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HomeMy WebLinkAbout027-060-006BUILDING CODE VIOLATION, 3WD'Y LETTER � t AP 27 -06 - Delmer G. Weseman 6975 Upper Palermo Rd., Oroville r (SEE LETTER RE HOUSING INSPECTION) 27-06-6 Permit #1496-79B(demoli,ion/SF) 27-06-6 V/M z 6 . .Permit# 95 7 P,E(util.,MH) ELEC.. � GAS_ �% u % 9 SUPPORT STRUCTURE EE2. lVb COMPACTION TEST REQ. A&::, to, q11el,4 X27-06-6 Cgntr : Wilson' MH, Oroville•" P rmit ##1987 79MHI Issued -- Z:) -- %�� 27-06-06 027-060-006 PERMIT#98-0354 CARRILLO, Jesus A. 6977 Upper Palermo Rd., Palermo Cont: Integrity Homes, Inc. MHI-2nd Dwelling 11(WG /-al- -7 f AUGUSTIN CARRILLO 6975 Upper Palermo Rd, Palermoz027-060-006 PERMIT # 98-0376 Permit#3662-86MHI ��/� 'JESUS CARRILLO Issued- - g!--,# �[� _ 6977 UPPER PALERMO ROAD, PALERMO `--� DEMO 434 SQ. FT. 027-060-006 PERMIT#98-0353 CARRILLO, Jesus A. 2- 9?f 6977 Upper Palermo Rd., Palermo Cont: Integrity Homes, Inc. MH Util-2nd Dwelling FG ECTRIC OZp D 9GI SPACTION TESTPORT STRUCTURE REO 027-060-006 05-0207 �:AR{LLO, JESUS 6475 UTPER PALL~ RA40, PALERMO CONT: SIERRA .i\*{S /J EX MH PERM' FND JC U 0 COPY of Document Recorded 16 -Feb -2005 2005-0009177 RECORDING REQUESTED BY: Has not been compared vith original BUTTE COUNTY RECORDER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JESUS A. AND OFELIA P. CARRILLO REAL PROPERTY OWNER/LESSOR PO BOX 33 MAILING ADDRESS PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP 6975 UPPER PALERMO RD. INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-0207 530 538-7541 BUILD PERMITNQ. TELEPHONE N MBER SiG ATURE OF LOCAL G NCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO CHAMPION HM BLDRS 1997 IL6442 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER 09986448992A/B 40'X 23'4" TRA392380/1 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 027-060-006 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. MOI I'M III I'. k1„II'It Ii F\ xiz \\II \\ 111 \ Itl (I lI(I11 I1 \I \II I I II\ 111 1 11 \♦I I I N. I \\.1111112\\I\I \I \11 \11 \'I\ 111 4-02187;2: i cu. t.. •'., , : ; i f� Rec Fee 6.00 ! • t n r . n: , , l ' I DOC 71.50 �)^�'^'�• r r Recorded I Check 77.50 Official Records I Ccunty of 1 Butte I I\c'ult\c\tl ao�?1-P.; Candace J. Grubbs I Il Il OunIR\tl ..._--_-- I Recorder I 1 8:00am 23 -Kay -94 1 BCTC MD 1 Cj'R-A- D NT DEEThe undcr\igtncd grantorh) dt,darn'(\) 1),wumcniarytran\fcrla\i\C "1.50 A.P.N.'''027 060-006 I Y.Y. 1 omillu!ed on lull \aluc of pnlperl\ convewd, or 1 ) computcd on fill \'alnc Ic\\ \a;uc (if lien and cncumhranc•cc remainingal time (if \alc. (i;);)Uniiivorpora;cdaica: ( ) Citi, III Palermo I OI( A VALUABLE CONSIDFRATH )N, rcccipl of twhich is herchy acknowledged t,qustIn Carrrllo, an u:,marr:ed man who acquired title as Augustin Carrillo hcrchy GRANT(S) to 1 -nun A. Carril r- and c'.`• lia P. Carrillo, husband and wife as joint Tenants [he following described realpropcnyiii the unincorporated area of Palermo Count\' of Butte , Stalc (if Calikirnia Lot 2 in block. 85 of Subdiv;s;or. Ito. 1 of the PalPrmo Citrus Tract, as,sho'rn on chat certain map entitled, "MAP OF PX.LERMO AILD SUIDIVISIONS 1 A`lD 2, WITH ADDITION TO NO. 1 OF THE PALERI.10 CITRUS TR1,CT", which map was filed in tl,� office of the Recorder of the County of Butte, State of California, Stept,ember 17, 1888. Dated May 1^, 1994 SS COU."NOF BULLe ) On %y 10, 199+ .hef„R me liara3ra A. 1+Uf)dward \r,lan I'ul•hc. rt'nnnall\ appcnrrd Agustin GlrriIlu Pcnunall\ An—m I„ me (or rn,+'cd ht me .m the ha+u ul s.n!J a,,m e+idenrel to he the rc, ,m(+) uhnsc n.tmc(+; I+l.uc s0—rihed I., the %ith,n tn+numcn, and •,*kn—IcdgvJ h, me Ihm hc'+hc 0W% c,11101t'J the same In h—lict'Ther adh,vveJ tap.,, u\nc+1...nd IhJ1 ht hi\ hit Ihrn slgnalurc(+I „n the m.trumcnl Iht it tht citim ut\m t1ch4ll ,d h,.h the (`t'n,mL1.,.wd cu'Imcd Ihl marunu,m \1'I I \1 \\ m\ hand end .dl.,..,I —I "!e eel,< F Ag'ustin Carrillo `' F �+y y @ABdARA Il W000'NAW 10 comm. r 1010511 nOTurrcc uty �t carcn 4pru oOOc 7,1997 � I k nl� r*in or nnCUMENT RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 CORY of Document Recorded 03 -Feb -2005 2005-0006888 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. COVENANT FINANCIAL CORP. REAL PROPERTY OWNERILESSOR PO BOX 490 MAILING ADDRESS KAYSVILLE UT 84037 CITY COUNTY STATE ZIP 2574 ORO GARDEN RANCH RD. INSTALLATION MAILING ADDRESS. IF DIFFERENT OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE UNKNOWN MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-00 530 538-7541 BUILD G PERMIT NO. i TELEPHONE NUMBER SI URE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE') NONE DEALER LICENSE NO. KINGSTON 1979 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GW 12CALKGR0632A/B 44'X 24' CAL174169/70 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 036-101-062 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PfNK - Applicant GOLDENROD- Building Dept. WHEN RECORDED MAIL TO Name Covenant Financial Corporatio Street Address PO Box 490 city state L Kaysville, UT 84037 :ip IIIIIIIIIIIIIIDIIIIIIIIIIIIIIIIII 2t)QtiZ—��084 7'3 Recorded I REC FEE 10.00 Official - Records I PENALTY 6.00 County Of I BUTTE 1 CANDACE J. GRUBBS I ROSETARYrder DICKSON I Assistant I Vickie 01:06PM 20 -Feb -2002 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE -0- , R & T Code 11911 DOCUMENTARY TRANSFER TAY,; --. - Conveyance where thell.enS 0 COMPUTED ON FULL VALUE OF PROPERTY CONVEYED, OR and considerations are Cdl COMPUTED ON FULL VALUE LESS LIENS d ENCUMBRANCES and c Or more than the REMAINING EON SALE w value of the property and C(jj no further consideration Signature of declarant or agent determining tax • firm name .. .. 4a!wcor t.d_._ 1 ...__..- ... _.... .... ___ ..._._.—..-..._.-. _-._&ti_OEr:_-`. . t_�(y'� pore. s ven_.:_.��_ APN 036-101-062-000 1 Grant Deed THIS FORM FURNISHED BY PACIFIC LAND TITLE COMPANY FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Central California Realty Investors, a California limited partnership hereby GRANT.s..... to Covenant Financial Corporation, a California corporation the following described real property in the County of, Butte , State of California: The East 105.0 feet of the North 264.0 feet of the East 230.0 feet of Lot 3, in Block 23, as shown on that certain Map entitled, "MAP OF VILLA VERONA, BUTTE COUNTY, -CALIFORNIA", which Map was filed in the Office of the Recorder of tiNt.County of Butte, -State of California, on January 17, 1889. Dated:January 11, 1995 STATE OF CALIFORNIA, l COUNTY OF SAN 1�ftA(�Cta,✓ }SS. 0.+ before me, the under- signed, a Notary Public in and for said County and State. per- sonally appeared known to me to be the person—whose name.subscribed to the within instrument and acknowledged that executed the same. W I'fW:�� n }• hand 'slid oTeia, seal: signatlln Notary Public. State of California not Central California Realty Investors, a California limited partnershi Richar E. Hammars - Mail Tax Statement To: Covenant Financial Corporation PO Box '490• Kaysv.i-lle, -UT 84037 RECCfRDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 c 90IZIS-1010¢i�:-) 1 -7i Recorded Official Records County Of BUT CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 10:0EAM 16 -Feb -2005 REC FEE 10.00 CONFORM 1.00 Jason Page 1 of SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JESUS A. AND OFELIA P. CARRILLO REAL PROPERTY OWNER/LESSOR PO BOX 33 MAILING ADDRESS PALERMO BUTTE CA 95968. CITY COUNTY STATE ZIP 6975 UPPER PALERMO RD. INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE _ MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-0207 530 538-7541 BUILDI PERMIT NC TELEPHONEN MBER /-,5 SIG ATURE OF LOCAL XGtNCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE 1\10. CHAMPION HM BLDRS 1997 IL6442 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAM&NUMBER 09986448992A/B 40'X 23'4" TRA392380/1 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 027-060-006 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK -Applicant GOLDENROD • Building Dept. • Mtl tIMnl\I. MI .!11 .11 I. R+ 94-2!872 1 6.00 71.50 77.50 MD 1 A.P.N. ' • • 0-' 060- 006 1 >:?: i cumpu!cd nn lull \:dur n1 pnq\;•rh ion\'c\•r(I, or ( 1 computed on (till +ahu• Ic\\ \a;uc of licm ;Ind cncumhran(-ce remaining al time of \ale. (XX ) I'ninrot'pora!id atc:c ( t0tcit[ Palermo I Ok A VAU:A111.17 ('ON`ilDF RA1'IO\, receipt (if which is hcrchv acknowlCdl(Cd Actl::tin CarI-iI o, an uanar13ed man who acquired title as Augustin Carr_llo herch\. MZANT(S) to \^au:: A. Carril:c and of-•I:a P. Carrillo, husband and wife as ,.cine Tenants the following dcscribedri:dproper(gill lhc unincorporated a_ea of Palermo CounlY of Butte , SI;IIC I,( (•.difnrnia Lot 2 in Block. 85 of Subdivisior. Pio. 1 of the Palermo Citrus Tract, as shown on that certain map entitled, "MAP OF PA.LERMO IaM SUADIVISIONS 1 APID 2, WITli F•-DDITION TO NO. 1 OF TRI: PALERMO CITRUS TRIX ", which map was filed in the office of the Recorder of the County of Butte, State of California, Stept,ember 17, 1888. Dated May 10, 1994 \I.\'II ()I CAI.II'(ih\L\. i \ti 0W.MNOP BULLe I tin �tly )U, 199" hc(nrc me liiramra A. \titan Puhhc. pcnl+nail+ appcar-.d T ustin Cirri Ho rem-nalh 1m+v.n w me (tv pn++rd h+ me — the ha+u ,d s:h�4nnn c+idenrcl h, be the ran„n(+) whn+c name(st 1+'atc .uh+cnhrd I•, the ruthm m+rtumrn+ and A,-kn—lcdgvJ hi me Thal hc'%h( Ihr, c%,,ulcJ the +amc to h—hcr'Ihcrr aulh—vcJ .nr\e thnc,l .—I Out I•t ht. hit Ihc.t vYnal urc!+1 on the m+irumVnl Iht Iw'n,+til+t .,I tht cnnl+ ur\,n hrhall til %huh the per\.,niti.,.wd cv,ult'J in, rn,lruminl wl t \1 \1 m+ hand end MI—A ,..d ( r I / Agustin Carrillo -�.�. Carm.lU►U511 14 all r*in or nnCUMV4T \\tI \C III \ III ( I lit I)I II \t \11 I I II\ I II 11, \\I, I \!I 10-11111 nN l\I \t 111\\ \ It: Ill\\ '0\11 I %\ \ 1 \I I \t! VIN I I I //'' p ^'� �I 9 4—x,1//'''�� rug 1— 1'.\+ 1 ; : i 2 18 2 ( Rec Fee •'!•`: is P. 11 - I DOC %�I^1'm'�•%, "'"` Recorded I Check Official Records I Ccunty of I Butte I I\('li(I\\'\n 6n'�II-P4: CandaceJ. Grubbs M)I III'I I ()I(III R l Re Recorder I _�—_--� 8:00am 23 -May -94 BCTC RANT DEED C -Y The undcr\i�ncd grantor(\) dcclanv(\1: I)r,rumcniar\' Iran\fcr t;I\ i\ S •) c0 6.00 71.50 77.50 MD 1 A.P.N. ' • • 0-' 060- 006 1 >:?: i cumpu!cd nn lull \:dur n1 pnq\;•rh ion\'c\•r(I, or ( 1 computed on (till +ahu• Ic\\ \a;uc of licm ;Ind cncumhran(-ce remaining al time of \ale. (XX ) I'ninrot'pora!id atc:c ( t0tcit[ Palermo I Ok A VAU:A111.17 ('ON`ilDF RA1'IO\, receipt (if which is hcrchv acknowlCdl(Cd Actl::tin CarI-iI o, an uanar13ed man who acquired title as Augustin Carr_llo herch\. MZANT(S) to \^au:: A. Carril:c and of-•I:a P. Carrillo, husband and wife as ,.cine Tenants the following dcscribedri:dproper(gill lhc unincorporated a_ea of Palermo CounlY of Butte , SI;IIC I,( (•.difnrnia Lot 2 in Block. 85 of Subdivisior. Pio. 1 of the Palermo Citrus Tract, as shown on that certain map entitled, "MAP OF PA.LERMO IaM SUADIVISIONS 1 APID 2, WITli F•-DDITION TO NO. 1 OF TRI: PALERMO CITRUS TRIX ", which map was filed in the office of the Recorder of the County of Butte, State of California, Stept,ember 17, 1888. Dated May 10, 1994 \I.\'II ()I CAI.II'(ih\L\. i \ti 0W.MNOP BULLe I tin �tly )U, 199" hc(nrc me liiramra A. \titan Puhhc. pcnl+nail+ appcar-.d T ustin Cirri Ho rem-nalh 1m+v.n w me (tv pn++rd h+ me — the ha+u ,d s:h�4nnn c+idenrcl h, be the ran„n(+) whn+c name(st 1+'atc .uh+cnhrd I•, the ruthm m+rtumrn+ and A,-kn—lcdgvJ hi me Thal hc'%h( Ihr, c%,,ulcJ the +amc to h—hcr'Ihcrr aulh—vcJ .nr\e thnc,l .—I Out I•t ht. hit Ihc.t vYnal urc!+1 on the m+irumVnl Iht Iw'n,+til+t .,I tht cnnl+ ur\,n hrhall til %huh the per\.,niti.,.wd cv,ult'J in, rn,lruminl wl t \1 \1 m+ hand end MI—A ,..d ( r I / Agustin Carrillo -�.�. Carm.lU►U511 14 all r*in or nnCUMV4T STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ►NG 14, Division of C6des and Standards • u p0 O all Z 3G�'0 Title Search Y DEQ Date Printed : 01/26/2005 Decal #: LAY7215 Use Code: SFD Manufacturer: CHAMPION HOME BUILDERS COM Original Price Code: AJQ Tradename: INFIINITY Rating Year.: Model: IL6442 Tax Type: LPT Manufactured Date: 12/09/1997 Last ELT Amount: Registration Exp: Date ELT Fee Paid: First Sold On: 12/12/1997 ELT Exemption: NONE Serial Number 09986448992A 09986448992B Registered Owner: HUD Label / Insignia TRA392380 TRA392381 Length Width 40' 111811 40' 111811 JESUS CARRILLO OFELIA CARRILLO (Joint Tenants with Right of Survivorship) 6975 UPPER PALERMO RD PALERMO, CA 95968 Last Title Date: 11/10/1998 Last Reg Card: 11/10/1998 Sale/Transfer Info: Price $33,200.00 Transferred on 12/12/1997 Situs Address: 6975 UPPER PALERMO RD PALERMO, CA 95968 Situs County: BUTTE Legal Owner: GREEN TREE FINANCIAL SERVICING CORP 7360 S KYRENE ROAD T-324 TEMPE, AZ 85283 Lien Perfected On: 12/29/1997 15:55:44 * * * END OF TITLE SEARCH r BUILDING PERMIT NUMBER: 05-0207 Address or location of unit: 6975 UPPER PALERMO RD., PALERMO, CA 95968 Legal Description of Real Property: AP#: 027-060-006 (x) Mob ilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: JESUS A. AND OFELIA P. CARRILLO Owner's address: PO BOX 33, PALERMO, CA 95968 �f�.�[!4`���1_� ��i7�`�li�u�:T�� �7�Tci' ► �:�0f_I SERIAL NUMBER OR V.I.N.: 09986448992AB MANUFACTURER'S NAME: CHAMPION HMS YEAR: 1.997 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C FOUNDATIONI SYSTEM . CERTIFICATiE:OF-:OCCUPA.NCY BUILDING PERMIT NUMBER: 05-0207 Address or location of unit: 6975 UPPER PALERMO RD., PALERMO, CA 95968 Legal Description of Real Property: AP#: 027-060-006 (x) Mob ilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: JESUS A. AND OFELIA P. CARRILLO Owner's address: PO BOX 33, PALERMO, CA 95968 �f�.�[!4`���1_� ��i7�`�li�u�:T�� �7�Tci' ► �:�0f_I SERIAL NUMBER OR V.I.N.: 09986448992AB MANUFACTURER'S NAME: CHAMPION HMS YEAR: 1.997 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C 4 NOTES RESIDENTIAL PERMIT NO. 027-060-006 05-0207 CARILI..O, IrSUS t -UPPER PALERMO, PALERMO CONT: SIERRA MHS EX.MH PE164 F'ND SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER TP TO r t 33�1 39.3&0 JOB FINALED (Date) Signature t I I r � -r oi. a r RESIDENTIAL PERMIT NO. 027-060-006 05-0207 CARILI..O, IrSUS t -UPPER PALERMO, PALERMO CONT: SIERRA MHS EX.MH PE164 F'ND SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER TP TO r t 33�1 39.3&0 JOB FINALED (Date) Signature J=(?K ^ 0 = Not OK . = Not Readyable ' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements-Setbacks-Easements Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch. 6. 3. Sewer; Location-Test-Fall-C/0-Concrete Electric 4. Water; Location-Test-Easement Needed (Sketch) 7. 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 6. Gas; Location-Test-Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Footings; Size-Spacing-Marriage Line 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances 5. Drain; MH Test-Fall-Flex Connector 6. Water; MH Test-Regulator-Connector 7. Water and Sewer Connected-C/O to Grade-HD Approval 8. Gas and Electricity Tagged 9. Tie Downs-Type-Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements-Setbacks-Easements 2. Footings; Size-Spacing-Marriage Line 3. Blocking 4. Gas; MH Test-Demand-Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable s = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped _ 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 58. 11. Water Pipe; Test -Anchors -Regulator -Service Test 59. 12. Electric Underground 60. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 61. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 62. 15. Access & Ventilation 63. 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 65. 17. Water Htr.; Vent -Access -Combustion Air Baffle 66. 18. Water Pipe; Test & Anchor -Nail Protection 67. