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HomeMy WebLinkAbout027-040-053b. 11) 27-04-41*oref5_3 Jim Kelm S/S Sam Lynn Way, app.450' ler (Tract'Rd.,. ''Orovil'le"(PA _450' (PA Permit #5556-79P,E(util ELEC. &—!L— GAS SUPPORT STR CTURE REQ COMPPXTION TEST REQ. APa 1VIS27-04-44 /W contr:Beich Mobil Home Serv., Chico Permit #6176-,;.79MHI Issued /O/ In 12:2 ROY .. CASACIA 27-0 -53 6553 Sam Lynn Way, Oroville 3F,307 Permit#3413-86B,E(new garage)' 027-040-053 PERMIT#94-3255 CAMPOS, DONNA 58 SAM LYNN WAY, OROV MHI EXIT SITE r I-,- .pr,�qg F n/ " , 027-040-053 PERMIT#94-3256 CAMPOS, .DONNA 58 SAM LYNN WAY, OROVILL RE -INSTALL AWNINGS/MH e:e� 027-040-053,-- PERMIT#95-158A CAMPOS,-Donna-*- '58 Sam hy.6^" Way, Oroville Ag. -Exempt Permit -Aviary 027-040-053 PERMIT#96-2727 CAMPOS, Donna Rfq] I z/23/ -r7 58 Sam Lynn Way, Oroville 1st Renewal BP#94-3255 .02 -053.- 00-09 5 CLARK 58 SAM LYIN CIVELLE CONT: VERSAL ROO Jim Kalm AP 27-04-53 0 6553 Sam Lynn Way, Oroville �.BL�DG_E�XEMi4�1* - 4/8/8:0 .- IM IM o 0 A' 0 00. 00 OD _____.Y �� � Ei ,: - -.--_ I RECnRDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1 9039-10043739 Recorded Official Records CountyBUTTE f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:23PM 13 -Oct -1999 REC FEE .00 CONFORM .00 Maureen Page 1 of 2 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, DONNA M. CAMPOS MANUFACTURER'S NAME 58 SAM LYNN WAY MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (ifalso property owner, write "SAME") MAILING ADDRESS CRY COUNTY _ _.TALE 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 96- 727 530 538-7541 BUI DI IT TELEPHONENUMBER 12/23/97 SIGNA E OF LOCALGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO. GOLDEN WEST 1989 --- MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GWICALCE4063 AB/C 60'X34' RAD 501524, 501525, 501526 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBERS) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED LEGAL DESCRIPTION. A.P. # 027-040-053 HCD FORM 433(A) REV. 8/91 P HITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. i LEGAL DESCRIPTION A.P. #027-040-053 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 20, 1979, IN BOOK 71 OF MAPS, AT PAGE(S) 40. PARCEL II: A RIGHT OF WAY 60 FEET IN WIDTH FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 20, 1979, IN BOOK 71 OF MAPS, AT PAGE(S) 40. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: RIGHT OF WAY FOR WATER PIPE LINE OVER THE SOUTHERLY 10 FEET OF THE NORTHERLY 30 FEET OF...PARCELS 3 AND 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN T1 IE `OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,.ON.JUNE -20, 1979, IN BOOK 71 OF MAPS, AT PAGE(S) 40. For Gv� Urgent p Date Time W 'le You Were out M a-,� Of Phone AREA CODE NUMBER EXTENSION Telephoned ❑ Please Call ar Came To See You ❑ Will Call Again ❑ Returned Your Call ❑ Wants To See You ❑ Message Signed '- 9711 ADAMS BUSINESS FORMS BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538.2140 11/5/96 donna Campos 58 sam Lynn RE: Building Permit # 94-3256 oroville, -ca 95966 Expiration Date: 12/6/96 A.P. # 027-040-053 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [X] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit- where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVTT.T,R office. Thank you for your prompt attention concerning this matter. Yours very truly, Michfael c.f Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office -.1469 Humboldt Rd/891-2751 DONNA CAMPOS 58 SAM LYNN WAY OROVILLE, CA 95966 With reference to the building permit expires category marked below: ULFAKIMtNI OF DtVLLUHMLN1 5tKVIGE5 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: )916) 538-2140 11/5/96 RE: Building Permit # 94-3255 Expiration Date: 12/6/96 A. P. # 027-040-053 above subject, our records indicate that your on the above date and your permit falls into the [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original.expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [)q No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior .to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. Yours very truly, Michfael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 BUILDING161VISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT . / PERMIT NO. 9s- /,S-9 Agricultural building is defined as follows: Agricultural building is a structure design and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This strtfcture shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OWNER PHONE N0. OWNER'S ADDRESS I �J LOCATION OF BUILDING USE OF BUILDING SIZE OF STRUCTURE X _ (oD0 SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL_ CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING -�-a �L FLOOR TYPE ESTIMATED COST OF CONSTRUCTION C>(f>C7 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: ,✓ �( I — FRONT `� �x,.� SIDES _20 s.� REAR 20 AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy.. Date /,,,g- — e-(— 9S Permit Fee - $60.00 Receipt No. 19 n y b 9 Signature of Owner The above described AG Building is exempt from a buildina permit FLOG PARC P.D. I ROOFI I IV Manager Building Division p By Date White — DPW, Yellow — Assessor, Pink — B. 1., Goldenrod —Applicant 'r�e•'-rii+%:.t�..ZSISfa1•�.hh�rR�(��� _ a � ��hA.lfi�!'J,�'�"'.rn7F''i.•�- COUNTY6F'BUTTE - DEPARTMENT OF6EV ` PMENTSERVICES - BUILDING DIVISION e 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER w o _ A. P. No. Proposed Building Useu�t ��'�•,., ..Building Inspector: Date ! 2--- 4l-/95 At time of it application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1 , DATE RECENED BY All items have been submitted . ........... .............. . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ . 13. Flood elevation letter (100 year flood) by California Engineer. ......... ...... . 14. Sanitation and plot plan approval Health Department . ...........:: . 15: City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17. Planning approval for (A) Use: (B) Parking: . 18. Contact Land Development about (A) Improvements (B) Drainage. ........... ' 19. Driveway permit (construction approval required prior to occupancy). ... Pre -Inspection requ�- 20. Pre -inspection for -- required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ....... :...... 22. Certificate -of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signatu;re authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ............................ ......... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: 4,1- Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applican Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollutiori Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works VOL PROOF OF SERVICE Donna Campos 58 Sam Lynn Way Oroville, CA 95966 RE: Code Violations 58 Sam Lynn Way,.Oroville Dear.Ms. Campos: cou"nt ' L A N D 0 F NA T URAL 'Al EALTH AND BEAUT" BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: 1916) 538-7541 FAX: (916) 538-2140 June 20, 1995 A.P.#027-04-0-053 This is, a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2., we sent you a courtesy notice dated November 15, 1994 notifying you that you arein violation of the BCC at the above -referenced location. As of this date', the following violations still exist: Failure to' obtain the required permits, inspections and approvals from this' office for installation of a mobilehome and awnings in violation of the Mobilehome Parks Act of Title 25, California Code of Regulations, adopted by Section 28A-1 of the Butte County Code as follows: (a) 1324 -Permit Required for Mobilehome Installation (b) 1326 -Inspections Required for Mobilehome Installation (a) 1018 -Permits Required for any Mobilehome Accessory Structure (b) 1048 -Inspections Required for any Mobilehome Accessory Structure S (Applications were made for the above violations; but were not issued due to failure to obtain items listed on data sheet.) The above violations shall be corrected or abated by you obtaining the items necessary to issue the permit. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Letter to Donna campos _RE: Code Violations A.P. #027-04-0-053 Page 2 June 20, 1995 Upon, conviction ''of. said violation(s) or of - failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, MCV:dms Mic ael C. Vieira, C.B.O. Man ger, Building Inspection 1 2 3 4 a 8 7 -8 9 10 11 .12 13 14 15 16 17 18 19 20 21 22 '23 24 23 i 28 PROOF OF SERVICE BY MAIL i I. am over the _ age of '18 and nqt a party to. this cause. I am a resident of and employed in the county where the mailing occured. Mq business -address is Building Division Department of Development Services. 7 County Center Drive 1 Oroville, CA 95965 ' I served the foregoing SECOND NOTICE VIOLATION LETTER (A.P. #027-04-0-053) by enclosing.a true copy in a sealed envelope and depositing said envelope in the United States mail with postage fully prepaid on 20th. of June 19 95 and addressed as follows: Donna Campos 58 Sam Lynn Way Oroville, CA 95966 I declare under penalty of- perjury under the laws of the State of Calififornia that the foregoing is true and correct and that this declaration was executed on 6/20/95 at Oroville California. Donna Sperling Office Assistant III CA w� utte count, BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 November 15, 1994 Donna Campos 58 Sam Lynn Way Oroville, CA 95966 RE: Code Violation A.P. #027-04-0-053 58 Sam Lynn Way, Oroville Dear Ms. Campos: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome. Since permits and inspections are required for the above work, please submit three (3) complete sets of plot plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance .of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. Sincerely, MCV:dms� Mich el C. Vieira, C.B.O. Manager, Building Inspection cc: Assessor COUNTY OF BUTTE - DEPARTINIENT OF DEVELOPNIEINT SERVICES, BUELDING DIVISION 7 County Center Drive, oroville CA 9s96s Phone: 916-538-7541 DONNA CAMPOS 58 SAM LYNN WAY OROVILLE CA 95966 RE: PERMIT APPLN FOR.MHI & AWNING DATE: A. P-. # 027-04-0-053 With reference to the above subject: Attached is: 9/28/95 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engineered Calculations Typical Plan Sheet owner -Builder Verification Fm List of Codes.Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's -installation instructions, 2 sets. - Fees of S payable to Butte Countv Treasurer. Impact fees -paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley.. Planning approval for Land Devel--anent (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Stvle, Class) or exemption statement. Certificate of Wcrkma^s Cc-pensaticr:=nsurarce. owner -Builder Verification Form. Recordedy cry of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50%s subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right-of-way to a public road— Other: DOWN PLANS TO AVOID QJ JNEORCEMENI, PLEASE OBTAIN THF, ABOVE TTFM AS SOON AS POSST Should you have any questions concerning the above, please contact ��NpA Crvmnnr of this office. Y rs very try,ly, Mic:.ael C. 7ieira, C.B.O. MCV:ahb Manager, Building Inspection PERMIT NO. 5556-79P,E PERMIT EXPIRES � %9/fid OWNER Jim Kelm CONTR. owner 27-04 LOCATION (A.P. ) S/S Sam Lynn Way, app.450'E.of Drescher Tract Rd., Oroville (Parcel t2) 1 1 t 1 ! Temp. Power Pole Called PG&E '1 Temp. Elect Serv._�, Called PG&E j Temp. Gas Serv. Called PG&E JOB FINALED / (Date) 00, (Signatvdl � � ' / 4r � - - . .� . . . , - � , '^ � ` . ' ' ` � � .. ONTY OF BUTTE — DEPARTMENT l' "PUBLIC WORKS BUILDING INSPECTION RECORD - BUILDING A BUILDING (Cont'd) A PLUMBING Set5@ck FilrewaII Nil Piping Form Par ets t Floor Main Bldg. Rest r om Finish 2n Floor Fo ins Windom 3rd Noor Stem all Siding To out Slab Roof Shea,Wng Water Pi i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped" Conformance of ex. ` structure \ Appliances Gas Piping & Test Tem . Gas Slab Final A Sanitation Patio F EPl_ACE Final Footings Footing ECTRICA Masonry Walls Throat Rough \. Reinf. Steel Final Fixtures Bond Beamt 161AF SPAINKI FRS Untnm Mesh MECHANICAL Gird. Fa6lt Prot. Scr ch Heating( Servigi Brjtwn Cool IA T mp. Pole nlsh Du s nder round erlor Lath Vg6tilation Permanent linal oor Closer Ina l MOBILEHOME IL IES - - - - - - Elec. Service Elec. Pedestal �Q Water Piping Q3, 7 7 SewerGas Piping MOBILEHOM N ATI --- Support Elec. Continuity Water Piping _ s Drainage Gas Piping DATE EMARKS OR CORRECTIONS zzo G !CCO07 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner ✓ wner's Address obilehome Mfg., - Model Year Insignia No. �- ` Serial No. ,F% It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By ' THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yesl�_:No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ io_ 4. Is the mobilehome level? (Sec. 5088) Yesz, _ 5. If morean a single unit, are crossover connections properly installed? (Sec. 5088) Yes o 6. 'Water A. Is flexi le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes B. Test - Does water piping withstandworking pressure or 50 lbs. air test? Yes 41-190 Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes— No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes Cho B. Does it have minimum 4" per foot slope and is it. properly supported? Yeses/ o C. Are any leaks detected in drainage system after running 3-ga-lons of water thropgh each fixture including washing machine standpipe? Yes_ No If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas.Piping and Gas Vents 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 mobilehome gas line inlet without reductions other than the mobilehome connector. Yes . No _ B. 'Test OK as per following procedure? Yes_ No_ =1. Open all appliance -connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"014" 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 mobilehorqe with connector, turn on gas, test connections with. .soapy water. C. Are all appliance vents properly installed? Yes— No 9. Electrical. A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 10 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_ B. Is there proper clearances around panels? Yes_4ZNo_ C. Is power supply cord or feeder assembly properly fused? Yes_ D. Is continuity test satisfactory as per the following procedure? Yesi_e4 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected, 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the.other lead to each mobilehome supply conductor, including neutral. J. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle J,,-,w/�-`�, N Length e Width � 7 Vehicle Serial No. State Identification No. 7g Additional Information or Comments: 0 COUNTY OF BUTTE—„,MPARTMENT OF PUBLIC WORKS ` 7 County Center Drive ' — 0(oville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT s�ss��r authorize representatives of the County of Butte to enter upon the above -m tioned prop rty for inspection purposes. �//� X atje9q` / / ignature of Per ite or gent,.. D Receipt No. 1 V� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date T-19 - 77 ilding permit expires Date —/ 9- f O BUILDING Owner lM kc—t—p'vI SQ. FT. OCC. BUILDINGNALATION Mailing Address RT 3 810x, %00 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address S 51+//% LYVAI W AY Plan Checking Fee&/or Penalty Permit Fee "P E, ®F 4>2ESC*EP_ PLUMBING No. @ FEE AST Li, PERMIT FILING FEE $3.00 r QQ Each Trap 1.50 y QF'oVI Repair drainage or vent piping 1.50 /� A. P. No. � (l7— �"�” C� P>ik� Zoning &Pan g Water piping �-5f3 U,OQ Each gas water heater or vent 1.50 FL s S t n Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking ParcelEach Plans D lavation�� 60' R Improvement ; additional outlet .30 Building sewer 5.00 ®,pp Bldg. Plans R d p�} Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ Z3.00� 23 O ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Sao Main service 100v OR LESS Cr o� 100 AMP OR LESS 5•�0 ✓ Single Family ❑ Duplex ❑ Mobil Home EK Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 1 00 AMPP OR LESS O Main service EA. ADD•L 100 AMP 1.00 NEW CONSDWELING O OR ADDNST ( ACCLBLDGS.CCUP. s) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Y NEW CONSTR T NON-RESID (BRRANCANCHH CIRCUITS 12.50eal NEW CONSTR. (POWER APPARATUS ° NON-RESID• SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 1 BAL@10a FIXED APPLNS. OR Ex. OCCU P•�OUTLETS (RESID.) EA� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 14 P r-Lz_ boo I am exempt from the Contractors License Laws of the State of California. Permit Fee $ a l sb $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so(s,to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating_to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -m tioned prop rty for inspection purposes. �//� X atje9q` / / ignature of Per ite or gent,.. D Receipt No. 1 V� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date T-19 - 77 ilding permit expires Date —/ 9- f O .r COUNTY OF BUTTE — t -DEPARTMENT OF PUBLIC WPQKS 7 County Center Drive" - Oroville, California 95965 Telephone: 534-4541 It r T1 1 (tW�� APPLICATION AND PERMIT L/ �. -V-- -auto. VI 1110 vvWILY VI OULLO N VfILUI UVVII UIC Z property for insppection purposes. X (�G'�c�` Date Signature of Permit ee or Agent Receipt No. 4- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above r which fees have been paid. IECA-F *PULIC WORKS B Date/106� 0"— Building permit expires Date `��'d� BUILDING Owner :T14 !227 L 61',4/14 KE'li'Yn SQ. FT. OCC. BUILDING VALUATION ( / v Mailing Address Telephone No. Contractor s 'L �%a5,'� _' f q A7 Mailing AddressS �� / N Fireplace Total Valuation ��1/ e P 1 C 0 Telephone No. 3 U S- 7 3 // Permit Fee Building Address S 5 3 AN ^� Plan Checking Fee&/or Penalty Permit Fee k14 Y Or QJ1` PLUMBING No.1 @ I FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. '- Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 SBRIYiimR Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvement Each additional outlet .30 Building sewer 5.00 �� Bldg. P slbi'.R-.'d Parcel A val Plans roval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ SS"S ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. AOD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 OR ADDNSNEW T // %ACCDWELBLDGS,LING CCUP. Y) 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of K" � >>�/ C "✓/ o%j, �i' �r7✓nii� S.4�E'I NON-2ESID., BRANCH CIRCUITS) 2.5Oea NEW CONSTR. POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES 3025¢ BAL�1 Ex. OCCUp ( FIXED APPLNS. OR . OUTLETS (RESID.) EA) 2.00 • Temporary service 10.00 �S(Q /r7 �/�n✓� ✓�,� e%, 'L0 Mobile Home Facilities 15.00 License No. G'- ly/ 0 Classification C 6� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �Vhave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 $ $ Y" U� I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby . Land Development ee $ TOTAL PERMIT FEE $ o �' �. -V-- -auto. VI 1110 vvWILY VI OULLO N VfILUI UVVII UIC Z property for insppection purposes. X (�G'�c�` Date Signature of Permit ee or Agent Receipt No. 4- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above r which fees have been paid. IECA-F *PULIC WORKS B Date/106� 0"— Building permit expires Date `��'d� .All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) p � � le of Sing . V �©T Wood either pressure treated or foundation grade . (ft.)