks Electric �� ser_v- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC'WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/5387541 =6 (k APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 26-222-10 ZONING -.1 BUILDING PERMIT OWNER Mary Brimm TELEPHONE 534-0586 SQ.,FT-..,,l OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS I 7715 Irwin Palermo CONTRACTOR'S NAME Chucks Electric TELEPHONE 533-7033 CONTRACTOR'S MAILING ADDRESS 4723 VE Rd. Oroville 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENISE 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 f Each Trap 2.00 Solar or hea. 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 f' SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is 10.00e TYPE OF WORK New Addition ❑ Remodel❑ Utilities❑ Installation El 'Other [J Describe work: electric change- _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS100AMP OR LE IDO 10.00 10.00 1 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. �� Classification Wit"? ❑ 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 ADDNST 1 DWELLING GSCCUP.&) 2'/z¢sgft NON -Redo R BRANCH CIRCTITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex, Occup(ouT LETS OR FIXTURES .AL@3C L030 FIXED Ex. Occup. OUTLETS PLNS R IRESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 Permit Fee $ 35.00 Contractor WORKMEN'S COMPENSATION INSURANCE �I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. VI 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 g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sal Cc ty in consequence of the granting of this permit. AlnX/s,--- Date 19a Signature of Applicant — Owner ❑ Contractor R�- Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 35.00 HA: CUA PARK I SCHL I FLD I PAR I PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIPE, OR OF PUBLIC WORKS By !�Iaate PERMIT EXPIRES Date rReceipt No. 70496 -D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 10-72P, 1 TOWNSHIP ®N �- `� 2 P, 3 -L Is . ❑S O y ❑W ORDER NUMBER IjaAc.�1t ,� 1 �w I r✓ Av ti. , 5 t FIRE TIMBER 8/OR REG. 2- R.U. 1 INCIDENT NO. START MO. 5 3 2 I DATE YEAR I t7 COUNTY u ' - - - - r t 1. FIRE NUMBER FIRE NAME:44,- REPORT `�' FC -18 (3/88) /'1 ORIGIN LOCATION SEC. TOWNSHIP ®N RANGE ® E EE 0 $ -L Is . ❑S O y ❑W R.U. I NQ. O 4 n thru— — — — — b4 14 nN' e7k 1..-i� . 2 mmol MILES DIRECTION F1FROM ElIN. I TACTION F20R�EST, FIRE DIST., CITY 8 STREET NO., 0 ,�� 3 Number S . IjaAc.�1t ,� 1 �w I r✓ Av ti. , 3 INCIDENT_ FIRE ❑FALSE ALARM—GO TO BLOCK 10 R RESPONSIBILITY 4A 46 STATE ZONE STATUTORY 0 ❑ WILDLAND BURNED OR THREATENED RESPONSIBILITY 0 ❑ CDF LOCAL GOVT. CONTRACT 0 AT ORIGIN) O ❑ UNPROTECTED ❑ STATE 0 ❑ ASSIST OTHER AGENCY (Not City) ❑ U.S.F.S. 5O �LOCAL ZONE I B.L.M. . CDF LOCAL GOVT. CONTRACT ❑BI.A. ASSIST OTHER AGENCY (Not City) OTHER FEDERAL FEDERAL ZONE ❑ OTHER © ❑ ASSIST FED. AGENCY (Not Mil.) 8Cl CDF LOCAL GOVT. CONTRACT 0 MISC. AND OTHER 9 ❑ ASSIST CITY, CONTRACT CO., MIL, OTHER CAUSE (STARTS IN 0 O 0 OR O ONLY) 5 0 LIGHTNING ❑ DEBRIS ❑ PLAY W/FIRE I ❑ CAMPFIRE ❑ ARSON OTHER/MISC. ❑ SMOKING El EQUIPMENT b LAND USE (STARTS IN 1 2 9 OR 8 ONLY) DOMESTIC❑ FOREST INDUSTRY RANCH -FARM ❑ RECREATION DUMP 0 OTHER INDUSTRY-COMRCL. r ❑ ROAD ❑ WILDLAND ❑ UTILITY, RAILROAD ❑ NON-WILDLAND UTILITY ELECTRIC . r OTHER � DAMAGE ( 1 2 5 OR 8 ONLY, % S DAMAGE Number Rao id off m Nearest 5100 1 2 8/or 8 5 t TIMBER 8/OR DIRECT YOUNG GROWTH $ .:A. . -:•s::::• •.:: r.. AGENCY PROTECTION $ .. _ .. WILDLAND VEGETATION N s ACRES BURNED (Other than T 8 Y G ln,"f v���ff� �j•i AGRICULTURAL,. PROD ¢ g.