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 68. 20. Shower Pan; Test, First Floor -Tub Access 69. 21. Test Tub & Shower, Second Floor -Tub Access 70. 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 79. 27. Romex Installed Close to Edge of Studs & C.J. 80. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 81. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 82. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 83. 32. Service -Riser Conductors & Ground Main Disconnect 84. 33. Equip. Clearances Panels-Motors-Mech. Equip. 85. 34. Clothes Closet Light -Shower Light -Spa Light 86. 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date Ventilation Throughout House Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 94. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 95. 40. Attic Access & Platform if Furnace in Attic Date Fire Sprinkler Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Comments at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: RgTTE COUNTY DEPARTMENT -OF DEVELOPMENT SERVICES PUI�DING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE; www.buttecounty.netldds 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 affect. - 6 e(76 3 fC License Class : License NJ Date: 6 Contractor: d OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any cfly or county which requires a permit to construct, alter, Improve, demolish; or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter g. commencing with Section 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 five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Lew does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ 1, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdsslons Code. The Contractors' State License Law does 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 • 1. I hereby affirm under penally of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for, workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 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'�`�� Policy ❑ 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 with those provision . Date: 3 6 Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000). In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code; interest, and attorney's fees. CONSTRUCTION LENDING AGENCY 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.) Name: Address: PERMIT NO. BPO50207 . Issued Date: 02/03/2005 APN: 027-060-006-000 Site Address: 6975 UPPER PALERMO RD PAL Map Index: Description: EX MH ON PERM FND Owner: CARRILLO JESUS A & OFELIA P P 0 BOX 33 PALERMO, CA 95968 Applicant: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 Contractor: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 . 530-534-0599 "li6ense #: 470386 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: to do PERMIT EXPIRES ON:� . 4 1 9306 417392 stons of the Bufle County Cods AnNor have been paid. 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. III ❑ Notification In accordance with Section 19827.5 of California Health 8 Safety Code.ls 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 Its correct, and than am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentlonad property for Inspection purposes Print Name: f % +',Signature: Date: I ❑ Owner Contractor ; ❑ Agent for Owner O Agent for Contractor t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** OWNER Last NameFirst 6"h P le I L t-0 Name Name - 0 9trC41A Address 697s U10PEK 1A-1—CP i10 20 City l �, AAiV Stated � Zip Phone Fax E-mail Fax APPLICANT SIGNATURE X For office use only: CONTRACTOR Name ,�. 'azoIJ Address a— .-e City No State u` Zip YSf6"6 Phone 5.7-Y 0S9 9 Fax E-mail S 3 q OS G G Lic. # Y765W Class r6 APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address Address City No Stale Zip Phone Slate ��7�31p Fax E-mail S 3 q OS G G State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name�� Flood Zone Cross Street Address I Yes No City C� Subdivision Name Map Slate ��7�31p 9S9E6 Phone S 3 q OS G G Date Approved: Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address G r 7 5� (JlPP� ,e d�%k JAd Flood Zone Cross Street SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP(��I�ZBZ BIN # LOCATION AP# Property Address G r 7 5� (JlPP� ,e d�%k JAd city Ifi�l f Cross Street WORKER'S COMPENSATION Policy Number Yzs� Carrier / If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount ce�� Receipt #: q/ 1�6� - Date: I ez D,� Bldg SRA Sheriff SMIP t dj Other I t Total COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: t�/ f2/C �, �� `�V �/DI-L'G!/t"ASSESSOR PARCEL NUMBER Proposed Building Use: C - N t S f , P C &-5z, M ounter Technician: � Date: ZZ required in order to apply fora permit. All boxes MUST be checked OR marked NA in order to apply.1. Site plans, 3 or 4 sets, signed by the preparer of the 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. ❑ 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. O 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. fAj 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down r nd�all i 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. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑Erosion Control Plan Required........................................................................ ........ 12. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement .........:....................... ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... N 36 Deed Restriction......................................................................................... I j 37.\7 Grant Deed, ❑ M.H. Title/Statement of Facts, O Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the�above items and requirements for obtaining a building permit. 11 Applicant: Date: f i( 1. Index permit application for 'the above items numbered: Plan Check Letter ' items required esigner, owner, was advised of the above data by C�Factor., phone, CD mail, ❑ counter, b Date: esigner, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ coun r y Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: 77 Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER &YZA-1(_L0, , /L(A- PROPROSED BUILDING USE G+^ 1 fi , g—gt S I TV—F4 PAvA RvO 1. BUILDING PERMIT FEES r, Qj G ---Balance Due ..................... $ 7 --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ A.P. # ©`Z� C' 0 06 DATE RECEIPT # DATE REC. 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) _ 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ _ Units Commercial (sq. ftg.)..... X $0.03 = $ _ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checkin ocess. APPLICANT DATE r Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) Vector Dynamics Foundati®n system INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 INDEX PAGE SECTION NUMBER Approval RELEASE DATE MANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED INTRODUCTION 2 9/2/03 GENERAL INSTALLATION 3 9/2/03 PARTS LIST 4 & 5 9/2/03 LONGITUDINAL DEVICES 6 9/2/03 PIER HEIGHTS 7 9/2/03 SET-UP INSTRUCTIONS 8 9/2/03 FOOTER SIZES WIND ZONE I - SINGLE 9 9/2/03 FDOUBLE 10 9%2%03 - TRIPLE 11 9/2/.03 - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 - DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS 16 9/2/03 SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST SUBJECT TO CORRECTIONS NOTED PROVAL DOES NOT AUTHORIZE OR APPROVE ANY ISSIONS OR DEVIATION FROM REQUIREMENTS Of APPLICABLE STATE LAWS AND REGULATIONS Stato of California I =ent YHou8in and Community Devdop==A N DES AND STANDARDS I SPA This P Approval E (Signature) 0sbao7 BUTTE COUNTY Sl3lLDeNG DIV9510fe APPROVED co L co 0 N O M O Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. C\\� Page 2 California 9/2/0� � GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION ' It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 2.1) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE -TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel compression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED . Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California 9/2/03 0 Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. 4- LSD' 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 per system) 4. Tie Bracket (2 per system) No" Cal ON Examples of Possible placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single Section 18 Ft. Max. Wind Zone I Double Section 32 Ft. Max. ' - Forgreater widths use triple Section design. Page 6 Combine Vector Dynamics & LSD Wind Zone I Triple Section Wind Zone I Tag Section i 48 Ft. Max.. California \�`�' 9/2/03 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 it max. rlaximum Unequal Pier Heights Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". Page 7 California`' 9/2/03 �f Set -Up Instructions for Vector System #59018 Long U -Bolts 1. Set Vector Pads 4. Inside brackets & straps Clear all vegatation where pads will rest. Place Attach the inside tie brackets to the U -bolts over a long U -bolt in pad as shown. Press or ham- the compresion member. Attach a strap w/hook mer pad into the ground. or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out - 2. Set Block or piers on pads. side tension bracket. Cut strap 12 - 15 inches Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in pre-cut center compression member between bracket. Tighten strap until tight with 4-5 wraps blocks, resting on pads, centers between U -bolts around bolt. Repeat with opposite strap. as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 Califor < k--, FM 9/2/03 � s{ t o go. zu MO_ Y Long U -Bolts 1. Set Vector Pads 4. Inside brackets & straps Clear all vegatation where pads will rest. Place Attach the inside tie brackets to the U -bolts over a long U -bolt in pad as shown. Press or ham- the compresion member. Attach a strap w/hook mer pad into the ground. or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out - 2. Set Block or piers on pads. side tension bracket. Cut strap 12 - 15 inches Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in pre-cut center compression member between bracket. Tighten strap until tight with 4-5 wraps blocks, resting on pads, centers between U -bolts around bolt. Repeat with opposite strap. as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 Califor < k--, FM 9/2/03 CC] CD O co N k WIND ZONE I, SEISMIC ZONE 4 Vector Dynamics Systems Required for Double Section Homes (Materials Required) 2, doub\e • Y , 1 NOTE: Vector Systems should be spaced as symmetrically as possible along the length of home. Pier spacing must be consistent with manufacturers' instructions and/or state requirements. No anchors required. For pier heights up to 46" for 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. WIND ZONE I 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': • None ('Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' S 0 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils 1 Sound hard rock...... Blow Count (ASTM D2586) NA Soil Test Probe (1) Torque Value (2) NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, pre.loaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 48 and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: _ 16x16 = 256 sq. in. - - - 20x20 = 400 sq. in. _ - or 16x18 = 288 sq. in. " =_ or 17x25=425 sq. in. - - EQUALS - EQUALS 2 -Vector Pads # 59275 - ' - 1 -Vector Pad # 59271 "- - 288 sq.. in, or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent /iste bove. 'Found�En ations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professionar ' kar with site conditons C Page 17 California 9/2/03 14 February 2005 Butte County Department of Development Services www.buttecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING Jesus A. and Ofelia P. Carrillo P.O. Box 33 Palermo, CA 95968 RE: Building Code Violation Location: 6975 Upper Palermo Rd., Palermo, CA 95968 APN: 027-060-006 Dear Jesus A. and Ofelia P. Carrillo: This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location, as follows: Failure to obtain the required permits, inspections and approvals from this office for the construction of four agricultural buildings and a patio cover. Since permits and inspections are required for the above work, please submit three (3).complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) .days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact a Permit Tech in this office at the address or telephone number listed above. Sincerely, Scott Rutherford Chief Building Inspector SR: mjs 027-060-006 PERiMIT # 98-0376 JESUS CARRILLO 6977 UPPER PALERMO ROAD, PALERMO DEMO.434 SQ. FT. tr, 027-060-006 PERiMIT # 98-0376 JESUS CARRILLO 6977 UPPER PALERMO ROAD, PALERMO DEMO.434 SQ. FT. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION / . . 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 0- 007( 11 ASSESSOR PARCEL NUMBER 027-060-006 ' ZONING BUILDING PERMIT OWNER - Fqi 9 rA i7T1 10 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO PA .R?" r QS;Q('R CONTRACTOR'S NAME TELEPHONE ' T Vr J1N4FS TNC ,RTTY CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS I Total Valuation 1 $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Q TIPPER T F P�if) PAT M Energy Plan Checking Fee $ $ PERMIT FEE S 35. 00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF QX Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK I New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other t^t7� Describe Work: DD10 434 SQ FT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home. I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600V OR ES Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i . ) 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, and my license is in full force and effect.POW o �..4 % Lic. No. License Class Y �% �i ��%� (5 ,, OWNER -BUILDER DECLARATION I hereby affirm under penalty of 'perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the, work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BUDS. s0 3.50FT, 1. NEW CONST. MULTI.OUTLET NON-RESID. B ANC CI cu @7.50 3 ER APUS 1 8 SINGLE OUTLETPARATCIR. Ex. OCCU OUTLET OR FIXTURES BAL p 1.50 Ex. Occup. ourLEEDTs RES DOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. `p I have and will maintain worker`s',compensation insurance, as required by Section 3700 of the Labor Code, for the pe"rformance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 0 n f ea %e MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET= $ Policy Number — U3 - fiC 17 (The above sections need not be complete if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work fo whi h this permit is issued, I shall not employ any person in any manner so' as t� become subject to workers' compensation laws of California, and agree that i should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X L at1 i(� �}�,� 1`:�1L. Date %d� ��(__ Sig tan ure�of Applicant - ❑Owner ❑' Contractor Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35. HAZ. D. FEES IMP FLOOD CDF PARCEL PD HO ISSUE Q .// This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. e By (l Date7 (t y -.1 / PERMIT EXPIRES ON ho /t1� 1 086 ReceiptNo. �� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, Qalifornia 95965 - Telephone (916) 538-7541 PERMIT No. (Rey.12/96) APPLICATION AND PERMIT g� Q3Aa ASSESSOR PARCEL NLMBER 027-060-00ZONING � BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE ' INTEGRITY HOMES TNC_ CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS UPPER P.A-LERM0 RD PALERMO$ Energy Plan Checking Fee $ -977 PERMIT FEE S ' 00 LOT NO. SUBDIVISION'S NAME _ PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF PX Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IR Describe Work: DEMO 434 SQ FT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 e00V OR LES9 Main Service zoo,oR.