(in:) (in.) (in.) It?2. Other (specify) Center support Center support l PP PP J/ locations* footing sizes k ,h14 Supports (check one) (in.) � X30 0--t.–Concrete block. Ua) (x d 2 Other ( specify) (ft.)(in.) . (in.) (in.) . • . „ - . r Ii 2x3 4—Tagalpng or Expando,' show support details. (ft.)(in.) (in.) (in.) a x Lv -- Typical Support (in.) (in.) Footing Size (in.) (in.) Max. Pier Spacing Max. Overhang (fji�t.)(in.) G BUTTE COUNTY 4�0, 13UILDiNG DEPARTMEN' APPROVED *f Tenter piers are other than drawn above,• draw in -locations. spacing, and dimensions. MOB ILEHOM- SURPORT DATA Mobilehome Mfr. y' ` cy17 If' other than single wide, furnish Setup Model No. S Year / Width (ft.) Box Length // b (ft.) Tagalong or Expando Size /_� r 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) p � � le of Sing . V �©T Wood either pressure treated or foundation grade . (ft.)(in:) (in.) (in.) It?2. Other (specify) Center support Center support l PP PP J/ locations* footing sizes k ,h14 Supports (check one) (in.) � X30 0--t.–Concrete block. Ua) (x d 2 Other ( specify) (ft.)(in.) . (in.) (in.) . • . „ - . r Ii 2x3 4—Tagalpng or Expando,' show support details. (ft.)(in.) (in.) (in.) a x Lv -- Typical Support (in.) (in.) Footing Size (in.) (in.) Max. Pier Spacing Max. Overhang (fji�t.)(in.) G BUTTE COUNTY 4�0, 13UILDiNG DEPARTMEN' APPROVED *f Tenter piers are other than drawn above,• draw in -locations. spacing, and dimensions. r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 bounty Center Drive, Oroville, CA. PHONE:.534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: jo ` 4 /✓r4 1�7 ( )P7. 2. Installer's name: 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number SS % `- 7 �j ) OR /¢�� 7 - Oq - q Is the site an existing site? Yes / / No i (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) t ( If no, clarify �l / ) ( ) 5. What is the mobilehome electrical rating? ----------------------- ,�, 0 Amps 6. What is the mobilehome site service rating? --------------------- 0 Amps 7. What is the mobilehome site circuit breaker rating? ------------- V 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? ---------------------- /✓-y c 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? /V6 of �-� (ft.) 12. :What is the mobilehome gas demand? --=--------------------------- /y J A S (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) t COUNTY OF"BUTTE Department bf• Public Works 7 County Center Drive .Oroville ----- 534-4541 -T ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner k 6� h1 Location 4� J 5 3 Sir /, V ;j f7 /-� 641 A7 �/ (Js d 1) Mobilehome Installation Permit No. (Y /76 6 7 % FILL IN INFORMATION FOR ITEMS 1 THRU 10 1 x /%XP9nc30 Zoo -- Watts 1. Widths x Box Length G `7 x 3 : j C� 2L- 2. 2 Kitchen Appliance Circuits = 3,000 3. 1 Laundry Circuit 1,500 4. Ovens ........................................ 5. Cook Stove Top ............................... 6. 'Hot Water Heater ............................. 7. Dishwasher & Disposal 8. Clothes Dryer ................................ 9. Other (specify, i.e., motors, exhaust fans; Sub -total - Watts ..... First 10,000 watts @ 100% ................................ = 10,000 Remaining watts @ 40% ....................... _ 7 10. Air Conditioner = �D watts @100%.. ) / Largest Demand = 2 O Central Heat System ! c�S S a watts @ 65%.. _ TOTAL DEMAND WATTS REQUIRED ............. }� ' p'c moi_ "Demand Watts Required" - 230 ..... ............ 2 CAAAMPS De -rate Mobilehome to ... COUNTY............ AMPS BUILDING •DEPARTMEN .APPROVED 3 RESIDENTIAL s ` 027-040-053 PERMIT#94-3256 CAMPOS, DONNA 58 SAM LYNN WAY, OROVILLE RE -INSTALL AWNINGS/MH i - /'z oG k D ' - JOB FINALED ( — U Signature J=OK O=Not OK Not = Not Readyable MOBILE HOMES i Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s nmg Requirements -Setbacks -Easements rl'2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn. ;. Posts- Bea ms- Rftrs.-Connectors Shp -Rfg.-Bracing lum. 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 and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-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 (Single. &,Duplex) ' = Date UNDERFLOOR (Plans) OK except ft's j 1. Zoning -Setbacks -Easements -Flood -Slope I 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth I 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a'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 -----------------Date - - Card B_1 --- Date - Card B-1 - ---------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- -------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -------------------------------- -- -------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ----- -------------- ---------------------------------------------- 26. Equip. Ground made'up w/Meth. Fastners-Bond Gas & Water --------- ---------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------------------------------------------------- ---- 28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Sizer ! ga. Cu or Al ------------------------------------------------ 29. --------29. Range Circ / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----- -------------------------------------------------- ----------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------ ----------- - ---------------- - ---- - -... 31. Equip Clearances Panels -Motors -Meth. Equip. ----------------------------------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ----- -- --- ------------------------------------ ------------------- - --- - - - -- --- 33. Smoke Detector -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ---------------------------------------------------------------------- ------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft's 34. -A. -C. -Ducts Insulation & Support ------------------------------------------- 35. Vent Fan Exhaust above insulation ------------ ------------------------ -------------------------------------- 36. Condensate Drain & Overflow: Size & Grade --------------------------------------- ------- ----- - -- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------------------------------------------------------------------ - - 38. Attic -Access-&- Platform if Furnance in Attic ------------- ---------------------------- ------------------------------------ Date Card B-1 Date Card B-1 --------------------- - ------------------------------------------------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except M's 39. Sils. Proper Material & Anchors ------ --------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------- --------------------------------------------------- 41. Bearing -Wall -s. over Girders & Floor Nailing --- -------------------------------------------------------- 42. Draft Stop in .Walls (rat proof) ------ ---- - --------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hot. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garaoe-3rd Storv. 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _______ __ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer --------------- 56.- Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57 Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59, Insulation -Walls -Ceilings 60. Infiltration -Walls -windows ----------------------------- Date --------- B-1____ Date Card B-1 ---Card Date _ Card B-1 Date Card B-1 Date FINAL (Plans) OK except h's ____________ 61. 62. --------------------- Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector 63. ------- 64. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection ------------------- - Bedroom Exiting & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels --------------- 67. Stags & Rails 68. Fireplace or Stove: Clearances -Hearth - - - ------------------------ 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance: Grnd -Air Gap -Cooking Clearance ---------------------------------- - - 71. Elec. Outlets & Receptacles at Kit. Counter 72. -Garage -Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor -Meth. Protection 75. Plb.. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7,. Insulation -Foam -Looked in Attic ❑ Yes --------------------------- ------------ 78 GuardRails & Deck -Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------ ------------------------------------------- - 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish ------------------------------------- 82. A.C. Unit Disconnect, Electrical, Plumbing - - -- - --- ---------------------------- - --- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing ------------------------------ 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground - --------- ---------------------------- -------- 86. Ventilation Throughout House ----------------------------------------- -- 87. Glass Protection -------------- 88. Corrections from Previous Inspections - - - ---- ----------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric --------- ------------ ------- 90. Water & Sewer Connecteb-C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates -- ------------------------------------- ----- - Date Card B-1 Date Card B-1 ------------------------------------------- ----- Date Card B-1 Date Card B-1 - - --------------------------------- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT.,OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, ;California 95965 - Telephone (916) 538-7541S IT NO. APPLICATION AND PERMIT - 4 ASSESSOR PARCEL NUMBER 027-040-053 zONAk,-I5 BUILDING PERMIT DWNER. DONNA CAMPOS TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 58 SAM LYNN WAY OROVILLE ONTRACTOR'S NAME PEARSON TRANS TELEPHONE ONTRACTOR'S MAILING ADDRET^LA I.