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HomeMy WebLinkAbout027-100-056RESIDENTIAL' 027-10-0-056 98-2955 B-� I JOHNSON, Lonnie 2961 Louis Avenue, Palermo (porch on front of MH) -174 _fid PERMIT NO. ----- - PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Pourer Pole Called PG&E Temp. Elea Service Called PG&E Temp. Gas Service Called PG&E ,1013 FINALED (Date) / Signature %%4"s**We&*pQo4pw XVPLM tapxo **,Do -C u aupjn 'd 030VM `ILLVOd1l11*'Skf3A0*'6W330 4490 snO3NV1133slw also- pmox - also t-GPIWO also Ve pjvo 0420 iewa emmian ;4JO U090PUnDA WOUBUUOd -at- P%AJC"J�IgoklM n:'CPJXIIW -01. UOSIDS -OL­ V a *if r44" Aq&j poj.*ib3 &_*vrO43 MR PQBftkq4*013 Pug 890 *9 pold6v OH4p-9 at or_ -p0 mm3A-As Put Xnam- -I. -9 Japauuo,"A orglown Hn:mvm .9 A" fqiwn Food *NWMS POd Xx=m Olw4wdkmLncwq HvV6w6 j v 934*mqpS 6.0 wam)lo WNW SlOod:,­: P Aqua also, 7. ve pjoo elm Ve Pilo t, Vs POD I. -S PAO t-9 PMO stag t"dIRM peovm ZL 0400u-ft4s 40ou .0t loomomm T sammato PM lllfl.r 7i�PONFao�nlS�aaUahsN :PIS -6 Pas mxma�A UUNW3,UAVWW -S %%4"s**We&*pQo4pw XVPLM tapxo **,Do -C u aupjn 'd 030VM `ILLVOd1l11*'Skf3A0*'6W330 4490 snO3NV1133slw 4MM UOdft Hn P.Mft!BM T IWWAMW3 - IMP M S;, CW� *.#xIw-woOwwJwunut%3noHmwow, also S3WOR.31113OW,_----,--Ap"k"ON-- OR-AldctV ION - - NO ION - 0 NO -.A Ve POD Olva t-8 PJV3, vied ve pivo 44sa Ve Pico iewa emmian ;4JO U090PUnDA WOUBUUOd -at- UOSIDS -OL­ a *if PQBftkq4*013 Pug 890 *9 pold6v OH4p-9 at or_ -p0 mm3A-As Put Xnam- -I. Japauuo,"A orglown Hn:mvm .9 Xx=m Olw4wdkmLncwq HvV6w6 j v GO Kim* NO PUBW NOILYTIVIM MON 31180n oleo I t-9 pmol, t-0 PFOO Ing() I. -S PAO t-9 PMO stag loomomm T sammato PM lllfl.r 4MM UOdft Hn P.Mft!BM T IWWAMW3 - IMP M S;, CW� *.#xIw-woOwwJwunut%3noHmwow, also S3WOR.31113OW,_----,--Ap"k"ON-- OR-AldctV ION - - NO ION - 0 NO -.A OK Not OK . Not Applicable RESIDENTIAL (Single & Duplex) : rvOc non.+r +te UNDERFLOOR (Plans) OK except ft Insulated Neal Q lies U No 1. Zw ingSetbacks-Easmenu+)ood-sive 31. Service -Riser Cordurl m & Ground -Main Discore 2. Ftg.; Main; Soils-Elec. Gmd. / r Ftp. Owth 32. Equip. Clearances Panels-Moto"ech. Epuip. 3. Ftg. Garage; Sods-SteeFETec Gmd/ r Ftp. Depth " 4. Ftp. Porches 16 Decks: WOStee4/ r Ftg. Depth 34. Smoke Detector 5. • Stentwals. Mir: Ste"Ioc: toutsN*apped 6. Sternwals. Garage; Stwe -Slodoouts-Wrapped Card B-1 Date Card B-1 6a. Hold Downs and special Anchors _ Card B-1 Date Card B-1 7-77. Slab. SwdWmpped - MECHANICAL (Permit) OK except ft a. Piers-Fireplaea rV.Steel 35. A.C. Duets Insulation b Support 9. D.W.V.; FaC Fitting -Test -2 Way C/OSewer Test •' 36. Vent Fan. Exhaust above insulation 10. UF. Gas Pipe: Sm Anchors -Yard Gas Prp(rg. Sime lest 37. Condensate Drain 3 Overflew. Size d Grade 11. Water Pipe; Test-Anchors-RegtdatorSwvice Test 38. Furnance-Vent Access Comb. Air -Return Air Vent 115 outlet 12. Electric Underground 39. Attic Access b Platform if Furnace in Attic 13. Plenums 3 Duetx C.ka1anarMaftfa{SuPFOr1`kM 14. Girders -Sas -M W 15. Access 3 VendadW Card B-1 Date Card B-1 16. Insulation i Card B-1 Date Card B-1 Date ate Card B-1 _ Dab _ -, 'i r Card 5-1 ,ate _ Card B-1 Dab Vis.., 7 Card B-1 3 )ate PLUMBING fWnI4 OK meq* ft o. $ 17. Water Hit: Air Baine 1a. Water Prpe: lest b Anchw4NIM PtobecBore . 19. D.KK1r:; Test Fdtings SAerdeorHai Ptobcllon 20 Shower Pan. Test Fwa ftorli=b Aocess 21. lest Tub & ShoweG Sewed Flow -Tub Aseess 22. Gas Pipe: Sbre & Amines _ r, Date Card B-1 ' Oab Card B-1 Date Card B-1 Daae Card B-1 D ate ELECTRICAL @%w4 OK ww"A f's 23. Fixture: S Transtbo tet Clearance-bm Protection - 24. Elec Receptacles Spackg-Liltts 3 S1wbdtes at Doors 25. Skm Boons d No. ofConduclors Stapled '26. Romer knialled Close b Edge of Studs b C.1 27. Equip. Grou id made upy~ Fasw ervBod Gas b Water 28. 2 Appliance Cswts b I khm 6 Cw tctor She GR 29. Subfeed Wire Star► 19a. Cu or AI-A.C. Wire Size/ / ga Cu or AI in RAt c;#� r raa Cu or Alan Cir_ / 1 as Cu or AI 41. Walls Studs-Naling Spacing d Braces -Plates -Sound 42. Bearing Walls over Girders b Floor NaTrg 43. Draft Stop in Walls (rat proof) 44. Fre-6tops, Furred Ceil'ugsStaim-Chasers-Tubs ;45. Headers S Beams -Size b Bearing Data FRAMING (Continued) 46. Hangers -Post Caps 47. Cling. Joist•Rftt ries-Pu ff Brac.-Truss-Shftng.-filing. 48. Fireplace Ties or Type A Flue Fireplace Throat dearance 49. Attic Access: Size b Romex Protection-Oraft Stop Ins. Baffles So. Bdm,. Windows or Exiting Doors-" Hgt a Dimensions 51. Garage Fire Protection Framing -52. Property Line Firewall rL Openings ~. 53. Ext. Doors -One I -Check Garage 3rd Sorry. 2 Exft S4. Stairs-. Widb+leadroont•Rk&Run.landrg-Fire Protection 55. Plywood on Roof Overhang -Attic Venro-Raper Outriggers S6. Siding-NaiLrg Veneer 1 57. Stucco Mesh-Orip Screed -Fd. Vents-UndeAU. Access 58. Glaring Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 6o. Brace Interior / Exterior Wall Panels 61. Insulation-Walls-Cedrgs is 2. 62 Infdtratior}WalsWirdows .K - •;...� r - Date Card B-1 Date _ . t Card B-1 Date Card B-1 Date, Card 8-1 Date FINAL (Plane) OK swept ft - . 63. Ext Steps -Door S Sidelight Proteetio kAndngs 64. Smoke Detector 65. Furnace; Vents-Clearartce-Comb. AWConectar- In Garage; Abse FIoor-0uots-MedL Protection 66. Bedroom Exiting + - 67. GFJ.1L Bath Fixtures 3 Tub AcoesaSpa 68. Elec. Thm 6 Subpanek Breaker Sites 3 Labels' 69. Stairs d Rads 70. Fireplace or Stave. Clearance -hearth ;: 71. Elec. Outlets at Wood Panel, Int b Ext 72- Kit Foot d Appliance; Ground. -Air GapCool ft Clearance 73 Eke Outlets 3 Recepticales at 1Gt Counter 74 Garage Fre Door Swing -Lancing -Closure 75 A.C. Duct in Garage -Damper 76. Wit Htr.; Vents-Ckarance-Comb. Air Connector-P.R.V. In Garage- Above Floor -Meth. Protection 77. Plb., Elec. b Mech. Equip. Listed for Location 78 Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails d Deck Constriction -Post Caps 81. Fdn. VBents b Crawl Hole Door Drainage b Wood -Earth Clearance Looked under Floor 13 Yes 82. Following InsddJDrive Q Yes 0 NolWalks a Yes Q NoRlanters Q Yes a No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect. Electrical -Plumbing 85. Vents Above Roof, Pfbg-Apprwnce-Fireplace-Clearance to Openings 86. Water We". 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 b Sewer Connected-= to Grade -HD ApP-21 93. Energy Compliance Certiricate-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: - __ Insulated Neal Q lies U No 31. Service -Riser Cordurl m & Ground -Main Discore 32. Equip. Clearances Panels-Moto"ech. Epuip. 33. Clothes Closet LightShower 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 ft 35. A.C. Duets Insulation b Support 36. Vent Fan. Exhaust above insulation 37. Condensate Drain 3 Overflew. Size d Grade 38. Furnance-Vent Access Comb. Air -Return Air Vent 115 outlet 39. Attic Access b 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 rs 40. Sits Proper Materials b Anchors 41. Walls Studs-Naling Spacing d Braces -Plates -Sound 42. Bearing Walls over Girders b Floor NaTrg 43. Draft Stop in Walls (rat proof) 44. Fre-6tops, Furred Ceil'ugsStaim-Chasers-Tubs ;45. Headers S Beams -Size b Bearing Data FRAMING (Continued) 46. Hangers -Post Caps 47. Cling. Joist•Rftt ries-Pu ff Brac.-Truss-Shftng.-filing. 48. Fireplace Ties or Type A Flue Fireplace Throat dearance 49. Attic Access: Size b Romex Protection-Oraft Stop Ins. Baffles So. Bdm,. Windows or Exiting Doors-" Hgt a Dimensions 51. Garage Fire Protection Framing -52. Property Line Firewall rL Openings ~. 53. Ext. Doors -One I -Check Garage 3rd Sorry. 2 Exft S4. Stairs-. Widb+leadroont•Rk&Run.landrg-Fire Protection 55. Plywood on Roof Overhang -Attic Venro-Raper Outriggers S6. Siding-NaiLrg Veneer 1 57. Stucco Mesh-Orip Screed -Fd. Vents-UndeAU. Access 58. Glaring Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 6o. Brace Interior / Exterior Wall Panels 61. Insulation-Walls-Cedrgs is 2. 62 Infdtratior}WalsWirdows .K - •;...� r - Date Card B-1 Date _ . t Card B-1 Date Card B-1 Date, Card 8-1 Date FINAL (Plane) OK swept ft - . 