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is f II force and effect. License Class %f ,}� --7 O t_�h-] Lic. No. I ����Q OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( OW ACC. BLOS. SO 3.50FT: NEWCO"9 NON -RES DT .C,MULTI-C", 1 @7.501 POWER APPARATUS 8 SINGLE 0 rrLET CIR. Ex. Occup. OUTLET ORFD(TURES zo p 1.00 BAUp .50 Ex. Occup. ouTELETS RES D.PPLNSOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the / performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co perisation insurance carrier and policy number are: Carrier 941' ��re Policy Number 555Z� — 03q — QC- / (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �j X ��JJL __ Dat �/ �A __ La/ Signature of Applicant - ❑ Owner ❑ Contractor Agent 777--- An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.0 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ` By / PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Date Receipt No. WHITE-D.D.S.-3.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 I Demolition Permits Asbestos Notification Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The.permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing., or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant M I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. bi ^� l Signature of Applicant 2/19/91 (Rei. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, 'California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER (31'1_ ��/ ® `�A ZONING BUILDING PERMIT OWNER rW !V� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN BILI DRESS •3 1^^ �•' �- CONT S NAM �S rn �V nC�R' TELEPMON ' CONTRACTORS kAUNG ADDRE S CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ /S,. (- 3 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS /'-� t ' • GJ /V,`fLab-L� Energy Plan Checking Fee $ $ PERMIT FEE $ LOTNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF I Duplex ❑ Mobilehome O Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities ❑ Installation O Other Describe Work: .� � Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LE Main Service 2"oon OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PowER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWEILNG UP. OCO OR ADDNS. ( 8 ACC. B'S. s0 3.50FT, N" N-RESDT MULTI.OUTLET @7.50 APPARATUS 8 SINGLE OUTLEr CR. TI EX. Occup. OUET OR FUTURES 1 0 eAL ® .50 Ex. Occup. ouxxEEDrs.='.GFR.a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - O Owner ❑ Contractor O'Ag ent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP I FLOOD I COF PARCEL PO HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Dale Receipt No. Q'51 TqS - WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT LAND DEVELOPMENT BUILDING / ENVIRON NTAL HEALTH - PERMIT CLEARANCE Building Permit No. NAMERSC�JRRI ��� t1 esus � • NUMBER: ©� % - 66 O PRINT LAST NAME FIRST ADDRESS / LOCATION: COUNTY ZONING �J DESIGNATION: h/i mff,�;rl• 6 FLOOD ZONE: FLOOD MAP: 666 S�XQcB APPROVED: CONDITIONALLY APPROVED; Z RESOLVE PRO SS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP 2 ( /4L DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: F"4__u5rzm 0 0(1"revi T;�44 T - DATE OF RECORDING LOT BOOK w#3 PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERMSE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. _ 2. Maintain a ft.building setback from right-of-way/centerline of _ 3. Comply with Zoning code for building setback from road. _ 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from _ 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. X7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _.8. Connect to a public water supply. 9. Connect to a public sewer system. 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. RESIDENTIAL so, 027-060-006 PERMIT#98-0353 CARRILLO, Jesus A. PERMIT NC 6977 Upper Palermo Rd., Palermo , Cont: Integrity Homes, Inc. _ MH Util-2nd Dwelling PERMIT EXE.--____-. .OWNER CONTR. 'r r f ASSESSOR PARCEL R. LOCATION OFFICE COPY _ w k Address GAS F Meter By Dat/ G ELECTRIC Date! Meter By I Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp: Gas Service Called PG&E JOB FINALED (Date) ,. Signature i s r n Gas; bon-TestdNrap; Nat. or/ tt t./ /LPG 7. Well CI arance & Disconnect lity Clearance 1 Dat — — and B-1 Date Card B-1 Date ` Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION(Plans) OK except #'s Hing Requirements- Setbacks Easements a rf nes; Size -Spacing -Marriage Line 3. H Test-DemarKWAKe-Connector r 400Electricity; MH Test -Crossovers -Breakers -Clearances 5 r�iT, MH Test-FalWlex Connector j v. .. , mn icsrneyuiaw��.unnecwr � 7 and Sewer Connected -C/O to Grade-HDApproval Gam anti Electricity Tagged J 1jw0rowns-Type-Installation Cert. tOr E ' sp.Sketch ,Cert of ro!pation Only: License Decal Date Ca Date Card B-1 Date Card B-1 Date Card B-1 T2r�-3 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 0 = Not OK 1. Zoning Requirements -Setbacks -Easements Not = Applicable NotReady MOBILE HOMES Date MQME HOME UTILITIES (Plans) OK except #'s PO -1. Zc9ing Requirements - Setbacks - Easements . S ' ; Special MH Support Sketch , Location-Test-Fall-C)"oncrete Gas; bon-TestdNrap; Nat. or/ tt t./ /LPG 7. Well CI arance & Disconnect lity Clearance 1 Dat — — and B-1 Date Card B-1 Date ` Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION(Plans) OK except #'s Hing Requirements- Setbacks Easements a rf nes; Size -Spacing -Marriage Line 3. H Test-DemarKWAKe-Connector r 400Electricity; MH Test -Crossovers -Breakers -Clearances 5 r�iT, MH Test-FalWlex Connector j v. .. , mn icsrneyuiaw��.unnecwr � 7 and Sewer Connected -C/O to Grade-HDApproval Gam anti Electricity Tagged J 1jw0rowns-Type-Installation Cert. tOr E ' sp.Sketch ,Cert of ro!pation Only: License Decal Date Ca Date Card B-1 Date Card B-1 Date Card B-1 T2r�-3 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size Dep"pacing-ConnectorsSteel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectonsSplice Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rffrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings 12. Braced Wall,Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B4 Date POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel-Cohnections-Thickness Dead Men -Lining 4.' Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/ -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Heilth Department Approval 10. Plumb:; Cir Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 '1L6gq-Z Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Fig. Porches & Decks; SoilsSteel-/ ) Ftg. Depth 5. Stemwalls, Main;'Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors . 7. Slab, SteeWVrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor BoltsJoists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. A xture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AJ -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat prool) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Sim & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purtin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration-WallsWindows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meeh. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instid./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: rC- OUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION • 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ER NO. (Rev. 12/96) APPLICATION AND PERMIT 4_ �" ASSESSOR PARCEL NUMBER 027-060-006 ZONING ARMH 2 5 BUILDINGPERMIT OWNER CARRILLO, JESUS A. T6fl21236 SO FT OCC. BUILDING VA OWNERS MAILING ACORESS P.O. BOX 33, PALERMO, CA 95968 CONTRACTOR'S NAME INTEGRITY HOMES, INC. TELEPHONE ' CONTRACTORS MAILING ADDRESS 740 FEATHER RIVER BLVD., OROVILL•E CONSTRUCTION LENCER 95965 Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ NO Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS i UPPER PALERMO ROAD, PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome R] Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities U Installation ❑ Other ❑ MOBILE HOME UTILITIES Describe Work: _ SEE MINOR USE PERMIT 98-04 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 60-00 PERMIT FEE $ 60.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service loon OR .ss 23.00 23,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my licenseis in full force and effect. License Class _Z Lic. No.-lb-IC(8 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'ompensation insurance carrier and policy number are: Carrier j�vil C0.i2 Policy Number 5$6-6 — 039'7 ^ 1511 % (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r � �� � (� X � Y111L -- Date 3 -- Signature of App (cant - ❑ Owner ❑ Contractor A Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46,00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BUDS. 3.50FT. NEW NON -R SrIDT MULTI-OUTLETCRCUS @7.50 POWER APPARATUS dSINGLEOUTLETCIS. Ex. Occup. OUTLET ORFaruREs Bn�p':o Ex. Occup. OUTELETS REFS D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20,00 Misc. Wiring 23.00 PERMIT FEE $ ' MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.0 HAZ. r D. FES IMP I FL D I COF PARCEL PO HO XSU91 This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have Bykfy4���ate PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ere Receipt No. 231881 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t° -d .--'T UNT-Y-0F BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICA TION DA TA SHEET / OWNER: derr;P' ASSESSOR PARCEL NUMBER: Proposed Buil ing Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $--------- --------------------------------------------------------------------------- ❑ 11. pact fees as shown on the attached schedule. --- ---------------------- ------------------------------- California Department of Forestry plan approv fe -- --- ---- U --------------------------- 1)3. Flood elevation certificate. --------------------- --- -------------------------------------------------- -- 44. Sanitation and plot plan approval ealth Department. ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- OKIT _ O Planning approval for (A) Use: (B) Parking: ------------------ . -. ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 6A. 9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------- -,---------------- ❑20. Pre -inspection for required Request to Building Inspector on - (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number.----------------------------------------------------------- l E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - -------------------------------------- ❑24. Letter of signature authorization. ----------------- --------------------------------------------------------------- p,K�5. Recorded copy of Agricultural Acknowledgment Statement. ❑ 26. Letter of intent on building use. ---------------------------------- ❑27. Manufactured Home utility clearance. -------------------------- ❑28. Existing violations and/or expired permits. -------------------- 029. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 1130. other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to c ontrabtor. WelephoneI?Y 3— 0,") and hold for pickup at ©�d/office. 11 Deliver with inspector. n Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire DepV Copy of plans sent ❑ Health Department, ❑ Fire Department, 1. Index permit application for the above items numbered: 0 ❑ Plan Check List 2. Additional items required: 4 ?44 11-f Contractor, designer, owner, was advised of the above required%ti.W10 phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D,ii' 'on counter, by Date: Plans reviewed by: Date: Plans approved by: Off' Date: .3l Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE ONLY Plot Plan Attache Floor Plan Attaehed� Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance --MSL,,-s CAVU, 0 D nQ4.FL 'A) Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well/` Clearance for dwelling. Other mlAm WL NJ -)MQ, Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. Rev.12 96 ( �) APPLICATION AND PERMIT ASSESSOR P CELNUMBER 7- v Le O -- OO (o ZONING A2M H�- BUILDING PERMIT OWNERTELEPHONE �esUs A • C 0,,r r% tk 0 6.79 - aa3(o SO FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS �. ©. c3oK 3 I ermo Co, RIS9 CONTRACTOR'S NAME INTEGRITY HOMES, INC. TELEPHONE 533-4403 CONTRACTOR'S MAILING ADDRESS 1740 FEATHER RIVER BLVD., OROVILLE 95965 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS _--- Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $_ _ � A ARCHITECT OR ENGINEERS WVUNG ADDRESS Permit Fee$ � Plan Checkin Fee $ BUILDING ADDRESS r a yM 0 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 191 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities Y Installation ❑ Other ❑ Describe Work: '�d�l ITP�Qyy e— 11 A. e—s — Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S sP in ELECTRICAL PERMIT J Filing Fee 20.00 Main Service EOOA OR LESS ^ Q mon oa ESS 23.00 a/ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 commencin won ) essons g ith Secti7000 of Division 3 of the Business and ProfiCode, and my license is in full force and effect.P License Class C 4 7 Lic. No. 707958 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service -QATO I—A 46.00 NEW CONST. DWELLING OCCUR SO OR ADONS. ( 6 ACC. BUDS. 3.5¢FT. NEW CONST. MULTI -OUTLET_ TS @7,50 NO N•RESID. ANC CI CUI OWER APPARATUS d SINGLE OUTLET CTR. EX. OCCU OUTLET OR FIXTURES BAIL. Q.50 Ex. Occup. ouT.TS RESID1El 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Jr Misc. Wiring 23.00 PERMIT FEE i WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the_ performance of the work for which this permit is issued. IX I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier UNICARE MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number SgbO-039/-15117 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall y P p not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. - X__ Date -- Signature of App icant - ❑ Owner ❑ Contractor �& Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ & O HAZ IMP FLOOD CDF PARCEL po HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY• SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • OPT. WINDOW FCCD7) OPT. TUB � U `mom ■■■SENSE■■ • on NONSENSE ■E■■■■ENEN CC min WEEMS 'IN milli ... ■ ,ME N �-/ 1■■■■E■ ■W\■■■:=,- IFk�� MASTER BEDROOM II' -51X11'-0" IN NUNN NUNN -0 EMEM NUNN loom_...:E NO Uh.I :. -.. .CCC C Di' loomC C ■� LIVIWG ROOM 1T -4"X11'-0' BEDROOM "2 Im'-rxu•-m. 3 BEDROOM • MODEL 644 • 24'x 40' . 933 SO. FT. a. `~PERMYT �' `! ,lH ,UTIL.Cl y ` INSPECTOR xvice I Other GAS Pipe T e Size Length 1 ,.i . . Support Compaction Struc. Test Rea. ITE COUNI L ..... RECORDERS OF�iFIC Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT 1988 DEC -9 Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. RECORuED Al REQUEST OF The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of .this FEE -- property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, and fertilizers; and from the pursuit of agricultural operations including, but not limited ff to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust smoke, noise, and odor. Butte County has established agricultural zones which have as a �`�,�� priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 2, in Block 85 of Subdivision No. 1 of the Palermo Citrus Tract, according to that certain Map entitled, "i.1ap of Palermo and Subdivisions 1 and 2, with Addition to No. 1 of the Palermo Citrus Tract", which map was filed in the office of the Recorder of the County of Butte, State of California September 17, 1888. Date: n�� - a, State of SS County of �, , a.�r ) PROPERTY OWNERS: Aujustin Carrillo On this the 9th day -of December 1986 , before me, the undersigned Notary Public, personally appeared Augustin Carrillo r, t��s:.