- Fireplace ONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 117. OU ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 58 SAM LYNN WAY PERMIT PERMIT FEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities O Installation ElOther O Describe Work: AWNINGS 1 nxi 5 Iz l nxf;n PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service SOOV OR LESS ( 200A OR LESS 1 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 FTS0., CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) /9 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) D 1 am exempt under Sec. Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): D This permit is for $100.00 (valuation) or less. D I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. exI shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POW ER APPARATUS (& SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) A20 @ 1.000 - Ex. Occu FIXED APPLNS. OR p' OUTLETS IRES10.1 EA ( . ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 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 saidH County n consequence the granting of this permit. Date J� --/e7;,� Signature of Applicant- O ner ❑ Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $213.05 AZ. D. FEES IMP I FLOOD OF PARCEL I PD I HD P�T IJSfUE L1101 This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By / PERMITEXPIRESON (De 1 provisions to do work paid. / to b 5 Receipt No. 170904 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE = DEPARTMENT F DtVEL'OPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C9A_ LIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER P. 0. Z Proposed Building Use Building Inspector Date At time of permit application, I was advi66 the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items h�Pans, been submitted. 2. Plot plans sets, signed by preparer of plans . ........................... 3. Complete 3/4 sets, signed by preparer of plans . ....................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details andlayout in duplicate (required prior to plan check). .... ` 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. .............................. 12. California:Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by C ifornia Engineer. ... nri 14. Sanitation and.plot`plan approval Health DepartmerV- 15. City of ChicoEplumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ........ o� �. quest 20. Pre -inspection for required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. -� 25. Letter of signature authorization. ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ...... 27. Letter of intent'on building use. 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . .................................. Pla �eflk lis'} ................................ 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz=Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plan's sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: w it not checked abo e). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder o� -S 4 Copy - Department of Public Works •- ,r COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: Universal Roofing Systems ADDRESS: 3065 Monticello Ln. CITY & STATE: Chico, CA 95928 DATE OF CLAIM: 06/15/2000 IMPORTANT. • SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE T - DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Clerical Error. (AP #027-040-053, BP #00-0945, Receipt #294228, dated 05/02/00, Owner: Tom Clark.) Total amount paid $49.00 Amount to Be Refunded $49.00 TOTAL $ 49 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, that his claim is true and correct as stated. _ Dated this. day of �I�, 206Q at `v 7 Calif. Si natur o aimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or arformed or delivered and that there is a Budget Appropriation [ I or Specific Board AApppprooval [ I (Check one) foDated this 11TH day of JULY , 2000 , at IV& �� , Calif. %i;gr Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTR CTION PERMITS FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept Code Ex . Code PAYABLE FROM `c FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. June 15, 2000 �' 'Sutte Count L A N D O F NATURAL W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Universal Roofing Systems RE: Request for refund 3065 Monticello Ln. (A.P. 4027-040-053) Chico, CA 95928 Owner: Tom Clark Dear Sir: Your request for a refund was received by our office. Please find attached a general claim form ready for signature. Please sign only where indicated and return to this office so that we may process your refund. Should you have any questions concerning this matter, please contact Alice Mefford of this office at (530)538-7541. Yours very truly, /o/ Scott Rutherford Chief Building Inspector MCV:aam attachment FOR BUILDING DIVISION USE., .I ------,-Receipt Information: - - - -� -- Number:-- Date: umber:-Date: Issued To: Amount: <4.,6D rw Fees Retained:_ -Processing Fee: ."Bldg Filing Fee: Plbg Filing Feer Elec Filing Fee: $ - = Mech Filing Fee: $ - F Energy P/C Fee: Plan Check Fee Inspection Fee: SRA Fee: Total Amount Retained TOTAL REFUND DUE REFUND CLAIM APPLICATION,_ CLAIMANT'S NAME MAILING ADDRESS ASSESSOR PARCEL #: RECEIPT NUMBER(S) Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) -' ( ) Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) Disposition of Plans: ( ) Plans returned to me at counter ( ) Urban Area Fees ( ) Please mail plans to me at above address. ( ) Please dispose of plans. t SIGNATURE DATE PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. 027-04-0-053 00-0945 CLARK, TOM 58 SAM LYNN WAY, OROVILLE CONT- UNIVERSAL ROOFING SYSTEMS REROOF COUNTY OF BUTTE - DEPARTMENT 'OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 - Telephone (530 38-7f1� /)lR�T:,►� (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPARCEL uM.� ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS YIVAIl� Y C NTRACTOR'S NAME TELEPHONE J CONTRACTORS MAILIN�ADDRESS /,(J /!, S r' riil� 30 � CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ;' ; 01, ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRESS �,. AU �N �; 1� 41�PERMIT Energy Plan Checking Fee $ FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 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 0 Installation ❑ Other ❑ _ Describe Work: C/ j/�.� �G%���%� �Q Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W F 1 020.00 Mobile PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service .DA 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. - _ License Class LIC. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 CCU000A NEW CONST. DWELLMIG OCCUP. SO W: 3.50FT. OR ADDNS. ( a ACC. S. pppl,palp. MULTI.OUTLETITS @7,50 POWER APPARATUS a SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES B00 AL @ I.50 FIXI Ex. Occup. OUTLETS(RESID,cFR.a 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 r�� - (IN.. 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' compensation laws of California, and agree that if I should become subject to the workers' compensation—)provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X / 1 Date -'0 Signature of,'Applicant = ❑ Owner Z Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction structures ova , stories ' high 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 $ 1 9� C/0 HAZ. D. FEES IMP FLOOD COF PARCEL PD D Ln ISSUE t/ 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. r'Z___ _/of By iii»>w�'�. _ Date PERMIT EXPIRES ON Date Receipt No. v �' WHITE-D.D.S.-B. D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Groville; California 95965 • Telephone (53 38-7 0. (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPARC�LUAR✓ OV"_ ��!� UU jj V✓7 ZONING BUILDING PERMIT OWNER TO A" /' TELEPHONE SQ. FT. OCC. 2PILDING VALUATION . OWN IUNG 7; Co,RA ORS NAME Ub2 L a�/rvG i TLEP_ 9 (Ij CO RAGT 7 MAILING ADDRESS /l/CD n aa� iC r7 C CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ CO3 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex O Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel❑ Utilities ❑ Installation O Other ❑ Describe Work: "C f/LiO(�L� �L�P�/�C- -61`11 %! Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ao.A OR LESS 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. O 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. OWELUNG OCS. 3 S�SO. OR ADDNS. ( 8 ACC. BIDS. FT. No RES pT MULTI-OUTLETUIT. @7.501 50 APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU CUTLET OR FIXTURES)BA� @ . 0 Ex. Occup. OunFrs PEES,6.0Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 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, for the performance of work for which this permit is issued. My workep' compensation insurance carrier and policy number are: Carrier "Zf,z CA. Policy Number �"C_a-S5 Js,/ -1 (The above sections need not be completed 4 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' compensatio provisions of section 3700 of the Labor Code, I shall forth ith co wi th se provisions. X Date Sign to I - O Owner Contractor ❑ Agent ArLAOS permit is equired for excavations over 60" deep and demolition or construction of structures ova o i ' %g ReceiptNo. 