�, ,-:,'::,.>. (Other than T`& Y G) TYPE DWELLINGS CDFix 0 d/OR CONTENTS I OOO OTHER STRUCTURES TIMBER 8/OR CONTENTS" VEHICLES 8 CONTENTS f ' OTHERuD<5�. >` WOOD .TOTAL ' LAND ACRES OF VEGETATION BURNED 8A ...... DIRECT $ .:A. . -:•s::::• •.:: r.. AGENCY PROTECTION $ :t;:.}s;<}::•:rs?:;;.} ?:.f!!JssY.%;:s s81i5/,i ACRES BURNED s ACRES BURNED TYPE CDFix 0 TIMBER >` WOOD OTHER ' LAND BRUSH TOTAL GRASS AGRIC. PROD. 8B......................................:...,. CDF SIZE CLASS <> TOTAL 8D ❑ .25 OR LESS A2 •.�� >`<< STATUT. RESPON. Oj ACRES BURNED B .26 -9 ACRES OF ❑ C 10-99 ACRES STATE ❑ D100-299 ACRES ?:•: U.S.f.S. ': ❑ E 300-999 ACRES :''" B.L.M. ?< ❑ F 1000-4999 ACRES ;'•.`:Es B.I.A. ❑ G 5000 ACRES OR MORE ? #E B.O.R. OTHER FED. #:•:::::::::.�:.>.•::^.:..........: OTHER :......::. 1 ............................. T T O Al ON ARRIVAL (v VEGETATION FIRES ONLY) SIZE DISTANCE (Origin to head) WIND SPEED (M.P.H.) I DIRECTION (FROM) . I TEMPERATURE ff) 10 OVER PLEASE C DF 7540-130-01 18 86 39852 4 4 i 9 OWNER: r;MM PRE -INSPECTION LOCATION:- % CONTRACTOR: PRE -INSPECTION FOR: TDl W0 ti l G�iLl��9� ri c a DATE—3// 2-101 2— A.P. #�b 02:0 J- o2oZ - ZONING V Forte lvo ,le_ c DATE TO INSPECTOR -------------------------------------------------------------/----------------- PERMIT HI STORY : E-1 NONE �"AS FOLLOWS:. 5 e�'e -R 4 TYPE OF OCCUPANCY BUILDING,USAGE: TENNANT: Q OCCUPIED D Q HEATED -COOLED OTHER COMMENTS:_ FIELD - INFORMATION • i`j HAS E CTRIC FDiHAS GAS Q HAS SANITATION FACILITIES c' PERSON CONTACTED z�9,0 14m A47_u,e� ACTI RECOMMENDED: ISSUE 0 HOLD FOR OTHER: DATE] ja-q� h f::.ij,`o,<�.•4 ",'. y.�'r�,i�`rr���'�'°�Yitn'..�•'r`+���"'�ers�+tC�.y��°'%...1"7�ti�`id^^�ei�"a i"«,.�r�'�i'�r+►''�i4�"'ir-%" ' ti` P N N } Y 1 , . P. "�g�•�a�t;d. -,�,: COUNTY OF BUTTE - DEPARTME T OF. PUBLIC WORKS 7Vo N 7 County Center Drive - Oroville, Calif rni�a'95'?65 - Telephone: 916/538-7541 -- APPLICATION AND PERMIT ASSESSOR PARCEL NUM ER `(� ZONING ` oe i BUILDING PERMIT OWNER �c �3l TELEPHONE _o0 53ti� SQ. FT. OCC. BUILDING VALUATION — �. OWNER'S MAILING ADDRESS T7 15q JV, i . C¢ T A TOEi•S NAME � w TELEPHONE C-NTRACTO 'S MAIL`NG ADDRE q'S�2j 5 ryt_ O , ,�'� � , F i replace CONSTRUCTION LENDER AS� UNKNOWN Total Valuation $ /1, CM FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS er Penalty $ BUILDING ADDRESS , Permit fee $ PLUMBING PERMIT Filing10.00 Each Trap 00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or v t 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ OtherS•F. �' .�c�E CMCn SPECIFY Gas piping system 1 - 5,,6utlets 5.00 Building sewer 5.00 Mobile Home S I G I W �-00 TYPE OF WORK New ❑ Addition ❑ Rerpodcel ❑ Utilities ❑ Instal lation El Other R1 � Describe work: ( V�CX(1 �.c:G�.V l 01, �/1cC�t�r�cJ�- _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2 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) s 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.