> > 4 :;Wast^ ei c �e�a�U / / Personally known to me. / Proved to me on the basis t_sy7, ;r of satisfactory evidence. to be the person(s) whose names) is subscribed to rm the within instrument and acknowledged that he 9, 1907 12g, executed the same for the purposes therein contained. 21 ;t 19 NKI IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No . .,�)7' L: r 86- 4 3 591 5 qlG Return to DPW AGRICULTURAL FOR RESIDENTIAL OF WDGEMENTEL DEVEL pME. NT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. CORDED '�Q`S Of :..PARI f.:SHO The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, stf3 and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust smoke, noise, and odor. Butte County has established agricultural zones which have as a Pages priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 2, in Block 85 of Subdivision No. 1 of the Palermo Citrus Tract, according to that certain Map entitled, "Map of Palermo and Subdivisions 1 and 2, with Addition to No. 1 of the Palermo Citrus Tract", which map was filed in the office of the Recorder of the County of Butte, State of California September 17, 1888. Date: r.,Pn _ a, I pf_ State of Calif. ) County of Q PROPERTY OWNERS: A stin Carrillo On this the 9th day of December , 1986 , before SS. me, the undersigned Notary Public, personally appeared Augustin Carrillo �mr~�catorvmciu®®�a�®nn�®rasa®� / / Personally known to me. /x/ Proved to me on the basis of satisfactory evidence. a'.�V, NOTARY PUBLIC -CALIFORNIA ® to be the person(s) whose names) is subscribed to „j rig« county ®the within instrument and acknowledged that he ,.�rhyCommission Expires Rugust9,1987 ® executed the same for the purposes therein contained. WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P.- No. tM OF ()QCUWMT 3!1 to v t.91 C9 r r QUVA3 1/0 , .ALL STRUCTURES AND EQUIPMENT INCLUDING all times and it is unlswftd td OVERHANGS SHALL bt ';Lt:AtA %Jr AL. _ EASEMENTS. a or alterations on sl>m a wltn=4 A SET BACK OF 3 y FT. FROM 7HE SIDE AtrD la ftem lir DePSAMGnt of Piiblid . 30 FT. FROM THE REAR PROPE(iTY LINES Ai`ir1 S U FT. FROM THE ROAD CE�iTEF _INE SHALL:E CLEAR OF STRUCTURES AND EQUiF MENT EXCE;= r 0 iVe -WR A 2 FT. EAVE OVERHANG. NOTE: Matsriats & Workmaniwp Avco ce with %iecognlzed Good ces and of a t9 Prescribed for the 'r° in the niform BuildiWL Plum Q" t; NWona; OodB. 1 $ fACIUK6, z as specified i z W y C.D.F. a AVMI o -! t t be ooqnpWed 3 1 J RPVIEWE[D BY UTTE CO. FIRE DEPT. CAL. DEPT. of FORESTRY E] appro,-Qd as submitted approve.! with conditions per attach:,d slieet. Date ' �C�pli+�►�� f�El� ©OAA �PL cid Se ` �/.. 41 PiuysosE+� SlPht � r+ This set of e) kept on the j 0 r 0 make any ob Q wrltten WE %D watka.Oona QUVA3 1/0 , .ALL STRUCTURES AND EQUIPMENT INCLUDING all times and it is unlswftd td OVERHANGS SHALL bt ';Lt:AtA %Jr AL. _ EASEMENTS. a or alterations on sl>m a wltn=4 A SET BACK OF 3 y FT. FROM 7HE SIDE AtrD la ftem lir DePSAMGnt of Piiblid . 30 FT. FROM THE REAR PROPE(iTY LINES Ai`ir1 S U FT. FROM THE ROAD CE�iTEF _INE SHALL:E CLEAR OF STRUCTURES AND EQUiF MENT EXCE;= r 0 iVe -WR A 2 FT. EAVE OVERHANG. NOTE: Matsriats & Workmaniwp Avco ce with %iecognlzed Good ces and of a t9 Prescribed for the 'r° in the niform BuildiWL Plum Q" t; NWona; OodB. 1 $ fACIUK6, z as specified i z W y C.D.F. a AVMI o -! t t be ooqnpWed 3 1 J RPVIEWE[D BY UTTE CO. FIRE DEPT. CAL. DEPT. of FORESTRY E] appro,-Qd as submitted approve.! with conditions per attach:,d slieet. Date ' �C�pli+�►�� f�El� ©OAA �PL cid Se ` �/.. 41 PiuysosE+� SlPht � r+ 7,7 —V (o --o AP# CDF FIRE SAFE REQUIREMENTS- e�:f-0 3, 3 .(2/9,911 U_o J69tks PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [V1 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [�{�] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�] 2. The length of vertical. -curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [�] 1270.10 Width. All driveways shall provide a minimum 10 foot traf f is lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3--, Z7 - 0 6 --o � ��- �3s� C'�►2�-� L�.o -i ��s AP # PERMIT # NAM [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than.800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and' shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. ] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [X] 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ Y 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [1�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 j AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of -the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed '10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials 3 -/6-9� '2� Date Signature Page 3 of 3 M.H.I. -2 1. Owner's Name: A 'Tp SUS A . C CIL r ri i ) 0 2. Assessor's Parcel Number: 0,39 — QU 0 — 6O(D 3. Installer's Name: INTEGRITY HOMES, INC. 4. Is the site currently under permit? Yes[�] No[ ] Permit No. j4g —/ / 9F7 ir►ffa +pW,; _ 5. Is the site an exdsting.site? Yes NoJA (If yes, furnish two plot plans). 6.. What is the electrical rating of the mobilehome?_ i 0 6 Amperes. 7. What is the mobilehome site circuit breaker rating? 0 Amperes. 8. What is the electrical rating of the mobilehome site? �.0 Amperes. 9. Is the main service remote from the mobilehome site? Yes [� ] No[ ] If it is, what is the rating? `D 00 Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ J If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- OJ Q.A I Amperes - 11. Type of gas service at mobilehome site: Natural[] Propane[ ] None[ J 12. Size of gas pipe at the mobilehome site from the - meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? �L(ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION JAN �� May 1995 �� g 5-- M.H.L- 2 , Mobi.lehome Manufacturer: CHAMPION Manufacture Year: CAB If other than single wide, furnish Setup Model Number: 644 Width: 24 (ft.) Length: 40 ( ft.) Tagalong or txpando Size (ft.) N (ft.) On all mobdehomes 'manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[X ] Other: SUPPORTS: Concrete block[ X]. Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE. MULTI -WIDE Line I Line 2-,— _N ................................................................................................. -Main Beams Une2 ....................... ................................................_......0.......... Line I ........... .......... ....... .................... ............... ................... MainBea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........................... ....... . . . . . . . . . . . . . . . . . of ........ e 5 . rZriole;0, 4,z, 4 ...................................... ....... --AN-A C1 %A 7, .inc I Linc 2 .me 2 Line 3 Line 2 Line 2 Line I Line I.Piers: Line 1 Openings Size M"M I m u m: I r Size minimum: (12 x [30 Spac� maXIMU Each side of openings -dth o Fro"ffi.,en&- m' am" ffi u : �* - " ' : 1 4" ' - j ' M with wi ver, 4 0 .e v n i e i" e4 Piers:. ..,Urt' 2'Piefs: Size minimum: ['24 (30 Size minimu m x Spacing maximum: 8 0 Spacing maximum: From ends -maximum 2.. 0 From ends -maximum Line 3 Roof Loads: Size minimum Location (from Line 5' Roof Loads: Size minimum: Location (from front): ITIRMIMMM�=M= 1=1=MMMM=M= OVER' El From::lJ4ysses Mori To: Integrity Homes DESIGN LOADS: • Date: 10/22/96 Time: 08:36:50 SAS iND- USTRIES, INC. COMBINATION TIE -DOWNS MANUFACTURED KOME TLE -DOWN INSTRUCTIONS AND SCHEDULES FOR SINGLE / DOUBLE /'FR.fPLE WEDES DESIGN & GENERAL VOTES WIND 15 pst (70 MPH EXPOSURE 'C' ' SEISMIC ?.ONE 4 SOIL BEARING 1000 psf NOTE: MAXBAUM SOIL. PRESSURE- [S.1000 psi' WTI*HOUf A SOILS REPORT ' EARTH AUGERS 475(Y MIN TOTAL LOAD CAPACSC`l (fE:STED TO 64(30°) .3)300 WORKING LOAD CAPACITY ( I.5 SAFETY FACTOR) • CROSS DRIVES 1727' (CALCULATED) - y ' CONCRETE SLAB ANCHORS — 4750' MIN TOTAL LOAD CAPACITY (CALCULATED) 3150" WORKING LOAD CAPACITY ( 1.5 SAFETY FACTOR) ' TIE DOWN STRAPS 3150" WORKING LOAD Page 2 of 9 TIE -DOWN STRAPS MEETS FEDERAL SPECIFICATION I C -781H FOR TYPE 1, CLASS B. GRADE I -STRAPPING AND BE AT LEAST 1114".x.035 ZINC PLATED. GENERAL NOTES. I. ITIE CEL4RTS SHOW TITE REQURI:D NUMBER OF 1TE-DOWNS ON 1W. SIDES OF THE MANUFACTURED. HOME. 2. COMAiNATIONS OF THE DIF?;ERENT TYPES OF TIE -DOWNS CAN BE USED. 3. FOR ALL TIE -DOWN INSTALLATIONS, THE I\,tF'G'D. HOME CHASSIS MENMERS ARE SHOWN AS "I" BEAMS. (FOR ILLUSTRA-f10N PURPOSES ONLY) CHASSIS BEAMS CAN ALSO BE "C" SHAPED OR "RFC" SHAPED. 4. SIDE 11E -DOWNS ARE Rl QLnRED ALONG THE OUTSWE CHASSIS BEAMS. END IIE DOWNS -ARE KL--QUMEU AT EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME. 5. END ITE -DOWNS CAN BE LOCATED WM-GN IR" OF EITHER SIDE_ OF CHASSLS REAM AXIS 6. THE SIZES, TYPES, LENGTHS. ETC OF MATERIALS SHOWN HEREON ARE 1vIN9%4`U t. LARGER, LONGER. HEAVIER MATERIALS SUPPLIED BY SAC INDUSTRIES, INC. MAY BE USED AT THF. SAME SPACING .� LOCATIONS SHOWN. 7. ALL PARTS ARE PROTECTIVE COATED WITTI INDUSTRIAL SI IOP PRENE,R BY AIRGAS. APPROVALS APPROVED Sub/ECT TO CORRECTIONS NOTED ? Approrol does not a fhori:e or opprove any omnsiaa a ` / levytion horn requ:remenls of applicable State laws and i r •egulotiont- t I state of Col;forn;a Deportmtnt of -Houtinq and Community Development DIVISION Or CODES AND STANDARDS / _A' is��nalvrei .SPA - .- - —_ []&-P..{aa_4pprova S SAC FN0USTRIES, INC. r '' 3236 C FITZGERALD RD. J ' • RANCHO CORDOV A, CA 9S7-IZ PH: (SIN)) 771-3055 '10. 1.5, 2 GENE S.YVRTEK,INc A952 NENV pAWN 0Rl SACRAMENTO, CA $2 PIT: (916)362) 'THIS TI.TE ETS 3 I TILER t'IIR�E'£OF SE O,Gu �' . S' ON (a) It - From: Ulysses Mori To: Integrity Homes FF 6000 scr TDA 8001 48' TDA Date: 10/22/96 Time: 08:38:27 SAC INDUSTRIES, INC. TIE -DOWN ACCESSORIES I X� 7000 7' STL. STRAP 11/BUCKLE 6003 CONCRTM SLAB ANCHOR Ir/ SLEEVE ANCHOR 6004 CONCRM SLAB ANCHOR 0002 CROSS DRIVE ANCHOR 41 < 7001 ST?.TL STM 8 fl WMAM4E CLU(P A l 7002 7' SEL. a STRAP a/HOLE 4002 PIER BOLT -ON TOP 6005 SPLIT ."" BOLT & NUT 6006 STABaizzR PLATE Page 4 of 9 APPROVALS %5 / Approval of these plans does net au'hcrize or%67*; . approve any omission of or devicaicn Ircn, oc.^4� 5 Pit SAC INDUSTRIES. INC. laws or regulations, or able `ccz: • / 3236C FIT7d:ERAI.D R0, RA,VCIIO CORAOVA, CA 95742 Approved w " 'l p, 15,18 Ptl: (600) 771-3055 State of Californic Department of Housing and Commu-0y !,z%,,,cprneot Ci�i:ion Codes / �'r i CENE S. PORTER, INC. 4952 NEW DAWN DRIVE of rrd etc-. n•t: r. SACRANIENTO. CA 95826 i P11:(916)362-3363 1*'0'rk11AOi'i�o.�,OryGO lyn 114 From: Ulysses Mori To: Integrity Homes Date: 10/22/96 Time: 08:37:44 Page 3 of 9 W 's 81 �. f II �1 l 6000 30" TDA Cool 48' TDA SAC IND. TIE -DOWNS ;�z a A�8003 CONCRETE �J SLt,B ANCHOR 11/ U SLEEVE ANCHOR 6004 CONCRETE SLAB ANCHOR 8002 CROSS DRIVE ANCHOR TYPE Q SEE CHART � 1 1 TYPE O j SEE HART 1 f EVENLY SPACED 2' LENGTH *VARIES SINGLE WIDE {� ,TYPE OS SEE CART { t { EVENLY 1 SPACEO ' EVENLY 1 SPACED , 2' LENGTH ' VARIES ' TRIPLE WIDE 0 7000 7' STL STRAP W/BUC8:1 700 W/T J i 6006 STABQ-IZER PLATE 7002 V TTL STRAP w/HOLE 9005 SPLIT HOLT & NUT TYPE (D SEE CHART 2'; EVENLY SPACED; EVENLY SPACED I EVENLY SPAM 12'! ~ LEJ4GTH VARIES DOUBLE WIDE TYPE OE SEE CHART 'VINO = 15 PSF SEISMIC - ZONE 1 REQ'D OF COMB ANCHORS FOR EACH SIDE' 8 DID WIOTH LENGTH TYPE ' TYPE '1EOOwNS nEDOwNS TYPE O SEE SINCLE 0-38' 2 2 CHART .VIDE 38'-57' 3 2 TO 14' 57'-78' 4 2 OOURCE 0'-38' I 2 j 4 w"E 38-57' 3 4 TO 28' S7' 4 I 4 TRIPLE 0'-38' Z 6 N10E 36'-57' ! } 6 i0 •2' 57'-78' 4 6 WHEN }!6002 CROSS DRIVE ANCHOR 1S USED NOTE: FOR ANT REQUIRED ANCHOR. 2 SETS MUS BE USED AT THAT LOCATION From: Ulysses Mori To: Integrity Homes END TIE -DOWN CHASSIS PIER BOLT—ON TOP--, Date: 10122/96 Time: 08:39:11 Page 5 of 9 END TIE -DOWN PIER BOLT -ON TOP----, CHASSIS SIDE TIE -DOWN 7' STEEL STRAP 6005 SPLIT BOLT & NUT CROSS DRIVE ANCHOR DEEP GROUND LINE ? DETAL (TYPICAL) CROSS DRIVE TIE -DOWN IF THE GROUND SURFACE IS OTIIER ITIAN ROCK OR M[N[MUM 2" ASPHALT, ENCASE mr. CROSS DRIVE ANci ioRs wrn I CONCRETE AS SHOWN IN DETAIL �_SIOE TIE -DOWN STLS TL. END TIE -DOWN CHASSIS STRAP STRAP SPLIT BOLT NUT GROUND LINE PIER BOLT—ON TOP---- T.D.A. STAB!LIZER SIDE; TIE—DOWN PLATE STL. 0- STRAP STRAP 0,— TMP NOTE: VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL OR \OR AUGER TIE -DOWN CONCRETE TIE -DOWN END TIE -DOWN PIER BOLT -ON TOP----, CHASSIS SIDE TIE -DOWN 7' STEEL STRAP 6005 SPLIT BOLT & NUT CROSS DRIVE ANCHOR DEEP GROUND LINE ? DETAL (TYPICAL) CROSS DRIVE TIE -DOWN IF THE GROUND SURFACE IS OTIIER ITIAN ROCK OR M[N[MUM 2" ASPHALT, ENCASE mr. CROSS DRIVE ANci ioRs wrn I CONCRETE AS SHOWN IN DETAIL From* Ulysses Mori To: Integrity Homes Date: 10122/96 Time: 08:40:27 So :r * . BOLT ON TOP SACINDUSTRIES, INC. STEEL PIERS AND ACCESSORIES STEEL PIER ., Page 7 of 9 APPROVALS a,�r,�v�ra.� Approval of these plans does not authorize or,,., ;-' Q�di �S�i'`'j..• approve any omission of or de"iation frcm slate,; laws or regulations, or op 'cable local ordinances. Approvedof 'o. 15,1 "s State of California Department of Housing and Ccmmunity Develoorner.f Division of Codes and Stcndords P 3 $1 q7 SADDLE TOPS SAC INDU.SCRIE.S, INC. 3216 C FIT7.CER,ILD RD. RANCHO CORDOVA, CA 95742 PH: (800) 771-3055 GENE S. PORTER, INC. 8952 NEW DAWN DRIVE SACRAMENTO, CA 95826 Pit: (916) 362-4363 From: Ulysses Mori To: integrity Homes Date: 10/22196 Time: 08:41:10 Page 8 of 9 (7,V " f A TIE -DOWN INSTALLATION INSTRUCTIONS 1. NSTALL ANCHORS LNTO SOIL APPLYING CONSTANT DMMARD PRESSURE TO IRFMZE S OR, DISTURBANCE.'UNTIL IIE-NJ) IS FLUSHWMi STAT 112-EIR PI.;; 'I -E. ANCHORS S11011D BE NSTALLED BE -LOW ,FROST LM. 2. ATTACH STRIPS TU CHASSIS MANI IN \4ANM-.-R SHOWN. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP ANT) TIGHTEN BOLT UNTIL ST -RAP IS SNUG. CONTRACTORS WARNING: CHECK FIRST FOR UNDFRGROW) 1.1"TURES. CONCRETE TIE -DOWN END TIE -DOWN END TIE -DOWN CHASSIS .46003) ENS TINQ CDNCRE-TF, PTR I. CONCRETE MUST BE k MINUNW.N1 OF 3 2OLT—ON THICK AND I` GOOD CONDITION. PIER BOLT -ON TOP,—,2. MINIMUNI SLAB AREA OF EACiIANCH611 IS 777 t ..... —SCE TIE -DOWN —SIDE TIE -DOWN 3 DRILL. PROPER SIZE [(OLE IN SLAB. A \ MINIMUM OF I2"FROM ..VN)'F.I)(jE. STI... —S L. STRAP STRAP SPLIT 57L. STRAP i. PLACE CONCRETELINTO wE'r 9)LT NUT CROUNO LINE 2. ALLOW CONCRETE TO PROPFRLY CI, -RE. Clt-\SM CONNECTION 0/ 7.1 T. D.A. O 02 n3 -X ESTAEIILIZER 2. INSERT SMV T1 [ROUGH SPLIT BOLT. CUr PLATE OFF EXCESS STRAP AND THEN TIGHTEN fN'ST,U-L OROUNil) PLACE STAI3ILLZER FINISH TURNING :\-.\CIIOR OR EQUtV. 3/8" x 2 1/4'* WITH 2- MINIMUM ENIBEDMENT.-V4D 61 gort PULL OUT. 71604 SHEAR VALUE. AINCHOR INTO GROUND PLATE NEXT TO SHAFT INTO THE GROUND L_NTIL 3*_ "or LE. -k M, G 12"-13' OF BETWEEN ANCHOR AND k4CHOR HEAD IS FI,(;SIf Typ SHAFT' ENTOSED. CHASSIS BE A(. dND WITH STABILIZER PUTT.. NOTE: DRIVE IN -TO OROU-ND. '/ERTICAL OR ANGULAR !NSTALLAnON IS OPTIONAL INSTALLATION INSTRUCTIONS 1. NSTALL ANCHORS LNTO SOIL APPLYING CONSTANT DMMARD PRESSURE TO IRFMZE S OR, DISTURBANCE.'UNTIL IIE-NJ) IS FLUSHWMi STAT 112-EIR PI.;; 'I -E. ANCHORS S11011D BE NSTALLED BE -LOW ,FROST LM. 2. ATTACH STRIPS TU CHASSIS MANI IN \4ANM-.-R SHOWN. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP ANT) TIGHTEN BOLT UNTIL ST -RAP IS SNUG. CONTRACTORS WARNING: CHECK FIRST FOR UNDFRGROW) 1.1"TURES. CONCRETE TIE -DOWN INSTALLATION INSTRUCTIONS END TIE -DOWN CHASSIS .46003) ENS TINQ CDNCRE-TF, I. CONCRETE MUST BE k MINUNW.N1 OF 3 THICK AND I` GOOD CONDITION. PIER BOLT -ON TOP,—,2. MINIMUNI SLAB AREA OF EACiIANCH611 IS t ..... 28 SOVARE FEET —SIDE TIE -DOWN 3 DRILL. PROPER SIZE [(OLE IN SLAB. A MINIMUM OF I2"FROM ..VN)'F.I)(jE. #om NEW CONCRETE. STIL. STRAPN'CHOR 57L. STRAP i. PLACE CONCRETELINTO wE'r CONCRETE. 2. ALLOW CONCRETE TO PROPFRLY CI, -RE. Clt-\SM CONNECTION 0/ \R 1. ATTACH STILAPS TO CHASSIS BEAAt IN -X MANNER SIIOWN. 