HomeMy WebLinkAbout027-040-08527
i'WARREN I, KELLEY
59 Sam Lynn Way, Oroville
Contr: Superior Mobile Home Ser, No.
Highlands
p-rmit#2906-82BIStal P- E (mob,ileh%me-on - -�
'� dation)
Permit#2707-83B(new open deck/MH)
! 27-04-85
Cont : Rudy Hill
Permit04-84B(new pr'vate det,%ccheed-
-garage) Fes.
27-04=85
Ile 2587-84E(ele/1804-84) garage
� "06-1312
027-040-085 ,A; 51
59 SAN LYNN
WAY, O1ZvvIL� E
Cont: RICK HYSMITH
GARAGE -DET: g .13 •oL
4
I
' Butte County Department of Development ServicesuT nAEa
NOTES 7 County. Center Drive, Oroville, CA 95965
�+t;"-027-040-085 - n 06- 312 .
��pb�
CAD 59 SAN LYNN WAY,, OROVILLE Thr
1r'nk�
t to ACCESS - DOGS _- t6l'T W4IT6-Tft{; Wk. Cont: RICK HYSMITH
D ti GARAGE -DET '
Owner.
Site Address:
Contractor.
Type of Permit:
CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUBSTANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
j n _
Off CotcER Wyft(OME
DATE JOB FINALED: s Z 73 _
SIGNATURE: Qy l C% -j • Y
t
k
+=OK
0 = Not OK
MANUFACTURED HOMES
MISCELLANEOUS'
DATE PERMANENT FOUNDATION Lj SOFT -SET
1 Zoning -Setbacks -Easements
2 Solls; Special MH Support Sketch -
3 Sewer; Loctn-Test; FalUC/0-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Gmd - Am -C ete
6 Yard Gas; Loctn Test Wrap Nat [3 or LP❑
Inch Sz Ft Lngth
7 Blckng; SzSpacing-Marriage Line
6 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Cimcs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -CIO to Grade
12 Gas and Electricity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
16 HUD Label/insignia-Numbers Serial Numbers�
----DATE D E C K S•C O V E R S'C A R P O R S'G A R A G E S
oningSemacks-Easements }
2 R SoilsSz-DpthSpacing-CnnctrsSteel
3 Decks, Girders/Joists-0cking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg.
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
6 C rts; Wndws-Doors
8'F ; Sills-AnchrsStuds-Rftrs trusses
"iding; Nailing -Veneer -Stucco -Lath
ro,hthg-Roofing
$0-f
Ps -Doors -Landings
1 pnis
71�-! Co 1,•��-
-POOLS
DATE
1 Setbacks -Easements
2 Soils; 'CompactionStructure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men-Uning .
4 Elec Rcptcls/Lting; Distance -GR
5 Elec Pool Lung; 15 volts-GFI
6 Elec Enctsrs; Conduit Entries-Terminals4lsted .
7 Elec Banding; Metal w/5'-Crcltng Egp-Htr
6 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Boxes-Enclsrs-pniboardsansultn to Main Conduit
9 Health Dept Apprvl
10 Pimb; Cir Test-Wtr Supply Test
11 Lt Niche ,.
12 Enclsr; Fencing -Alarms
13 Bonding, Diving board or Slide
X41
�, hyo ya
r
Pool Drawing
0 = Nat OK
RESIDENTIAL
(Single
2 Ftg Main; Soils-Elec Grnd Ftg Dpi p
&
Duplex)
DATE JUNDERFLOOR
4 Ftg Porches/Decks; SollsSteel Ftg Dpth
DATE
5 Stemwalls Wain; Steel-Blockouts Wrapped
IPLUMBING
1 Zoning -Setbacks -Easements -Rood -Slope
53 Wtr Htr; VentAu-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpi p
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; SoilsSteel-Elec Grnd Ftg Dpth55
DWV; Test Fittings & Anchr.Nall Prtctn
4 Ftg Porches/Decks; SollsSteel Ftg Dpth
56 Shwr Pan; Test, First fir -Tub Acc
5 Stemwalls Wain; Steel-Blockouts Wrapped
57 Test Tub & Shwr, 2nd fir - Tub Acc
6 Stemwalls Garage; Steel-Blockouts Wrapped
58 Gas Pipe; Sz & Anchrs '
6a Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frpic Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12. Elec Undrgrnd
DATE M E C H A Nl C A L
13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn
61 AC Ducts Insuitn & Support
14 GirdersSills•Anchr Bolts-Joists-Vnts-Cripples
62 Vent Fan, Exhaust abv Insultn
15 Acc & Vntltn
63 Condensate Drain & Ovrflw, Sz & Grade
16 Insulation
64 Furnace Vent Acc-Comb Air RtmNent 115 Outlet
65 Attic Acc & Pltfrm If Furnace In attic
o� 0`41
_.
10 o`er o•r c1
DATE JFRAMING
17 Sills Proper Materials & Anchrs
DATE IFINAL
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
66 Ext Steps -Door & SideLt Prtctn-Landings
19 Bearing Walls over Girders & fir Nailing
67 Smoke Detector
20 Draft Stop In Walls (rat proof)
68 Furnace Vnts-Clmc-Comb, Air-Cnnctr
21 Fire Stops,'FUrred CellingsStairs-Chasers Tubs
22 Headers B BeamsS &Bearing"
In Garage; abv-fir-Ducts-Mech Prtctn
69 Bedroom Exiting
23 Hangers-Post.Caps Anchrs,Cnnctns
70 GFI & Bath Fxtrs & Tub Acc-Spa
24 Ceiling Joist-Rttr Ties-Purlin-Roof Brac-TrussShthg
71 GFI Arc Fault
25 Frplc Ties or Type A Flue=Frplc Throat Clmc
72 Elec Trim & Subpnl, Breaker Szs & Labels
26 Attic Acc; Sz &Rmx Prtctn-Draft Stop -Ins Baffles
73 Stairs, Guard/Handrails
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
74 Frplc or Stove, Clmc-Hearth
28 Garage Fire Prtctn Framing -RC Channel
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall ,& Opngs •
76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clmc
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
77 Elec Outlets & Rcptcls at Ktchn Counter
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
78 Garage Fire Door; Swing -Landing -Closure
32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs
79 AC Duct in Garage -Damper.
_ 33 Siding -Nailing Veneer
80 Wtr Htr; Vnts-CimcCom Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
Mech Prtctn; LPG Appince Undr House 3' drain
35 Glazing Area -Glass PrtctnSkyLts-Plastic .
81 Plmb; Elec & Mech Eqp Listed for Loctn
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls In Garage (GFI) Romex Prtctn
37 Brace InUExt Wall pnls
83 Insultn-Foam-Looked in Attic
38 Insultn-Walls-Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration-Walls-Wndws
85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth
86 Clrnc Drnge Planters ❑ Yes [:]No
� °�° 0�m
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgmd
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Cirnc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 VnUtn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous Irispctns
44 Eqp Grnd made up w/Mech Fstnrs
95 Gas Test -Meters Tagged, Gas-Elec
45 Grndng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-C/0 to grade -HD Apprvl
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz oa ❑CU or QAL
AC Wire Sz pa ❑ CU or ❑ AL
48 Range Clrc Qa QCU or El AL
Oven Circ ya ❑ CU or DAL
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
Insulated Neutral E:1 Yes ❑No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
°r° mss` ��• 0,a`
50 Eqp Clrncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
41
Ole d� d
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect.
License Ciass :� License Number: 1
Dater 1) / Zci ob Contractor:I lqs rn' �/'1 l -013�Ay UA .11
PERMIT NO.
BP061312
Issued Date: 06/29/2006 APN: 027-040-085-000
Site Address: 59 SAM LYNN WAY PAL
Map Index:
OWNER -BUILDER DECLARATION
Description: DETACHED GARAGE (816)
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: KLINGELE STEPHANIE M
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
59 SAM LYNN WAY
signed statement that he or she is licensed pursuant to the provisions of
OROVILLE, CA
the Contractor's State License Law (Chapter 9 commencing with Section
95966-9306
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than rive hundred dollars ($500).):
O I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: KLINGELE STEPHANIE M
Code: The Contractors' State License Law does not apply to an
59 SAM LYNN WAY
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
OROVI LLE, CA
provided that such improvements are not intended or offered for
95966-9306
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and' policy number are:
Carrier: � )1 w�� an ( (_Lk) J
Policy #: 1 U L 115 l 3 -- 0(0
❑ 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 the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply wilh„those provisions.
Date: (0 I ""2-12? 10
License #:
Architect:
Engineer:
Total Square Ft: 816 S. F.
Valuation: $19,584.00
Census Code:
WARNING: Failureto secure workers' compensation coverage is
unlawful, and sha bject an employer to criminal penalties and one 1
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees. (4 —c -Ko v<�>
CONSTRUCTION LENDING AGENCY This Hermit is here y issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that (here is a construction lending agency for the Resolutionsff� d ork indicated above for which fees have been paid. , rr
performance of the work for which this permit is issued (Sec 3097 Civ.) . C II GSC
By:_ Date4�0 C�
Name:
PERMIT EXPIRES 6N:)
Address: (Date)
O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage;
handling and use of hazardous materials. }
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have -read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any ficial f rm or document of B to County. I hereby
authorize represent tives of Butte County to er upon the bove mentioned property for inspection purposes.
C vin- -- ;
Print Name: �U Signature:
Date:
❑ "Owner Contractor ( ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP061312
B. C. Building Permit 01-16-04 pg 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 06/29/2006 APN: 027-040-085-000
the Business and Professions Code, and my license is in full force and
effect. `79 I I I License Num�beer:
Site Address: 59 SAM LYNN WAY PAL
License C ass :
%'
Date: �?_�DContractor:I'1gSi�"ll t Yl l _0U�O
Map Index:
Description: DETACHED GARAGE (816)
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License_ Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: KLINGELE STEPHANIE M
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
59 SAM LYNN WAY
signed statement that he or she is licensed pursuant to the provisions of
OROVILLE, CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95966-9306
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ 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 (Sec. 7044, Business and Professions
Applicant: KLINGELE STEPHANIE M
Code: The Contractors' State License Law does not apply to an
59 SAM LYNN WAY
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
OROVILLE, CA
provided that such improvements are not intended or offered for
95966-9306
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed. contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the.
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
Engineer:
I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
&�/
Carrier: U 41JA
Total Square Ft: 816 S. F.
' Valuation: $19,584.00
Census Code:
Policy #: 1 Logs ( l 3 -O�
❑ I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
WARNING: F lure to secure workers' compensation coverage is
.unlawful, and sha bject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
I /
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
(�(�
1 Sco0(�> 'D-7 �
CONSTRUCTION LENDING AGENCY
This permit is hereDy issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Resolutions d ork indicat d above for which fees have been paid. (l
G`�
Name:
B Datet/f l� t�
y
� ` o�
Address:
PERMIT EXPIRES
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have -read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any ficial f rm or document of B to County. I hereby
authorize represent I.vesCoflButte County to e/r�upon the bove mentioned property for inspection purposes.
Jr ' ► ��%
Print Name: �J O — Signature:
Date: coCi
❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
El
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PE1. MIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTIONfi:'-01:OVILLE: (530):38-763C • CH10?:.;53;`) 591-2834"
OFFICE h: (530) 538-5541
.4 FEE WILL BE REQUIRED AT TIME, 0FAPPLIC...477011V
W. LL -•site: wNvw.buttecountp.net/dds
o. FM �G111-1 �,�
PERMIT
BIN
_
APS LOCATION Fro est 4adre� • C'�
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K.T-0R ES1BUiL0iNG FOPA!S\BicgApplSuhRq^i's.6oc Page 1 of 2 REV 2-24-05
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PERMIT
BIN
_
APS LOCATION Fro est 4adre� • C'�
uVtK i=OR 5UFi11d4TTML. n. =WuiREMENT'S �I I f—��`-1-0 7rtc
K.T-0R ES1BUiL0iNG FOPA!S\BicgApplSuhRq^i's.6oc Page 1 of 2 REV 2-24-05
. , " " +r i.. .. • -mow. - }' • + I-1.,. _ •
COUNTY OF BUTTE-DEPARTNIENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: "kl-�YT ASSESSOR PARCEL NUMBER
Proposed Building Use: C o _Permit Technician: Date: �D
Items required in order to apply for a perry All boxes ST be checked OR marked NA in WelfJo apply --
1 .
pply.1. Site plans, 3 or 4 sets, signed by4hd preparer a plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
Jt 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑ 8.Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Hazardous Material Form
5 12. Acknowledgement of building permit application without required clearances.