07 WHITE-D.D.S.-B.D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 $ HAz. D FEES IMP FLOOD CDF PARCEL PD HD UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicateda for which fee ave been paid. By Date PERMIT EXPIRES OK/ Date RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 13 -Oct -1999 1999-0043739 Has not been compared with original BUTTE COUNTY RECORDER r 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. DONNA M. CAMPOS MANUFAC'TURER'S NAME 58 SAM LYNN WAY MAILING ADDRESS OROVELLE, BUTTE, CA 95966 CITY COUNTY STATE SAME ZIP INSTALLATION MAILING ADDRESS. IF DIFFERENT CITY COUNTY STATE SAME ZIP UNrr OWNER (if also property owner, write'SAhIE') MAILING ADDRESS BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILINU ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE LP 96- 727 530 538-7541 BUI DI ZAA TELEPHONE NUMBER 12/23/97 SIGNA E OF LOCALFFICIAL DATE NO DEALER NAME (ifnot a dealer sale, write 'NONE-) LICENSE NO. crrr cwtnrrr _ - TATE LID UNIT, DESCRIPTION GOLDEN WEST 1989 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEMUMBER GW 1 CALCE4063 AM/C 60'X34' SERIAL NUMBER(S) LENGTH x WIDTH RAD 501524, 501525, 501526 INSIGNIA'LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED LEGAL DESCRIPTION. A.P. # 027-040-053 HCD FORM 433(A) REV. 8"91 V HITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. Address or location of unit: Legal Description of Real Property: k SEE ATTACHED LEGAL DESCRIPTION. BUILDING PERMIT NUMBER: 96-2727 58 SAM LYNN WAY, OROVILLE A.P.# 027-040-053 (x) Mobilehome/Mmnufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation sytem pursuant to Health and Safety Code Section 18551. Owner's name: DONNA 1V1. CAMPOS ' Owner's address: .`..8 SAM LYNN WAY, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: RAD 501524, 501525, 501526 SERIAL NUMBER OR V.I.N.: GWlCALCE4063 AB/C MANUFACTURER'S NAME: ' GOLDEN WEST YEAR: 19 9 OFFICIAL APPROVING INSTALLATION: DATE: 4, 1 12/23/97 P ONE: (916) 538-7541 H.C.D. 513C ' , LEGAL DESCRIPTION • A.P. #027-040-053 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 20, 1979, IN BOOK 71 OF MAPS,'AT PAGE(S) 40. PARCEL H- A RIGHT OF WAY 60 FEET IN WIDTH FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 20, 1979, IN BOOK 71 OF MAPS, AT PAGE(S) 40. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: • RIGHT OF WAY FOR WATER PIPE LINE OVER THE SOUTHERLY 10 FEET OF THE NORTHERLY 30 FEET OF PARCELS 3 AND 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 20, 1979, IN BOOK 71 OF MAPS, AT PAGE(S) 40. ORDER NO. BU -135850-3 0 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITU�AWS IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FO PARCEL I: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 20, 1979, IN BOOK 71 OF MAPS, AT PAGE(S) 40. PARCEL II: A RIGHT OF WAY 60 FEET ,IN WIDTH N FPARCEo?DMAP D RECORDED PUBLIC UTILITY LTHE PURPOSES, AS SHOWN ON THAT CERT STATE OF CALIFORNIA, OFFICE OF TH1RECORDER BOOK T71 OF MAPS ,HE COUNTY F BUTTE, AT PAGE(S) 40. -ON JUNE 20, 1 PORTION LYING WITHIN THE BOUNDS OF EXCEPTING THEREFROM ALL THAT PARCEL I, DESCRIBED -HEREIN. PARCEL III: OF THE RIGHT OF WAY FOR WATER PIPE LIN3 ° NDR 4 H AS OSHOWNL ON THAT TCERTAIN NORTHERLY 30 FEET OF PARCELS PARCEL MAP, RECORDED IN THE OFFICE JUDTEF20HE 1RgE79CORDER BOOK THE 7ICOUNTY MAPSF BUTTE, STATE OF CALIFORNIA, AT PAGE(S) 40. FEND OF DOCUMENT i ,fORN1A-BUSINESS. TRANSPORTATION AND HOUSING AGENCY WENT OF HOUSING AND COMMUNITY DEVELOPMENT ,CROW COPY — PERMANENT FILE RECORD 1 OF 1 y�rrir 0\� TILE STATUS FOR DECAL LAN1484 AS OF 09-27-94 16:23:26 �► . EXPIRATION DATE= ESCROW FILE is 139424 RATING YEAR: TAX TYPE: LPT BUYER = CAMPOS ORIGINAL PRICE CODE: I DECAL is LAN1484 DATE FIRST SOLD: 08-30-89 ID,# s GWICALCE4063A EXEMPTIONS: MAKE a GOLDEN WEST UNIT-------- SERIAL NUMBER------- --HUD LABEL/HCD INSIGNIA NUMBER-- 1 G141CALCE4063A RAD501524 2 G14ICALCE4063B RAD501525 3 GWlCALCE4063C RAD501526 ------------------ CONDITION CODES ------------------- 46 PPF EXEMPT—MUST REAPPLY FOR STATUS IF R/0 CHANGE ----- REGISTERED OWNER 2------ ------- SITUS ADDRESS-------- CAMPOS DONNA M 58 SAM LYNN WY 58 SAM LYNN WY OROVILLE CA 95966 OROVILLE CA 95966 LAST REG CARD ISSUED 09-30-94 --------- LEGAL OWNER-------- LEOLA I CLARK _ 6417 JACK HILL DR OROVILLE CA 95966 PERFECTED LIEN DATE/TIME 08-29-94 13:57:00 LAST TITLE ISSUED 09-30-94 ------------------------- LAST ILT FEE ------------------------- AMOUNT OF LAST ILT FEE: S .00 DATE PAID: 09-20-89 *****END.OF RECORD***** 000002 01-270-00255 R nrded at the Request of Mid Valley Title & Order No. Escrow No. 135850-3JC Loan No. WHEN RECORDED MAIL TO: DONNA CAMPOS 58 SAM LYNN WAY OROVILLE, CA 95966 Escrow Company 93-044360 I Recorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder I 8:00am 12 -Oct -93 I 93-44360 a Rec Fee 8.00 DOC 56.10 Check 64.10 MVTC VS 2 1 ornt,c mouvt INrJ LINO FOR RECORDERS USE MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $WLIG -)` Computed on the consideration or value of property conveyed; OR SAME AS ABOVE Computed on the consideration or value less Gens or encumbrances icmauiing at itma of Bale. -- - - - - The unelprsignPcf rrantnr rieclares Signature of Declarant or Agent determining tax - Firm Name GRANT DEED 027-040-053 FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, ROY CASACCIA and SHARON CASACCIA, HUSBAND AND WIFE hereby GRANT(S) to DONNA CAMPOS, AN UNMARRIED WOMAN the real property In the unincorporated area of the County of BUTTE as SEE ATTACHED LEGAL DESCRIPTION } STATE OF CALIFORNIA }ss. COUNTY OF Butte } On October 7, 1993 babe me, Janie Clark personally appeared Roy Casaccia and Sharon CasacciaiF** personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within Instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the Instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the Instrument. WITNESS my hand and official seal. Signature— V"e"ZX�Z� 6a" Z-'*qe�> Janie Clark , State of California, described a � Ao�4u�ci2�-n �►uununnunnwnnnmu►unummmurmnuuonnnn■ OFFICIAL SEAL 973527 D N ' �� JANIE CLARK NOTARY PUBLIC - CALIFORNIA N COUNTY OF BUTTE W 3 My Commission Expires Sept. 17, 1996 Y nllilll►111:11111lIIIIIInnln111►n1►1lnniuu►UIIIIUIInlllln� m -7 ZQ7 RESIDENTIAL • 027-040-053 PERMIT&94­3'g55 CAMPOS, DONNA 58 SAM LYNN WAY, OROVILLE MHI EXIT SITE Ik -Air 34 kA1j JOB FINALE (Date) C7 Signature ;/'=OK ` O = Not OK Not = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 1� Date Card B-1 Date Card B-1 ✓=OK ;aT , O=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., Porches & 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 -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 (Permil),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection ------------------ ---------------------------- -- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ---------------- - ------------------ -- - --19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 -- ---------- ----------------- -------------- ---------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK exceptg's 22. Fixture & Transformer Clearance -Ins. Protection ------------------- ------------ ------------- -------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ------------------- ------- ---------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. - ----------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ------ ----------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------------------------------------------- 28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Sizer ! ga. Cu or At ---------------------------------------------- 29. ----------------------------- 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------------------ -- --------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------- - --------------------- ------------------------------- -------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. ------------------------------------------------ 32. Clothes Closet Light -Shower Light -Spa Light ------------- 33. --------- 33. Smoke Detector ----------------------------------------------------------------------------------- ------------------------------- ----------- ----------------------------------- --- Date Card B-1 Date Card B-1 - -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a'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-&- P'la tform if -Fu rnance in Attic ----------------------------------------- ------------------------------------- Date ------------------------------------ Date Card B-1 Date Card B-1 -------------------------------------------------------- ------------------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. Sils. Proper Material & Anchors - -- ------- - --------------------------------------- ----------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------- --------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ---- --- -------------------------------------------------- 42. Draft Stop in Walls (rat proof) ------------ ----------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection ___________ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ---------------------- ---- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------------------- Date ____ ____Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------ - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection 64. Bedroom Exiling 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 - 7 1. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer ------------- ------------------------- 73. A.C. Duct in -Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection --------------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ----------------------------------------- 7 . Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------ 78. Guard Rails & Deck Construction -Post Caps ----------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ..--...-------------------------------------------- - 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ----------------------------------- - ------ - Stucco: Brown -Finish 82. A.C. Unit Disconnect. Electrical, Plumbing --------------------------------------- -- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ---------------------- ---------- - 84. Water Well: Disconnect, Electrical, Plumbing ------------ ----------------------------- - 85. Exterior Elec. Trim; G.F.I. Receptacle- Underg round 86. Ventilation Throughout House ...... .......---- --------------------------------- 87. Glass Protection - ---- -------------------------------------- 88. Corrections from Previous Inspections - -- -------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------ ...-------------------- Date Card B-1 -- ---- --- - - - - - - -- ---------- Date Card B-1 ----------------------------- Date Card B-1 Comments at Final: sg - Date Card B-1 Date Card B-1 Date Card B-1 I , i COUNTY OF BUTTE - DEPARTMENT OF DEVELOP MENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone 1916) 538-7541PERMITN0. APPLICATION AND PERMIT ` 9q_`" ASSESSOR PARCEL NUMBER 027-040-053- ZONING ARMH5 BUILDING PERMIT OWNER DONNA n 1 TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 58 SAM LYNN WAY OROVILLE CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS PEARSON TRANS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2100, ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 55 SAM LYNN WKX WAY PERMIT FEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PAR E M D Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome OX Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G WFF_ @20.00 TYPE OF WORK New ElElAddition Remodel O Utilities O Install on OY Other 1:1•� Describe Work: EXIST SITE r C PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service( 200A OR LESS ) 23.00 Main Service 1 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. & ACC. OLDS. ) 3.51" FgT,0• CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( PoWER APPARATUS ) s SINGLE OUTLET CRR. Ex. Occup. ( OUTLET OR FIXTURES ) @ 1.00 BAL. Ex. Occu FIXED APPLNS. OR () p' OUTLETS (RESID.I EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a ertificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities judgments, costs, and expenses which may in any way accrue against said Count in consequence of a granting of this permit. X .. DateC.CL�� Sign tura of Applicant Own r ❑ Contractor O Agent An OSHA permit i required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in heiht. /go Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. rvPE TOTAL FE $ HAZ• I D. FEES IMP I F10 COF PARCEL PD Ho U 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. / ((�� BY4af2g,?���Date</5 PERMIT EXPIRES ON r �� l (Oat Receipt No. 17o0o4 ^ 1M. WHITE-D.D.S.-B.D. CANARY -ASSES OR NK -INSPECTOR GOLDENROD -APPLICANT rr�ra:. M�aP"{;. im�'ar` ► ti d�`•�t�tt _ ti :n-rf`. - .,-• "•y;..�� s v y;, v;'w• �". _ F ' - "'�" ' _,._ YIM1'�+rs +'r �r•r+.-a-!?. s�.•i+.•.,�-„�. }..,rNa �..�1r,;,.;;, _ COUNTYOF BUTTE - DEPARTMENT OF..DEVELQx.PMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 t PERMITAPPLICATION DATA SHEET OWNER Cawq IDoS - - - /A.-R,rNo. 0Q%-01-6—'DS3 Proposed Building Use Building I Date At'time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: r' DATE RECEIVED BY �1. All items haxe been submitted. 2. Plot plans /4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed'by preparer of plans. . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form . ................................. � ...... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome %and fa tur is installation instructions, 2 sets. ........... 10. Fees of $ �� i��.p...................................... . 11. Impact fees a hown on attached schedule._` D.( . ................... 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by Q. Ilifornia Engineer . ............... . OC.B'anitation and plot plan approval C I Health Department. 15. City'of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17. Planning approval for (A) Use: (B) Parking: -o ....... . 18. Contact Land Development about (A) Improvements (B) Drainage. 1 :.1 19. Driveway'permit (construction approval required prior to occupancy). .. .. . 20. Pre -inspection for ,/ Pre -Inspection requee p / required. . . to Building Inspector (Date) 21. Contractor's license information. (No., fame Style, Classification) . .............. .' 22. Certificate of Workmans Compensation Insurance. .......... ti ............... 23. Owner -Builder Verification (Given to owner Mail to owner �.......... . ' Recorded. -Agricultural -Acknowledgement Statement. ----- --: ZS 9 Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... ,27. Letter of intent on building use . ......................................... —.28. Mobilehome utility clearance . ........................................ 29. Documentation of legal access . ..................... :................ .' ` 30. Documentation of 50% subdivision developed or (A) Road improvements completed • and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expires rmits. . .............................. Other Parcel Creation Acreage Applicant Date �o2�CI� `� T Copy -of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Ci cle n ; m aecked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, 06), was advised of above required data by _ phone _ mail t,/Counter bM Date `7Z 9 ?,V - Contractor, designer, owner, w advised of above required data by _ phone _ mail Counter by _ Date Plans checked by e Date Plans approved by Date��� Sets of plans on hold in File cabinet AP folder . Copy - Department of Public Works . H.H. USE ONLY Plot Plan Amchod -� • Floor, Plan Amc6od Seat to xr- ­TO: TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 26&jt4A CAVIIIIIP&S vAl& WAY o-7 7 0 9 0 -U53 Owner Location c4b. AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well 'I -le Clearance for bedroom mobile home. Other 4 kl /4 /lam' S /o / X �S�O *, 4 /Y (0 L3 j q o5 Sit PP Ore rf 7 ra P/ 0Z -,P �dZ 'T -C' r�.� /L.► ST 16c= ri Hold final for: Final clearance NOTE: __ e:"4�2 -Le Environmental Health Specialist 8/92 Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _ zON BUILDING PERMIT OWN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILINGP=RESS v uV CONTRAC OFrS NAME TELEPHONES CONTRACT SINAI G R�j��� 'f I ) G/rd AIC r I Fireplace CONSTRUCTION LENDER KNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS (7' {V n I^ PERMIT FEE $ � PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities ❑ Installations Other ❑ Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( ORLE 200ASS 2001 OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLDS. ) 3.50 FTSO•' CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 Ex. Occu FIXED APP.NS. OR p' ( OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 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 - O Cwner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures ov,ir stories in height. Mobile Home Installation Fee$ DQ ��e, _ �_� $ OCC coNsr. TYPE TOTAL FEE $ HAZ. I D. FEES IMP F100D COF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON lDerel ,3. Receipt No. WHITE-D.D.S.-B.D. - C NA Y -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT I. tiui��ari..�SiF:i►��u�..1:#lSz` u.L� �Y�.�inf,.�.YS:Y?t ,� l}�.w-�sc,Yl.. xd`.:r :trs] .,`4:w.:•i,7r,�� .., �x '�axihx .''x'h �Ci'.• s :� YS` ; ;t_. _ � --¢Z �:�.. �i� -:: `iY:-_ BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building)) . �� School District CJ Uv/ / �.sL t' Buildienc.ng Departm t No. _ A.P. Number 0;V7-O410—S3 Jurisdiction 0 City FV1 County Property Owner Property Location/Address Subdivison ' Residential Development No. of Living MHI Units Lot No. 0 Addition Commercial/Industrial New Addition Sq. Footage 0 (Group R) Sq. Footage r (Including Exterior Roofed Areas) A '011119c Cuihin"'ga epresenta Dat (Floor Plans reviewed by School District Personnel) Dign t Identification,No. 950041 (Street l.A10 chool District certifies that U.0 N& Cz (Applicant) (Phone Number) (City) .�:. (State) (Zip Code) �}y��wlMx.f,a,.w M'u^wyr•..ra... M�;.,..;..,�W,e+...Yw +3Kdrw.• ... _..yu +.+^r.-�....� has 1complied with the requirements of Resolution No. �'-�f by payment of $ 0' �.J r"�. :� .. " G.r �- 3 f . � ;r� F ..�v s+it•i t: x R�.x �Y ' tt� z representing Qa square feet. DI'Di`strict Reps' Paid by Check Number`' Bank Number,-N:i-; tfj _ -- • r, -;Paid -by Cash 'r Remarks: - • ' ori ,` Date �.� a' If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White.(applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT' NO. APPLICATION AND PERMIT e ASSESSOR PARC0.NU BER 027 -W -TO -053 ZONING ARMH-5 BUI NG PERMIT OWNER DONNA CAMPOS TE1EP1 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 58 SAM LYNN WAY, OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 159.65 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ SUILDINGADDRESS 58 SAM LYNN WAY OROVILLE PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NG, L SUBDIVISION'S NAME PAR6n M9Po / 1 4 Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other C}j Describe Work: 1ST RENEWAL/94-3255 — Mobile Home S G W 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law !pr the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) s0. 3.52 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER SINGLE APPARATOUTLETUS ) & CIR. EX. Occup. ( OUTLET OR FIXTURES) SAL 20 @ 1.w .SO Ex. Occup. (ouT�s RES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE g Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) TIV/I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. nC X ///�' �a Date 4�e��_ Signa LIre of App icant - r ❑ 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 $ 179.85 HA2. I D. FEES I IMP I FLOOD I CDF PARCEL I PO I HD ISSUE This permit is hereby issued under of the Butte County Cc a and/or indicat a e whi gees have By PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date l� 12/6/97 (Date) Receipt No. 0 Sj- 4y I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 1 bor and materials for construction of the proposed pro erty improvement : YES[ 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: 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: PROPERTY OWNER: 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 J Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sinc/brel Michail C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER © r ti CERTIFICATE OF ANCHOR ATION (SUNROOMS ) ti I certify those portions of the anchor bolt and sill system installed previous to framing inspection were not damaged prior to or as a result of the installation, were not modified prior to or during the installation, and were installed in accordance with the manufacturer's installation .instructions, plans and specifications of the engineered system referenced on this certificate. Manufacturer:A, 1 d ie � Model: — Installed by: Date 7 2- d -).:5' _ Contr Owner: _License No: f t Butte Co. Bldg. Div. / 4/95 PERMIT NO. 3413'$6B,E PERMIT EXPIRES OWNER ROY CASACCIA CONTR. owner ASSESSOR PARCEL 27-04-53 LOCATION 6553 Sam Lynn Way, Oroville I I Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PC -- Temp. Gas Sei Called PG JOB FINALE[ Signature 0=OK 0 = Not OK - = Not Applicable MOBILEHOMES * Not Ready MISCELLANEOUS _ Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 2. Footings; Size -Depth -Spacing -Connectors 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.-Rig.-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 ate Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements ff:DatePOOLS ate Card -BI Date (Plans) OK except k's backs -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector ls; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4, Elec.; Receptacles and Lighting; Distances-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector - 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date N P V = OK 0 = Not OK - = Not Applicable * = Not Ready Date U DERFLOOR (Plans) OK except#,s' Date oning requireme R&, -Se s Easements F_tg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth g., Garage; Soils -Steel- / Ftg. Depth 4. Ft rches & Decks: Soils Steel- / /" Fts.9epth temwalls, Main; Steel-Blockouts-Wrapped- 6._ Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors _ 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples LCard-Bl _ - -- - Card -BI and -BI Date Card -BI Date Card -BI Date Date FINAL 6. Ext Date PLUMBING (Permit) OK except q's 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe: Test & Anchors -Nail Protection 16. D.W.V.: Test-Ftings & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub& Shower, 2nd Floor -Tub Access 19. Gas Pipe.. Size & Anchors Card -BI Date _ Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL Permit OK except q's 7ure &Transformer Clearance -Ins. Protection .Receptacles Spacing -Lights & Switches at Doors Boxes&No.ofConductors-Staplede. Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25.,2_A 3 ce Circuits in Kitchen & Conductor Size 26. 16ob4ee6--W+re,-5re i / ga. Cu or A1-A.C. Wire Size / / ga. Cu or Al 27. _AaPge-E;rr-r-/ ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes -No 28. Sawowe-Riser Conductors & Ground -Main Disconnect _ 29. EES.-C-learances: Panels-Motors-Mech. Equip. 30. CloHm'T'CToset Light -Shower Light - -- Card B -t Date3 to N / Card -Bi Date - - - Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except p's 31. A.C. Ducts. Insulation & Support 32. Vent Fan: Exhaust above Insulation --- 33. Condensate Drain & Overflow: Size _& Grade 34. Furnace -Vent. Access -Comb. Air -Return Air Vent -115V outlet _ - 35. Attic Access & Platform if Furnace in Attic Card -B I' Card -BI Date Card -BI Date _ Card -BI Card -Bt Date Card -BI Date Card -BI RESIDENTIAL (Single and Duplex) FRAMING Continued 4 operty Line Firewall & Openings T9. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50,_SI�H-Headroom-Rise-Run-Landing-Fire Protection_ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer St� rip Screed-Fdn. Vents-Underflr. Access DA Date Date fi In 59. as -Glass Protection -Skylights -Plastic Nailing -Bolts Ir Card -B I Date Card -BI Date Card -BI Date OK except N's -Door & Sidelight Protection -Landings L7ft5=Glearance-Comb. Air -Connector - 6gures & Tub Access F..Elec. Trim & Subpanel; Breaker Sizes 62. Stairs & Rails 63. Firppl •o nr vtnve• C Iaarances-Hearth 64. &ee. Gtiflets at WGod'Panel; Int. & Ext. 65. e; Grnd.-Air Gap -Cooking Clearance 66. es at Kit. Counter 67. and i ng -C loser 68. A.G D rage- amper 69. W - - omb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 7 quip. iste for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Rom ec. 72. 1 - [] Yes 73. G ruc ton -Post Caps 74. _ oor-Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 75. Following instld.: Drive es (-]No; Walks C Yes [ Planters ❑Yes o 16 -Finish 77.- rkr. & Cond. Size -115V Outlet 78. - iance-Firepi.-Clearance to 79. ec rical, Plumbing 80. E Receptacle -Underground 81. V ug out House 82. G ion fd3. Corrections from Previous Inspections 84. G - as -Electric 85. Wa err &-S-ewer Connected -C/O to Grade -HD Approval Connected -C/O to Grade -HD Approval 86. y Compliance Certificate -Other Certificates Date Date ING(Plans) OK excep Com tents at Final: oS/i� Sills, Prooer Material & A rs ��((�� Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound _ _ _ 38. Bearing Walls over Girders & Floor Nailing a 115 (rat proof) ----- _- -- - ----- Cei I incus -Stairs -Chases -Tub -""41 Header & Beam -Size & Bearing 42 aps-Anchors-Connectors _- 43. Cing. Joist-Rfir. Ties-Purlin-Root Brac.-Truss-Shthnp.-Rfng. 44. Ftjapieee-4; a Type A Flue -Fireplace Throat 45. & Ramex Protection -Draft Stop -Ins. Baffles 46. xiling Doors -Sill Hgl. & Dimensions 47. Ga ro n Framing (NOTE Anentrymust be made each time youvisit jobsite) hard -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-275.1 + ` 7 County Center Drive, Oroville — Phone: 5344541 " Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE i_3 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. / -y— Inspector_ , a �' Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE R 3 A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector C„!_ .�_�J Date—[ [--�C6 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT - PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWN TELEPHONE S0. FT. OCC.I. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ 6 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ , ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS S S� L�ti 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 �PE�F CIF Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G FW7 10.00ea TYPE OF WORK New Addition [J Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD -L. 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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.& ) �z�sgft NEW CONSTR.(A ULTB OUTLET NC N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS & (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES .200090 FIXED PLMSI, Ex. OCCUp. OUTLETS P(RESID )REA.I 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 agains aid !!o�*sequence of the granting of this permit. �( Date Ignoture 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 $ TOTAL PERMIT FEE Occup• CONST.TYPE Loop RCEL PD \ ISD \VVVt L`7 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By PERM EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS - Date i/_�� X Receipt No. ���� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT c COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET ���� -'2 Permit No. OWNER 44 4� A. P. No. Proposed Building Use �P71 �l,eGc�'2J Building InspectorA� Date09(4,7 X At time of permit application, I was advised the following data must be submitted prior to permit processing . and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . \ 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. , 3. Complete plans in duplicate. /triplicate, signed by preparer of plans, 4. Complete engineered plans and calcs, with wet signature on plans. 5: Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , , 9. Letter of signature authorization. ooma�+ 10. Sanitation approval from Health Dept, _<1 &PI2"ng approval for (A) Use: (B) Parking: icate of Workmen's Compensation Insurance. (*13Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner0, Mail to owner ❑), 1�Improvements may be required. . . . , , , , , , 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required, (Date) 18. 