2. INSERT SMV T1 [ROUGH SPLIT BOLT. CUr OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. NOTE: EXPANSION BOLT IS TYPE SH -5822 OR EQUtV. 3/8" x 2 1/4'* WITH 2- MINIMUM ENIBEDMENT.-V4D 61 gort PULL OUT. 71604 SHEAR VALUE. From: UVsses Mori To: Integrity Homes Date: 10/22/96 Time: 08:39:55 Page 6 of 9 STEEL PIER STANDARD PIER HEIGHTS FROM 8" TO 30" IN 2" INCREMENTS. RATED WORKING LOAD = 6,50U" From: UlKsses Mori To: Integrity Homes Date: 10/22/96 Time: 08:35:56 Page 1 of 9 LEG -IT TIRE COMPANY, INC. P.O. Sox 119 • Woodland, Cefffornfa 95776 • Phone (916)66f -f275 - FAX(9f6)661-3390 j Steel Piers Pier 308 8" 6000# Pier $2.43 310 10" 6000# Pier $2.50 312 12" 6000# Pier $2.63 314 14" 6000# Pier $2.70 316 16" 6000# Pier $2.90 318 18" 6000# Pier $2.97 320 20" 6000# Pier $3.38 322 22" 6000# Pier $3.44 324 24" 6000# Pier $3.65 326 26" 6000# Pier $3.71 328 28" 6000# Pier $4.05 330 30" 6000# Pier $4.46 404 15" Bottom Strap $1.82 Adjustable Pier Tops 400 Saddle Top w/5"stem $0.88 401 Saddle Top w/11"stem $1.28 403 "L" Top w/5"stem $0.88 402 Bolt Top w/5" stem $3.71 340 3/4" Pier Nuts $0.11 Earth Anchors 600 30" Tiedown Auger/Helix $3.71 601 48" Anchor D/Helix $5.47 602 Cross Drive Anchor $608 Stablizer Plate 606 Stabilizer Plate $3.98 Split Bolts 605 Split Bolt w/nut $0.54 Cement Anchor ' 603 Slab Anchor w/ Exp. Bolt $3.38 604 Concrete Anchor $3.92 i Steel Straps 700 6' Buckel Strap $2.23 701 6' Frame Clamp Strap $2.23 702 6' Hole Bracket Strap $2.23 W/Top $3.31 $3.38 $3.51 $3.58 $3.78 $3.85 $4.25 $4.32' $4 52': $4.59 $4.93' $5.33 v' 4QO i 402 700 fi86 4. 701 4-a 601 , 40;- 4W 5/13/96 :W Permit Issued to 7 ELU.1e 47 7 COUNTY CENTER DRIVE PARADISE, 695 OLEANDER AVENUE OROVILLE, CALIFORNIA 872-29 CHICO" CALIFORNIA 534-4281 343-4211, Ed: 62 BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH D 'L HEALTH IVIsI0W\OF ENVIRONMENTAL' INSPECTION CERTIFICATE SEPTIC TANK INSPEC. i. The Septic Tank System was Installed at k.( -.!j Vh. FOR LEACHING FIELD SEPTIC TANK r, ft. Length in. 1 0(- ) n) - Gallons Width Size 7:f 0 � No. of Lines - Material 4 Rock Under Tile_�in. The above dimensions meet the minimum r of Butte County Code, Article 19. requirements shows it to be necessary. Additional leaching area will be required it experience Remarks: --------- -4 Date 4k4'. 7-7���itarian rL --7, '-F -A TO- - -A V2 i Vp,.: T -co1 -`1n:stru ctt'seal wage tdisposal. sys Located at. S y- A vv� 'r,Septic Tank pli j. t. (Inside Measure e Length: Liquid depth: Pflrk' t;4r' Liquid. capacity: r;ZWW- sp,e,Cial conditions: Additional.leachins field will be r JPO M111(lifdt e4dt ZrIl thin 50 feet of the cf beloc*ied wi a Jli; i", 1 L; 09- 0, 1 r !Satisfactory inspection into use. Occ, .4�ctpe� rlmlit � Fee 8 Building Sewer Fee 8 Receipt No. S3i-27811 m I IL LZ, LZ — REA. �LE ! I I am E 7,1 requi-r p sk C This f of this pe -r mv7Ma",'.'f SCP?+i iii 0.27-060-006 PERMIT#98-0354 CARRILLO, ,;esus A. 6977 Upper Palermo Rd., Palermo Cont: Integrity Homes, Inc MHI-2nd Dwelling COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION ' m7-0,ot ity Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PEROT NO. (Rev. 12/96) APPLICATION AND PERMIT ��' ASSESSOR PARCEL NUMBER 027-06w ^w6 _ ZONIHM'„,,, A•, BUILDING PERMIT OWNERCART_db,G J y4' A TE � -E2236 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P.O. BOX 33, PA t,+nt_IO, C 95968 ra CONTRACTOR'S NAME INTEGRITY HOOSS, INC - TELEPHONE ' --_L< CONTRACTOR'S MAILING ADDRESSS-, U FOUIM RIVER' , , VAS L Q _ CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ • BUILDING ADDRESS q Q r 90A P ML Energy Plan Checking Fee $ $ ti Pa,1 W1 PERMIT FEE $ 43. LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7:00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome O Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent. 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe Work: MOBILE HOME INSTALLATION Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service iuon o mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class —7 ) q s � OWNER -BUILDER DECLARATION I hereby affirm under. penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier (A A i ` CL ( TO Main Service 1000A 46.00 NEW CONST. DWELLING OCCUP. CU OR ADDNS. ( a ACc. BLDS. SO 3.52FT: NE NON-RESIIDT RM�UJLTI-OCU c Ts @7,50 POWER APPARATUS E SINGLE OUTLET CIR. Ex. Occup. OUTtETORFDRURE BALOI.50 Ex. OCCU . OUITELETSPRES PLNo.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy NumberC� F , [ rr ,CZ"7. ( 1 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X � t _NA 4 Date ' � Cj Signature of ApApplicant - ❑� Owner ❑Contractor '[Agent T An OSHA permit is required for excavations over 60” deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 1rX.j 00 Energy Inspection Fee $ Occ CONST. TYPE t /, �y0 TOTAL FEE $ 14 .0 HA2. D. FEE IMP FLOOD — CDF PARCEL _ PD HD ISP This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON (.� I the applicable provisions Resolutions to do work been paid. f /j /✓ Date // % p f Date Receipt No. C y tttix WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT MOBILEHOME INSTALLATION ACCEPTANCE. F= COUNTY OF BUTTE `.s DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 s. PERMIT NO. .F-1� - 07g-,3 ycI ? % Gt n e9 �-1L . /21: i—I . �►. �� Address or location of mobilehome Owner's name Owner's addre Insignia or hu( Manufacturer's name ' `C-- /-'T&�42!— Serial number of V.I.N�f7 ��Y^ Year of manufacture cial ApprUing Installation) (Date IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. r CERTIFICATE OF ANCHOR INSTALLATION Title 25 CCA Mob7ehome Parks Act Section 1326 W31 I certify those portions of the tiedown .system installed below grade were not damaged prior to or as a result of the installation, were not modified prior to or during the installation, and were installed in accordance with the manufacturer's installation instructions, plans and specifications of the engineered tiedown system referenced on this certificate. Tiedown System: Manufacturer: Model: Installed by: _. Oates. Contr.lOwner: _ 2 % /1 icense No.: 7 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 Cgtmty Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-060-006 zOXTNH 2.5 BUILDING PERMIT OWNER CARRILLO, JESUS A. TErgNE2236 SO FT OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 33, PALERMO, CA 95968 CONTRACTOR'S NAME INTEGRITY HOMES, INC. TELEPHONE CONTRACTORS MAILING ADORES BtV, TtLE CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS r C + 1 Ll �� ��1 �� N�� l Energy Plan Checking Fee $ $ `E 10 PERMIT FEE $ 43.013 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome P Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: MOBILE HOME INSTALLATION 3 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo n oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.C License Class L -70-)4 -] LIC. No. O OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. B.S. SO 3.50FT. NON-RESIDT ANCI OCUC TS @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup, OUTLET OR FIXTURES 20 BAL p 1.50 D A Ex. Occup. OUTELETS RES U.OEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'mpensation insurance carrier and policy number are: Carrier (a(I; C-CLIre Policy Number [73q%— IS11i (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. I X —— Date �����Q--- Signatur of Applicant - ❑ Owner ❑ Con actor'Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee. $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 143.00 HAZ. _ D. FEES IMP FLOOD CDF PARCEL Po HD IS U This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON;E7 the applicable provisions Resolutions to do work beenpaid, / d ate per! D e Receipt No. 231881 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 G(bUNT�{ CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)538-7541 PERMIT APPLICATION DATA SHEET OWNER: / C i,t �+r� l/� ASSESSOR PARCEL NUMBER: - Proposed Building Use: ,�(�`� Building Inspector:Date: At time of permit application, I was advised the following data must be submitted prior to permit processing finalW issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!------------------ 116. ----------------- ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ . Manufactured Home data and installation instructions including Tie Down Specifications. 10. ees of $------------------------------------------------------------------- 41. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit.-----------------------Ags= ---- " = ----------------------------------- .- 1116. Plot plan and business license approval from the C. .---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ----------------- I 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on (Date). ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------=------------- 0 22. ------------❑22. Workers' Compensation carrier and policy number.----------------------------------------------------------- f�J! r ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- E126 ------------------------------------------------- ❑26 Letter of intent on building use. ----------------------------------------------------------------------------------- K27� Manufactured Home utility clearance. -------------------------------------------------------------=------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $=-------------- 030. ------------- ❑30. Other:------- WhenY ou issue the rmit, process as follows ElMail to owner, ❑Mail to co actor. KTelephone � �� and hold for pickup at V, /k_ office. ❑ Deliver with inspector. 1 �`�q Applicant:l'V y �..Q1 Q,'L. -lam Date: t OL(?( Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑By: O 1. hidex permit application for the above items numbered: ` ❑ Plan Check List 2. Additional items required: YA Contractor, designer, owner, was advised of the above requiredy 13 None, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required =by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divi counter, by Date: Plans reviewed by: Date: Plans approved by: o� Date: 3- /Z Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER <ia5 �� y i, /lQ PROPOSED BUILDING USE ////Y 2 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due............ $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ SCHOOL DISTRICT FEES 0/10 (paid at District Office) . SHERIFF FEES (paid at Building Division) Residential ........ . x $360.00 = $�D nits Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq. ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $42 .00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # DATE REC # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. Q� APPLICANT L DATE Original -Owner Copy -Building Div. (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENTS ERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 00 o - Ob ZONING PH- R.! BUILDING PERMIT OWNER 3' r TELEPHONE 1v-)9-aas& SQ. FT. OCC. BUILDING VALUATION owN MAILING ADoaess 33 CONTRACTOR'S NAME TELEPHONE INTEGRITY HOMES INC. 533-4403 CONTRACTORS MAKING ADDRESS 1740 FEATHER RIVER BL -VD., OROVILLE 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ' ARCHITECT OR ENG:NEER LICENSE NO. Filing Fee $ 20.00 Permit Fee - $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ p BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LOTNO. SUBDNISIONSNAME PARCEL MAP PLUMBING PERMIT Filing Fee -• 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat um water heater 23.00' Water piping 15.00 SF ❑ Duplex ❑ Mobilehome4] Other SPECIFY Each 8S water heater Of vent 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 1❑I�} .Describe Work: H06 I e.i )Dnael . (in�-�'Q,1 Il,� � Mobile Home S G W @20.00 4 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service �aORLESS 23.00 •J LICENSED CONTRACTOR'S DECLARATION' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wSection 7000)'of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C 4 7 Lic. No. 707958 OWNER -BUILDER DECLARATION Main Service- 200A TP L000A 46.00 - NEW coNST. DWELLNG OCCUP. S0. OR ADDNS. ( a ACC. BLDS. 3 — Fr. FOIlTLET NEW CONST.ith NON REslo. _ MULT@7.50 POWER APPARATLS a SINGLE OUTLET CIR. Ex. Occup. oFIXEDAPPLNT OR REs .@ ' o .50 I hereby affirm under penalty of perjury that I am exempt from the Contractors License . Ex. Occup. OUTLETS �ESID OR 5.00 Law for the following reason: Temporary. Service 23.00 ❑ 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. Mobile Home Facilities 20.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors Misc. Wirinq 23.00 to construct the project ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 I hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 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. Cooling Hood 6.50 f5t I have and will maintain workers' compensation insurance, as required by Section Ventilation 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier UNICAkE PERMIT FEE S Policy Number — /— 15117 Mobile Home Installation Fee $ 100,00 (The above sections need not be completed 9 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ /�15 . not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the ,�. D � IMP I FLOOD I CDF PARCEL I PO Ho sSUE workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work X Date _ _ Signature of Applicant - ❑ Owner ❑ Contractor :] Agent :. indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. By Date ReceiptNo. PERMIT EXPIRES ON I WHITE-O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Date) 7�-r..TY'-'�!'; "'^..--. ..w,r--.y ._.,,.w��-Y .r. ,� M.SF.y..+p.•yx ...-..r..,er ti n-.�,r,.::. ^,...:..�:.,,r ��'� ,:,,�''' rld r -I ✓"i**�r.+ll.-►t�.r n'bvr--n^"ti" 7idM+"'�' Inti• +i YN.-�. ._.,,r.••...,•..,iT. ..—...r -...:y.- w .�.v . 9a� 0/0 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM A • • ,. (One form per Building) School District . � a 4 (�',"� Building Department No. A.P. Number -7—Qi0 -606 (0 Jurisdiction: City County Property Owner C/),fzjL / LLD T erct f • 4. Property Location/Address (may 0 Subdivision Lot No. Residential Development No of Living Mobile Home Addition 4.5 le -2--- Pzf d Sq. Footage �33 (Group R) Units Installation Commercial/Industrial Sq. Footage NeV Addition ilding moor rlans revieweO Dy bcnooi uisincT rersonneu District Identification No. 990-035 (Including Exterior Roofed Areas) 9—Ir-w Date Gn / t , IC 0V i Lt � O M 100 l4 11� 14 School District certifies that JC— 5'V 5 P Q 0-1 L L 0 (Applicant) (D�i 77 OPPr,e P/4u-Z(nQ VA (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No representing 913 square feet. District Representative 'zo5 - 9 6 ) by payment of $ 1700 �! FBW25926 $ ULL MITIGATION $ 4����� Date Paid by Check #` / 9 V n Remarks: �jg 0 ,( V Al Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit youfrom challenging the imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformAs (2/97)dmm EXHIBIT A MINOR USE PERMIT BUTTE COUNTY PLANNING COMMISSION MAR 4 1998 DATE: (Certified Mail Receipt) MUP 98-0.4 PERMIT NO. "".027-060-006 ASSESSOR'S PARCEL NUMBER Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Integrity Homes, Inc. is hereby granted a Minor Use Permit in accordance with the application filed November 25, 1997 to allow a permanent second dwelling unit on property zoned ARMH-2.5., located at 6975 Upper Palermo Road, Palermo. Failure to comply with the conditions specified herein as the basis for approval of.application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-41. 2. Unless otherwise provided for in a condition to this Minor Use Permit, all conditions must be completed by the Permittee within 12 months of the delivery of the countersigned permit to the Permittee. 