❑ 13. Other
aining items needed to issue the permit (May require additional plan review upon receipt of the following items.)
Sanitation and site plan approval from the Environmental Health Department in ❑.Chico ❑ Oroville, as applicable
A
FireSprinklers............................................................................................
❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by
❑ 17. Soils Report and/or Engineered Foundation required ......................
❑ 18. Erosion Control Plan Required...... ' q
O....................
r% -fees as shown on the attached Schedule of Fees Due Sheet..': ��?...�....... v
❑ . City of Chico Plumbing permit...................................................:....................
❑ J3.*
Site plan and business license approval from the Ci�jl.�f Biggs........
California Department of Forest plan approval ca'paid. Sent by
Planning approval for A Use: B Parking: C Pall Ch
9 PP O O g O edk
❑ 24. Contact Land Development about -Improvements, -Drainage ........................
❑ 25. Fire Marshall Review (commercial projects only). Sent by:
......................
26. NPDES Form.............................................................................................
27. Encroachment Permit for driveway from the Public Works Dept ..................:........
28. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 29. Worker's Compensation Carrier and Policy Number ...........................................
❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
.. .................
❑ 32. Recorded copy of Agricultural Acknowledgment)stateme thrD ..............................
❑ 33. Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......... ................
36. Other. W
'37. Other.
When issued Telephone, g� .�-1 �`�X \and hold for pickup.
I have been inf armed/of the above item and requiremeis
focobta__ inincg as building permit.
Applicant: / /"
Date: A"' /.V Z"
1. Index permit appl' ti �64or v s m
Plan Check er
2. Additional items uired
j
Contractor, desig r, owner, as advis o the ve data by ❑
Contractor, Towne
phone, ❑ mail, ❑ counter, by
Date:
desi er was advised of th above data by ❑
Contractor, desi
phone, ❑ mail, ❑ counter, by
Date:
r, ow r, was advised of the above data by ❑
phone, ❑ mail, ❑ counter, by
Date:
Plans reviewed by: Date:
Plans approved by:
Date:
Structural reviewed by: Date:
Structural approved by:
Date:
Note transfer by: Date:
Yellow: Building Division
w
TO:
FROM:
Building Division = Development Services
Environmental Health
E.H. USE ONLY
Plot Plan Altadied
Floor Plan Atfadied
Sent to BD/DS /
SUBJECT: Snitation Clearance
X11 n1 r A5►'�'W f\j
Owner Location AP# \
Plan Approved for: Sewage Disposbl-. Water upply: Public Private Well
Clearance for dwelling. Other Z q 3j)
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
Building Clearance 9/2005
__s-
Date
P pg��1T
��TT��\� Department of Public Works
Cou my of Butte
oo
(
-- J LAND DEVELOPMENT DIVISION �1 0 0 % J. Michael Crump, Storm Water Management Program
Director 7 County Center Drive
(
Ot4l Oroville, CA 95965
Aveuc Wap,`' )530) 538-7266
(FAX) 538-7171
r
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement LESS THAN 1 ACRE
Project Description: ,
Project Location and/or Parcel Number:
By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board. Phased projects that
contain multiple site build -outs of less than one acre but when combined with subsequent phases total
more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of
California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the, State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law---- --,\
Signed: ` Z� "Z Ar A
Title: /
Date:
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/24/04
RECORDING REQUESTED BY
MID VALLEY TITLE & ESCROW CO.
AND WHEN RECORDED'MAM TO:
' STEPHANIE M. KLINGELE
59 SAM LYNN WAY
OROVILLE, CA 95965
�� ��II'�I III�IIII�'I 1�III II IIT■I■I
2001-005958rm
Recorded
Official Records
County
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
09:00AM 14 -Dec -2011
Above This Line for Recorder's Use Only
REC FEE 10.00
TAX 150.70
Maureen
Page 1 of 2
p'A P.N.: 027-040-095 _ Order No.: 191373PE Escrow No.: 191373PE-3/ORO-C
GRANT DEED L
THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY15$ 0.70
[ X ] computed on full value of property conveyed, or
[[ ] computed on full value less value of liens or encumbrances remaining at time of sale,
X ] unincorporated area; ( ] City of _, and
FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
WANDA B. KELLEY, A MARRIED WOMAN, AS HER SOLE AND SEPARATE PROPERTY
hereby GRANT(S) to
STEPHANIE M. KLINGELE, an Unmarried W6man
the following described property in the UNINCORPORATED AREA, County of Butte State of California;
See Exhibit "A" attached hereto and made a part hereof.
WANDA B. KELLEY
Documpnt Date: December. 10. 2001
STATE OF CALIFORNIA)SS
COUNTY OF BUTTE . )
On DECEMBER 12, 2001 before me, PENNY C. ENGLAND, NOTARY PUBLIC
personally appeared WANDA B. KELLEY
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 hefshe/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signatures) on
the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS to and official seal.
Signator
This area for official notarial seal.
' n n n A_I
PENNY C. ENGLAND
Ccmwesion #1240914- Mfr CPS
butte Coupty, Cxitftun+a 3, 2003
M, Coaenisslo+t Ftp• DEC
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
T'd SGCT-EES-GEST
atueydalg d69:90 90 TO unr
ORDER NO. BU -191373-3
EXHIBIT "A"
DESCRIPTION'
THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA,
COUNTY OF BUTTE, AND IS 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 FEBRUARY 1-6.,-....19 7 -9, -...IN BOOK 7 0 OF. MAPS, AT _ _PAGE (S)
.44
EXCEPTING TH$REFROM THAT PORTION DESCRIBED AS FOLLOWS:
ALL THAT REAL PROPERTY SITUATED IN SECTION 3, TOWNSHIP 18 NORTH,
RANGE 4 EAST, M.D.B. & M. AND SECTION 34, TOWNSHIP 19 NORTH, RANGE
4 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA, BEING A PORTION OF
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 FEBRUARY 16, 1979, IN BOOK 70 OF MAPS, AT PAGE(S) 44, AND MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUTHWEST CORNER OF SAID PARCEL 2; THENCE EASTERLY
ALONG THE SOUTH LINE OF SAID PARCEL 2 NORTH 89° 22' 22" EAST,
419.97 FEET TO THE SOUTHEAST CORNER OF SAID PARCEL 2; THENCE
NORTHERLY ALONG THE EAST LINE OF SAID PARCEL 2 NORTH 000 20' 32"
WEST, 518.13 FEET; THENCE LEAVING SAID EAST. LINE, SOUTH 890 22' 22"
WEST, 422.44 FEET TO THE WEST LINE OF SAID PARCEL 2; THENCE
SOUTHERLY ALONG THE SAID WEST LINE SOUTH 00° 36' 55" EAST, 518.13
FEET TO THE POINT OF BEGINNING.
APN 027-040-085-000
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 OCTOBER 5, 1977, IN BOOK 62 OF MAPS, AT PAGE(S) 78.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCEL I, DESCRIBED HEREIN.
PARCEL III:
RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE WESTERLY
30 FEET OF THE SOUTHERLY 527.96 FEET OF PARCEL 3 AND THE EASTERLY
30 FEET OF THE SOUTHERLY 518.13 FEET OF 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 FEBRUARY 16, 1979, IN BOOK
70 OF MAPS, AT PAGE(S) 44.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCEL I, DESCRIBED HEREIN.
z -d S661-669-06ST atueyda-4S dss:so so io unc
Butte CountyDepartment ofDevelopinent Sel-vlces
o�urrF0
7 County Center Drive
o
Oroville, CA 95965
oo . ; o
(530) 538-7601 Telephone
(530) 538-7785 Facsimile% "N
BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES
I request and authorize the Building Division to process this building permit application through the plans
examination process WITHOUT first obtaining all necessary, related permits and clearances from other
regulatory entities, including but not limited to, Planning, Environmental Health, Land Development,
County Fire, and Agriculture.
I hereby acknowledge:
a I need to submit applications for septic and/or well to Butte County Environmental Health
immediately.
• . I ant required to bring the approved Environmental Health site plan and approved sanitation
clearance to the Building Division as soon as clearance is obtained
• I am responsible for notifying Development Services, in writing, to stop processing of the
application and to arrange for disposition of plans.
The Building Division will process the application through the plans examination process, as submitted,
without input from other regulatory entities'that could prohibit issuance of the building_ permit or r uire
submission of amended building plans to the Building Division. Once the plans examination process
begins, there will be no refund of plans examination fees. Any changes requiring submission of amended
plans to the Building Division will incur additional fees. '
Within one year from the date of application for a building permit, all other required permits and clearances
from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances
will void the application.
Typically other required permits/clearances include, but are not limited to, verification the parcel was
legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well
as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture
buffer zones, and habitat/species).
Please print:
Applicant Name: APN:
Building site address: Permit No.: Q ,6
a l//GCS
I have read, understood and accept the terms d conditions as expressed herein as indicated by my
submisoe above -referenced building permit application and my signature below:
"40
SIGN A LICANT DATE
K:Firm-/B1dPPermitwithoutClearances 020705
o�QpYrn^EN)- 01-
>o�0TrF0 Department ®f Public Works
0 0C o u n t y o f B u t t e
0 0
0 0 7 County Center Drive
OrovWe, CA 95965
�oCp �y� J. Michael Crump, Director (530)538-7681
U N (FAX) 538-7171
Ave`►c Wy
Shawn H. O'Brien, Assistant Director
Assessors Parcel Number: Building permit #
Owners Name:
Owners Mailing Address:
Property Address:
ENCROACHMENT PERMIT ACCEPTED:
PERMIT NUMBER:
ENCROACHMENT PERMIT EXEMPTION:
Reason for exemption:
❑ Not a County maintained road
Existing driveway conforms to County S-31 standard
❑ Other
Approved by
Printed Name Lo 1,4 1'-S,
Title
Date �5
CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT
1. An existing home with a driveway 10 years or older and doesn't cause any problems with
the county road or drainage.
2. An existing home with only minor remodeling or repairs.
111:���.
I
i
/�,�
(mhon
PERMIT NO. 2906-82B,P,E
PERMIT EXPIRES �d /riD.IG 7
OWNER WARRENT. KELLEY
1
CONTR. Superior Mobile Home Ser,'No. H gh.
ASSESSOR PARCEL 27-04-49
LOCATION 59 Sam L)mn Waw Ornui 1 1 P
Temp. Power Pole
Cad+ed PG&
Temp. EIec. Service
Called PG&E t4,1 f�
T/mp. Gas Service
Called PG&E
JOB FINAL ED (Da
Signature
d OK
0 = Not OK
= Not Applicable MOBILEHOMES
= Not Ready
MISCEILANEOUS
s.
Date MOBILE ME UTILITIES (P—Win's) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1 on' g Requirements -Setbacks -Easements
1. 'Zoning Requirements -Setbacks -Easements
oils; Special MH Support -Sketch
2. Footings: Size -Depth' -Spacing -Connectors
ew Location -Test -Fall -C/0 -Concrete
ater Location -Test -Easement Needed (Sketch)
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Brficing
ectricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -.Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
BI Date — ward -BI Date i
Card -BI Date Card -BI Date
Gard -BI
Date Card -BI Date
Date MOBILE ME INSTALLATION ( <s) OK except N's
Date
POOLS (Plans) OK except N's
1, oning Requirements -Setbacks -Easements
1, Setbacks -Easements !�
2 • ootings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
-Demand-Valve-Connector
ectricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
@/_2in; MH Test -Fall -Flex Connector
5. .Elec.; Pool Lighting; 15 volts--GFI
ater; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
lellrater and Sewer C nected-C/0 to Grade -HD Approval
7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Ele ity Tagged -
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
sp.-Sketch
Occupancy
10. Plumb; Cir. Test -Water Supply Test
C B -I Date - and -BI Date
Card -BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card -BI
Date Card -BI Date
3
= OK
0
O =Notof
OK
- = N?M Applicable
* = Not Ready
RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR P s OK except #'s
Date
FRAMING (Continued)
11e/Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
, Main; Soils- Steel- E - / t S/" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / " Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
6,-Mmwalls, Main; Steel -B lockouts -Wrapped -S lab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. P042 -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
10.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Electric; Underground
f2.