& OR ADDNS. C ACC. BLDGS. Z�Sgft NEWC ONSTSULTI.OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS POWER APPARATU SINGLE OUTLET . Ex. Occu 20 030t Occup(OUTLETS OR F TURES eAL930 FIXED AP❑ Ex. OCCUp. OUT LETS P ESID ) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring/15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contracto 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 liabilities, judgments, costs, and expenses which may in any way accrue`/ against said.County in consequence of the granting of this permit. G X to �� i�+� / Signature of Applicant — Owner ❑ Contractor gent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DIRE of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL TOTAL FEE $ U •Ho HAZ CUA PARK [7�D PAR PD Issuesall This permit is hereby issued under the applicable provi- sions or the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. TOR OF PUBLIC WORKS i(24ion C G By '�' Date PERMIT EXPIRES Date Receipt No. y8 OC-7Fs,S WHITE-D.P.W.. YELLOW-ASSE330R, PINK -IN ECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE -)DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 17' - ASSESSOR PARCEL NUMR /O�r, &4271 ZONING 1 BUILDING PERMIT OWNER TELEPHONE Say-os8� SQ. FT. OCC. BUILDING VALUATION - OWNER'S MAILING ADDRESS S C 7 A TOE2'S NAME TELEPHONE I C TRAC OR'S MAILING ADDRE bL`� SL. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ,Permit / tee `` $ e JO PLUMBING PERMIT FilingF 10.00 Each Trap ,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 5.00 Each gas water heater or v t 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other — SPECIFY Gas piping system 1 - utlets 5.00 Building sewer 5.00 Mobile Home AS I G I W I 10.00e TYPE OF WORK New ❑ Addition ❑ RerpodeI ❑ Utilities ❑ Installation[] Other Describe work:_( !�M O"b, QAII _ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SS 100 AMP OV OR R LESS 10.00 Main service EA. ADD'L 100 AMP 2 CONTRACTORS LICENSE LAW I declare rider penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BU$IrieSS 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 ff sale. (Sec. 7044) D I, as the owner, am exclusively contracting with licensed contract-Mobile on 2'_'Ils. (Sec. 7044) am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.s OR ADONS. ( ACC. SLOGS. �Y�SQft NE w CONSTR ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATU (SINGLE OUTLET . Ex. Occup(OUTLETS OR F TURES 200.30¢ S AL030 FIXED AI' Ex. OCCUp. OUTLETS P ESID IKEA.) 2.00 Temporary service 10.00 Ho Mobileome F Ilities Htract- 15.00 Misc . 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate oyConsent to Self -Insure. Lr�lif shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 9 Hood 3.00 Ventilation_ Penult Fee $ Contractor' I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said _County in consequence of the granting of this permit. 9/�9/�/�i X , D e / (( 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ . Sd HAz CUA PARK SCHL FLD PAR PD HD IssuE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRE TO F PUB _ By ' PERMIT EXPIRES bate the applicable provi- resolutions to do have been paid. WORKS G Date 7 ✓ IF Receipt No. 41800 ,S WHITE-D.P.W., YELLOW -ASSESSOR. PINK -IN ECTOR. GOLDENROD -APPLICANT -•�A b" If m 92-09322 ��- 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. — The property described herein is adjacent 92-009322 1 Rec Fee 5.00 to land or included within an area zoned I Check 5.00 for agricultural purposes, and residents Recorded of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of use of agricultural chemicals, including, Butte 1 but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit ; Recorder 1 of agricultural operations including, 8:38am 4 -Mar -92 I PUBL. XX 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All 'that real property' -situate