3. If any use for which a Minor Use Permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall become null and void and reapplication shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. FINDINGS: Section 1: Environmental Findings. A. This application for a Minor Use Permit to allow a permanent second dwelling unit is Categorically Exempt from environmental review; and Section 2: Zoning Ordinance Findings. A. The proposed location, size, design, and operating character of e pXER use is in accordance with the purpose of Chapter 24 of the Butte CoufiVIA, 148urpose of the BUTTE COUNTY BUILDING DIVISION zone in which the site is located, the Butte County General Plan, and the development policies and standards of the County; and B.. The proposed location, size, design, and operating characteristics of the proposed use will be compatible with and will not adversely affect or be materially detrimental to adjacent uses, residents, buildings, structures or natural resources, with consideration given to: 1. - Harmony in scale, bulk, coverage and density; 2. The availability of public facilities, services and utilities; 3. The harmful effect, if any, upon desirable neighborhood character; 4. The generation of traffic and the capacity and physical character of surrounding streets; 5. The suitability of the site for the type and intensity of use or development which is proposed; 6. Any other relevant impact of the proposed use. C. The proposed location, size, design, and operating characteristics of the proposed use and the conditions under which it will be operated or maintained will not be detrimental to the public health, safety and general welfare, or materially injurious -to properties or improvements in the vicinity; and D. The proposed use will comply with each of the applicable provisions of Chapter 24, Section 280, of the Butte County Code. Section 3: Action. A. Subject to the findings indicated in Sections 1 and 2 of this Exhibit A, Minor Use Permit for Integrity Homes, Inc. on APN 027-060-006 to allow a permanent second dwelling unit is approved subject to the conditions listed herein. B. Minor changes may be approved administratively by the Directors of Development Services, Environmental Health, or Public Works upon receipt of a substantiated written request by the. applicant and only as to those conditions or requirements recommended by their respective departments. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. C. Conditions of Approval: The Second Unit shall not exceed 1200 square feet. 2. Provide two additional off-street spaces. 3. An attached or detached garage or carport with a maximum exterior dimension 20' by 24' is permitted. 4. Adequate sewer and potable water facilities shall be provided under permit as determined by the Butte County Environmental. Health Division. 5. Either the existing single family dwelling or the Second Unit shall be owner occupied. Certification of ownership shall be required prior to permit issuance and annually thereafter by submittal of a declaration in a form specified by the Director of Development Services or designee. 6. No permits for any additional dwelling may be approved unless the Second Unit is first removed, or a Use Permit be approved by the Planning Commission. 7. Construction, installation or development of structures or facilities on the parcels/lots shall comply with the latest California Fire Safe Regulations, (Public Resources Code 4290), and all other applicable State and County codes, ordinances and regulations in effect at the time of application for improvement permits. Building identification and/or addresses shall be installed in conformance with Public Resources Code 4290 and shall be posted at the beginning of building construction and maintained continuously thereafter. 9. Remove existing illegal mobile home and existing house under permit from Department of Development Services, Building Division. 10. Relocate the mobile home or contact P.G. & E. for relocation of their gas line. 11. Applicant shall comply with all other applicable federal, state and local regulations. NOTE: Issuance of this permit does not waive the requirement of obtaining Building Division and Environmental Health Division permits before starting construction, nor does it waive any other requirements of federal, state, and local law. Butt ounty Planning Commission Chairman cc: Land Development Division Building Division Environmental Health Division California Department of Forestry -Z Q pb APPROVED Development Plan Dam USE PERMIT _�VARIANCE MINORU.P. ADMSERMIT� PLANNING CC MMISS. OiRECTOR OF I DEVELOPMEIS T SERVICES / L�,sf�►�t S�Ei� vJ Set},.. J \�. LAND OF NATURAL WEALTH AND BEAUTY PLANNING DIVISION 34 DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 March 4, 1998 Integrity Homes, Inc., Diana Chastain 1740 Feather River Blvd. Oroville, CA 95965 Re: Use- Permit, AP 027-060-006 Dear Ms. Chastain: Enclosed is your validated Use Permit No. MUP 98-04 to allow Minor Use Permit for a permanent second dwelling unit. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Thursday. Sincerely, Thomas A. Parilo Director of Development Services Teri Bridenhagen Office Assistant III Enc. cc: Land Development Division Building Division Environmental Health Department of Forestry AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 97-0467971 I Recorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder I 3:34am 9 -Dec -97 I Rec Fee IHF COP Check 8.00 2.00 1.50 11.50 t r PUBL XX 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established 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: "SEE ATPA= " Date: f a'Z 'S -9 PROPERTY OWNERS: Celestino Ramirez State of California ) County of ZLX-rTE ) On before me, 0_VM rrtIA- . 1� personally appeared CAEf- LZE5Tl N Q eAAA 1202 personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf if h' I t e (s) acted, executed the instrumenty� WITNESS my hand anis bflicial seal. 11 � ��r—^�� CYNTHIA A. COSTA D Signature, AP.r 6�2`7�000- 00 6 COMW 1103301 NOTARY BLFUEN� COUNTY OF BTTw My Comm, Expltes OoL 90, 2000 d NOTE TO RECORDER: DO NOT RECORD THIS SIDE AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT Instructions for recording Agricultural Statement of Acknowledgment: A.A. -1 Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. (The description may be handwritten or typed in the space provided or attached on a separate sheet is more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $7.00 - 1 st Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. (Monday -Friday) na 161`26/97 11:19 BIDWELL TITLE/CHICO 9165330125 NO.589 P003 JY /t. �L. • i 1 ORDER NO. BU -157714-3 I DRaMPTION r 'M LAND REFERRED TO IN THIS REPORT IS 8ZTVATSD IN TIB STATE OF CW?ORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS Y'OLL =1 A PORTION OF THE $AST HALF OF THE NORTHEAST QUARTER O8 SECTION 32, TANNBNZP 10 NORTH, RANGE 4' EAST, K.D.B. 6 K., MORS PARTICU ARLY VISMIDED A9 FOLLOW81 j 'MOMNG AT A POINT ON TIB WEST LINK OF I= PAIMM-NONCUT HIGHWAY AND TIM NORTH BOUNDARY OF SECTION 32, TOWNSHIP 18 NORTH, WON 4 T• N.M. 6 X- t SAID POINT BEING 36 FEET HEST ..w THE MORTMMT CMM OF SECTION 321 THENCE WEST ALONG T!Q NORTHbXWMV LINE OF, SAID SECTION SZ, A V%STANC$ OF 1170 FRET TO TBE RIGHT OF WAY OF THE GOMM PACIFIC RAILROAD AS CONTAINED IN PEED DATED OCTOBER 31,' 1895 MM RECORDED IN HOOK 46 OF VNEDB, PAGE 391, S�R°T8. COUNTY RRC I THENCE SOUTHERLY ALONG SAID RIGHT OF WAY# A DYSTANCB OF 686 VZRTl THENCE EASTERLY A DISTANCE OF 1154 FENT TO TU WEST LINE aF SAID PALM0-HONCFIT HIGHWAY; THENCE NORTH A DISTANCZ OF 603 FSBT 20 TO POINT OF BEGINNING. l I. r RECORDER,S ME MO QUgLITy'O R RECORD IS DUE UE : OF pRIGINqL pt0 OGUMENT ` ;, BUTTE COUNTY DEVELOPMENT SERVICES Complainant: Address: Phone Number: Other Comments: ............ :..,:::.:;:.:.;:.:.:.. .....:. ..:.......;:................ .,........., .•,... ..........,... �.......: �...: .. ::....:,........ r....... ....: .,.. :........ :... ,:::::.: .. �.� :...:: ,..�.::..:.:.:... ...:.�:...,...: ::::::.:::::':;::::;::.:::::::....... :::::::::::::::::::::::.: a i�e:tri:.the: >:.:;>:::.;>:::.::::.::.>:::::>:.>:.:::;......::::::::::::::::.::'The.abave:.:�n or.:ma�ion:.ts:nat.a a;� Inspector must draw a plot plan with all building locations: Additional comments from Inspector: 2 740 Setbo.A shall be 5 ft. f Ac F ;;de pr'operfy line anc 50 1 fro:-. The ocd, permi�finci'a maxi- =enie; "fie of the r ,. I mum of a 2 fl. cave overhang but entirely P, !Iel\11out of all easements. ,11.1;;",�,;, CIDU1.11"Y of Bui,.-C. adq- -400 Septic system cmd, !.-.)Ca,.1on —_AAMF*4lL kx 0 0 lbe cs por Bui-le- Dept. lRe- 01 ,j .10 . Ir.s. c nN 11so in -1.1 of c U:-:.. .-cjj Codes -and L) e C' C:; I/ Igo All utility T shall be rear Icccied viiiiiln 4 home !'i . c, S c,:' of T the mobile o r, V, Ic I c r C) e. 46 P -701 PARTME11 BUILDING DC APPROVED AP 27-06-6 Delmer G. Weseman 6975 Upper Palermo Rd., Oroville (SEE LETTER RE HOUSING INSPECTION) V 27-06-6 Permit #1496-79B(demolition/SF) 27-06-6 GAS SUPPORT STRUCTURE H3�. Alb COMPACTION TEST REQ. A16 27-06-6 / � . ^� + . � ' ' ^. t ' .` . . . |'� \ ` . � / PERMIT NO. `s. 3662-86NHI ex site PERMIT EXPIRES OWNER AUGUSTIN CARRILLO 4 CONTR. owner- ASSESSOR PARCEL 27-06'06 LOCATION 6975 Upper Palermo Rd, Palermo f A. i Temp. Power Pole Called PG&E Temp. Elec. Service r Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature F i J=OK 0 = Not OK — = Not Applicable * = Not Ready { 41 + ` MOBILEHOMES I MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2• Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—"fest—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./ P'Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7, Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date •- Card -BI Date Card -BI Date Card -BI Date Date MOBIL HOME INSTALLATION (Plans) OK except It's Z� Requirements—Setbacks—Easements Date POOLS (Plans) OK except #'s 1. Setbacks—Easements Foo int s; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability as; MH Test—Demand-Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI a r; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater' 8. Gas -an ,Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit E ' s Insp.—Sketch Cert. of Occupancy 9. Health Department Approval 10, Plumb; Cir. Test—Water Supply Test Card B-1 DateAACard-BI '.Date Card -BI Date Card -BI Date Card B-1 Date' and -BI Dater .0 Card -BI Date Card -BI Date 7 x> • r I r J = OK' 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. -Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings -2. Fig., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits _ 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection - 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding-Naili 53. Stucco Mesh Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protectioi 55. Shear Walls; Nailing -Bolts I Date Card -BI Card -BI Card -BI Date Date Date Card -BI Card -BI ights-Plastic Date Date Date FINAL (Plans) OK except q's 56. Ext. Steos-Door & Sideliaht Protection -Land 57. Smoke Detector 11 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiti IF 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels II 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth II 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance' Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. _ 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Card B -I 5. Stemwalls, Main; Steel -Blockouts-Wrapped-Slab Date Card -BI Date - Date Card -BI Date 6. Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab 82. 7. Piers -Fireplace Ftg.-Steel MECHANICAL (Perrr•it) OK except N's 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test _ _ 9. Gas Pipe; Size -Anchors 31. 32. 33. 34. 35. 10. Water Pipe: Test -Anchors -Regulator -Service Test Water & Sewer Connected -C/O to Grade -HD Approval 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date DateCard-BI Date Card -BI Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s Com tents at Final: 14. Water Ht.: Vent -Access -Combustion Air Sills, Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops. Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shihng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions Garage Fire Protection Framing 0 15, Water Pipe: Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection - 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub& Shower, 2nd Floor -Tub Access 19. Gas Pipe.. Size & Anchors Card -BI Date _ Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL Permit OK except N's 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. _ Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen &_Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or A 27. Range Circ. / / ga. Cu or At Oven Circ. / / ga. Cu or At, Insulated Neutral Yes _No 28. --_ Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances: Pane ls-Motors-_Mech. Equip. 30. Clothes Closet Light -Shower Light 52. Siding-Naili 53. Stucco Mesh Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protectioi 55. Shear Walls; Nailing -Bolts I Date Card -BI Card -BI Card -BI Date Date Date Card -BI Card -BI ights-Plastic Date Date Date FINAL (Plans) OK except q's 56. Ext. Steos-Door & Sideliaht Protection -Land 57. Smoke Detector 11 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiti IF 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels II 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth II 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance' Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to 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 (Perrr•it) OK except N's 83. _ Corrections from Previous Inspections 84. Gas ;est -Meters Tagged; Gas -Electric Card -BI Card -Bt 31. 32. 33. 34. 35. A.C. Ducts. Insulation & Support Vent Fan: Exhaust above Insulation - Condensate Drain & Overflow: Size _& Grade Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet _ Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date- 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates ---- - 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 Com tents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills, Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops. Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shihng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions Garage Fire Protection Framing 0 - - (NOTE An entry must be made each time you visit job site) 1 i �--MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTERlDRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 536--7541 PERMIT N0_3(V6g Address or'location of-mobilehome Owner's name.. X- Owner:s-address d~ µ= Insignia or hud number��9 41 L I . NIT Manufacturer's,-name -CA A.A` Serial number bf V.I.N.t3H Yea of manufacture fficAl ApI3 ovimg Ins't`allation IF THE MOBILEHOME FS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. � r. 5138 --, kite - Owner, Yellow -,Installer, Pink - D.P.W COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. - 7 County Center Drive - Oroville, 'Caljfornla 95965 - Telephone 916/534-4D 16/534-4 1 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - - Z N G a. BUILDING PERMIT OffNER& TELEPHONE SQ. FT. OCC. BUILDING VALUATION ER'S M NG ADO ESS . 0 - xa) CONTRACTOR'S NAMETELEPHONE 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 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G IWI 0.00 ea TYPE OF WORK,,,���,,,((( New ❑ Addition ❑ Remodel ❑ Utilities Installation[] Other ❑ Describe work: / _ l � Permit Fee $ Contractor ELECTRICAL PERMIT FiIin9 Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI 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 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason LIN OCCUP.