63. Ext Steps -Door S Sidelight Proteetio kAndngs 64. Smoke Detector 65. Furnace; Vents-Clearartce-Comb. AWConectar- In Garage; Abse FIoor-0uots-MedL Protection 66. Bedroom Exiting + - 67. GFJ.1L Bath Fixtures 3 Tub AcoesaSpa 68. Elec. Thm 6 Subpanek Breaker Sites 3 Labels' 69. Stairs d Rads 70. Fireplace or Stave. Clearance -hearth ;: 71. Elec. Outlets at Wood Panel, Int b Ext 72- Kit Foot d Appliance; Ground. -Air GapCool ft Clearance 73 Eke Outlets 3 Recepticales at 1Gt Counter 74 Garage Fre Door Swing -Lancing -Closure 75 A.C. Duct in Garage -Damper 76. Wit Htr.; Vents-Ckarance-Comb. Air Connector-P.R.V. In Garage- Above Floor -Meth. Protection 77. Plb., Elec. b Mech. Equip. Listed for Location 78 Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails d Deck Constriction -Post Caps 81. Fdn. VBents b Crawl Hole Door Drainage b Wood -Earth Clearance Looked under Floor 13 Yes 82. Following InsddJDrive Q Yes 0 NolWalks a Yes Q NoRlanters Q Yes a No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect. Electrical -Plumbing 85. Vents Above Roof, Pfbg-Apprwnce-Fireplace-Clearance to Openings 86. Water We". 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 b Sewer Connected-= to Grade -HD ApP-21 93. Energy Compliance Certiricate-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: - __ . A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75,4-td 38-75 P RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �o1gI ��_ ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER LONNIF JOHNSON TELEPHONE 533-6426 SO. FT. OCC. BUILDING VALUATIO 48 336 . OWNER'S MAILING ADDRESS 9961 LOTITS AVENTIE., PALERMO CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 9.75 BUILDING ADDRESS Energy Plan Checking Fee $ - PERMIT FEE $ 44.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PARr:F 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 ❑X Addition ❑ Remodel ❑ Ublifies ❑ Installation ❑ Other ❑ Describe Work: PORCH ON FRONT OF MH Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law 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 TO 46.00 CCS.U000A NEW CONST. D,%N OCCUP. W O AD oNS. ( 3.SQFO, MuicTco UTLET NON•RESID. BRANCH IRCUITS 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OunFT OR FDRUREs BAL @ I .50 Ex. Occup. oFlx�e Acmes OR E.A. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall loy any person in any manner so as to become subject to workers' sation laws of California, and agree that 'rf I should become subject to the compensation provisions of section 3700 of the Labor Code, I shall com�yithse provisions. p p// X Date �a-�I l{� _ cant - Owner ❑Contractor 13 Agent OOS4HApermiesequired for excavations over 60" deep and demolition or construction . of structures over 3 stories in height. j` Mobile Home Installation Fee $ Energy Inspection Fee $ occ corsT. TYPE TOTAL FEE $ HAZ. D. FEES IM FLOOD COF PAROL v PD This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ByD PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. to 6 p D fa ReceiptNo. 257622 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PEAW NO APPLICATION AND PERMIT (=;)_ /do WHIM BUILDING PERMIT rnvmkz SO. FT. OCC. BUILDING VALUATION 00WROCbm a IMI! TQIa•►gNQ OOM1M070" WARM A0001M OONQTIWCTIm timet MWOMwnsaAoOMS Fireplace Total Valuation S APICHMM OR o+ u -e Filina Fee S 20.00 ARCW=Oa 0MC11aa1 wase ADOM S Permit Fee $ Plan CheckingFee S 1 euao�+o�ooaess / trlS Q Energy Plan Checking Fee i i PERMIT FEE _ ell e ��` susoe�ioKSKlle Fa PLUMBING PERMIT Filing Fee 20.00 U$EOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SF O Duplex O Mobaehome O Other Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF.WORK Gas piping system t - 5 outlets 15.00 New O Adddlon O Remodel O U11111se O kwbb ion O other O Building sower 15.00 Describe Work: ��C �� Or Cc7h� OD�� sZ Mobile Home I S I G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT 'Feel 20.00 Win Service 7Filln 23.00 Main Service I —To 1— Ex. Occu p. ovner on FIXTUM Ex. Occup. o mm. a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 PERMIT FEE : MECHANICAL PERMIT Fling Fee 20.00 H 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee = Energy Inspection Fee b oce CONST. TYPE TOTAL FEE $ ? S K4Z 0. n:E9 WP R=0 Cole I p#AM PO N0/'651 .E 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 — ReceiptfVo. PERMIT EXPIRES ON Jo 2y v 1i�' yr i Sys •j: � J"W a 'VN �'�+`! 'u:`� r ,. �a4O ";�•utvci Duh inspector* Date o2 P P�l _ Plan Check list e Jo 2y v 1i�' yr i Sys •j: � J"W a 'VN �'�+`! 'u:`� r ,. �a4O ";�•utvci Duh inspector* Date o2 P P�l _ Plan Check list LO/JN Inc �JKNSO /J TLA A� A-�o o -oS TE:—All Mater i� W rl:m �n^hipSlia Be in is ar eo-dPnce with F .:^ . , Gco(. race ce, anc. v a quality pr scxibed o t: c- Sip:- `lied use in tF O� ' 'Fcrm [3u` di -,n, Pl�.,rn )in,, echanical Code< cC P sip:)nil El; :ode. spec—/jW, -4i of paN a,. on^�r}wr.:l �1 any �hcz- on germ' ionsetback of ja from e �{ i;: +� v. _ . .:3 lin d a setb� cQ(lO P0%Oo 50ft. fronIroA centerline she clear f e e r� SUR structures o a uiprri�ent xcep� ?. ft, ��e v Cana. + ti _ ��` 1Serl^a/✓i� o �' Pelle /oc1C We, will b quire o thati the ehome. t. 500 SQ. FT. MINIMUM I FOR MOBILES 6' f Y r .,, Ti G PLYWOOD CC EXT. z GUARDRAIL MAX DECKIIJG * r GIRDER X to 1) 4"x V T� 20 FRMN G. CLIP = _ � — m 2'x 12" STAIR STRINGER. 48'0.0. MAX. 70P VIEW HRUDRAIL NOT SHOM FOR CLARITY. At\, r 3/8 BOLT Q"x4'�\ - --< N MOBILE HOME \ OR 9F-(- I MAX. MR. FRMIJ �-" - CLIF (EA. DE L VL 4'x4" POST Tx IV s"MIW. BOLTS PRECAST 4194" POST PIER ADEQUATE DIACONAL 13RACI NG. 4r MIN. FOOT I N6 9'MIAL 4 . j • L. • . • • X� IZO Z 2'c4" PRESSURE rR ' Thr CR ,oel--llRFDWOOD P/.AT Im . a�41�. �0 . alLi�"i T -MCAL RF,541P9Wrf��1_ E4T�Ps COUNTY OF BUTTE — DEPARTMENT OF'UB '-IC WORKS 7 County Center Drive — Orovllle, California 95965 Telephone: 538-7541 __ .B.-1 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: YESA NO ❑ 2. 1 HAVE �[ HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY N ER: DATE:—1 _QL-- --).l� - � �, NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER E.H. USE ONLY Plot Plan Attached Floor Plan A!Chad Y Sant to 8.0. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance LrJNISv�ns����q�i Lu1S s—,( Owner Location AP# Plan Approved for: Sewage Dispo-sat Water Supply: Public Private Well Clearance for dwelling. Other b x Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date LoMN IF15 Sp{1n�S0 N p� s A,P t2Ev(sc—o .`PLA �J too ,QQs -r LO )A � I i � L L foo ?a* PA o�G gut P�wvc. O 0 APPROVED Butte County Environmental Health � Z ^ ------ --- ---- ----- Da ;'mature /mob �/✓rE `/i75, ivze e - D�avil/e,. 1/;7A1 Decx17,�l ;? oq�,� �yy5ms �o f5 Z 33 /yam 6, ' 8 " / 3 5^l 13 -/3 3� Sr4 s ' RECORDING REQUESTED BY: AND WHEN RECORDED MAU, TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 31 -Dec -1998 1998-0056401 Has not been compared vith 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. LONNIE D. JOHNSON REAL PROPERTY OWNER/LESSOR 2965 LOUIS AVE. MAHJNGADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 2961 LOUIS AVE. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95965 CITY I COUNTY STATE ZIP SAME UNIT OWNER (If also property owner, write 'SAME) MAILING ADDRESS 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 21P98-2899 (530)538-7541 B DING otfF TELEPHONE NUMBER 12/31/98 SIGNATURE OF LOCAL A CIAL DATE NONE DEALER NAME (rfnot a dealer sale, write "NONE') DEALER LICENSE NO. �* cooxrr srAa ap UNIT DESCRIPTION HM SYSTEMS INC. 1991 BAYWOOD MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER HSCASNA/B91321336 6218" X2618" PFS233145/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) MAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #027-100-056 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Apphcant GOLDENROD - Building Dept LEGAL DESCRIPTION A.P. #027-100-056 All that certain real Property situate in the County of Butte, State of California, described as follows: ALL THAT REAL PROPERTY SITUATED IN SECTION 10, TOWNSHIP 18 NORTH, RANGE 4 EAST, MDM BUTTE COUNTY CALIFORNIA BEING A PORTIONOF LOT 19 AS SHOWN ON A THAT CERTAIN MAP ENTITLED, "MAP OF SUBDIVISION NO.4 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE BUTTE COUNTY RECORDER AS WALL MAP NO. 16 ON JULY 26, 1890 AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHWEST CORNER OF SAID LOT 19; THENCE NORTH ALONG THE WEST LINE OF SAID LOT 19 467.00; THENCE EAST AND PARALLEL WITH THE SOUTH LINE OF SAID LOT 19,467.00; THENCE SOUTH AND PARALLEL WITH THE WEST LINE OF SAID LOT 19 467.00 TO THE SOUTH LINE OF SAID LOT 19; THENCE WEST ALONG THE SAID SOUTH LINE 467.00 TO THE POB. CONTAINING 5.01 ACRES MORE OR LESS. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES ON, OVER AND UNER THE WESTERLY 60' OF THE ABOVE DESCRIBED PARCEL. n Recorded at the request of Return to a ..LONNIE D. XE SON ..q,...---..�'`.^�....._..7...Q.--......................... vv 'T %P %74o 99-043329 Recorded Official Records County of Butte Candace J. Grubbs Recorder 10%32am 31 -Oct -89 i LARWIN JOiINSON and JEANEITE JOIv1N;SON, husband and wife , the first part , for and in consideration of the love end affection which they have for the second part , do hereby give and grant unto LONNIE D. JOMMN, their son the second part , all that real property situate in the Unincorporated area of the County of Butte State of California, described as follows: All that real property situated in Section 10, Township 18 North, Range 4 East, MM Butte County California being a portion of Lot 19 as shown on that certain map entitled, "Map of Subdivision No. 4 of the Palermo Citrus Tract", which map was recorded in the office of the Butte County Recorder as Wall Map No. 16 on July 26, 1890 and more particularly described as follows: Beginning at the Southwest corner of said Lot 19; thence North along the West line of said Lot 19 467.00; thence Fast and parallel with the South line of said Lot 19, 467.00; thence South and parallel with the West line of said Lot 19 467.00 to the South line of said Lot 19; thence West along the said South line 467.00 to the POB. Containing 5.01 acres more or less. Reserving therefrom a Non-exclusive easement for road and public utilities purposes on, over, and under the Westerly 60' of the above described parcel. I . I WiTN1:;55_...— _ Jan ......this _.._ .27th _ . day of ...--- . October i 0 o :. ....Jeanette... hnson.......... ....................... _.. TO 39Vd N0Ii03NN003SIaV8Vd b9t9LL89T6 0Z:EZ 000Z/90/90 — ' Rea Fee ' Cash` ;GF LARWIN JOiINSON and JEANEITE JOIv1N;SON, husband and wife , the first part , for and in consideration of the love end affection which they have for the second part , do hereby give and grant unto LONNIE D. JOMMN, their son the second part , all that real property situate in the Unincorporated area of the County of Butte State of California, described as follows: All that real property situated in Section 10, Township 18 North, Range 4 East, MM Butte County California being a portion of Lot 19 as shown on that certain map entitled, "Map of Subdivision No. 4 of the Palermo Citrus Tract", which map was recorded in the office of the Butte County Recorder as Wall Map No. 16 on July 26, 1890 and more particularly described as follows: Beginning at the Southwest corner of said Lot 19; thence North along the West line of said Lot 19 467.00; thence Fast and parallel with the South line of said Lot 19, 467.00; thence South and parallel with the West line of said Lot 19 467.00 to the South line of said Lot 19; thence West along the said South line 467.00 to the POB. Containing 5.01 acres more or less. Reserving therefrom a Non-exclusive easement for road and public utilities purposes on, over, and under the Westerly 60' of the above described parcel. I . I WiTN1:;55_...— _ Jan ......this _.._ .27th _ . day of ...--- . October i 0 o :. ....Jeanette... hnson.......... ....................... _.. TO 39Vd N0Ii03NN003SIaV8Vd b9t9LL89T6 0Z:EZ 000Z/90/90 — ent:.icue i, ..reap of SUbdivisign No. 4 of the Pale= Citrus jract", Which map was recorded in the office of the Butte County Recorder as Wall Ma July 26, 1890 and more p No . 16 on described as follows: Beginning at the Southwest corner of said Lot 19; thence North alwe line of said Lot 19 467.00; thence But and parallel with the West We said Lot 19, 467.00; thence South d parallel �th the South gine ong the 467.00 to the South lire of said Lot 19; West line of said Lot 19 467.00 to the P08. thence West along the said South line Containing 5.01 acres more or less. Reserving therefrom a Non-exclusive easement for road and public utilities purposes °n, °ver, and under the Westerly 60' of the above described parcel. WITNESS_ our h8tt Y «... of .�: October 19 89 % _ ... ....Jeanette ---....... on on ....:........................ ......................_ ..... —_------ I .s°n. .........................� . . ITE OF CALIFORNIA ... _.coapt o Blltte 0,__ October 27 89 es/ore ..__the, weetsigned «. nary Pabito, In and ler raid State, prrsonatty a"oored,,._LARWjoliNSM ._ .....«� ........,..._...._ known to me to be the poroon„ ., whose na:..___.. Subscribed jI{f_Ae within tnatrament, and aeknowledpad to me tthol -..!.he. . exoeuted the Same. TAX STATEMENTS T0:_ fOpM 760}7 Z0 39Vd N0I103NNO03SIQV8Vd rFAYE K MW ■ • a WiCarn w;c. W I • SW 21.1992 ■ r•arr•■■a•••■•a•ar•■••8••: b9Z9LL89T6 0Z:£Z 000Z/90/90 zot�P /* 0,2— iB'd 1tr10L aYAY[ 0i CAL*Ma Omm. maxymArait AID WUMACINCY FIT%WLSON • 6o_veso DEPARTIfirRy MUNITY DEKLp►AIENT caro. OlNaw" I CMw M Title Search Date Printed : 12/ 1 MI Decal x: LAS9885 Use Code: SFD Manuficniver: 09578 HM SYSTEMS rNC Original Price Code: AhQ Tradenarne: BAYWOOD Riting You: Model: 171 Tax Type: LPT Manufactured Date: o6i17/91 Last ILT Amount: Registration Exp: Date ILT Fee Paid. First Sold On: 07/15191 ILT Exemption: NONE Serial NumW HUD Label / Insignia Length Width HSCASM91321136 PFSI33L45 62' It• 13'4" HSCASNA91321316 FFS233146 6219, 13' 4" Registered Owner. LONNIE JOHNSON 2965 LOLnS AVE OROVILLE, CA 93965 Last Tkh Dau: 08/13/91 Last Reg Card: 08/13/91 Sawrramfir Info: Pricc SS0,842.00 Ttwferred on 07/15/91 Situs Address: 2%5 LOUIS AVE OROV1LI.g, CA 95965 Situ County BUTTE Legal Owns: SECURITY PACIFIC HOUSING SERVICES - AKA SPHS - A DIVISION OF BANK OF AMERICA C/O BANRAMM UCA HOUSING SERVICES $Si SRAMPARTBLVD SUITE 200 LAS VEOAS. NV 89128 UW Periceted Oat 07/23191.08:46.00 ••• END OF TITLE SEARCH ••• 20,10'd 9bZ6 CU 91E 61:;t i0;6I-S1-'3f T36 EEG *CH 9?x.39 3'11'O;:r_ 3711: /.3-W 4114 1Z:rT e62Z'Zt RESIDENTIAL 02i-100-056 '~ }PERMIT#98-2899 JOHNSON, Lonnie PERMIT NO. 2961 Louis Ave. , Palermo Cont: Bruce Broderick PERMIT EXPI_ Ex MH on Perm Fnd OWNER CONTR. ASSESSOR PARCEL PP - / // t -E-5 cr4 SN a 3 P, )),3L36 4 LOCATION r. UP FORM 4JJA FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE) INSPECTORIFY SERIAL & LABEL #'S li4 CHECKED SRA BY ` 1 FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E ( Temp. Gas Service Called PG&E JOB FINALE(Date) Signature V=OK O a Not OK N`Applicabletay MOBILE HOMES 1. Zoning Requirements - Setback* - Easements j 6. Gas; Location-Test•Wrap; / /LfL / /Nat or/ /'L'ft./ /tPG. 7. Well Clearance b Disconnect { 8. Utility Clearance t caro is -t tate Card B-1 8. Fmrg.: Sds-AnchorsStuds-Rftrs-Trusses Date Card B-1 Date Card B-1 1 Date 90MILE HOME INSTALLATION (Plans) OK accept #'s i ��1loning Requirements- Setbacks Easements 11. Ext: Steps-Ooor►l m igs e—'�'-2 dngr SizeSpack"aniage line 12. Braced Wall Panels H Test-0ema aKe-Connector Electricity; MH TesWrossovers-Breakers Clearances t S. Drain; MH Test-FaF•Fbc Connector Card 8-1 Date Caro B-1 6. Water, MH Tes4Regulator-Connector POOLS (Plans) OK except #'s 7. Water and Sewer Connected -C/O to Grade -HD Approval { 8. and Electricity Tagged 2. Sods; CompacdorrStrucitre SUMml Tie Downs-Type-Instalation Cert 3. Pod Structure; SteeWonnecl5ons-Thickness Dead Men -Luting ts; Insp.-Sketch 4. Elec.; Receptacles and Ugh*V. D tanceGR 11. of Occupancy f 2. Pennanerd Foundation Orly: Lleense Decal ) Date `Card B-1 v Date Card B-1 i MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Fs 1. Zoning Requirerttents-Setbacks-Easements 2. Footings; Soils -Size -0e "paanp�Conneetors•Sled 3. Decks; Girders and/or Joists,•Dedking-BracinDStairs-Rags 4. Wood Awn.; Posts-Beams-Rttra.-Connectors Shthg.-ft.