Plenums & Ducts; Clearance -Material -Support -Ins.
,rrders-Sills-Anchor Bolts -Joists -Vents -Cripples
-BI
Date - ZiCard-BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
492
Dat 6- vC• rd -BI Date
Date
FINAL (Plans) OK except N's
C -BI Date//, and -BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15.
16.
Water Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
64.
Fireplace'or Stove; Clearances -Hearth
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
22.
Elec. Receptacles Spacing -Lights &Switches at Doors
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made uo w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes
73.
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
_ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Card B -I
Date Card -BI Date
Date Card -BI Date
81.
Ventilation throughout House
82.
Glass Protection
Date
MECHANICAL (Permit) OK except it's
31. A.C. Ducts; Insulation & Support
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
-_
_
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
--
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
37._
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop'in Walls (rat proof)
_
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
_
42.
',�'��lT�'
44.
Hangers- ost Caps -Anchors -Connectors
tr. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Ring.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsile)
COUNTY OF BUTTE `
j� DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 ,
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of, -County Ordinance
exist at the above address and should be corrected. Plea notify this office
when correction of work is completed. If you have any qu tion pertaining to this
matter, or need a/d�ditional explanation, please co�ntac this office immediately.
-11'IJ-/-
e")
tv /,
�� ��'�'i-i.�"C.s• .l�.i"'�/../�1 fC..��'�-fes /'� ll !r%/1 f°'9'0 f/%�
�� moi' i,.r+,.�s� ✓a
Inspector . �1' 't '*-s• Date d ' '2' 7 '� `
• COUNTY OF BL�i E--DERARTMr±NT OF PUBLIC WORKS
7 County Center -Drive - Droville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
A •i
JU
%SAM
ASSESSOR PARCEL NUM
^� •—BUILDING
Z N NG
PERMIT
OWNE
ELEPAil?
SQ. FT. OCC. BUILDING VALUATION
Q,./� 0
OWNE ,S MAILING ADDR S
Am 9,re
CON AR ,ACTOR'S NAME TELEPHON
V
CONTRA TOR'S MAI ING R.S.
4�nd toQ
4
�— i / f�
Fireplace
CONSTRUCTION LENDER UNKNOL w/
Total Valuation Is
Filing Fee
$ ?Q.00
LENDER'S MAILING ADDRESS
Permit Fee.2 0,5D 2
$ 13 al _.
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ g
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDR SS
Permit fee
$
BUILDING ADD E..
PLUMBING PERMIT
FIIingFee 10.00
�-
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
.6
LOT NO.
SUBDIVISION NAME
PARCEL MAP
O -
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF RUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
�D
Lawn sprinkler system
5.00
TYPE OF WORK
New❑ Addition [_1 R ❑ Utiliti Installatig0 ❑ Other
Describe work: M I `l7 u V�(j� � 9'�
(
Y
Permit Fee
$ alp 0
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00-
Main service 100V OR
00 AMP ORSLESS
00
Main service EA. ADD'L 100 AMP
2.50'j
NEW CONST. ( DWELLING OCCUP.61
OR ADDNS. ACC. BLDGS.
2� sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. I.Ou LET
N.RESID BRANCH CIRCUITS2.50 ea
...RES,.,
NEW RPOWER APPARATUS 6)
NON.R ESID. ESID. SINGLE OUTLET CIR.
DO@�
Ex. Occup(OUTLETS OR FIXTURES BAL@1
IXED ASPSENS. OR
Ex. Occup. �OUTLET(RESID.I EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Wcrkmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in conseq nce of the granting of this permit.
o
%� Date ��
Signature of Applicant — Own rq CoUtracto❑ Agent ❑
An OSHA permit is require excavations" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE
occuP. GROUP
�-?jJJ
I TYPE of cO ST.
PARC P
H
..
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
BY
PE IT EXPIRES Date _
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date�� 7�0
y -7-ei - PFJ
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDEN ROD -APP LICANT
f is to be co-pleted. at the tide a building permit is issued for
!r P. :4:St.7y42tlrn o° a coJileho:e On a found?tion.Syst�i pursu'_nt to Section
1 t'l of th•- 4ealth and Safety Code. A copy is to be imiie3i?tely_transmitte'.
to the depz:-tr:ent with a copy of the building permit and fees in amount of $11
for e_"ch transportable section of the mobillehome. See instrur_tior,s.
t, i;0RDG Rc;�.,r. ill
t-. Q. •�.
T0. THE DEPARMEnr OF HOUSI.iu nrl`J CO;iHUNITY
OEVELO?NENT
PUBLIC WORKS
oivisio:i of Codes and Standards, ;iobiletome
Section'P�i
Nov 17y � 1 i.,,
P.O. Bcx 31. Sacramento, CA 95801 (916)
445-3333
I
FSC'•: Butte County Building Department
(2906-82)
E EAN.OR H. 3:Ci( j,®E
T �1e or to=al a;ency issuing building
permit Cuilding Perrit ;Io.1
� ERK-RECORDE
7 County Center Dr
1.0 - 2o- 8Z
FEE
p
X72-34377
rlssju— Uace Permit Issues
T�_:!
Oroville CA 95965
' >3aT�
916-534-4541
LF�!'r: ThIS SPACE RL i!K
Louncy
ZIP O a ephor,e
_.+r}•+•+•-ra._•.� ♦.�*y*-•}*+�_v.�-}r+�+. }._ .}>+.}+.�.-r}r}
�+�+•�++•+•+*i.y• rw:•.r.++}+}•}++*+>}••r+�Tr♦►Tf+.}'
O-t"E2SHIP INFOT.".ATION. - N0z' EN;i'.E
Bey l s �er_s U•.rn_. ' s ' !me
�'vLeg ' l Uwner s .43�e
(ie —Is ter2,1 in_r's Maiiir.yAddress)
Le- ! OHn_1•'s `ailing GdresS
ON_�� —��, tel
_ C7'�� OA,
(C ty) lCounty , (State Zlrj
{city)
i;obile7ome 4411 be owner's Principa Res id=r.ce?)
For.^ of Consent Accept:-?
Letter. etc.
;_+*+*+*+-►+.l+Y+*+!to*+*+f+A+*+*+IV+*+*+,+**+--!.*}*-..+}+*+.*+i.}�+ire
+*Ti+.++4.>.}n}f+>.}its..};r}i+a+sem+.}r+s.;.r*s++.
�C1:i:FRSHIP :YFOR;1ATIOU - REAL PROPERTY
Apwo 7 e y-
E
'�
,i a neld to ch IYane s o-.)
TASSESSOR'S�APCEL NUMBER?)
Ag1/
, CASACe1
d�—
T -Rea V Property Mailing Acress
lst ;iorcgage Holder's flame
2nd 1ortyage holder
�5.�._�
gCity. County(ZIP
(Address)
(Address)
/0..21/ C6 S
SA
BR®t/itt� LJ/� , r 9.5� ' SA4 S®s€ CA: 94/.29
(?.eat Property Size?,Length X 'id'tt —or -Acres)
City—TState) [cI
)� City State ZIP
Co Py �..s�`1�E�n
�. agJ,A..5
foo 'f�� � &
d?F
et- oc of :Verification? Deed, etc.)
'noYXS,__--_
Loan Rate (Ter;.-.$)
(Loan Rate o Terrs)
E'RAA@_0
Ee AtG A
(Legal Description of the Real Property?)
4c.' 7, Lt' s • 1�iP E S H E ,p 2 .q 7 S v `� r 01.1
Z o .•/ ,�o,g.�I- A o•J n 2.
E L - o
es r 0 F ['S
e F �m A zea? /2 a �A_p
u, _1 T �' 9
r� t�
,e= E
P-4
«►}*+*+*+iP}*i•''+'•+*t'vt*t*+•++}*}*•},•t>ts+*+*+*+-rT*+*-ys+*}*+t+*+s+*.}+.}:+•+*.}.a +++,...
r IDEriTIFICATION INFORMATION - M03ILEHO"E
. 0 –:3 1 (
''anufa=turef s Name TDate of manufacture) (10de1 ii2re/liW,bei
SERIAL NO. (VI;I)- INSIGNIA/LABEL NO. LENGTH X WIDTH DTIV LICENSE/DECAL NO.
.� (Frca the rear
Urit A'3 S�d2/(QJ A ���� -r-�+4 x �y ��W of the wabiie-
f home, facing
" .unit x !o y =�I totiaerd the
"0" Unit
Extericr V311 Covering? � ni/I y'E Total No. Roos? Buil tin Cook.t-Ap?
?•of Covering? !n M p Bedre� s?
Exterior N311 Thickness? �J Baths?
Hating Type? �p Oinin3?
EeFrigeration? (A/C) PO Fa•nily/O'n
.3 Builtin Oven?
,- Builtin Microwave?
front, the "A"'
Unit is th;
one at your -
121, t. Next is
'8", `C". etc)
yes
Yes
Builtin Trash Ccrrnpac-tor? /VO
Euiltin vaccu_cs?
Ceiling H3igct?
/ Utility? Builtin Dish lusher?
Tow Brr Rerov_r" ,5Othzr? � Oo Disposal? ES
- m
._flea R_ovaS? �' 0 h .
�t. •* * w• * r ♦� /. ♦. •► •.►}++r.}:•.�s}.�}�}:�+•.}:s++:}y}:.>}•.�.+_r..ra}*.y►}w.}+.}a}-.►*a}•s.�oy*+*+..}r}.l}-:+. *n..r•+•}+r'}�
SALES. INFC:'-1'!A Ivil - liO3il=H;`aE. OO
uz.c of u? rci�se? ruurcI- ►-ric 1 Lest Cr..e i:ens tr.1 ao lar vaiu_s of any
;o^al property i® i in- odea in the purcnase price or tnc roof eno•,e. c:( ;'.rLl rye,'-, 5239.6:;
p... + '_ *++..*++•+•..}w+•+•}*}*}++rir.+}++r+r'y++r+•++yr+++�►w+*++yr++*+y+a
+C=?i [r IC= -'c C= CCCJ?;.PiCY Install ticp of the above dcscrih�d mobil_ho~e or. t"e renl P. ;).•rty
p,jrticdl,'rly eTszrihc0 h^reoi has b^e: eoo;leteJ and a this er c61�;-
y on
t;a a -- :iuC.'.�r . _d:. S i ':ore. ! oc, l
END OF DOCUMENT
Qlcmeq- or-
pLltgoellATIOIIJ AOr-
M. 9 . oN PEeM . rcij D.
0 SALES AC-17REMEkST
3� DSEt' of TZU
® STMT Op FPXTS
Q AG AtICNOWI.EDGE-
MG�4Jr
Security
Mobile Home Show, Inc.
P.O. Box 1196
West' Sacramento. CA 95691
September 28,- 1982
Butte County Building Department
7.Ceumty Center Drive
Oroville, CA 95955
Sirs
The mobile home purchased by Mr. Warren.Kelley to.be placed at 59 Sam Lynn
Way, Oroville will be the property of Security Nbbile Home -Show, Inc. at
the -time of delivery.
Sec&ity Motile Hcme.Show has lmowledge of and gives its consent for the
hom6 to be placed on a permanent foundation system.
Yo,#s truly,
Ka leen l�veroni
Security 1Nbbile Home Show, Inc.
cc: Warren Kelley
G
r vr�h1 lulr� (
IDT ilgiruecr. ARDER Cal- CC 9203 (cY
9161371.7740 -- 2121 W. cap" Apra► �� � , T „ v ••xar � a
c r . 7'•_ � ,'i14L'+1•. +�. Teo ,T: er ^ f•7 "t`
j /fit �� f
is
tD O
ADDRESS �U �i •' !% �• '�' , C *i%t: iAIESMAN�1. 44'?,.;; R
to the terms and rondltions stated on adp t weMFAIIII sVed t0
MNAKE
`
y a "vr" •�
M14t
•-r c
GV��/— �! ,� _ .i -
�i'•� ,�E � 3�6 �L
, .111r
SERIANUMBER
J� 7
�. gQEyy- -COLOR
PiEQr
❑USED
>
y s Ntr :Y'r+/!AAi`:�1.•
CUSTOMER MAY CHOOSE PERSON FROM WHICH INSURANCE IS OBTAINED.