&) ADDNS+/22sgft oR T DWELG ( NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH ITS PCIRC POWER APARATUS S (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AL030 D AL00 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. INirin g 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. 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 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 gounty in consequence of the granting of this permit. rrt_6�,gd X Date Ate- Sign re of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures oover,3 stories in height. Mobile Home Installation Fee $ L4 A -t3 $15.0 TOTAL PERMIT FEE $ ��Butte toz occuP. CONST.TYPE FLOOD PARCEL P11 1 :4 ISSUE This permit is hereby issued under sions the Butte County Code and/or work ind cated ab a for which IR TORQF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 1ZP&e4'6 ����� Receipt No. t-7 "73 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBL`I_C WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI;_LE,:CALIFORNIA 95965 - TELEPHONE: 916%534-4541 PERMIT APPLICATIONDATA SHEET,...--�- Permit No. / OWNER A. . No. C? 7- 0(o. (�/� � Proposed Building Use 1't Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1, All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans, - 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . , , 9. Letter of signature authoCiz tion. : n ,� _. 10. Sanitation approval from Z j(l Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif,) 14, Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), 15. Improvements may be required. . . . . . . . . . . . W 6. Mob ilehome Installation ata. A? 112 I Pre-Inspec.,requ se t to Pre -Inspection for f"t f -X• Required. Building Inspector Recorded copy o.f_Agr_ic-u-l•tural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of r"X t, •' 21. w 22. When you issue theprocess as follows: Mail to owner / Mail to,contr actor. Telephoned-!a%� and hold for pickup at�/�f<f ce, Deliver w/inspector. Other ' Applicant+ e Copy of plans sent Health Dept.,, Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No.'`',- 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_ma' cou ter y date Contractor, designer, owner, was advised of above required data by_phone_m II t y date Plans checked by Date Plans approved by Date _ Sets of plans on hold in File cabinet AP folder Copy—DPW /Z/AEc4V.1 — Flours: 10:00 a.m. - 3:00 p.m. To: �,)uilding Department, , R From: '.1hvironmental i{c:ilth Subject: Sanitation Clearance 0 V--, e.-V�cif 7 lv Owmer location AP;'/ Plan Approved for: Hold final. for: Final clearance O.K. Clearance for i N0 -i--, *-x* dispo""al fur: bedroom; m.ob:Lle home. Other water : uppl.y i;:A.:r :supply wziter supply Sanitari. Date ,( COUNTY OF BUTTE .BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916);538-7541 747 Elliott Road, Paradise, CA - (916) 87,2-6307 CORRECTION NOTICE C A routine inspection im the above address and is completed. If you he% pie contact this of PERMIT NO. that the following violations of Butte County Ordinances exist at �errected. Please notify this office when correction of work uestions pertaining to this matter, or need additional explanation, iediately. Dat Inspector REV 10192 COUNTY OF BUTTE AEPARTMENT OF PUBLIC WORKS �.; - -1h Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road; -Paradise — Phone: 872-2961. Ext. 57 CORRECTION NOTICE 1 D z �� oonT ni. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this mater, or need additional explanation, please contact this office imdiately. \\/a/} 1 ► Il.'t A �� j! � -4 ' a Inspector_, Date t _ COUNTY OF BUTTE • "'DEPANTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7...County.Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE s(9��-- i' A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this ter, or need additional explanation, please contact this office immediately. A A n P Inspector_ r Date_ ��' �n COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE C,aLo4e« OWNER ~' PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r a COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement L e or no) 2. I have have not) signed an application for a building permit for a proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work ' Signed: _ Property Owner Social Security Nu er Date l `L. -6-- Q, G NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ►•. } 74 MSN „.;S+ , (he Setback shall�'e 5-#tura the kei c-. t!,� '_, , . :' 1.c:'. ,`.! side property line and 50 fF. fror:, t ,n�.i ., `,,,,c.c;l s�:,;o centerline of the road, permiFting a maxi- ` mum of a 2 ft. eave overhang but entirely per:.?;_+:_:: ,.:.;:, ;,; Deparh-ncrlf or P�• out of all easements. li Works, C>xrFy of Bufte. All utility conncaions shall be located wifhin 4 ft. oufside the rear I third sectio, of the rwobile home on the leTfi (rood) silo of the mobile home. J1 Septic system and loca'�ion albbwP4. iFoo @ . i4a to be as per y � orvZ 46 Dept. Re- ;T ci • ?v;l►`:1�l,1N1 (BUTTE COUNTY' Ruirernen, ts. �tM mpr410 I \ BUILDING DEPARTMENT APPROVED -� ci ii1C 1 / 4;V- "1 I BUTTE COUN l I BUILDINGIgo no Pi i DGPARTMEv use in ;i r•. r;�;_ .`i^.-�, ;� ,. a:;� s, tbiCCi,. Ei::Cil Cod and A P P R O �9' E D the�Patiorcl=!ec;:.:.�°I Code. r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe.length less than 6 ft. on natural gas or less than.50 ft. on LPG.) (BTU) Is.the site an existing site? Yes Ll J, No (If yes, furnish two plot plans.). ' 4. Will the mobilehome be located at least 5 ft. away fromsEc. tank and leach- ' F] fields and clear of all setbacks and easements? Yes No < ;. (If no, clarify �3YD 2- X5. What is the mobilehome electrical rating. -- IG �­A s. 6. What is the mobilehome site service 'rating? ------------- -]DO Amps `3. What is the mobilehome site circuit breaker rating? - �� Amps• 8. Is there any other electric load to be served by the .. -------------------------------- Yes No mobilehome site service? (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? -- Natural Lni LPGs 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe.length less than 6 ft. on natural gas or less than.50 ft. on LPG.) (BTU) MOBIL&ROME OUPPORT DATA If other than- single wide, /� Mobilehome Mfr. G, 6[� furnish Setup Model No. Year lo,� Width (ft.) Box Length v (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte), FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 1. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers.: Size-Min.------------ itA n Spacing -Max. --------- From Ends -Max..- ------ Line 2 Piers: Size -Min ------------- „x „ Spacing -Max---------- „ From Ends -Max.------- '.0 0 Line 3 Roof Loads: Size -Min. ---------- Location (From Front) Line 4 Piers: Line 4 Line 1 Line 1 Openings: Size -Min- ------------------ „x „ Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ Spacing -Max.--------------- From Ends -Max -------------- Size -Min ------------- Spacing -Max---------- ,- n From Ends -Max .------- Line 5 Roof Loads: Size -Min ------------- Location (From Front) Bear Size -Min ------------------- Spacing -Max.--------------- �_ u From Ends -Max -------------- BUTTE COUNTY s iU11,MIN G, DEPARTMENt, 1496-79B PERMIT NO. PERMIT EXPIRES OWNER Delmer G. Weseman CONTR. owner LOCATION (A.P. 27-06-6 6975 Upper Palermo Rd., Palermo vlJ I F � GG fo ` Temp. Power Pole Called PG&E Temp. Elec. Serv. 4 Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) h" ` {1 .I' � � � .: r � � ' 1 J g ` !: .� i' �. � Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown COUNTY OF BLkTTE : DEPARTMENT OF PUBLICVORKS BUILDING INSPECTION RECORD Temp. Pole BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing _ Test Water Htr. Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping M�BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 196 Memorial Way Address ❑ Reply to Chico, California 95927 Telephone: 916/891-27.27 Delmer G. & Elizabeth K. Weseman Box 331 Palermo, California 95968 Dear Mr. & Mrs. Weseman: DIVISION OF ENVIRONMENTAL HEALTH BEAUTY 7 County Center Drive C1 747 Elliott Road Oroville, California 95965 Paradise, California 95969 Telephone:. 916/534-4281 Telephone: 916/ 872-2961, Ext. 58 February 9, 1981 Re:. Old dwelling - 69?5 Upper Palermo Road, Palermo, Al2# 27-06-6 On .February 4, 1981 this department received a request from the Butte County Department of Public Works to inspect a dwelling located at the above listed address to determine if it is occupied or in process of demolition.. Public Works advised us that the dwelling was to be demolished as a. condition of approval for a new mobile home installation on the property, and that you had signed a letter agreeing to demolish the dwelling. On February 5, 1981 I visited the property and observed an old dtaell- ing irhich appears; from an exterior survey, to be substandard and unsafe for human habitation. A young man working on the property stated the dwelling was vacant, but he did not know your plans for the structure. I am writing to advise you of the following: 1, your property is zoned A-5, and as such only allows one(1) dwell- ing per parcel. At present there is a mobile home and the previously described dwelling on the property, which is a violation of the Butte County Zoning Ordinance. 2. You have installed the mobile home, and have not complied with ,your written agreement of March 21, 1979 to demolish and remove -the dwelling. 3. The dwelling appears to be substandard and unsafe for human habita- tion from an exterior inspection. Please contact this department within ten (10) days from receipt of this notice and provide information as to when you will demolish and _remove the old house. page 2 of 2 Delmer & Elizabeth Weseman Palermo, CA 95968 -1 A demolition permit shall be -obtained from the Butte County Depart- ment of Public Works, 7 County Center Drive, Oroville, CA., prior to demolishing the building. You.may contact me at the above listed address or telephone number. Very truly yours , Howard J. Snyder, Jr., R.S. Division of Environmental Health HJS/lld cc: Pubic Wor s Zoning.Enfo cr ement Officer COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICAT40N AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. //,/J/ J�,, a !!:::� - ate Signature of Permtee or Agent Receipt No. I o a it(0 4cl White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated ab7MLgEC�UrBAF h fees habeen paid. PUBLIC WORKS BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 9�0 � Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address .., G1 i?dg 4L� Plan Checking Fee &/orPenalty Permit Fee . C PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. �%� p (o. -(o Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F e Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bim. Plans Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ A &-5 P, ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Family � Duplex ❑ Mobil Home ❑ Others El -Main service EA. ADD'L 100 AMP 2.50 Main service OVER e O 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLBL GS.LING CCUP. 2¢Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y NEW CONSTR BRANCH CIRCUITS) NON.RESID. (MULTI BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES BAL@1 BALI Ex. OCCU FIXED APPLNSOR p•(OUTLETS (RESI.D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $29!12 $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I•am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ O1 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. //,/J/ J�,, a !!:::� - ate Signature of Permtee or Agent Receipt No. I o a it(0 4cl White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated ab7MLgEC�UrBAF h fees habeen paid. PUBLIC WORKS All ;y. 11ay . 4, 1977 /J[l�0 CG �i LP-.N1D CF N!AT0RAL WEALTH Ai\iD B AUT`i DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH DIVISION RALPH F. ERLINGHEUSER, M.D., M.P.H., DIRECTOR ENVIRONMENTAL HEALTH UNIT Address ❑ 695 Oleander Avenue, P. 0. Box 1100 tN 7 County Center Drive ❑ 747 Elliott Road ' Reply to Chico, California 95927 Oroville, California 95965 Paradise, California 95969 Telephone: 916/343-4211 Telephone: 916/534-4281 Telephone: 916/871-0852 Delmer G.. and Tizabeth K. Weseman 433 Harlan San Leandro, California 94577 Dear Mr. and Mrs. 'v:eseman: s. •;ie recently 'pad occasion to inspect the residence located at 6975 Upper -�lermo Road ( Assessors Parcel #27-06--06) reportedly o,med by you. The building is a woad frame structure with wood. and tar paper siding, a galvanized metol roof and has no foundation. There is exposed and hazardous electrical -tiring and the electrical system is overfused. The plumbing system is inadequate and sewage overflo-.;s on the surface of the ground. .Because of the above,.and the dilapidation, deterioration and disrepair of the buildin--, the dwelling is hereby declared to.'oe a substandard building and a nuisance under the provisions of the California. State Housing Lata. The building must be rehabilitated to meet the provisions of the California State Housing Law, or it (mist be demolished and the. lot cleared of all debris -ithin 6.0 days of the above date. The building.'is currently vacant and must remain vacant until cleared by this department'. ?:rill you please give this matter your immediate attention and inform -me within 15 days of the above date of your course of action. Permits for rehabilitation or demolition will be required from the Building Department at 7 County Center Drive, Oroville. If you have any questions, or if you would care to make a joint inspection of this building, please feel free to call upon us. Very truly yours, Lynn Vanrart, P. S. :supervising Sanitarian T,n /J r cc: -tBui1,- ing Department I.ar.ry Heffner i Owner: Address: Tenant: Building Location: Type of Inspection requested: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT A. P. # 22 K� Oto Date of Inspection z --;o � Inspector 1. Housing / / 2. Financing 3. Change of Occupancy to 4. Other (specify) Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavato 3.a htu or shower: ✓ 4. Kitchen sink: 4/ 5. Hot and cold water to fixtures: "7 6. Heating facilities: �U V.n-t 7. Natural light and ventilation: 8. Room and space requirements: ✓ 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: Nin 12. Connection to water supply: 7 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 141ogKon.1,h aka 6. Comments: D. Plumbing 1. Fixtures connected and vented: r� v 2. Gas water heater: 3. Gas heating vents:, 4. Comments • 6a1 -Iv L (continued on back) ��i] �. r o ..•'1 1� lc- I � �i •v G.. � 'La �� M .i�✓ /C d G� w9��� o i� C. Electrical 1. S ervic a and ground: e), , k .sa.. ; ti L a- -/voe 2. Receptacles: 3. Fusing: 4. Commenits • r �,, , ., /c.., T ov a� 7-2, D. Plumbing 1. Fixtures connected and vented: r� v 2. Gas water heater: 3. Gas heating vents:, 4. Comments • 6a1 -Iv L (continued on back) E. Other 1. Maintenance and repair:► -- 2. Fire hazards: 3. Safety hazards: 4. Weather protection:—g, S. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: /1e ~v,+ 2. Distance to'/property lines: 3. Physically handicapped: 4. Restroom floors and walls:_ S. Exits: 6. Improvements: 7. Z on irg : 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten (10) days, then write letter. / / C. Write letter. 7 D. Other: ev- v - i r�, da —/ -� m X Slq.ydel� Wr61 �eVt-t'l .