-Bracing S. Alum. Awn.; Columns-ConnectionsSprice-DecaWjcb lues 6. Carports; Windows -Doors 7. Electric 8. Fmrg.: Sds-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing-VeneerStuoco-Mesh 10. Root Shthg-Roofing 11. Ext: Steps-Ooor►l m igs 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card 8-1 Date Caro B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Sods; CompacdorrStrucitre SUMml 3. Pod Structure; SteeWonnecl5ons-Thickness Dead Men -Luting 4. Elec.; Receptacles and Ugh*V. D tanceGR S. Else.; Pool Lighting: 15 Volts -GR . 6. Elec.; Enckmx s: Conduit Entries-TerrrrnelsUsted 7. Elec.: Bondrrg; Metal w/S-ierlaGrg Equip. -Heater 8. Elec.. G.oundng; Equip. w/S Circulating Equip. -Pool Lghtg. nelboardsdns. to Main in Conduit 9. Health Departrnent Appwal 10. Plumb.: Cir. TesMater Supply Test 11. Ught NW* Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 OK 0 - Not OK RESIDENTIAL Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except it's 1. ZoningSetbacks-Easments-Flood kn- (Single & Duplex) .. 2. Ftg., Main; Soils-Elec. Gmd. / P Fig. Depth 3. Ftg. Garage: SoilsSteet-Elec. Gmd/ /' Ftg. Depth 4. Ftg. Porches & Decks; Sods -Steel-/ t Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-wrapped 6. Stemwalls, Garage; Steel-Blockouts4Nrapped 6a. Hold Downs and Special Anchors 7. Slab, SteetWrapped a. Piers -Fireplace Ftg.-Steel 9. O.W.V.; Fal-Fitting-Tesl-2 Way CIO -Sewer Test 10. UF. Gas Pipe; Sae Anchors - Yard Gas Piping; S'me Test 11. Water Pipe: Test-Anchors-RegulatorSwAm Test 12. Electric Underground 13. Pienums & Ducts: Clearance-MateriatSupporFlns. 14. Girders -Sills -Anchor Bolts.bistWents-Cripples 15. Access & Venblation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Pwrra) OK etocept fF's 17. Water Htr.; Ven . Air Baffle 18. Water Pipe, Test & Arrchor*W Protection 19. D.W.V.; Test Fittings b Aricho-Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower. Second Fkxwl b Access 22. Gas Pipe; S'uxe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Perms OK wmgA ft 23. Fixture & Transformer Clearancelim Protection 24. Elec. Receptacles SpackgVL-gids & Switches at Doors 25. Size Boozes & No. of Conductors Stapled 26. Rom®x stalled Close to Edge of Surds & C.J. 27. Equip. Ground made up w/Mech Fastners-Bard Gas & Water 28. 2 Appliance Cirouts it Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga• Cu or AI-A.C. Woe Size / / ga Cu or AI 30. Range Circ. / / g . Cu or ALOven Circ. / / ga Cu or AI Insulated Neutral U Yes Q No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet LighlShower 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 M's 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow. Sae & Grade 38. Fumance-Vent Access -Comb. Air -Rehm 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 & Fkxx Nailing 43. Draft Stop in Walls (rat prooQ 44. Fire-6tops, Furred Ceilings -Stairs -chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Toff Brac: TrussShting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill 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- rxftng-Fkre Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass ProtectionSkyrights-Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. InfiltrationA Va lisMrindows Date Card B-1 Date Card B.1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ax's 63. Ext Steps -Doo & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Au-Conector- In Garage; Above Flow-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove. Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int & Ext 72. Kit FekL & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit Counter 74. Garage Fre Doo: Swing -landing -Closure 75. A.C. Duct in Garage -Damper 76. WOr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage- Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.i.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Doo Drainage & Wood -Earth Clearance Looked under Floor n Yes 82. Following Instki./Drive Q Yes 0 No/Walks o Yes Q No/Planters Q Yes o No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Pibg-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: COl,UNTY OF BUTTE - DEPARTMENT OF_DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERM o (Rev. 12/96) APPLICATION AND PERMIT �---,- ASSESSOR PARCEL NUMBER 027-100-056 ZONING BUILDING PERMIT , OWNER LONNIE JOHNSON TELEPHONE 533-3369 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2961 LOUIS AVE., OROVILLE, CA 95965 ' CONTRACTOR'S NAME BRUCE BRODERICK TELEPHONE 877-6432 °°598T°ELLIOTT RD., PARADISE, CA 95969 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 299.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 2961 LOUIS AVE., PALERMO Energy Plan Checking Fee $ $ PERMIT FEE s - -342.50 LOT NO. SUBONIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeXib Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other= Describe Work: EX MH ON PERM END Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S 50.00 ELECTRICAL PERMIT Fling Fee 20.00 a00VOR UE Main Service za.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.3 / License Class � 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 TO 46.00 NEW CONST. DWEWNG OCCUCUP. EE ACC. BUDS. OR AD oNBT. ( 3.SQF°. M NON -REBID. C @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET ORFOCTUREs 20@'.00 BAL p .50 Ex. Occup. oPuT ASID.°PRw 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) req\ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 4 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwith comply with those provisions. X _ Date � 7 1,-2-117 Signature of Applicant - ❑ 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. '' Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 392.50 HAZ. .� D. FEES IMP PLOOD �- CDF _ PARCEL PD HD IS This per it is hereby iss ed under the applicable provisions of th B e County C de and/or Resolutions to do work indi ated r w h fees have been paid. / / ,� � z l ' By Date l PERMIT EXPIRES ON�Z,Z�/�rwReceiptNo. (Date) 257670 HITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ` �,C-OUNT F BUTTE - DEPARTMENPW-DEVELOPMENT SERVICES- BUILDING DIVISION 44 7 COUNTY CENTER DRIVE - ORO i " � ALIFORNIA 95965 TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET- OWNER: HEET OWNER: N/E b �.cl ASSESSOR PARCEL ER: 7-/00'QS� Proposed Building Use: Building Inspector: ! Date: -`/ 7A11 off permit application, I was advised the following data must be su mitted prior to permit processing and/or issuance: Date Received By items have been su> 6tted.---------------------------------------- ;®;----------------------------------------- 02. Plot plans, 3/4 sets; signed by the preparer of plans. ------------------------------------------------------------ 0 3. Complete plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- 114. 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! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. 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. ------------------------------------------------------------ ---------------------- 0 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcbl- ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to BuildingInspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- 022. Workers' Compensation carrier and policy/ number. ----------------------------------------------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------- 024. Letter of signature authorization.--------------------------------'----------------=------------------------------ , 02 Recorded copy of Agricultural Acknowledgment Statement. --------------------- ----------------------------- 026. ----------------------------❑26. Letter of intent on building use.