P OF UN
$
INSURANCE COVERAGE
NUMBER
NO COVERAGES EXCEPT AS SHOWN BELOW OF MONTHS $
OPTIOWOUIPMElillw
❑ MOBILE HOMEOWNER'S
ET•UP P �aTS '
lar /cf4It/t%DI$ D
IX -'04+•
❑ FIRE AND THEFT - CAC '
❑ FIRE AND THEFT - COMPREHENSIV -, —
SUB TOTAL
J'
El PERSONAL EFFECTS �.% E -
.. fAIES.TA1t
E]Other Insurance (Describe) - r
NON-1AIUBlE! -
f� '� Ze e,
TOTAL PREMIUM for insurance coverages on the commodity if obtained from or
DMV (If cash sale) /e,OA)��T•
w rim
through seller
BA
COST OF INSURANCE INCLUDED IN CONTRACT LANCE (ITEM 4)
CASH PRICE °`r
t
s 3
Plpurchase(1)
purche the coverages checked above. �. ' -
_
X -
USED TRADE-IN
'
SIGNED ,
ALLOWANCE
$
I/We hereby voluntarily choose
LESS: BAL. DUE
"
$' s
as Agent or Broker to procure the Insurance listed above. The choke of above Agent or Broker toot
ON ABOVE
NET ALLOWANCE
_ 7
not mode o condition precedent to this sale.
The name of the Agent or Brcalter must be filled in by Purchaser
INITIAL DOWN
/
in,his own handwriting.
PAYMENT RECD
/ �•
WARNING: UNLESS A CHARGE IS INCLUDED IN THIS AGREEMENT FOR PUBLIC LIABILITY
CASH AGREED
BEFORE DELIVERY
pV
OR PROPEPTY DAMAGE INSURANCE, PAYMENT FOR SUCH COVERAGE IS NOT PROVIDED
(2) LESS BUYER'S
DOWN PAYMENT It
Is �(► p ,
B S�GIIEEME �c 29alif. Civil Code.
3. UNPAID BALANCE OF CASH SALE PRtCE•• J
s 4d
Contractor Is required by law, to be licensed and regulated by the Con•
_
A oER CHARGES
tractors State License Board. Any question concerning a contractor
may be referred to the registrar of the board whose address is 'Can-
tractors State License Board, 1020 "N" St., Sacramento, CA 95814
Q. OHkI Feex (SpecHyi...:."• : •s
VSI $
CONTRACTOR'S LICENSE NUMBER F2
Is. Insurance Cimmodity.
c. Credit tlfe Itis once.: y '' f''" :, •*r
l90am t •nEfts3wta TME nM a VNIEW M1111111
^A,. ,~ .
W TQli itlMME "M 12i RIR BE Impilow"To TW
d. Credit Accident HeoRh .
e. Taxes (Not Incl, aba e) .. ....s
f. License Feet $
MAINUFACittM- is ECMUN
BALANCE CARRIED TO OPTIONAL EQUIPMENT
$
"Right. Fees $
DESCRIPTION OF TRADE-IN
Certif. of $ $
Title Fees
!
TOTAL OTHER CHARGES Io+b d+etQ....... $ '
S. UNPAID BALANCE • AMOU ANCED (3+4) $
a FINANCE CHARGE ... ....... ...........$
MAKE MODEL e 5
TITLE NO. SERI No. col.oR _.
AMOUNT OWING TO WHOM ACCOUNT NO.
ffetice to Ike (1) Do not sign this agreement before you read It or it It costaiss ally black
Traces t ed in. (2) You are entitled to a Completely filled is copy of this agreement. (3) UR•
7• ANNUAL PERCENT GE RATE %
ars, yes have the right to pay off in advance the full amount doe &Rd finder certain cenditius
;
e bktale"a`j�rtlet refund it the finance chargi. "(4) -If yo`e difailt"'in the EeAerm3oCi of year oblige-
tkns ulker this agreement, the
S. TOTAL OFPAYMENT�i5,6)...... :...........5
vehicle may be repossessed and you may be subject to suit slid lia-
/
'bility for the unpaid indebtedness evidenced by this agreement. Section 2x02, ph. 1g, sfib a. Calif.
{r'iYll I:O/e.
9. TOTAL DEFERRED pAYMENTPRICE (1.4• $
Payable in �/ monthly Installment each
and one final i aliment of S ell payable the Itte date
PARTIES TO THIS TRANSACTION UNDERSTAND THIS FORM IS IN NO
WAY A CREDIT AGREEMENT AS DEFINED IN REG. Z. A SECOND INSTRU•
of each succ sive month commencing 19
MENT, KNOWN AS A SECURITY AGREEMENT, IS THE REQUIRED REG. Z
THROUG
IT Is TUALLY UNDERSTOOD THAT THIS AGREE NT IS SUBJECT TO
CALIFORNIA CREDIT AGREEMENT.
NECE ARY CORRECTIONS, AND ADJUSTMENTS INCLU NG CHANGES IN
NI:T AYOFF TO BE MADE AT THE TIME OF SETTLEMENT. IZ 6.6b
purchaser s certify that a• I We have read the matter printed on the back hereof and agree to it as o part of this agreement, the came as d d ..ere printed above my our sena es, b t we
om are 21 years of age o, older, or have been legolly emancipated; c 1 •Wel hove voluntarily the described
purchased above trader, mobilehome or veh Nle, the opeonoi eaurpmenr on o<uuones
thereon, the insurance as described and hove agreed to all the terms of the financing orronpements;'Thol the property 1 ,we. am are trading In is free from all encumbrances-horsoever, v.,.pt m
noted above. Purchaser agrees each paragraph and
provision of this contract is severoble; if one portion thereof n tmalid the remaining portion shall, nevertheless roma n to full lar,. and effect
RECEIPT OF A FILLED-IN COPY OF THIS AGREEMENT IS HEREBY ACKNOWLEDGED BY THE PURCHA�ER.
EXECUTM HISS I DEALER
Not Vol X /
SIGNED
isle ss_kgn and Accepted by on Offrcerbl the Company CHASER
By
Approved. S leer to accootonce of financing by bank or finance company. SIGNED X _ _PURCHASER
NOTE-&D&ffiONAL TERMS REVERSE SDE
rA Am •nisi• . Ienlmr M---
ne---
e — 'we a vv�r-•e Mascoulah III
CALIFORNIA REES-LEVERING ACI
CUSTOMER'S COPY
9
A
V :.1 .1 :;
CALIFORNIAFOP
'M A VA;LA21'E CWtY 720:.P1,
VV"*#;NrSS FORMS.
HOMES
916/373 -77-',: — 2 1 W. P, wil Ave.
FU' 01ASk' ORDER Col. (7,'_"i SPCC SME i
_z -
DATE
of
_ N
F'i
, Ili od cvi mr
SA
'ite, Fretaw low
k VIE
j/.
6 LIC. NO
DLLiVF9YDA!F
6" Z�
C J S70MER #A AV Ci4i tEtii FloAl VV.4111t:,N,� TAINi
—1- 12 R -A N �_ k -C-65, E UtAtzli P3.,CE: OF UNq
NO Cl' ,IERAG�S, EXCEPT AS SIZANNe,- 0 W
OF MONTHS
J
Rr A JiT
. . ..... ...........
-7.7'
SUB -TOTAL I
L RS_0.'AL FFFECIS
SALES TAX
7mr 1,;'j I I obto I from or
w mz�fvjt� cvvefugal btoIL
costDIAV f1f cash -:ii
OF WSUA04CE INLI.Ii t0fill,"ACTItAWICE (tX144) eL 4,.. it,
10, l,•@Cja I'areba" lrii ,6. 1 'Ljlj CASH PIZICq
USEO TPADE-IN
5K >rEr3
Jl`�LOWANCE
We hereby �0,of�-t�y is
S� 54! DUE
1 .1 jl R
ex N AAOI/E
Lot_
`M-� lIs+rj The choice of c!)ove Agent -r -irj",
vt made a tlndmort ct, 4t rt to ti t( lo,
V,sl rnmo t4 Ac Agowjr1i
91 in by purchaser
o
PAYMENTRECI)
G ia Ltd V7E'_!_=-_-wFOR rvc '11i, rs7F(i DELIVERY
-b - _ j �N'i'' .:I all 1�
wy �t:. Uli COVE2ACE IS NOT "v". i1c SS BUYER's Do,
WN PAYMENT
r
roll PAD BALANCE OF Ili S, 1E F;',
't !uw tzl Is: Vt"Isod and regulated by thoo, Can. _z - OL, I - __ - -=--
Pli Ali ",
qv-":stian conctrn!rG C contr0O4! I
ucr :14, �C.4 !GES
may be ref -ii i,:ed t2 thir ; v910rar of tht+ bocrd whostio, address Is 'Cor- I
trutfor-li; ftate Lice -nit RT.-�rtl, 1020 N!" V'StCraMento, CA 95814 I Ii . c 0! Teas
i ".. VS1
r
CONI R ACTOfCS LICEIM IMUMSE%
_r::z06
t7Lt
NOTICE-. i UNDr_-','?SI'Ii A I E (I {Ca 11s, VI!'jZ . Mrj-1
11'1I!A- Vt F, f R . Ml, 7 7, i ED TO TH Z dr. Crati h=ident Health
WIUFAC7L4,..c. Inti i41F rf, ING,
EAi'
L,A-,�CE ARP. ED TO OPTION IV FOUIPMENT 1$ I. Lkenso Fees $ T -I'
01!C111111101KIIN 01- i�*.71!4N R*qtst Fees $
Ceti ef
s I'Mis Fees $ $
TOTAL OniER CHALROtS lt d -
-Aicc5fi No J
NCE - AMOUNT
49wo. to vw 6VA%--if) ra "M Ii Mal joireor"fli befoli vii cad :1 R it co"t2itif aly ilii F-FINARCE CHARGE.......... .
P11464 &-mot iq, (2)1w are lifiltiltilild to a Completely filie"j 11 LOPI (I tili Ivroffeweli (3) Us- 7 ANUAL MMEXTALG
Y"ll II)Vt the right 10 pay 01`1 jo 2611 li!lfl hill 810ev'At diffe, 1, E JR A \-M'
lef'all rditaill of the Ililwo 011ialiv. (4) 11 y;,v 60fai IN the 0 few 01IIIIi o I: p."Y'At.mE is, r:flow vtr
thIll vellitIt mly It rtpoiti and lQu mj�to 30JIi to suit 2ne 113.
WIRY 1#1 N fol id inWIiiiii lvfdqqc&d by 1i Seri 7q,?, ph. 0 sub A. Cal,;CTOTA,LVr_FFUM Olffli itrcit '1 • 4 V
owli %.
poycWt 4-1- S,
r. of 15 i.,.o evi
PARTIES TO THIS TWISACTION THIS POR.M. P-1 IN li cl ii t
WAY A CREDIT' AGREVAENT AS DEMNED !N RE5. L A SECOND 1INS1.7ui ,
MR OLVT 0 1
I IS 1ILJJECT
�I{ENT, KNOWN AS A SFC111RITY Ali ENT, IS TH-1 (ZEV�4U� 4 3 ""U' 1Y UNDE;STCi I N
ILM - .:n1 i X" 'I Ce I
CALIFORNIA CREWT A GMMSENT, N11i I C=ECTIONS, �NCLUX%G CHANGES IN
WI�V%YOFFIOUE MADE AT ;.12 Tvmj OF
GA I.Sti �,xi,qef and ofii she some as X_
cSoloo I,_r 0.1 ralk Is I W
.--#d, c�enlo.e I't 1%0 t -i,, occessor.11%
the III'mi at %lii
d 'es -1% F.sonAevcre'Y�t, Chat i ii-Ify I W it C� ore fred'"s In b fire, ICA oe ,dmh,5e1 hettoe.4 , too as
eat �1 i'llo renoLntno perhor, tsa- ."ifull lor and oli
RECEIPT OF A FILLED-IN COPY OF THIS AGREEf17,',';'15 HEREBY ACKNOWLEDGED BY'TH'E PU! , 1� ER.