19. 20. 21. 22. Recorded copy of Agricultural Acknowledgment Statement, Driveway Permit. Plot plan approval from city of Building Inspector Y 1, When you issue the permit, process as follows: Mail to owner, Mailto contractor. y Telephone and hold for pickup at—off ice, Deliver w/inspector. Other Applicant Date / ,Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submittedp for o permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone--maidcounter by date Contractor, desig r owner, as advised of above required data by.Zphone_mallvcounter b date Plans checked by Date Plans approved by ate Sets of plans on hold in File cabinet AP folder Copy—DPW — Hours: 10:00 a,m. - 3:00 p.m. To: -)uilding i7epar jai'.. From.: `.,"hviromental i1o:11th Subject: Sanitation Clear uice 2- Oumer Lccat ion: AP# Plan Approved for: Hold final for: Final clearance O.K. fur: Clearance for bedroom mobl-le home. Other NOTr *-X* crater r.-upply supply water supply S-anitari". Date t . .1 - yak � tykCd � s /\Ala6S 1721 pe r"O 9 (,f? C- "l/ Or �S /S lt� S'�cne�i 3�/lam o� C,s-o-ccl'o- � 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 iny our 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 Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. I • i1 AGRICULTURAL BUILDING Exemption from Permits I, JIowner of the property loc ted at (please print) 4y ey algz, Oroil Assessor Parcel # 9-7 intend to construct an agricultural building on'this property that is not subject to permits. Agricultural'building is.defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, r livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor 'shall it be a place used by the public. I understand that if I change the use or occupancy of this building in'the future, that I will be subject to the necessary permits, inspections, and approvals from the Butte County Building Department. signature of Property Owner ( O!J 4!%e ) / P Y Date �"�ocb I { Ali utility" connections shall " located within 4 ft. outside the rear dt 00, third section e f the bh a mobile •`�eaome�ro0 on the left( ride o eqa ,ode c o home. •` oe '�e &y' -----fir fi est •�o�`1 WELL, n 500 SQ. FT. MINIMUM FOR MOBILES M► 01 The gMg Setback shall be 5 ft. from` the side property line and 50 ft. from the centerline of the road, permitting a maxi- c.,� of a 2 ft. eave overhang but entirely out of off easements. Workmanship Shall Be %' NOT Materials ified use in the rdance with Recacn'SzQd Goad Practices an e Acco reacrFLoo for 'V10 5ifec, of a c;4 lity p �•,,,, �t mozhorical Codes an ulmorr.9 quit ong0 Pluns.��,.;, -the t�iataonal Electriccsl Core. +J w ecifications MUST be W o{ plans and sP and it is unlawful 10 This set P withc� kept on the iob at all times es or altar."J;nns on same make any chc+nq artment of Pub's ' written p�.rmission from tI" DeP Works. r-'J'+V of $utte. col ak M K ah%on .,-as a� DO Sep{`G s`Is. Nea��th Goer • �u a eM e��s• I BUTTE COUNT* - BUILDING DEPARTMENT APPROVED a a_ .i VIOLATION CHECK LIST A. P. # 021-04-0-053 Address 58 Sam T,gpn Clog nravi i i A Owner DONNA CAMPOS Owner's Addresssame Owner's Phone No. Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. 1 Installed triplewide mobilehome (existing site) without permit f Specific Plot Plan with C/V Noted yes no Penalties Required 1st. Notice Sent 11412nd. Notice Sent ate ate Comments and/or Determination y No response to correction notice dated 10/11/94 Disposition For Citation Citation Date (Date) Department Recommendation to Court Court Action - Notice of Violation Recorded (Date) ` 95-01442 ! itturn t: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESIDENTIAL DEVELOPMENT 1 . Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. -�� 195-001442'1 Rec Fee - --- 9.00 The property described herein is adjacent to land or included i I COP Recorded I Cash 1.50 10.50 within an area zoned for agricultural purposes, and residents Official Records I of this property may be subject to inconveniences or County of i discomfort arising from the use of agricultural chemicals, I: Butte I including; but not limited to herbicides, pesticides, and ;Candace J. Grubbs I fertilizers; and from the pursuit of agricultural operations I Recorder I including, but not limited to cultivation, plowing, spraying, 11: 02 a m 12 -Jan -95 I P U BL XX 2 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 discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Dare: State of Californ�ia„.�- County of gr ) On 4 /f%/Ud,/ffS/ before me, personally appeared A!9' X//// (or proved to me on the basis of satisfactory evidence) to be the personW whose name tslatFe f ' . subscribed to the within instrument and acknowledged to me that—shehhey executed the same in-las/her/their autho ”' capacityW, and that by hWher/theirsignature(g) on the instrument, the person s); or the e.itity upon behalf ;of which the erson acted, executed the instrument. P rawlutuuwuuuuttuiivauutunuuunutihuutununuuto J.� ��: qtr s, :� , � WITNESS my hand and official seal. = , Ni OFFICIAL SEAL1020872+ � C I JUDITW.MI. WILLIAMI3;,M;a -• ;� " ih NOTARY PUOt:IC - CALIFORNIA, YI '^}•: ��'�: ; .' •, t<,, :t Slgnat ° Seal: COUNTY:OF SUTTE WK e-7CC //, xcaeitt031!fl'j1�Nt�31(9tti�.l�I!!Ultf)ut111t 1iNltutlticlttIt " Y RESCRIPTION 95-OF442 Z ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 20, 1979, IN BOOK 71 OF MAPS, AT PAGE(S) 40. • PARCEL -II: A RIGHT OF WAY 60 FEET IN WIDTH FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 20, 1979, IN BOOK 71 OF MAPS, AT PAGE(S) 40. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III• RIGHT OF WAY FOR WATER PIPE LINE OVER THE SOUTHERLY 10 FEET OF THE NORTHERLY .30 FEET OF PARCELS 3. AND 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 20, 1979, IN BOOK 71 OF MAPS, AT PAGE(S) 40. CNS ®� DOCUMENT END OF WCUMENT For Urgent ❑ Date Time While You M Were Out Of Phone AREA CODE NUMBER EXTENSION Telephoned ❑ Came To See You ❑ Returned Your Call ❑ Please Call ❑ Will Call Again ❑ Wants To See You ❑ Message 14,1 Signed N.. a--- i 9711 ru ADAMS BUSINESS FORMS COUNTY OF BUTTE - DEPARTN ENT OF DEVELOPMENT SERVICES, BUELDING DIVISION 7 county center Drive, Oroville CA 95965 Phone: 916-538-7541 RE: BLDG PERMIT FOR AWNINGS A.P. # 027-040-053 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm DATE: 12/22/94 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet 1. List of Codes.Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (_b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Stvle. Class) or exemption statement. Certificate of Workmans Cc--ensaticn Insurance. Owner -Builder Verification rorm. Recorded „cry of Agricultural Acknowledgement Statemne_.t . Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. - Should you have any questions concerning the above, please contact f th's office o i . MCV:ahb LINDA Y rs very tr ly, Mic.ael C. ieira, C.B.O. Man ger, Building Inspection /� �� COUNTY OF BUTTE BUILDING DIVISION z DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 x$ 7 County Center Drive, Oroville, CA - (916) 538-7541 .y Z. 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER P 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 opi immediately. t Date (J // Inspector REV 10/92 A,w Codi se +' . fs, ` ` • ' . r at /� w 8K'T�07.5 rts'' J slit usa.It14r 3 f. A -s K.,�.l r .r r o $r.. %�/pI �•� .Prof�t''t j.''rl,C �, st 1/ tielw<�.f rro`:< t .% f//RtC.,.'',4liz,4* a.�.r�CAVAL'tD s,.c to • ., `1 .1 T 19 N. 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J `•1 ;e: J'} O a 1 for*s• SOtAc-. +:SO it ]4 J i o o)MI t ry _'s hflt•)a; ' 7007afi twli.3�t a�oos.F SpCsk Sp0}ac t ,�,rba': i •' 11i1y' `"�1719J ':Mf ! ..'�r JIJJi Ci ORESNEit'TgAT'SW MO^fFAtD.R- �t`it PG;27:'`�w o , !!-'Assesstir's%Vfap NaZT- _ ® L0+ w'w� 1' 2' ld O.'R, BK 14 PG.27 .�,._..: �QYII�Y O.BU�fO •f � �.t-. .,-.... ... _-.+�', ...1e-' �--•.s�;�:��-i,.`'..}•.t_','_.,-.�`�"t^• 't3. � i�.:ii� ri--"^_.�'._,µ I ,.y .l.� T"iEa"�'" :'�' ,�. -ae: _ ifc ! s t p�� ♦ ! Fq 77 N.; T- j OPT/ON ,<ITCH -'Ili 12!0' 12'.0" x uTIL I ry 6u,c5r aAri4 12.-0. xooz'qf Aj!5 rg. BATH x X,(7'-I;e 6Rxfr5r. AREA IV -O' Surrumi r -i 0- 00 L7 `;—/7?02 221W 1 CC", I cx t4, 3 m A V/ L A eA, 1 Z p< T Environmentai Health DEC 0 6 M4 oroville. California ,3rAlqPA !V CARPET APPROW= Butte Cotfill. HALL EnvironIntal Heaft-K 12q-6' _ 6 NO 4 o [ Cita I i d�" T" 10"W"ON JP Rap, am poinc)OC4E ,Puv sloon"id Moo c SNO NO LOS LOS G0 0.6 1014 "AM.A Cyt,' IN d lonti :ao All )M� stro 0-44 ZroTF1&fMJGd- PtreRamp 49014aaft. p qofstlq tro qdq: tr6 Otmidjo WS SM olod Jqe GIZI ul JOJ peqgayse4d A411enb .7aJ7006 . 'a T44M eouvpzoc)ov DJA * 8rq;a&4jqjT nv:gL6s sif Vh 30 V 0 VIS -1 low I 4t VA —S Li m 4 ST vsI j; I �� yRe n�, r �-� �a �-orb Environmentai Healt,,., DEC 0 6 1994 Oroville, California 4A °';. A, p '',���n�J_c �.-�o rn ', ,. �r i _h �L _.._��_� •r - _ __ ___ r� `'. `9' M`✓ ,+er��.�� .G;' . _.��i `.�L"sn Rrwr��r�i �tiiri, `� I n � � I � � � �_ i�� v� a I �{5! ,� , � � iS ��,t, :err) . +'v.'. �r v w� +�' q �� ��+4\\� I� P Ir r�i{Ml�gx�Rj{r it l� q�li}VL ;�i� �i. r+x�}r�� ��Ig+l:: i� �'�9��F Mlp� �x ' ' I � ��� � ,, {. � ���,� 'r �'�X'?a �'�+�' . '. pFxY r , 11 1. �. IIIfILI IIILS a 'e. ItIIIIIIIf IIIiT37. tIIII0 IIIIIIIIIIIIIIIIIIIIIIIIIIIIII41 IIIIIIIIItI'4f IIIIII14. 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