in the County of Butte, State of California, described as follows: Lots :li to 6, in Block 36 of the Town of Palermo, which map was recorded in the office of the Recorder of the bounty of Butte, State of California, Febuary .17, 1891,'in Map Book 5 at page 4. Date: March 3, 1992 PROPERTY OWNERS: State of ) On this the day of , 19 1 ) SS. undersigned Notary Public, personally appeared County -of ,, ) '1- ,Present A.P. No. , before me, the Personally known to me. 1:1 Proved to me on the basis of satisfactory evidence. 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. Notary Public G7 f -Li 0 C" mU M ?O Ut W O 4 T C tE o. oD� G, 0) F- C U 4) E a N LL N c 3 I M STATE OF CALIFORNIA Butte Iss. COUNTY OF } On March 3, 1992 before me, the undersigned, a Notary Public in and for said State, personally appeared Robert L . BU r t personally known to me j00V Md )oxr j �ry;t}�:#? f$.14f; 1) x X Y_Y_jC_YT Y Y 7 Y 5C Cy_� Y �T7 Y;✓ Y 7 V;✓ Y:✓ Y v �g�l�¢ggr2gs��y�v ¢�9{�grnQpgrKto be the person whose name is subscribed to the within instrument, as a witness thereto, who being by me duly sworn, deposed and said: That he/s7i Nresides in Orov i 11 e , CA that he/WW was present and saw Mary E. Howard B r imm personally known to himpDK to be the same person(s) described in and who executed the within instrument, as a party(ies) thereto, sign, seal and deliver the same and that said party(ies) duly acknowledged in the presence of said affiant, that he/she/they executed the same, and that said affiant, thereupon at the party's(ies') request, OFFUNA1.8EAL • fi MELLE A. MILLER • NUMRY PMC-CALWO n��u • P � . �CT. 20,#fib • •fie••• •••••�•••••• subscribed his/her name as awitness thereto. 1-1 WITNES N�=4?2W& EN® OF DOCUMENT Signature ®® (This area for official notarial seal) is e e i er NO'S-jl Materials '& Workmanship Sh`a(I Be in Accordance With Recognized Good Practices and ` gtr�litypr9sc�b�d ;nrte Spedified u s h' �,L C /Z rrvCh =/u fca .�DD ES -S- --7-7 Y\_ i l mi >: /r?-"r/C --- This This set of plans and specifications MUST be kept on tho job at all times and it is unlawful to make any changes or alterations on same without A setback of 8 ft. from the written permission from the Department of Public property lines and a setback Works, County of Butte. of 50 ft. from the road �! centerline shall be clear of straotures or equipment except y1 fbr a 2 fL eave overhang. . ---- 3 7 . 7 y5' .714 gV �V . C3�- A R r? - f Z ZZ b r' .. C c n c fY Loc ion of structures & 6 equi ment shalt be as sho A & ,ie r of all easements. ' r rn Nous . ---- 3 7 . 7 y5' .714 gV �V . C3�- A R r? - f Z Date: . To: From: Subject: Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX FACSIMILE COVER SHEET Number of pages (including this cover sheet):i Fax Number: If you do not receive all of the pages, please call (530) 538-7541 as soon as possible. Special Instructions: - Review and respond accordingly. For your information only. Sincerel , . CONFIDENTIALITY NOTE: The information contained in this facsimile is confidential and may also contain privileged information. The information is intended only for the use. of the individual of entity to whom it is addressed. If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, of copying of this communications is strictly prohibited. 1 p f you have received this facsimile, in error, please . notify me immediately_:. by telephone, and return the original tome. 'Thank you. :"'