DEALE.1
4y an off tv,rA the Correctly ZIGNED AX_ f" HAW
d Oct tv tocc"l-.40 am --v by i or ll,ionte company SIGNED HASEM
IN a TnT A 0 NA1 TERMS riVE Sc S:X;
FORM 01i:wrz,41975
LAL'%kDPINPA 'tES LEVERING ACT MALEMS ) Cii
+�;'3atr,�x..o�w.wkY.6vawcyrwasrx w.n..x.w..,-v:.ua.+. •.•a,.rsvw..e.,.�wvr..W.mw..n....+......-a•n� �.+«.►.e..-n..... ...w..++w,+..e....r.�w..rt... wa�+r.r.......w: wor.•.a, «.r�..�.e-.os..:t..+.v.-..-.e........,..,�...w"ir.,n..+.�...,,s... t..+.w..'.-..�.w.........-.._ .�.....n,_r�e........ar►...-::,...c n,a....w1 ..•w,..... _-.........�r..�.v ..rA.•.�w3'.�.i
COUNTY GF JJiTT6
DEPT. OF PUBLIC WORKS
APA
7o8s9,io,njLqi1i2i3i4i5 6
,de No. 117604
-�
Recorded at the, request of J,
OROVILLE TITLE COMPANY
...........................
..
Return to
Mr' &.MTs�...C
............................................................... ......... ..
1l;r
...........................__......._................-----.... •»
R
.S {
u'
r.
04tH DPPIi of U3rust, Made this 19th day of January
BttWttn WARREN I. KELLEY and WANDA B. KELLEY, his wife
herein called TRUSTOR...
whose address is 2560 Gramuey Anaheim 92801 Califorz.0
(State)
(Number and Street) (City) (Zone)
OROVILLE TITLE COMPANY, a corporation herein called Trustee, and ROY D. CASACCIA. ani SHARt?p II t
CASACCIA, his wife, as Joint Tenants, h4rein called BENEFIQARY ;
VjttjWS6rt4That Trustor irrevocably, GRANTS, TRANSFERS AND ASSIGNS TO TRUSTEE IN TRUST,'
:
WITH POWER OF SALE that property in the ., .................................. , County of Butte, State of,
`
California, described as:
SEE DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF.
, �• a ��.!
•V
ti
TO(A-711ER WiT1-1 the -rents, issues :and pi-of•its thereof, SQI.iJIECT, HOWEVER, to the right, power and authority
given to and conferred upon Beneficiary by Paragraph. 5.Part B of the provisions incorporated herein by- reference to
collect and apply such rents, issues and profits For,tbe.Purpose of`Securing payment of the indebtedness evidenced by, a
— —— _ ._.~—"--------~~
promissory note, of even date herewith, executed by `Trustor in the sum of .._-.....-- - M.
SENFN..TIiQIJ,�ANIirk0R..IIANDHFD-EIGETY I'J�(R Ad..13.�1OQ............................................-----------�_- --r—Dollars.
($.'7482.,13 ..........:........), and additional .sumti Mrd mttrrst thercon w.hirh may hereafter be loaned to the Trustor. or. -his ,
successors or assigns by the Beneficiary, and the'performance of each agreement herein contained. Additional loans here-
after made and interest: thereon shall be secured,,by.I'this'A)eed of Trust only if made `to the -Trustor while he is the owner
of record of his present interest in said property, :)r to his succe,s�ois assigns wliile they are the owners of, record flmtoz,
and ,shall be evidenced by..j promissory note recitin'91 that' it Fs , ecu;red byi;this Deed of Trust
By the'execution and delivery of this Deed of Trust and the Note secured hereby the. Trustor agrees that the provisions
of fart A and the provisions of Part 13. of the I)redi of"17rust. recorded August 18, 1958 in Book 953 •of Butte County .
Official Records, at page 200, shall be 'dnd'they are hereby incorporated herein and made an integral,part hereof for
all purposes as though set forth herein ;it lingth:
Request is hereby made that a copv of any'Ngtice of Default and a copy of any Notice of Sale hereunder be mailed, pur-
suant to ,the provisi,rns of Section 2924b of the Civil Code of California, to the Trustor at his address hereinabove set
forth.
STATE OF CALIFORNIA
!' . County of
iOn ........ 2.�./s ...........................:.:..:....:..:
befor e, ....... .................. a Not9ry Public
in and for said County a#a sonally appealed ......
knoum to me to be the person, wh sub-
scribed to the within instrument, and acknowledge. to me
that ....... Xhe. executed t��yame. o
My Commis a res .....1/.� �Z d
L.� �.Q..
. .......,..
Notar Public _
rren a 14
�1 1 `1 les
• „v OFFICIAL SEAL
pt,IG1 lA t.1?E1LLlt�t.
NO.......,,.».
TARY PUBLIC ' CALWOFANI�
ORANGE COUNTY
My comm. MOM MAR 17•,=6
............................
_.»
Do Not Destroy This Original Note: When paid, said Original Note, together with the�9"`d of Trust.
Ing some, must be surrendered to Trustee for Cancellation and retention before recbnvayptwe will`,tliM-tnoQ6x�
117604 NOTE SECURED By DEED OF TRUST ,-.
(INSTALLMENT—INTEREST INCLUDED) i`Jr1 a'
$ 7,482.13 Orovlle ; California, January 19, 1981
In installments as herein stated, for value received, I promise to pay to
ROY D. CASACCIA and SHARON A. CASACCIAl his Wife, as Joint Tenants
at dace deeigpated by payee
the sum of SEVEN THOUSAND -FOUR HUNDRED -EIGHTY TWO and 13 100 ---- ------WT T.,I►RG�
with interest from on unpaid principal at the "
rate of 10 (ten) per cen per annum; principal d interest payable in installments off'
ONE HUNDRED -SIXTY FIVE and noj1OO---- -` 165.00 -------- Dd:;
or more on the day of each calendar month, beginning
on the _._ day of
aj.>d -c�ntinuin,g until said princlpi li and interest have been paid.. `:.... t
Each payment shall be credited first on interest then due and the remainder on principal; and interest shau there-
upon cease upon the principal so credited. Should interest not be so, paid it shall thereafter bear like interest ee the
principal, but such unpaid interest so compounded shall not exceed an amount equal to simple interest on the un, °
paid principal at the maximum rate permitted by law. Should default be made in payment of any installment of
principal or interest when due the whole sum of principal and interest shall become immediately due at the o
of the holder of this note. Principal- and interest payable in lawful money of the United States. If action be option
of
on this note/ I omise to pay such sum as the Court may fix as attorney's fees. This note is secured by
DEED OF TRUST to y a corporation, as Trustee.,
OROVILLE TITLE COMPANY rt
Warren I. Kelley Wanda B. Kelley
TO 417 CA (2.69) THIS FORM
4NISHED BY TITLE INSURANCE AND TRUST COMPANY'
DO NOT DESTROY THIS NOTE
rYtaa { �` TARCEL A: ..
k':
{,. Parcel 29 as shown on that certain Parcel Map being a.portion of the P.C.
Drescher Tract Subdivision Nos. 1 and '2 filed .in the office of the Recorders
f. 'County of Butte, State of California, on February l6, 1979 in Boo:: 70 of
-
County
at page �4.
z�
PARCEL B:
Aright of may 60 feet in width for road and public utility purposes as show:
orf the above described 1.1aP. Said "right of may is for the benefit of and
appurtena:trit to Parcels 11 2, 3 and 4 as shown on said 'an and shall inu+Z.Q
to. the• benefit of and may be used by all persons mho may hereafter become
the omners of said anputenant property- or any parts or portions thereof:.
PARCEL C:
right of way for road and public utility purposes over the 7.1esterly 30 feet
of the Southerly 527.96 f eet of Parcel 31 as shotm on that certain rarcol
Nap beirii; a portion of P.C.
Drescher Tract SUbdivi.s:.,.O'I I;oa. l ane, 2 filed
in. the office of the Recorder, County of �31.ttte, ;tc of Ca'_ifr�r�Lia, on
February 16, 1979 in Eoo': 70 of farce:]. ,:taps, at -'a:;c i�`•
Said right of t'�ay i.:; for the bcnc:!fi.t of 1i1�1 apnurtcn: nt to Parcels 2 and 3
as shol'in on. mid Eap, and shall, i.n.cire to the benefJ.t of and maybe used
by all personn mho i;.t•?.y here -iter l:it^co:".;c� tyle ouncirs of said ap,�ttrteliarit nroA:
or any ;_ rtrts W X,crti.on.c tliei!(`f)fa
st -,v-,torn y me-tmdcr•atr�-vrncr-vicev-ta -a rverm•vr..an7 m
or Trustee shall be a party unless brought by Trustee. '
9. Beneficiary may
from time to time or at any time substitute 'a Trustee or Trustees to execute the trust hereby created° and when any such aobsti6tion has
been filed for record in the office of the Recorder of the county in which"thq property herein described is situated. 'it shall be conclusive evideeea of the appointment of
such Trust ec or Trusted, and such ne%e Trustee or Trustesa shall succerd•to ill of the i>ow rs sod dpties of the Trustee or Trustees named herein.
fTwT• fl� CAIV QwMU
�• OC►ARTMQN} orNOUCINO AND
COMMUNITY DQVclO►M ¢NT
• •
DMS ION OI COD¢G AND 111TANDARD9
p MANUFACTUR QO HOUDIP40 SECTION
=1 STATEMENT OF FACTS
474.9
Date __October 15, _
SECURITY MOBILE HOME SHOW, INC.
undersigned, hereby state that the unit described below:
.IAL MO.ff1 MO.I Lfw OM■/C OM M.. Ctwl
GCwGM OaCwl ..M..A ft
A3SCO216CA/B3SCO216CA/C3SCO216CA
I
NO LICENSE'PLATE
NEW
HAS NOT BEEN SOLD PREVIOUSLY
MAMVPACTVRRII T.AOi NAY■ ,
SILVERCREST
.iant further agrees 'o indemnify and save harmless the Director of Housing and Community Development,'
::-e of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration
the above-described unit in California, from issuance of a California certificate of title covering the same, or
.: ;sfer to:
:; rti jy under persalt perjury that the foregoing is true and correct.
uced on 10 at Sacramt o . _—Ca.1-.far_�i�-----
Owt.- CITv ------
fTwTa
,nature a
SECURITY MOB10 HOME SHOW '
1dress P_. O. BOX 1196
WEST SACC S-C}�45b91—_._..—_—-------.. _ ._._.. — ---•-- — -
y --- — — --- -- , State-----
Return i~o DPW
82..30'729
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
�70��� FOR RESIDENTIAL DEVELOPMENT �' ttit
Section 26-8a of the Butte County Code requires this acknowledgement k i .(; ii k�;: :•• ' `�
be recorded prior to issuance of a building permit. Q4__ -JX,-
�� �I��
The property described herein is adjacent to land or included-
OCT�.�
within an area zoned for agricultural purposes, and residents of ELEANOR A, `" }
this property may be subject to inconveniences or discomfort arising CLERK -REC033UR
HE
from the use of agricultural chemicals, including, but not limited to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
• but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise; and odor. Butte County has established.agricul-
tural zones which have as a priority use for productive agricultural purposes, and -
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
Date:
t
State ofL" )
) SS.
County of )
�PUOUC
X A►i.
EVLIN
• A16TARt - CAUveE3N1A
ORANGE COUNTY
My comm. expires MM 17, 1M
Present A.P. NO.
PROPERTY OWNERS:
On this the T'hz day of C i B ,5 c5 4? , 19 `L ,
before me, the undersigned Notary Public, personally
appeared
known to me to be the person(s) whose name(s) 4zt-P,
subscribed to the within instrument and acknowledged
that executed the'same for the purposes
therein con 'ined.
IN WITNESS HEREOF, I hereunto set my hand and official
seal.
Notary Public
o.
lv:
_J
M
VC
-o
c�
M
;,.. ,� �"�• •a;'��'�` :'ham
Order No. 117604
SCHEDULE C
The land referred to herein is described as follows:
All that certas.n real property situate in the County of Butte, State of
California, described as follows:
PARCEL A:
Parcel 2, as shcnin on that certain Parcel 2 -lap being a. portion of the P.C.
Drescher Tract Subdivision Nos. 1 and'2 filed .in the office of the Recorder -9
'Count of Butte, State of California, on February 16, 1979 in Book 70 of
Parcel Maps, at page ltd+.