----------------------------------------------------------------------------------- ❑ 27 Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑ 8. Existin v'o ons�aa or !._' ermits-------------------------------� ---- -4-11, --------------------- 29. ❑433 t tle,❑ChecktoH.C.D$��'---------------- ❑30. Other: Ii� a'hi When you issueethe permit, process as follows El Mail to owner, ❑MCaiil to contractor. ❑Telephon7 7 - & �Z and hold for pickup at `� office. ❑ Deliver with inspector. Applicant: X&Aot- Date: 715 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data 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 Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildings 'sion counter, by Date: Plans reviewed by: Date: Plans approved by: OL Date: 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, California 95965 • Telephone (530) 538-754 PENo. (Rev. 12/96) APPLICATION AND PERMIT — RMIT _ w.essoR. wrea�D _ OS no«,ra BUILDING PERMIT OWfe",L /� OAC/v� 533- 336 SO. FT. OCC. BUILDING VALUATION 00 Xf� 4��G /� 7 "97/'�,[,� Z— 6 H fo / / G - 7h % / led '7_4-�74,% CONBmxnm umfm UMOy MMJHQ AWF=@ Fireplace Total Valuation S ARCMff=OREHMNM ucEMEmm Filing Fee $ 20.00 aaaeaf as MMEMy MA190 ADDAM Permit Fee , j'L Z i Plan CheckingFee b °`� OA00 7 Z b U/ Energy Plan Checking Fee t PERMIT FEE : - Sz u0TN0. sueWm1olawm ANCEIL MAP PLUMBING PERMIT g Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF O Duplex Cl Moblehome pother Water piping 15.00 —upwory Each gas water heater or vent 15.00 TYPE OF WORK Gas piping systern 1 - 5 outlets 15.00 New O Addition 13el O LM%s O Installation 13 Other O� Building sewer 15.00 Mobile Home IS I G I W 1 @20.00 Describe Work: &QL PERMIT FEE S o� ELECTRICAL PERMIT FIM f Fee 20.00 Main Service oon 23.00 Main Service zoo► TO WWA 46.00 NEW COWT. Ov+aiaa ooeuP. OR AoOW. a ACC. aDe. 9.5¢ I HONA W. ANCH c mx 07.50 OAPPAiNTWC, i4WER O Ex. Occup. oVfUT OR FOn 20 GAL 01.00X= .50 Ex. Occup. ov s�64i1D.)EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home installation Fee S Energy Inspection Fee L occ `°�T' TTPE TOTAL FEES IIAZ 0. FEEg WP I fiA00 I COf PWIm PO IO 65UE 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 By Date �— COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above addr ss and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please ontact this office immediately. nr_v wiac f b � ' t nr_v wiac 1 RESIDENTIAL i 127 0-56 — 1732-91P,E ° JOHNSON, lonni 2961 Louis Ave, Oroville (mh utilities) � 4�✓/�/n�ltfi` 4 JOB FI Sign iOFFICE CO Y I Address �- GAS Meter By_ Date ELECTRI --�� Meter By Date e j t 'r J=OK O = Not OK S!! NotBeayable dMOBILE HOMES +' I Date M ILE HOME UTILITIES (Plans) OK except #'s 1. Zonin Requirements -Setbacks -Easements Soils Special MH Support Sketch 3 wer; Location -Test -Fall -C/O Concrete 1 __4--W&ter,–Location -Test- Ease men t Needed (Sl�-tch) j 6. Gas'-o'catio st-Wrap: / /"L" ft. 7. Well.e eara ce & Disconnect tility Clearance i Dat Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 Date MO81 OME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks Easements ?/Footings; Size -Spacing -Marriage Line as; MH Test-Demand-Valve—Connector j ectricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector Water; MH Test -Regulator -Connector 7 ater and Sewer Connected -C/O to Grade -HD Approval as and Electricity Tagged 9 Jts Insp.-Sketch Cert. of Occupancy Dat �� Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANE04 Date DECKS, COVERS, CARPORTS, GARAGES, (Plan#OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDE 1FLOO (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 -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples ( 15. Access & Ventilation 16. Insulation Date t Card B-1 Date Card B-1 Date '. Card B-1 Date Card B-1 Date 1 PLUMBING (Permit),OK except p's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------=------ -------------------------------- 117. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------- ---------- 119. Shower Pan; Test. First Floor -Tub Access 120. Test Tub & Shower, Second Floor -Tub Access --------------- ------------------ i21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 -------------------- -------------------------- --------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 4's '22. Fixture & Transformer Clearance -Ins. Protection --------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------------- ----------- -------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -------- ------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. - ---------------------------- --------------- 26. Equip Ground made up w/Mech. Fastners-Bond & Water -------- ----------------------------------------------Gas----------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------- ---------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size ! / ga. Cu or AI 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------ ----------------------------------- 30. -------- - --- --- 30. Service -Riser Conductors & Ground -Main Disconnect ----------- - ---------------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip . --------------------------------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ------------ -------------------------------------------- 33... Smoke Detector ---------------------------------------------------------------- -------------- I Date Card B-1 Date...........Card B-1 ------- -------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 34. A.C. Ducts Insulation & Support ------------ --------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ---------------------------- ------- ----- ---------- ------------------------ -------------- 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------- ------------------------------------------------- --- - 38. Attic Access & Platform if Furnance in Attic -------------------------------------------------------------------------------- ------------------------------------------- ---------------------------------------- Date Card B-1 Date Card B-1 ------------------------- -- ------------- ----- -- - ---- --- ------- -------- -------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. Sils. Proper Material & Anchors ------- -- ---------------------------------------------------------------- 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound ----------- ----------------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing --------- - ---------------------------------------------- 42. Draft Stop in Walls (rat proof) - - - -------------------------------------------------- 43. Fire Stops Furred Ceilings -Stairs -Chases -Tub ------------ ----------------- 44. ----------------44. Headers & Beam -Size & Bearing jingle: & �r )10 = '• Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Wiri-dows or Exiting Doors -Sill Hgt. & Dimensions 50.- Garage Fire Protection Framing _ 51. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------ ---52. ----------------- 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- --- 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings ------------ ----------- 60. Infiltration -Walls -Windows ------------------------------- Date Card B-1 Date Card B-1 _ Date _ Card B-1 Dale Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings' 62. Smoke Detector -------------- ------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ---------- 64. Bedroom Exiting ------------------------------ ------------- --------------- -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------- 66. Elec. Trim & Subpanel; Breaker Sizes & Labels - ----------- 67. Stags & Rails 68. Fireplace or Stove Clearances -Hearth ---------- ------- ------ -- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ------------------------------ ­ --- - - 71. Elec. Outlets & Receptacles at Kit. Counter --------------72.-Garage-Fire Door: Swing -Landing -Closer ---------------------- - 73. A.C. Duct in Garage -Damper -- ----- ------------------------------- - -- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------ ------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec_ Receptacles in Garage: (G_F.I.)-Romex Protection 7i. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------- --------- 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth --------Clearance Looked under Floor ❑ Yes 80. Following instld._Drive ❑ Yes ❑ No: Walks ❑ Yes 0 No: Planters ❑ Yes ❑ N_o___ 81. Stucco: Brown -Finish ----------------------- 82. A.C. Unit: Disconnect. Electrical, Plumbing --------------------------------- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ------ - - --- 84. Water Well: Disconnect, Electrical, Plumbing ---------------------------------------- - --- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House ----------------------------------- ------ - -- 8 ------ ------------------------------87. Glass Protection - ------- 88. - ------ ---------- 88. Corrections from Previous Inspections - - - -- - - --- --------------- --------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ----------------------------------- ------ --------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------------------------- 91. Energy Compliance Certificate -Other Certificates --------------------------- -Date--- Card -B-1 Date Card B-1 ---- - ----------------- Date Card B-1 Comments at Final: Date Card B-1 Date _ Card B-1 Date Card B-1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS J96 Memorial Way, Chico — Phone: 891-2751 # 7 County Center Drive, Orovi I le — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE s� OWNER 73e i Us A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. % 11"r %amu Y,7 - Date r Date / / Inspector MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — '7 COUNTY CENTER DRIVE ` OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 x PERMIT N0. r Address or location of mobilehome�� 1 blNN Owner's name Owner's address Insignia or hud number Manufacturer's name_ Serial nymber of V.I.N �l4-7 a od� in9 In`stollotion) 3l Year of manufactu (Dote)• ' 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. r, 513B White - Owner, Yellow - Instoller,�Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllles,Califorctia 95965 - Telephone: 916/538-7541 APPL4I1CATIQN AND PERMIT PERMIT NO. Ij ja , ASSESS R PARCEL NUMBER 27-100-056 ZONING BUILDING PERMIT OWNER Lonni Johnson TELEPHOWE 533-6426 SO, FT. OCC. BUILDING VALU OWNER'S MAILING ADDRESS 924 Oro Dam Blvd. oroville CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NOnp UNKNOWN Total Valuation is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Nonp 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 NAMEPARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[3 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W10.OOea TYPE OF WORK New [_1 Add ition [:1Remodel ❑ UtilitiesEN Installation❑ Other ❑ Describe work: MHU _ Permit Fee $ 0.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR L Main service 10000 AMP ORSLESS 1 10.00 10.00 Main service EA. ADD'L 100 AMP 1 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) —�] I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8d OR AODNS. ACC. BLDGS. , /20sgft NEWCONSTR. U TI -OUTLET NON .RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. EO Ex. ccu p OUTLETS OR FIXTURES zo sod eAL030 FIXED APPLNS. Ex. Occup. OUT ETS ((RESID )RFA.) 2.00 Temporary service 10.00 Mobile Home Facilities 1 15.00 15.00 Misc. �yirin 9 15.00 Permit Fee $ 37.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. © I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agrWelojiave, indemnify and keep harmless the County of Butte against liabiliudgments, costs, and expenses which may in any way accrue agaianty ' consequence of the granting of this permit. X Date 30-- %J nature of Ap icant - Owner N Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3.stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TO AL FEE rlAz. cuA PAF< scH Fro cOF PA PD HD ISSUall This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do workind' ated above fo . which fees have been paid. ECT PUBLIC WORKS D to f qlql PERMI EXPIRES Date Receipt No. 93902%$92.50By WHITE-D.P.W.. YELLOW-ASSFSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT FM 'h - _• ry�7 - n. ,.,,,: "-•--._w� � - �"y. ^,y rv.-� :.. � ,ryt,;.-. [ jf ".��' :r31'�.... r..-..-.t,.rn,y�,,..,,._.iy}yy�.i.+.J'�.« COUNTY OF BUTTE - DEPARTME-N-OPPUBLIQ WORKS - BUILDING DIVISION OWNER 6 OD a' 7 COUNTY CENTER DRIVE - Q,ROVILLE; CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT`APPLICATION DATA SHEET z Proposed Building Use M �J _ y Building Inspector Permi A. P. v No. No. Z-7 Date 5 30 t At -time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: i�� DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions...................................................... . 10. Fees of $ 11. Chico Urban Area fees paid ................................. 12. Park fees paid .................................................... 13. School�4istrict fees paid .............. L 14. Sanitation approval from 6 2" Health Department 15. City of Chico plumbing permit. . ................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW qL-1-9. Driveway permit (construction approval required prior to occupancy) S 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ...... 0 ........... s_ 23. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ..... X24. Recorded copy of Agricultural Acknowledgment Statement .......... 5-3 -k- 9 1 25. Letter of signature authorization,.. 26. t . 27. .° When you issue the permit, process as follows: Mail to owner. Mail to contractor. _(L , Telephone 533-6W G and hold for pickup at leooffice. Deliver w/inspector. r e6t A�kS Appl ican .DatEx Copy of Haz- Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted Duqr to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. '2. Additional items required: Contractor, designer, wwnn r, was advised of above required data by : �I1.� phonenail_counter by ..date P0191 Contractor, designer, owner, was advised of above required data by_phone_maII_counter by date 1091 Plans checked by MAl Date 0Plans approved bye � Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP # Driveway permit n,.*MA'ee.A1 has been issued for the above property. �X•y �i'� /`pro _-.__._ date si ature TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance "`— owner Location AP# 1 Plan Approved for: Sewage Disposal Waiter Suppi41-- Hold final for: Water Supply ^anal clearance O.K. for: Clearance for bedroom mobile home. Other NOTE * * * Water Supply Sanitarian Date f��`r"'rty;'�: re 'r..:1✓'w� �.r t•.�µ+«r� T^S^�'+�'�'y�'��}+Y;Y��.�"'r�'+�^'wit",y<Y'�ri'•;?�•e.'j�r�'fati'<r�!"��,<:�.�.j-.zM,.,�`•+-.,:� BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM_ O a (One Form per Building) A.P. Number 0) / 'tW"56 Building Department No. School DistrictolW City D County Jurisdiction Property Owner p A/,/, J oiyySa�✓ Project Location/Address 2 AV r r � Subdivision Lot Number Residential Development: Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) #� Building Departm nt Representative t Da e (Floor Plans, reviewed by'School District Personnel) District Id No. 910238 V12D1 L&olGk1 School District certifies that �l L.L,, -J0 0 �1 Al S D Al (Applicant Name) (Phone Number) �(Street Address) s•, - - (City) (State), (Zip Code) has complied with the requirements of Resolution No. ��Jr- 90 the a ment f o< 65 �i` a ! 8 s ;i r Meet. py� p y ,,o $ � rep r e s -en t �.,� g G� q e.�u-�f �oe e a-c� School District Representative- /Date PAID BY CHECK NO. REMARKS: BANK NO PAID BY CASH Y3� white -applicant, Yellow -building department, SCHOOL.FEE (8/88) pink -school district A Lo NN is 35ANSa N 5 A,-$ A,P Z?-1oa Z 0 ti N Vo i tE\/(SC-p P1..z7- TLAfJ -ifft 910 ptM qFtd s�cffidrjfiwfs MUST 'w, ipf an &0 iob of di rimes onis u!'dwiful 4k :1G•I«1 QE9y k;�i�ily� G:' ��'��2i'��'':iS ":A `sfi��� `r11�:1`I�QLrk'I .��ait ton i'e%Yiis?7s':' - sc ti ilavi'rz 1 i°El `�1+ P°'5 NOTE—All Materials & Workmanship Shall Be in Accordance with Reco-anized Good Practices ar,_' of a quality prescribed for the Specified use in the UnifgXjft3AWdjn ,Plumbing. &: Mechanical Code 11:� arid 45P!€:tio—aI Electrical Code.. �Q'C"'�- 11 0 Soo SQ. FT. MINIMUM r- OR MOBILES A permit will be required for the installation o: the mobile ome. q .�,,tl-ac!k of 5 ft. from the rarcp0ity lines and a setback of 50ft. from the road centerline shall be clear of :,truc oras or equipment except Fnle overhang. i 6P # 1-7:32 - 91 WO 7A,& rmn,®EPARTMEN' vF 64(091 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Censer Drive - Oroville, California 95965 - Telephone:'916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 27-100-56 ZONI G sem" BUILDING PERMIT OWNER Lonnie Johnson TELEPHOZA 33-6426 SQA FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2961 Loons Ave. Oroville CA. 95966 CONTRACTOR'S NAME Mobile Home Center TELEPHONE CONTRACTOR'S MAILING ADDRESS 1225 B Street Marysville CA. 95901 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 4e.w— 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 $jam 00 1 PLUMBING PERMIT Filing Fee 10.00 2961 Louis Oroville 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 is G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodels�❑// >�Utili ies 4 /IInst�alllation] Other ❑ Describe work: 1yF- 1� ��Jr,�"'7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty perjury of) (Check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 261905 Classification. C-47 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.e) OR ACDNS. `ACC. SLOGS. y2¢sgft NEW CONST R.ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCCu p�OUT LETS OR FIXTURES 200300 SAL030 FIXED APPLNS. Ex. OCCUp. R OUTLETS ((RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation _ Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai s id County ' consequence of the granting of this permit. X Date 4 Q '?�� Signature of Applic t — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct -O ion of structures over 3 stories in height. Mobile Home Installation Fee $ �S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $©� ©© HAZ. CUA PARK SC FL cDF PA o ;I D Issu , I Pi This permit is hereby issued unaertne applicable provi- sions of the Butte County. Code and/or resolutions to do woAindicated,a for which feeshave been paid. F� UBLIC WORKS PEDate Receipt No.ByDateWHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT y. _..,�. 74 .AI I COUNTY OF BUTTE - DE PARTMENT'OF'PUBLIC WORKS -BUILDING DIVISION •tc 7 COUNTY CENTER DRIVE - OR02/ILLE, CALIFORNIA OyM-SATE EPHONE: 916/538-7541 fax PERMIT APPLICATION DATA SHEET / Permit No. OWNER' 0/1 /I 1 (9 To ns A P. No. Proposed Building Use ;Building Inspector Date �o At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans,.. 5. Hazardous Material Form ........................................... 6,, Energy Design Compliance and supporting documentation ......... 7, Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mabi4e.leff�e�+&ra-4ata including manufacturer's installation ) instruct' ................................................. /o�llQ 10. Fees of.$ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13• School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 5. Letter of si�9nature a o,r ization 27. Whe you issue the ermyt, proces as follows: M to owner. Mail to contractor. Telephone—W)- ' and hold for pickup atm��office. Deliver w/inspector. Other Applicant 622 Date ('16d4l Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (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_—rlaiI—counter by .date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans File cabinet AP folder by Date �2AP fir` 014NER PERMIT NM UTIL.CLEARAN DATE INSPECTOR- —� ELECTRIC GAS Support Struc. Compaction Test Re . Service Size OtherPipe Load FT Size Len th YES NO YES NO I MOBILEHOME SUPPORT DATA f _offer than single wide, Mobilehome Mfr. IleW lIS i rnish Setup =;•iddel //� No. �Year / 7 C11 Width (ft.) Box Length,61f (ft. ) Tagalong or Expa.ndo Size ft. � 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) . Wood -pressure treated or foundation grade . 2. Other (specify) SUPPORTS (check one) 1. Concrete block. F—I2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line 1 Piers: •Line 1 Openings: Size -Min. ------------ 6 Size -Min. ------------------ „x „ Spacing -Max. -'D------ ,_ Each Side of Openings From Ends -Maxx-------- '_ " With Width Over --------- Size-Min -- -------- Size-Min.-----------Spacing-Max.--------- From Ends -Max -------- ------- Size-Min ------------- Size-Min.------------ Location Location (From Front) Line3 Piers: (Under Bearing Wall Only) Size -Min .------------------ Spacing-Max.--------------- From Enda-Max.------------- J 15 Z„x „x 3o„x30„ Z4f„x30„ „x I „x ,k , Line 4 Piers: Size -Min .------------ k „ Spacing -Max.-------- „ From Ends-Max.------- C,2j ay:c7,- Size-Min.------------ "x Spacing -Max.--------------- From Ends -Max .------------- '- Line 5 Roof Loads: Size -Min.------------ "x „x Ix„ „x ,k y� „x location (From Front) _ _ ,- , w BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET , 1. Owner's Name: AJAZZf JaLzSIJ0"l 2. Installer's Name: 6 v/C1r�f ;z../G i 3. Is the site currently under permit? Yes No (If yes, furnish permit number OR Is the site an existing site? Yes- No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tan and leach fields and clear of all setbacks and easements? Yes No 1-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- /00 Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the L-Z mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size.: (Load) (� (Amps) 9. What is the mobilehome site gas pipe size? -------------- �Gf�� (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?---------------------------------------------� * 12. What is the mobilehome gas demand?---------------------- -ti(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) ,Section ''26--8 1 of the Butte Count: Cod t ,;. � � - Z 1 4 3 9 r : roqul.rey this acknowledgement. be recorded *R° prior -to irssuence of as building permit, The property described herein is edjecent t t,u land or included within an area coned 9 1--021439 t Rec Ree 5.00F for agricultural purposes, and residents 1,; Check 5.00 of 011-a property may be subject to incon- Recorded voniences. ()Bdiwcomfurt arising from the Official Recordd. 1 U90 of agricultural chemicals, including, County of I 1 but not limitAd to herbicides, pesticides; Butte I Candace J. Grubbs I ani: fertiiizeru; and from the pursuit . of agriculturraloperations including. Recorder but not liml.ied to culti.vnlion 10:23am 31 -May -91 1 XX' 1 plowing, uproying, pruning, ;and hnrvosting which occavionall'y '$eneral.e dust., smoke, noise, and odor. Butte County hos esteblishod ogrlc•ul tura"l. zones. Which have as as priority use for productive agricultural purposes, - and rom IdvitI r, within said zones and on adjacent property should be prepared to accept such -tnronyvii1 olce or di.sconform from normal, necessary form orerati6na>i-. A'J. Chat reel 'property situate in the County of Butte, Stage or Californl.u-, di�mvrll►rd iir- All that real property situated in Section 10 'iownship 18=North; Range4 East, MDM Butte County California being a portion of Lot 19 as shown on that certain map entitled, "Map of Subdivision No. 4 of the Palermo Citrus Tract", which map was recorded in the office of the Butte County Recorder as Wall Map No. 16 on July 26, 1890 and more particularly described as follows: 4 _Beginning at the•Southwest corner of said Lot 1.9; thence North along the West i Ane of said Lot 19 467.00; thence.East and parallel with the South line of said Lot 19, 467.00; thence South and parallel with the West line of said Lot 19 4'67..00 to the South line of said Lot 19; thence West along the said South line,'. s 467.00 to the POB. Containing 5.01 acres more or less. 1 ',;-Reserving therefrom a Non-exclusive easement for road and public utilities I urposes on, over., and under the Westerly 60' of the above described parcel. FROPERTY OWNERS a K)50ro `3lute ��f.�,..�.) On this the „ day of y Y�ty ���. �° i)ufc)rr me ° y ) County r, f SS. the undersignedub Notary Plic, pe sonblly appsaraa e�,) , JUDY J. BAIDRY Personally known to me : � prove _i c�. c�sw�a��` th.o. bail s NOTARYPULlic-CALTORivW � of sot{e4'actory oviclonco. F.czr'`cour•:Tr o be the person($) whose naame(s) PPy G�nm. i z;a•es Agri! 29, 1994 -r:,.�•.- ubscri,bed to the Within instrument and acknowledged that a - executed the same for the purposes therein containod, IN I N.is WHEREOF, I hereunto set my bend and official seal. Presont A.P, Nv, CS27� j�G �•Q otary Publiccl ' EN® OF DOCUMENT COPY of Document Recorded 23 -Dec -1998 1998-0055105 AND WHEN RECORDED MAIL TO: Has not been compared.vith BUTTE COUNTY BUILDING DMSION original 7 COUNTY CENTER DRIVE OROVILLE CA 95%5 Butte COUNTY RECORDER 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: /qLG Alia/ reaCpP d/o4A/' 6-,7ZZ&kZ /,'/ -51-1-/Z0 A/ /o, To'at,/sm i8 ltb"e*, /t?a4'�7'e iiri'r Cvv!✓>41 ��Vi�Uk'^//'� / ,.�- 2 �o�>r�/ �� - Lvt r9 �s s�;/ ,� o,�i >; c�..✓.ca ��tf/��_ f( sal /✓o. OCf'!CE o� fAe 15111, ' CevNlJ /�CCv UN�t ` / J` /d / .; �o i tlC / «; , c.