� taus2 K Dcvs�or��e, o At P ,sem zj._ 4Yw r �. —\ N �— LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 196 Memorial Way X7 County Center Drive ❑ 747 Elliott Road Reply to Chico, California 95926 Oroville, California 95965 Paradise, California 95969 Telephone: 916/891-2727 Telephone: 916/534-4281 Telephone: 916/872-2961, Ext. 58 August 11,.1981' Delmar G. & Elizabeth K. Weseman Box 331 Palermo, CA 95968 RE: 6975 Upper Palermo Road, Palermo area/AP# 27-06-6. Dear Mr. & Mrs. Weseman: I am writing in regards to the old dwelling at the above listed address, and your request to convert the structure to a storage facility. The structure will be acceptable for a storage building if all plumbing fixtures (i.e. toilet, sinks) are removed, and utilities including gas, electric and water are permanently removed from the structure. Please complete the above and arrange an inspection with the undersigned to verify compliance w ,ti n THIRTY (30) DAYS from receipt of this.letter. Sincerely, A F' t't'- • a Howard J. Snyder, Jr., R.S. Division of Environmental Health -A HJS/lld cc: Z_oning_Investigator Public Works , July 9, 1981 CERTIFIED - RETURN RECEIPT Delmar G. & Elizabeth K. Weseman Box 331 Palermo, CA 95968 Re: AI' 2� -06- 09'] Aper Palermo Rd. Dear .tir. &. Mrs. Weseman: ID GF NATURAL 'Al E:A'LTH AND Bcc)�UT.Y PLANNING COMMISSION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 PHONE: 534-4601 It has come to my attention that you have placed a mobile (there are two (2).d. elling,15; a house and a mobile) on the above referenced parcel in vir.��tion of the Butte County Zoning Ordinance Section 2.4-;)2 A-5 (Agricultural) zone whi-ch states.: (A) Uses permitted (1) one singly family dwelling per parcel. 'lease Note: You had. a written agreement (dated. March 21, 19'/9) to demolish and remove the house. For this purpose; you had applied for and received a "Demolition Permit`'. To this date, the house is still stand.ing and the demolition permit has expired. Therefore, .you are instructed to either remove ,your mobile or dis- - connect all .utili ties and park it in dead storage. You may, if you so desire, complete your written agreement by applying with the Butte County Building Department to renew your. "Demolition Permit" and remove the house. Please note: If you either remove or place your mobile in dead . storage, you must have a 'Butte County Envi-ronmenta']- Health Officer inspect and approve your house safe for human habitation._ If you fail to comply with the above instructions within thirty (30) days of trie receipt of this letter, the matter will be for•- w,arded to the Butte County Counsel and/o-r. the Butte County District Attorney's office for appropriate legal action. Sirs erel,y, Vince Anzalone Zoning Investigator VA:jc cc: Planning Di •recto.r'. -County Counsel DistrictAtto.�:ney Environmental Health Bu.i ldi n Derartm(,nt 74 Th"s set of Fans rhe Setback shall be 5 ft. from the kept on t'te �a t �, l .'r , ,d i.` is u la,i,'" side property line and 50 ft. fron the 1. , i centerline of the road, permitting a maxi- m4..� a:�y c+�.::�� �. ��„era�.ons °n same mum of a 2 ft. eave overhang but entirely wr ,i;-cn perr,,ics't�-: �rori ;iia Department of tau ' out of all easements. Iic Works, County of Butte. � i 630 rAll utility c 4 ft ”±U}s,�es#hel rear located within I third section of the 'mobile, home on the left (road) gide of the mobile home. Septic system and location. cbW04.v; i • "to be as per ^� Butte County Health. Dept. Re-' MINIMUMquirements. MOBILES °�------ 400 ---- ..f e fE��+Cea � � ifid t will 0 ILXe A perm tie rr► , 1 G - �nstallcsyio� °Y NOTE.—All' Mai oric;ls 8: \h/cr e�c;nsltip Sl�a!! Be in % O BUTTP COUNTS Accordance will Rczagnuod Good .Practices and BUILDING DEPARTMEN"' of a dual ty proscri6eCJ f°r il�e Srseci,, `d use in the Uniform Building, P;umbir:� £x Iv'lechanieal Codes and P p R Q �! E D the National Elec;r;c:cil Code. �'1 i ' PERMIT N0. 1495 �79P,E i PERMIT EXPIRES OWNER Delmer G. Weseman CONTR. owner LOCATION (A.P. 27-06-6 ' 6975 Upper Palermo Rd., Oroville r Temp. Power Pole ` Called PG&E _ emp. Elec. Serv.S Cal,l'eKd'PG&E ce Temp Gas Serv. " IS''7 Called PG&E X - g�� FININALED • n 1 - - ... / � t { n 1 - - ... M � • � • �� ... • { Stucco I Final _ Mesh Scra. h Heatin Br4vn Coolin FJhIsh X I DucUf In rior Lath Ve Ilation or Closer X nal OBILEHOME UTILITIES Elec. Servic Water Piping * Sewer a—,1 1 E ME INSTALLATI N - - - - - - - - - - - - Support Water Piping Drainage DATE REMARKS OR CORRECTIONS J� az A w L N Grd. FaulVProt. Service Te . Pole U er round ermanent N.01nal Elec. Pedestal Gas Piping Elec. Continuity —/ 11 Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Set ck F wall Soi Plpin FornlX Par ets is Floor Mai Bldg. Restr m Finish 2nd loor Fo ins Window 3rd F or Ste all SI To out Slab Roof Shea n Water Pi In Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physical) handica ed Conformance of ex. V structure V Appliances Gas Piping &Test Temp. Gas Slab A Final A Sanitation Patio FI EP CE Final Footin s Footing EL TRICA Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bead OMAINKLEFA Motors Stucco I Final _ Mesh Scra. h Heatin Br4vn Coolin FJhIsh X I DucUf In rior Lath Ve Ilation or Closer X nal OBILEHOME UTILITIES Elec. Servic Water Piping * Sewer a—,1 1 E ME INSTALLATI N - - - - - - - - - - - - Support Water Piping Drainage DATE REMARKS OR CORRECTIONS J� az A w L N Grd. FaulVProt. Service Te . Pole U er round ermanent N.01nal Elec. Pedestal Gas Piping Elec. Continuity —/ 11 Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) a COUNTY OF BUTTE y DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number Pfk' I— T -)"^,for the following location: 1 i Owner EN -3 14,1$0 i- C-" . (I )O C ro lfy-� C), f Owner's Address ( T -7,4Z- He4r, r MA f ' r-4 : Mobilehome Mfg. �li►Model "�?-+` Year!H Insignia No. ` Serial No. It is hereby certified for occupancy at the above described location and may be occupied. J {y q Director of Public Works Date"" ! �i I y By � � - 1/ - THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION INSPECTION -CHECK LIST a° 1. Is the mobilehome located with (required separation from lot lines and buildings and generally conform to plot plan? Yes o 2. Does the mobilehome have required clearances above ground? (Se c.5085) Yesy No 3'. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (.Se/c..5082 & 5083) Yes /P No 4. Is the mobilehome level? (Sec. 5088) Xes v No 5. If more a single unit, are crossover connections properly installed? (Sec. 5088) Yes 6. Water A. Is flex le connector of adequate size and properly installed .(1/2" ID min.)? (Sec. 5566) Yes No B. Test = Does water piping withstand working pressure or 50 lbs. air test? Yes r/ No C. Backflow - If coach is not Stat California approved, does station .have backflow device and pressure -relief valve? Yes a 7. Wastes and Drains / A. 'Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes!/ No B. Does it have minimum" per foot slope and is it properly supported? Yes V' -No: r C. Are any leaks detected in drainage system after running 3- llons of water through each fixture including washing machine standpipe?..Yes No D. Ifcoa not State of California approved; does station have required trap and vent? Yes o 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9, Electrical A. Is service large enough to provide adequate amperage -to mobtlehomg (must equal rating .of mobilehome with a minimum of 0 amp)•and`other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes B. Is there proper clearances around panels? Yes t/ No C. Is power supply cord or feeder assembly properly fused? YesC,,�No � D. Is continuity test satisfactory as per the following procedure? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the.power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of'a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and 'appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the -power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the. mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. , 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Pizavy Length Width �rZ Vehicle Serial No. State Identification No. Additional Informatijon'or Comments: R N01 I E I E � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT j9P9 7j authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ate� Signatu f PermiteeGor Agent Receipt No. a.3 �Op White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. I OF P LIC WORKS Date Building permit expires Date DZ� BUILDING Owner PSC44i4A 4. Wrsi&Z,�e SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor 5� Mailing Address y� °� �,,,� ,, Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. -7-060, (a Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees / S n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 Plans Recd Parcelrovol Plans A a Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER CA Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LESS5.00 Single Family ❑ Duplex ❑ Mobil Home J0 Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O ' Main service EA. ADD'L 100 AMP 1.00 ( OR ADONS.NEW CONST. \ DWEACCLBL GS.LING CCUP. 9� 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code unchar the name style of. le NEW CONSTP_ (MULTI.OUTL T NON.REsID ` BRANCH CIRCUITS 12.50ea NEW CONSTR. ( POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTI RES g L 250 1@ FIXED APPLNS. OR Ex. OCCUp.�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.V7-2/G 71 Classification C Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ @ MECHANICAL No. FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. LFtave placed on file with the County of Butte a certificate of � Workmen's Compensation Insurance. E] I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee �. !�-, %. $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE 106 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ate� Signatu f PermiteeGor Agent Receipt No. a.3 �Op White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. I OF P LIC WORKS Date Building permit expires Date DZ� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville; CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner' s name: R 2. Installer's name: 3-. Is the site currently under permit? Yes No ( If yes, furnish permit number l �� S�— % ) , OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) f 4. Will the mobilehome be located at least 5 ft., away from septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify ) '5. What is`the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --=------------------- '��--a , Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. -Is there any other electric load to be served by the mobilehome ` site service? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------- -------------- (i 10. What is the type of gas service?------------rgt4hless'than Natural / / LPG Z7 11. What. is the gas pipe length from meter or tanme? l (ft.) r . 12. What is the mobilehome gas demand? -------------- (BTU) (This information not required'if pipe.16 ft.. on natural.gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr.furnish Setup Model No. 7 7 Year 6 Width -(ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Single A (ft.X(in.) I (in.) (in. Center sup ort location &* (ft.)(in.) (ft.) (in.) (ft.)(in (f .) (in.) Center support footing lizes (in.) (in.)/ (in.) (ii\.) (in.) (in.) (in.) L_ x J (in.)I (in.) *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. Footings (check one) [21- Wood either pressure treated or foundation grade. 2. Other (specify) Supports (check one) 1. Concrete block. F] 2. Other (specify) Tagalong or Expando, show support details. d2x,3O -- Typical Support (in.) (in.) Footing Size Max. Pier Spacing /0,,// -- Max. Overhang (ft.)(in.) Liu (T6 wuw 11 . BUILDING DEPARTMEN! APPROVED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r " 7 County Center Drive - Oroville, California 95965 +A Telephone: P34-4541 APPLICATION AND PERMIT authorize representatives of the county of butte to enter upon the above-mentioned property for inspection purposes. X ate 3 Signature of Permitee or Agent 1 Receipt No. I���iL� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRV,JOR ROOF MJBLIC WORKS �% By Date Building permit expires Date�� BUILDING Owner Mailing Addres i SQ. FT. OCC. BUILDING VALUATION Telephone No. Contractor C t v Mailing Address Fireplace Total Valuation Telephone No. Permit Fee > Building Address .. Plan Checking Fee&/or Penalty ,ermit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 , DO Each Trap 1.50 pair drainage or vent piping 1.50 A. P. N0. .r Q (p Com' Zoning tanning Water piping 1.50 Each gas water heater or vent 1.50 F/e S ion Fire Dept. Fire Zone Us ermit Gas piping system 1 - 5 outlets 1.50 jj.06 EQA Parking plans Parcel Declaration Parcel M 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 ,Q ane Rec'd Parcel roval YPlans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ 66 331Ol ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .00 Main service 600V OR LESSa 100 AMP OR LESS 5.00 , Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 , Main service OVER 25.00 100 AMPP OR LESS O Main service// EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADONS. %ACCDWELBLDGS.LING CCUP. s) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: TLF NEW CONSTR BRANCH CIRCUITS) NON-RESID (' BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &, NON.RESID. SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXTIIRES B L@; FIXED ALNS. Ex. Occup.(OUTLETSP(RESID)REAJ 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 2& S $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner J so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby PERMIT FILING FEE $3.00 Heating Cooling Ventilation L2.00 Hood Permit Fee $ Land Development Fee $ $�`OC TOTAL PERMIT FEE $ authorize representatives of the county of butte to enter upon the above-mentioned property for inspection purposes. X ate 3 Signature of Permitee or Agent 1 Receipt No. I���iL� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRV,JOR ROOF MJBLIC WORKS �% By Date Building permit expires Date�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CM!"It "95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. / ASSESSOR PARCEL NUMBER - " C? -5 BUILDING PERMIT o ER, A4_CbER'S TELEPHONE SQ. FT. OCC. BUILDING VALUATION M G ADD �. x ESS CONTRACTOR'S NAM E TELEPHONE 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 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Sr /fir ` Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome0- Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 11 S I G JW I 0,00ea TYPE OF WORK New❑ Addition[] Remodel❑ Utilities Installation[] Other❑ Describe work: _ I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA, ADO'L 100 AMP 2.50 CONTRAGT,ORS LICENSE LAW of perjury t I declare under penalty p jy (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 �C 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.61) DR A.D.S. ACC. BLDGS. '/z¢sgit NEW CONSTR UL I.OUTL T NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR, EX. OCCup(OUTLETS OR FIXTURES 20L.0 30 eA FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service • 10.00 Mobile Home Facilities 15.00 Misc. �Vi�ing 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. 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 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 gounty in consequence of the granting of this permit. 61 � g� Sign re of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- structures o/v-e—r,3 stories in height. Mobile Home Installation Fee $ 07) $ 155 TOTAL PERMIT FEE $ r5� OCCUP. CONST.TYPE I IF1.0001PARCCLI PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above . for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date rReceiptNo. ` / r / -:� I � -D.P.W.. YELLOW-AS691S011, PINK -INSPECTOR, GOLDENROD -APPLICANT A 4.. a>, e, TE sus l OFEktA CbO-g O • 6�i�S VPPE� pRI.Ele µo AD PAl ERr-,o CA 95968 Ci�21 - 06c°, - 006 S „ - 60/ (03e' to co AG c Lt ° zoo SIN4�� vl9E 11'e {' utE �N bo 6Y, SNE' lam' Fo N 4'qc � 7 H' S U�,P£� �A�,ERMO iLoAo 7`l0' DS D�07 BUTTS COUNTY WILDING DiVlSlOt APPROVED