PARCEL B:
A right of way 60 feet in width for road and public utility purposes as wawa
ori the above described Map. Said right of way is for the benefit of and .
appurtenant to Parcels 19 2, 3 and 4 as shown on said i:ap and shall inure
to the benefit of and may be used by all persons who may hereatter.become o.
the owners of said apputpnant property or any parts.or portions thereof. x
PARCEL C:
673
` Right of tray for road and public utility purposes over the Westerly 30 feet
f the Southerly 527.96 feet of Parcel 3, as shown on that certain Parcel J m
Yap beim a portion of P.C. Drescher Tract Subdivision Ros. 1 and 2 filed
in the office of the Recorder, County of Butte State of California, on
February 16,. 1979 in Boo: 70 of parcel Naps, at page 44.
Said right of ua is for the benefit of and appurtenant P l
C Y to Parcels'2 anEl—
by
as shotrn on said Pap, and shall inure to .the benefit of and may be used all persons who may hereafter become the owners of said appurtenant property
or any, parts or per. tions thereof.
• �A of Vowmax
n to DPW AGRICULTURAL(JF__ STATEMENT (JF_ R�rn
FOR RESIDENTIAL DEVEL
W.
a 7-0 �� q
Section 26-8.1 of the Butte County Code requires this
be recorded prior to issuance of a building permit.
82 30'729 `
NOWLEDGEMENT
PMENT
91~'FdC,n �.. fel: r .
acknowledgement
The property described herein is adjacent to land or included o . 18'��
` within an area zoned for agricultural purposes, and residents of ELEANOR �''C
this property may be subject to inconveniences or discomfort arising CLERK - RECORDER
from the use of agricultural chemicals, including, but not limited to herbicides, FEE
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise,- and odor. Butte County has established.agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience ortdiscomfort from normal, necessary farm operations.
•• All that real property situate in the County of Butte, State of California,
described as follows:
a,-, A/,/, 'J".4
Date:
PROPERTY OWNERS:
State of ) On this the '�7% 7'h� day of 40 e7 -o S c5,e
SS. before me, the undersigned Notary Public, personally
County of e) appeared
known to me to be the person(s) whose name(s) l:I.
subscribed to the within instrument and acknowledged
E0A'N'FG'ELA1
:-CALIFORANIIA
EAL that executed the same for the purposes
VLIN therein con fined.
IN WITNESS HEREOF, I hereunto set my hand and official
TYseal.
17,198$
Notary Public
a,t
order No. 117604
SCHEDULE C
The land referred to herein is described as tollosns
All that certas.n real property situate in the County of Butte, state of
California, described as follows:
PARCEL As
•Parcal 29 as shown on that certain Parcel Hap being a portion of the P.C.
.'County her Tractof Butte iS�ta esof Californias n Forvarythe
169 1979 in Book 70 of orders
- _ Parcel Maps] at page
PARCEL B:
A right of way 60 feet in width for road and pnblio utility purposes as arolm
ori the above described :;ap. Said right of way is for the benefit of and
appurtenant to Parcels 1., 29 3 and 4 as shoran on said 2:ap and shall Truro
to the benefit of and may be used by all persons t o
who may riot er become
the owners of said apputeuant property or any par
PARCEL C :
Right of way for road and public utility purposes over the Westerly 30 feet.
of the Southerly 527.96 feet of Parcel 3, as shoran on that certain Parcel
Yap being a portion of ?.C. Drescher Tract Subdivision Uos. 1 mad 2 filed
in the office of the Rccorder, County of Butte State of Calffornial on
February 16, 1979 in Eco:: 70 of Parcel ::ap s a� page 4o-.
Said right of vay is for the benefit of and appurtenant to Parcels 2 and 3
.as shot -in on said t:apj' and shall inure to .the benefit of and may be used
by all persons who may hereafter become the owners of said appurtenant propert(
or any parts or portions thereof.
C
k
PERMIT NO. .2707-83B
• � PERMIT EXPIRES
0 7
OWNER WARREN I. KELLEY
CONTR. owner
f ASSESSOR PARCEL 27-04-49
t _
LOCATION 59 Sam Lynn Way, Oroyille
1
1
i
1 Temp. Power Pole_
Called PG&E _
i
Temp. Elec. Service
i
Called PC
Temp. Gas Sei
Cal led PG
JOB FINALE[
Signature
d=OK
0 = Not OK
Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, q_VERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Awlfonin R u irements-Setbac ks- Easements
2. Soils; Special MH Support-Sketchootings
ze-Depth-Spacing-Connectors
3. Sewer; Location -Test -Fall -C/O -Concrete
_
m�ks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
--G,-Weod-Awn.: Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing_
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
_
Sr-A+ayn-Awn.; Columns -Connections -Splice -Decal -Enclosures
.Windows -Doors
Card-BI
7. Utility Clearance
Date Card -BI Date
7.--E1ec—
aO;/ Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK -except H's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date
POOLS (Plans) OK except N's r
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4• Elec.; Receptacles and Lighting; Distances-GFI
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/O 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 -BI
Date Card -BI Date
Card B-1 Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
Not Applicable
Not Ready RESIDENTIAi (Single and Duplex)
=
Date
UNDERFLOOR (Plans) OK except N's
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
48.
49.
Property Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / I /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Fig., Porches & Decks; Soils -Steel- / /"-Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel _
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date
_
Date Card -BI Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.: Vent -Access -Combustion Air
Date
FINAL (Plans) OK except H's
56. Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
_
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
64.
65.
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
67.
68.
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
A.C. Duct in Garage -Damper
Date ELECTRICAL Permit OK except tt's
---
--
20. Fixture & Transformer Clearance -Ins. Protection
21. Elec. Receptacles Spacing -Lights & Switches at Doors
22. Size Boxes & No. of Conductors -Stapled
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
70.
Plb., Elec. & Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. ,
-
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes
-_
25.
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
- 26.
Subfeed Wire Size : / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
- --
_
27.
_Insulated
28.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Neutral ,Yes El No
Service -Riser Conductors & Ground -Main Disconnect
75.
Following instld.: Drive
g ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
76.
Stucco; Brown -Finish
--
29.
Equip. Clearances'. Panels-Motors-Mech. Equip. -
77•
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_
30.
Clothes Closet Light -Shower Light -
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
--
- ---
Card B -I
--- - ----------------- ----
- -------- -----------------------
_ _Date_ _ Card -BI Date -_
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
Card B-1
Date Card -BI Date
82.
Glass Protection
Date
-
MECHANICAL (Permit) OK except q's
31. A.C. Ducts; Insulation & Support____
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32,
Vent Fan_Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
_
33.
_Condensate Drain _& Overilow; Size & Grade
Furnace-Vent;_Access-Comb. Air -Return Air Vent -115V outlet
Card -BI
Card -BI
35.
- -
Attic Access & Platform if Furnace in Attic
----------
Date - - - - Card -BI Date
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
36. Sills; Proper Material & Anchors_
37. Walls; _Studs -Nailing, Spacing & Bracing -Plates -Sound
38. Bearing Walls over Girders & Floor Nailing.._
39. Draft Stop in Walls (rat proof)
40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Comments at Final:
_
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
45
46.
47.
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm.-Windows or Exiting Doors -Sill Hgt_& Dimensions` -
Garage Fire Protection Framing
-
(NOTE: Anentrymust be made each time you visit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT No.
-• a , — 7 County Center Drive - Oroville, California "95965 - Telephone 916/534-4541
APPLICATION AND PERMIT �-
ASSESSOR PARCq NUMBE ZONING
.�
BUILDING PERMIT
OWNER TELEPHONE
r
SO. FT. OCC. BUILDING VALUATI
S
OWNER'S MAILING ADDRE SS
CONTR CTOR'S NAME ^A
V\
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00,
LENDER'S MAILING ADDRESS
Permit Fee
$ r'
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ ID
BUILDING ADORES
PLUMBING PERMIT
FiIIng Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
5.00
Mobile Home S I G W
10.00 e
TYPE OF WORK
New❑ Addition Remodel Utilities Installation El Other E]
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. // DWELLING OCCUP.&
OR ADDNS. l ACC. BLDGS.
2t/20sgft
•
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
KL I, as the owner, or my employees with wages as their sole' compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. ULTI.OUTLET 2.SOea
NON-RESID BRANCH CIRC ITS
NEW CONSTR / POWER APPARATUS &')
NON.RESID. (SINGLE OUTLET CIR.
20®500
Ex. Occup(o FIXTURES BAL®300
PP
FIXXEEDD AAPPLNS. OR
EX. Occup. OUTLETS (RESID,) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
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.
Rp� I shall not employ any person in any manner so as to become subject
,,to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating,
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, nd expenses which may in any way accrue
against said County in consequenc of the granting of this permit.
X�^ z)
Signature of Applicant — Owner Cont actor Agent ❑
An OSHA permit is required for cavations over 5' "deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ t
OCCUP. GROUP
M_ I
TYPE OF CO ST.
PARCEL
PD ✓
ss✓
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
`
BY ` l
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
//3
Receipt No._ O(0 �
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PERMIT NO. 'X1804 -84B
PERMIT EXPIRES
r OWNER WARREN KELLEY
CONTR. Rudy Hill
r
ASSESSOR PARCEL 27-04-85
LOCATION 59 Sam Lynn Way, Oroville
+ ti,
4A
tr
1
• tl
F
1
OFFICE COPY
i Te +-
Address + j
GAS Date_ 1 /
Tem ; Meter Y
Mt.
EL CT IC Dat lS.:'
Meter By } /
TempaGas— ervice
Called PG&E
,r
JOB FINALED (Date)
}
Signature i
• I
�/ A
1
V = OK
0 = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's •
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's
1. Zoning Requirements -Setbacks -.Easements
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
7. Utility Clearance
6. Carports; Windows -Doors
7. Elec.
Card -BI
Date Card -BI ., y Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI k` Date
MOBILEHOME INSTALLATION (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4, Elec.; Receptacles and Lighting; Distances-GFI
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 Lghrg.
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 -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK r
0 = Not OAC
- = Not Applicable RESIDENTIAL.(Single and Duplex)
*t= Not Ready
Date UNDE . LOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1&2oning
requirements -Set ac - ements
48 pert ne Firewall &Openings
2.
Ftg,_Main; Soils -Steel le . Grnd.- / /" Ftg. Depth
g., Garage; Soils -Steel- / /" Ftg. Depth
oors-One 3' -Check Garage -3rd story, 2 exits
50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Sods -Steel- / /" Fig. Depthw
n Roof Overhang -Attic Vents -Rafter Outriggers
5. St alls, Main; Steel -B lockouts -Wrapped -S lab
iding-Nailing-Veneer
6#115ternwalls,
Garage; Steel-Blockouts-Wrapped-Slab
53-Simceo-Mesh-Drip Screed-Fdn. Vents-Underfir. Access
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.ing Ar -Glass Protection -Skylights -Plastic
5 r ails; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.Water
Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12. Plenums & Du aterial-Support-Ins.
13.
Girders -Sill ncho Bolt oists-Vents-Cripples
Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date and -BI Date
Date
FINA (Plans) OK except #'s
Card- Date Card -BI Date
Date PLUMBING (Permit) OK except #'s
14. Water .; Vent -Access -Combustion Air
5 Ext. Steps -Door & Sidelight Protection -Landings
mo e e ec or
58 -Furnace', Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water P e; Test & Anchors -Nail Protection
16.
D.W.V.; est-Fttngs & Ar.chors-Nail Protection
56r-Bedraorrc Exiting
17.
Shower P ; Test, First Floor -Tub Access
Fixtures & Tub Access
18.
Test Tub Shower, 2nd Floor -Tub Access
61 lec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; S e & Anchors
62---&ta+P&"&-Raits
6 or Stove; Clearances -Hearth
64. RTec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
6 it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date ELE
Date Card -BI Date
CAL Permit OK except #'s
•66--Etec-,butfets & Receptacles at Kit. Counter
6;--Q r8p!r Fire Door; Swing -Landing -Closer
68_•Ae6rBoct in Garage -Damper
20.
re & Transformer Clearance -Ins. Protection
-JO
6aCIL`; Vents -Clearance -Comb. Air-Connector-P.R.V.-
I aragage; Above Floor-Mech. Protection
21
lec. Receptacles Spacing -Lights & Switches at Doors
70YP ., Elec. &Mech. Equip. Listed for Location
S� Boxes & No. of Conductors -Stapled
71 Iec. Receptacles in Garage; (G.F.I.)-Romex Protec.
2
. R x Installed Close to Edge of Studs & C.J.
Equip, round made up wiMech. Fasteners -Bond Gas &Water
72.-insRfeTT�n=Foam-Looked in Attic ❑Yes
2 Appl'anee-Circuits in Kitchen & Conductor Size
73.-Gverd-falls & Deck Construction -Post Caps
u feed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74 Fdn. vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
28
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
1p<lated Neutral ❑Yes ❑No
Service -Riser Conductors & Ground -Main Disconnect
75. Following instld.: DriveIW es E3 No; Walks ❑Yes
Planters ❑Yes ❑
76 rown-Finish
29:
Equip. Clearances; Panels-Motors-Mech. Equip.
77, mit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78c --V9 s Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79riMateT�V�I; Disconnect, Electrical, Plumbing
80. Okferior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date JI I Card -BI Date
8 oh throughout House
8 ss rotection
Card B I Date Card -BI Date
Date MECHANICAL (Permit) OK except #'s
8 Corrections from Previous Inspections
8 as Test -Meters Tagged; Gas -Electric
31.
AIC. Ducts; Insulation & Support
8 er & Sewer Connected -C/O to Grade -HD Approval
32.
V t Fan; Exhaust above Insulation
86--tM g Compliance Certificate -Other Certificates
33.
Con ensate Drain & Overflow; Size & Grade
34.
Furn a -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic cess & Platform if Furnace in Attic
Card -BI
Date . Card -BI Date
Card -BI
Date Card -BI Date
Card-B
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date FR
I aps K except
Comments at Final:
it ; P er Material & nc
alts; Studs -Nailing, Spacing & Bracing -Plates -Sound
38
g ails over Girders & Floor Nailing
39.
oof )
40
Ceilings -Stairs -Chases -Tub
r & Bea ize & Bearing
4
rs-Post Vis -Anchors -Connectors
4
. oist-Rftr. Ties-Purlin-Roof Brac.- s-Sh_thng_.-Rfng_._ _
TIP= or Type A Flue -Fireplace Throat
4
ccess; Siz & Romex Protection -Draft Stop -Ins. Baffles
46.
rm. Wi s or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire rotection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
1 COUNTY OF BUTTE `
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57
7RRECTION NOTICE
k kot4
-�
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when co t* f work is completed. If you have any question pertaining to this
matter, or /ed additional explanation, please contact this office immediately.
'I nspdctor _
Date _
J COUNTY OF BUTTE - D.EPARTMENT OF PUBLIC WORKS
7 County Center Drive-'Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESS PARCEL NU Bf
ZONING
BUILDING PERMIT
OW ER A
M l L
TELEPHONE
— ra
SQ. FT. OCC. BUILDING VALUATION
.9
OWNER'SMAILIr4G A DRESS
CONTRACTOR'S NAME
I h r
TELE HONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN -
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$ '
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUC URE
/i,1��
SF El Duplex ❑ Mobi lehome F-1Other i I , � � �/ r-
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New ❑ Addition ❑ 11 Remodel ❑ Utilities ❑ Installation ❑ Other [�(
Describe work: �f P� ®Y' #�tO� -- �� _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 800V OR 000 AMP ORLESS10.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELL UP.&
OR AD. NS. ACC. B
2/20sq ft ��
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW NON.RESID R BRANCH CILETRC"ITS 2.50 ea
NEW CONSTR. POWER APPARATUS &
NON .RES I D. SINGLE OUTLET CIR.
Ex. OUTLETS OR FIXTURES 8AL SOQ
9AL®3o
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$ Q
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in con se uence of the granting of this per it.
X `
Date
Signature of Applicant — 0 nerp Co ror ❑ Agent ❑
An OSHA permit is req ' for excavations over 5'0" deep and demolition or construct-
ion of structures overstories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
ECT R OF PUBLIC
By
PERMIT EXPIRES ate
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
``3
Receipt No.QS��O V
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. /
�f 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 /96W .
APPLICATION AND PERMIT
ASSESSOR PARCEL NqMJ3ER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
S0. FT. OCC, BUILDING VAL ION
OWNER'S MAILING ADDR S
r
CO CTO R SNA
l
ITELEPHONE
r
CON�AC AI ING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN'
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ K100
ARCHITECT OR ENGINEER
�n
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
ro
Water piping
5.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUURE
SF ❑ Duplex ❑ Mobi lehome ❑ Others G;:� T_
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New 52/Addition❑ Remodel❑ Utilities❑ Installation❑ Other EJ
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2t/20sgft
CONTRACTORS LICENSE LAW
I declare rider penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions ode and my license is in full force and effect.
.r7 SQ
License No. JST Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR.U I.OUTLET
NON.RESID BRANTCH CIRC ITS 2,50 ea
NEW CONSTR.POWER APPARATUS .&)
NON•R ESID, (SINGLE OUTLET CIR,
20050e
Ex. Occup(OUTLETS OR FIXTURES BAL®30
FIXED APPLES, OR
EX. OCCUp. OUTLETS (RESID,) EA,� 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
LII' permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. 1 agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilitie merits, costs, and expenses which may in any way accrue
against s Coun in c%onsequence of gr n 'ng of this permit.
X ` Date ��
Signature of Applican — Owner ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP, GROUP
M,�—�
I TYPE OF CONST.
F'
PARC�y
V
V
HD
15 E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREQTqR OF PUBLIC
By
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date % 3
�—
Receipt No. / % 66
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
SITE PLAN
......................... ............. ................... ...... : ............ ..... . ..... . ..... ............. ..... ..... . ............ . ......... 4 ............... ..... . ............ . ............ ...... ...... .................... ...... ...... ............. ..... ..... . ............ ...... ...... ............ .............
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. .
... .. . ... . . . .... .. .. . .. ... . . . . . ... . . . .... . ... . . . . . ...... . .... J . .. . . . . . ... . . ... . . . ... . . . ... . . . ... . . . . ... . ....... ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . .... .. . . . .. . . . .. . . . . . . . . . . . . . . . ......... . . . .. . .. . .. .. . . . .... . ... . . . .. . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . ... . . ... . ...... ......................... . . .. . . ....... 7 ------- . . . . . . . . . . . . . . . . . . . . . . . . .
............ ...... ...... ................... ..... ............
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. . . . . . . . . . . . . . . . . . . . . ... . . . ......
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. . .. . ... . ... . . . . . . . . . . . .. . . . . . . . . .
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s&s Parcel Number 0 513 R-7 Q', P 1ad Re wt scale: I f-1. .104-0-
)wner Name
Address / Phone No.
>ite Location —
:nntnct 'Name
Z............. Z ...... ............. * . ............................
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1%.ss-essas Parcel Number. Fol 9 El ®- 9 F1 El — Fc] Re Ef Scale- 1;= f/
)caner Name
Address 1 Phone No.
>ite Location
�nnfprt N2me Phnne
FOR OFFICE USE ON
Zoning:
General Plan Desig:
Size, Acres
M"t
PROVIDE FOR ALL
ADJACENT PARCELS
A r) ACE
SIZE (AC):
ZONING:
GEN PLAN:
USES.:
O LOOMIS OFFICE 0 MARYSVILLE PLANT
3243 Rippey Road 5033 Feather River Blvd.
Loomis, CA 95650 Marysirille, CA 95901
RUSS
Phone: (916) 652-4655 Phone: (530) 743-8855
Fax: (916) 652-3860 Fax: (530) 743-8856
Truss
Di
es n Su mtt a 1
Designed By:
Date: Technical Representative:
Bryan Wagner
May 25, 2005 Bryan Wagner
All enclosed drawings are in alpha-numerical order
Client
Project
Mitchell's Building Supply Esteman 24'x34,
0 f
:r
Office Phone:
1'
Site Phone:
LOffice
Office Fax:
f
0 f
Site Contact:
PI
Plan/Elevation.
Plan/Elevation:
n
LEE
Floor Syste;;-�o 0 Original Submittal Lry
Roof System: 0 Complete Revision
0 Partial Revision: Replaces individual drawings
Work
ork Order # 0301203
0 Addition: Add to Original Submittal
0
qt
N
34-0
34-0
0
N
ROOF 1.1 n 3D Lay c
dRs t amca rl 24 X 34
SALES REP BW
DUE DATE :
WO# 0301203
M1tchells Building Supply
DSGNR/CHKR BW / BW
Date 5/24/2006 5:51
TC Live 30.00 p4£
DurFac-Lbr 1.15
II IL��JILJI
�111u11�
IIIui�\\\JI IIII IIIUIII
U
TC Dead 14.00 p ry f
Du r F a c - P 1 t 1.15
IIII
U////�\V\
U L J
BC Live 0.00 p4f
O.C. Spacing 24.0
HC Dead 7.00 p4f
Code UBC -97
ISYS t e m
s
-
Total 51.00 p4f
#Tr/#Cfg : 18 / 0
lzrdlln��l
Job Name: Esteman 24'x 34'
Truss ID: B1
Qty: 14
BRG X -LOC REACT SIZE REQ'D 6C 2x4 DFL#1
M1
Platinggspec THE COMP - 1995
THIS IS THE COMPOSITE RESULT OF
U�Supporrt�1 -36 lb
1 0- 1-12 1488 3.50" 1.59"
2 23-10- 4 1488 3.50" 1.59" WEB 2x4 DFL STANDARD
VALUES PER ICBG RESEARCH REPORT #1607.
MULTIPLE LOAD CASES.
MULTIPLE L
IF HANGERS ARE INDICATED ON THIS IX(AW3NG,
Support 2 36 16
This truss is designed using the
BRG REQUIREMENTS Shown cine based ONLY PLATE
Loaded for 10 PSF non -concurrent BCLL.
THEY ARE BASED ON 1.5" HANGER NAILS FOR
1 AND 3" HANGER NAILS FOR MULTI -PLY
UBC -97 Code.
Bldg Enclosed . Yes, Importance Factor - 1.00
on the truss /waterier/ at each bearing PLATING BASED ON GREEN LIMBER VALUES.
-PLY
GIRDERS. IF 2.5" GUN NAILS ARE USED THE
Truss Locatloq . Not End Zone
MAX DEFLECTION (5 an) :
L/999 MEM 7-8 (LIVE) LC 1
HANGERS MUST BE RE-EVALUATED (BY OTAERS).
Hurricane/OceAn Line . No E%.Category - 8
Bldg Len?th - 24,00 ft 81 dg Width 20.0 ft
L= -0.15" D= -0.13" T= -0.28"
Mean coo height . 22.i6 ft, uph 80
UBC Standard Uccupancy, Dead Load - 12.6 psf
CRITICAL MEMBER FORCES:
TC COMP.JOURTENS. WR. CSI1-2
-29481.15 / 76 1.660.56
1.6FO0 0.554-5
3-4 -25591.1
-29481.15 / 76 1.60 0.56
BC cow .<WR.)/ TENS. WR. CSI
6-7 -31(1.60)/ 2738 1.15 0.62
7-8 / 17 5 1.15 0.42
8-9 -31(1.60)/ 2738 1.15 0.62
y�8 CQ4P.(WR. / TENS. WR. CSI
2-7 -566(1.153/ 79 1.60 0.10
% 1.15 0.34
3-8 764
4-8 -566(1.15)/ 79 1.60 0.10
HOMEWOOD
® TRUSS
4445 Northpark Dr. 80
Colo Springs, CO 907
TRUSPLUS 6.0 VER: T6.5.2
6-2-0
6-2-0
5-10-0 5-10-0 6-2-0
12-0-0 17-10-0 24-0-0
12-0-0 12-0-0
1 2 3 4
4.00 -4.00
4-4
t
4-11-11
SHIP
0-3-13
131 B2
W:308 W:308
R:1488 R:1488
-36 LI 36
24-0-0
~-�
6 7 8 9
8-0-0 _ 1 8-0-0 8-0-0
8-0-0 16-0-0 24-0-0
WARNINGRead all notes on this sheet and give a copy of it to the Erecting Contractor.
This design is for an in6Ndual hulling congonent not tons system. w hes been based on specifcMions prminied by the mnponma menulaaurer
and done in accordance with the current oasiass of TPI and AFPA design standards. Mb responsibility Is assumed for dimensional aauacY. Dimasiors
are to be verified by the component marxdeclurer aldror buik8ng designer prior to fatxiralion. The building designer must asmten that the beds
Wind on this design meet or exceed the loading irtlposed by the local building code and the pamicula application. The design assumes that the top chord
is lalwagy braced by the root m Icor sheathing and the bottom chord is laterally diced by a raid sheathing material direly adaded, unless otherwise
noted. Bracing shown is for lateral support of arrponeras members only to reduce buckling Won. This component shall not be placed in any
ernAronnernt that will cause the moisture content of the wood to aceed 19%andfor cause connector plate corrosion. Fabricate, handle. install
and brow this toss in accordance with the following standads:'Joint and Cutting Detail Reports' available as output from Tmswal softest,
'ANSt(M 1'. WTCA 1' - NMod Truss Coundl of America Standard Design Resporribiities.'BULDINO COMPONENT SAFETY IMFOF7MAT10M7 -
(BCSI 1.03) and'BCSI SL MARY SFEETS by WTCA and TPI. The Truss Plate Institute (M) is bated at 583 D'Onobio OrNe. Madison.
Vdsconsin 53719. The American Forest and Papa Association (AFPA) is located at 1111 191h Brea, WW, Ste 800, Washington, DC 20036.
5/24/2006
Cust: Mitchells Building Supply
W0: Drive_T_0301203_L00005_100001
Dsgnr: BW #LC = 16 WT: 126#
TC Live 30.00 psf L i v e D u r L=1.15 P=1.15
TC Snow 0.00 psf SnowDur L=1.15 P=1.15
TC Dead 14.00 psf Rep Mbr Bnd / Comp / Tens
BC Live 0.00 psf 1.15 / 1.00 / 1.00
BC Dead 7.00 psf O.C.Spacing 2- 0- 0
Bldq Code: UBC -97
L/240
Job Name: Esteman 24'x 34'
Truss ID: BG
Qty: 2
CRITICAL MEMBER FORCES: TC 2x4 DFL #1
Platingg sppeec : ANSI//TTPpI - 1995
THE CQ4POSITE RESULT OF
This truss i; designed using the
UBC -97 Code.
4 DFL #1
BC 2xI
GBL BLK 2x4 DFL STANDARD
PLATE VALUES PER ICBG RESEARCH REPORT #1607.
THS DESI(N IS
MULTIPLE LOAD CASES.
IF !ANGERS ARE INDICATED ON THIS•DRAWING,
Bldg Enclosed . Yes, Importance Factor - 1.00
Truss Locatlbn - Not End Zone
Loaded for 10 PSF non -concurrent BCLL
Ma use adeeqquate staples for gable blocks.
THEY ARE BASED ON 1.5" HANGER NAILS FOR
1 -PLY ANO 3" IANGER NAILS FOR MULTI -PLY
2.5" GUN NAILS ARE USED THE
Hurricane/Ocean Line - No ExD Category - 8
Bldg Length � 24.00 ft Bldg Width = 20.00 ft
Mean roof height 22.16 ft, mph 80
BUILDING DESIGNER MUST VERIFY CABLE LOADS!
(+ gable bracing reuired 0 58" intervals,
j
GIRDERS. IF
HANGERS MUST BE RE-EVALUATED (BY HERS).
PLATING BASED ON GREEN LUMBER VALUES.
-
UBC Standard Dccupancy, Dead Load = 12.6 psf
i exposed to wind oad applied to face.
See "General Gable Details , C002065035.
#LC = 16 WT: 158#
1
4-3-13
1=
0-3-13
i
04 04
4-0-0
12-0-0 112-0-0
1 2 3 4 5 6 78 9 101 12 13 14 15 16 11
4.00
3-4
-4.00
24-0-0
X18 19 20 21 22 23 2485a 287 c28g29`oo330031o320 333 o
o
44-0-0 MT N 1 N 1 N
4-0-0
TYPICAL PLATE: 1.5-3 OVER CONTINUOUS SUPPORT
t
4-11-11
SHIP
2
0-3-13
Trueport
! i ,1:nn apes are 20 a. unles�sd� as g (hawr9a e ShiR a Z, stud �Ia .s o�av�ad �o pPiai with Mnn�cture!paaes rw al -isle).
Circ p ares a fa se frame pates are p
a01
L 4/ L U U b
ARN N Read aii notes on this sheet and give a copy of it to the Erecting Contractor.
Cust: Mitchells Building
Supply
This design is for an Individual Wilding component not Muss system it has been based on spetl8cetions prodded by the component manufacturer
W0: Drive—T-0301203-1-00005100001
®
and done in accordance with the Parent versions of TPI and AFPA design standards. No responsibility is assumed for dimensional accuracy. Dimensions
Dsgn r : BW
#LC = 16 WT: 158#
are to he verified by the component manufacturer and/or Wilding designer prior to fabrication. The building designer must ascertain that the bads
TC Live
30.00 psf
Li veDu r L=1.15 P=1.15
ed the loading Imposed by the l Wilding code and the particular application. The design assumes That the top chord
diftued on this design meal or meloca
HOMEWOOD
is laterally braced by the roof or floor sheathing and the bottom chord is laterally braced by a rigid sheathing material directly attached, unless otherwise
TC Snow
0.00 psf
SnowDu r L=1.15 P=1.15
noted. Bracing shown is for lateral support of components members only to reduce buckling length. This component shall not be placed in any
TC Dead
14.00 psf
Rep Mb r Bnd / Comp / Tens
® TRUSS
environment that will cause the moisture content of the wood to exceed 19% and/or rause connector pale corrosion. Fabricate, handle, install
BC live
0.00 psf
1.15 / 1.00 / 1.00
444 S Northpark Dr.
Colo Springs, CO 80907
and brace this truss in accordance conn Ina slowing standards: earn and caning Detait Reports amiable as output from Truswal software,
'ANSIfrPI 1', WrCA V. wood Truss council of America Standard Design Responsibilities. WILDING COMPONENT SAFETY INFORMAno" .
BC Dead
7.00 p sf
0. C . S aci n p g 2- 0- 0
(BCSI 1-03) and Ir -SI SUMMARY SHEETS' by PTCA and TPI. The Truss Rate Institute (TR) is located at 583 O'Onof to Drive, Madison,
TRUSPLUS 6.0 VER: T6.5.2
VNsconsin53719. The American Forest and Paper Association (AFPA)islocated at11111gin Street, NW, Ste 8W,Washington, DC20036.
Bldg Code:
UBC -97
DEFL RATIO: L/240 TC: L/24
California Department of Forestry and Fire Protection
Butte County Fire Department C
Fire Safe Requirements
Permit# 04 - /3 /-Z.,/ D
Under authority of Public Resources Code Section 4290, the following checked items are required by CDFButte
County Fire Department and made part of this permit, These requirements are minimums and may be superseded by L`
Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will j'
make compliance inspections.
1272.00 Maintenance of Defensible Space Measures
[X] To ensure continued maintenance of properties in conformance with these standards and measures and to
assure continued availability, access, and utilization of the defensible space provided for these standards
during a wildfire, provisions for amoral maintenance shall be included in the development plans and/or
shall be provided as a condition of the permit, parcel or map approval. Public Resources Code 4291 j
information will be provided. 1
1273.10 Driveways
[X] (a) All new driveway construction or an extension of an existing driveway shall comply with Public
Resources Code 4290 roadway requirements.
[X] (b) All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
[X] (c) Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the
midpoint of the driveway. Where the driveway exceeds 800 feet, turnouts shall be provided no more than D
400 feet apart
[X] (d) A turnaround shall be provided to all building sites on driveways over 300 feet in length, and shall be
within 50 feet of the building.
1273.02 Roadway Surface
[X] The surface shall provide unobstructed access to conventional drive vehicles, including sedans and fire
engines. Surfaces should be established in conformance with local ordinances, and be capable of supporting
a 40,000 pound load. 4" of class 2 aggregate base shall be required for all driveways, turnouts, and T T
turnarounds. v
1273.03 Roadway Grades I
[X] The grade for all driveways shall not exceed 15 percent. Grades above 15% shall have 4" of class 2 1
aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%.
1273.04 Roadway Radius R
[X] (a) No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface
width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. E
[X] (b) The length of vertical curves in roadways, exclusive of gutters, ditches, and drainage structures
designed to hold or divert water, shall be not less than 100 feet. M 1273.05 Roadway Turnarounds
[X] Turnarounds are required on driveways and dead-end roads as specified in this article. The minimum
turning radius for a turnaround shall be 40 feet from the center line of the road. If a hammerhead -T is used,
the top of the "T- shall be a minimum of 60 feet in length N
1273.06 Roadway Turnouts 1 ,
[X] Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end.
T
S
Revised 02/28/06
1273.07 Roadway Structures
[X] (a) All driveway, road, street, and private lane roadway structures (Bridges, culverts, and other appurtenant
structures which supplement the roadway bed or shoulders) shall be constructed to carry at least the
maximum load and provide the minimum vertical clearance as required by Vehicle Code Sections 35550,
35750 and 35250.
[X] (b) Appropriate signing, including but not limited to weight or vertical clearance limitations, one-way road
or single lane conditions, shall reflect the capability of each bridge.
[X] (c) A bridge with only one traffic lane may be authorized by the local jurisdiction; however, it shall provide
for unobstructed visibility from one end to the other and turnouts at both ends.
1273.11 Gate Entrance
[X] (a) Gate entrances shall be at least two feet wider on both ends then the width of the traffic lane(s) serving
that gate.
[X] (b) All gates providing access from a road to a driveway shall be located at least 30 feet from the roadway
and shall open to allow a vehicle to stop without obstructing traffic on that road.
[X] (c) Where a one-way road with a single traffic lane provides access to a gated entrance, a 40 foot turning
radius shall be used.
1274.08 Addresses for Buildings
[X] All buildings shall be issued an address by the local jurisdiction which conforms to that jurisdiction's
overall address system. Accessory buildings will not be required to have a separate address; however, each
dwelling unit within a building shall be separately identified.
1274.09 Size of Letters, Numbers and Symbols for Addresses
[X] Size of letters, numbers and symbols for addresses shall be a minimum 3" letter height, 3/8" stroke,
reflectorized, contrasting with the background color of the sign.
1274.10 Installation, Location and Visibility of Addresses
[X] (a) All buildings shall have a permanently posted address, which shall be placed at each driveway entrance
and visible from both directions of travel along the road. In all cases, the address shall be posted at the
begimiing of construction and shall be maintained thereafter, and the address shall be visible and legible
from the road on which the address is located.
[X] (b) Address signs along one-way roads shall be visible from both the intended direction of travel and the
opposite direction.
[X] (c) Where multiple addresses are required at a single driveway, they shall be mounted on a single post.
[X] (d) Where a roadway provides access solely to a single commercial or industrial business, the address sign
shall be placed at the nearest road intersection providing access to that site.
1276.01 Setback for Structure Defensible Space
(a) All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory
buildings from all property lines and/or the center of the road.
[ ] Your parcel is larger then 1 acre but your minimum setback for buildings and accessory buildings is less
then 30 feet from all property lines and/or the center of the road. You are required to meet the same
practical effects requirements listed on page three.
[ ] (b) For parcels less than 1 acre, the local jurisdiction shall provide for the same practical effect. See page
three for same practical effect requirements.
Revised 02/28/06
Same Practical Effect for Buildings less then 30 feet from property line:
[ j If the Building Setback is less then 30 Feet from all property lines and/or the center of the road, the
following shall be required;
• Class A roof
• Fully enclosed eaves on entire structure
• Fire rated metal doors on side toward property line with insufficient setback
• Siding on entire structure from the following list:
(a) Stucco -3 coat
(b) Non combustible Hardi Board, Plank or similar tiding
(c) Masonry
(d) Metal
(e) Other Butte County Fire Department approved materials
1276.02 Disposal of Flammable Vegetation and Fuels
[X] Disposal, including chipping, burning or removal to a landfill site approved by the local jurisdiction, of
flammable vegetation and fuels caused by site development and construction, road and driveway
construction, and fuel modification shall be completed prior to completion of road construction or final
inspection of a building permit.
Other Requirements- Installation of Residential Fire Sprinklers
[XI If your property was part of a parcel split after January 1, 1991, you are required to install residential fire
sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required.
jUN 0 7 2006
Date
Revised 02/28/06 3
Darren Read
Fire Protection Planning
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