�•i� . o(PsCI� � as ,moi/au/s ; jPJ i�irr/J o f Yee acv ocie.� Coxl—e a� S�.�t' �v ts; �l�/✓� /1/0 R�,c a /oaJ *e A�P,f //A/e-�!� 5z lW [at F' 'Y 7 ooh ff�.✓c�� �ff�t �C.���,�ra //eG raj y e SDdf� /�,✓cLof /91 y67 ao' f�e!✓ce f�enle ';GI!(( �-60 ,N 6)1)b- %!lve yio7,00 f the /00/3. eonr &serUiAjr �AelnervM 0- �oJY- L'xC/ds'UC !////Ps ,�urP�scs oN,: oc�-i-, Z/✓,/ &W -ler '7 66,' or- Ae a'l4le Date: PROPERT wNERS: State of California ) Count• of Ltd ) Iq On before me J /? personally appeared /� /� /- U n� person -Ah, Ifne+v;-to me (or proved to me on the basis of satisfactory evidence) to be the person(pQ whose nameW is/a*e subscribed to the within instrument and acknowledged to me that he/sbeUhey executed the same in his/her4their-authorized capacity0es•), and that by his/her/their signature() on the instrument, the person or the entity upon behalf of which the personal acted, executed the instrument. r _ - WITNESS my hand and official seal. i_orind8 M• 9pefier U ` e Comm, 01089789 NOTARY PUBLIC • CIILIFOFiNlli�r,1 /AC JI BUTTE COUNtY 1/ Signatur °a ,F Comm. Exp. Mefett IC! 2CCb� 1%f 3"EaC ,P, � 7- /00 - ef(, Al Lomwe- 35ANsom 05 A, .5 A -f z7 -(ac -o I v 0 -it on A-0 !jj<)b fN r kkc) =v 1�� ,00k/�41 \ X11i C < , M I r4 TLA A3 E Al Mate9'1�'W ip a 13,oq Th Ictic c r' wit �00 Goo( ractice. anc! t c led use a quality pr cribed f- o - t Sp�-, led use I n t %c fr a C Pal ech nical _rm 'form BW in., I pkm )i echanical Code*� Q;--t-r-1 'ode. and. La TI;d- IFTM kept me,2-7�p b I ;.. I . IV, , -- . , - a--Mackot m a 4on Po * sionfr,,A, T, tt -- v 45- M-& p rj+v t- roperty lin COUIAT Of Butw- s a T -D C1 W re% h r a 0 �50ft : f ro P terl ine s all e cl ar f 0T* XTa Ao- 0 cz SUR PA"ttr ctureso e P nt X( 1 pmyjcr� -------- �cv- n ft. e ve anc. + -0 6 eaA A604 7 4alk 6 --1 c - n.k s �e �Wlll �b- q�ukre 0 -e� the e h o =.' Z. D 0 u4st-� ke� 500 SO. FT. MINIMUM FOR MOBILES Stu ING I FA 7 Ar"�W, J,� PP, v `* ("110 0"i f '%WW V, MOBILEHONE SUPPORT DATA Mobilehome Mfr. lle�W f other than Jcl'5��'kWX Arnish Setup single wide, mdde2: No. 17�1 Year 1?V — I // Width 1& 9 (ft.) Box X fl Length,6.7 f (ft.) Tagalong or Expando Siz f t. X��_f t. 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) I-- �_Uood-pressure treated or foundation grade. 2. other (specify) SUPPORTS (check one) n1l. Concrete block. F1 2. other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line Main Beams—,,,". Main leans —a—LIne 4 Tag or Triple > TAMP 4 Line Line 1 Piers* Line I OpesiM: Size -Min - ----- Size -Min - ------------------ Spacing-Hax. -2 ------ Each Side of Openings From Ends -Max -------- With Widtk Over --------- Line 2 Piers: Size -Min - ------------ Spacing-Max ---------- From Enis-Max -------- Line 3 Roof Leads: Size -Min ------------- location (From Front) Line 3 Piers: (Under Bearing Wall only) Size -Min ------------------- SpacinS-Max ---------------- From Emda-Max -------------- Line-4 -Piers: Line 5 Piers: (Under Bearing Walls Only) C.?i ;VXAI Size -Min ------------- Size -Min ------------------- Spacing-MaK ----------- Spacing-M&X ---------------- From Ends -Max -------- From Ends -Max -------------- Line 5 Roof leads: Size -Min ------- ------ -A 1,x 11 1,x 111 tx ,X 1. Rx ,x Location (From Fron t) A I T , x1mm int", MUNDATION PAN . Omps or 1002118 ckav4xmm -4 T 20'.1 24'. 24' OR 28' DOUBLE WIDE MOBILE COACH scale: I" - 10' roR MORE THAN TRIPLE WIDE UNITS, SUBMIT LAYOVT TO THARP & ASSOC. FOR APPROVAL ITANDARD PIER k FOOTING SPACING PER MOBILE HOME MANUFACTUREWS INSTALLATION MANUAL CONFIGURATION SHOWN 13 THE MINIMUM NUMNER or PADS REQUIRED. N- 4 - 3/9' MAX TUBE HEIGHT b I' SHORT TUBE 7- 14' LUNG TUBE E' DIA 51 SID PIPE KxTs TIGHTEN 0 bI N To too CLAW IN-P"JIS b TORQUE It I L+l 3/4' THREADED k ?0UK0%09 3/16' PLATE LEGS pop OuTuRs W movits COACH Nt J `TI �IINGLH. WIDE "PICAL] I2.T4' OR 18' LAN u COACH STANDARD PIER rDOTINd SPACINCI PER VONILC HOME MANUFACTUREN't INSTALLATION MANUAL CONFICURAT13H SHOWN 13 THE MIN!MUM NUMBER OF PADS REQUIRED. PATENT PENDING NOTE - u 2 - 3/0' x V DOLTS FIELD DRILL HOLES u OPTILIN OF L DOUBLE WIDE TYPICAL COACH C T 20'.1 24'. 24' OR 28' DOUBLE WIDE MOBILE COACH scale: I" - 10' roR MORE THAN TRIPLE WIDE UNITS, SUBMIT LAYOVT TO THARP & ASSOC. FOR APPROVAL ITANDARD PIER k FOOTING SPACING PER MOBILE HOME MANUFACTUREWS INSTALLATION MANUAL CONFIGURATION SHOWN 13 THE MINIMUM NUMNER or PADS REQUIRED. 0 2 " "M -W now 011IN"" 9 I ELEVATION NOT TO SCALE Cc"" I BEAM 3' X 3' PLATE - \, Rgrupm CALIFORM CWK OF 1501ALATIOW UM 3$ AND.0 . 84 IM 10fTM A.�,� rA I- DKWN LD"* N- 4 - 3/9' MAX TUBE HEIGHT b I' SHORT TUBE 7- 14' LUNG TUBE E' DIA 51 SID PIPE KxTs TIGHTEN 0 bI N To too CLAW IN-P"JIS b TORQUE It I L+l 3/4' THREADED k ?0UK0%09 3/16' PLATE LEGS pop OuTuRs W movits COACH Nt J `TI �IINGLH. WIDE "PICAL] I2.T4' OR 18' LAN SINGLE WIDE MOBILE COACH STANDARD PIER rDOTINd SPACINCI PER VONILC HOME MANUFACTUREN't INSTALLATION MANUAL CONFICURAT13H SHOWN 13 THE MIN!MUM NUMBER OF PADS REQUIRED. 0 2 " "M -W now 011IN"" 9 I ELEVATION NOT TO SCALE Cc"" I BEAM 3' X 3' PLATE - \, Rgrupm CALIFORM CWK OF 1501ALATIOW UM 3$ AND.0 . 84 IM 10fTM A.�,� rA I- DKWN LD"* . ti 5/1' x !K 1. JR, .?40 I we 36. 112' 5"r 1 1 3 mizur.1m, ANCHO van, L 3.5 44-U4 VW -1 i0i I PRECAST CONCRETE FOUNDATIQR PAD SCALE, V = 1.5' 3/4' PLYWO13D SHEETS SCREWED TOGETHER WITH 30'x32'x3/4# 12 11 x 1 112' FHWS PLYWOOD //1 Z 60 HOLES FOR r C.S. Is x 119' 30' PLYWOOD 60 i�' 32' 0 ALTERNATIVE PLYWOOD FOUNDATION PAD SCALE, V=1.5' THI MXW tDAVII IHAI[L U MMMM WIT1111 ?4001! UVA LCAIN VMD UNIA AM $0= =0 40 UTAKAPM K* MMANIXT MOM WITIN AMC= LOCAL AIIII& 3. TH OFOURMTMNCGNU=bTOCONgMUMAPUUAMMFOUMMTMK 4; ALL P00171NION ARI TO K XJFPOR= NY RK UNIA7MIM 1.100MAIM COHISM IM F0011INK10 ARA DISOMW PON, 1000 M TOTAL WAP SM MMU AND OWL N ~ATMLS V= LOM IOL CONDIMION& 0. 6TRUCTURAL01'".L' IL 1111MICONFOR&I TO A07U AM F a 34 KII IWOM k SHAILL INS FANWAT91) ACOOKDbW TO AMC IFECIFICATIOW L 5111" WXUM ACCOSPIKI TO AWS INCIPICA11 L MACTROON I" It. KATU: AM A36 RL ANCM 4%T1- AM AM mx1v- PJ 015 -AM MO -AM A325 TiviLAM Itock COI[V IDNAWN LOW CARDOIR WVU)AKS AILMNTALCO16901HRM DKUMM KAU& OW" M AUT01111, MCTXMW COA1W iL IM r= AND ROM MANI XU"ORT A101110"JIS IHAIL IM 0OAT5P WM 1111111IRMAN W04MM U1410M M Arritoysms"AumAtmoliAmmu IMAM LASIMMI IW CRIMP TUTM AWCO"a&T= mvmx Qum Fm To rounwWo 1,09kh lk ma 9ATIM. 7. THIN FOUNIDATION 0 FM KACWQ MWNMTWM KnMM 00104TRIVI= WFM tPWWVD" OR CRMXXWT& L TMFOUNMATKINFLANNOMMIM1701000MM.1171 ONAFA9tLYjXV1LSITKWffHNOLX1IrM4Q8OL P11101111 21 W UMSMWr OCCUPIS DIX TO POOR M M "M 0- t IN ARm wims; Dw"xvmAL smisumT. ms) CAN occM mAmTAC`nmm 110mls IHALL a "-V)Xmnm WINN D -L (a WON IT WILL Awigmy A"per In tx5 OF In MANUFACTURIP It THIN $YOM IN AMPTAIIIS TO 9TMOAPO MUN MASOKY KDM MU It. POIR RO(W LM IDADI OF tf TO 0 "IF, IM PXMATM 6Y9= MAY INS UIED WITH 11= NUUMR OF C.P. nxm rms stimm om Tng rim. umvm Rom LoArm mOHn JW 30 M MAY ISQUIRS TM =,� OIFADUftXX4L$TANDMDFADANPMRIURGIMAIMIMMARMACTUM'IRWAUATMUWSPA- FoulluAlmr] UR NuirdL 1. THR POUMMTM PAD IHOWN CO THAI nAN 0 A P11.11CAIT'CONCUM POWMATION FAA I= MYWOOD i FIGMATIOIN PAD MAY 101 UNSO AN ALT1121471 2. FOtKMTM PAD$ BRAIL1119 ?LN*Q;W1AYPtWDWMR=1= 3. G=1 M 11MMI PAR L MOIO M AT n BAY$ AN TUM AND UMNACMM NY 9TMM WW"T 031"CUTL IL KWUM IPAD MMUATION WMI IM NUMU 18 TIUT THI LONG VMNIM OF THS PAD U FERM DICULAR T07= COACH UAM (A$ W" ON TIM nAft W1112RA ML.D CONDITICM RKqU1 PAD ROTATIOIR, NO MM THM IWY nF THt PAn4 IN A UAVUS19 LM CAN a &CTATM So =AT in UM DoaHMN C# T0 PAN AU PUALIAL To I= COACH 11AK. 4. Y41 OCR ".A. 41*4 ammom, M-13 Cc MWOM M - QA 3". M16t MACH = NQJU: I. UAXU4W:L10K1THOFNNGL5W11XCOACH-UFW. L MAX13": tASM Of DOUKS WM9 COAM - 79 FW. S. 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P -p i-�" VA No. "-7a' - , S - 'I-% P* At vr^vj lap&"_ 141Z UNEWAL OF L- s STATE SUVM1TTAU'#4ANf N- 4 - 3/9' MAX TUBE HEIGHT ows I' SHORT TUBE 14' LUNG TUBE E' DIA 4 - 3/9' SID PIPE KxTs TIGHTEN 0 3/16' PLATE To too CLAW IN-P"JIS TORQUE 3/4' THREADED 45/1, 3/16' PLATE LEGS pop Tyr or 4 `TI 5/16' PLATE X 1 1/40 BOLT WITH HARDEKD WASHER SEISMIC PIER Not to Scale C.P. SEISMIC PIER#1 - PATENT PENDING NOTE - 190 IN-POMDS IS E01JIVALENT TO 15 rl-POUNDS 2 - 3/0' x V DOLTS FIELD DRILL HOLES OPTILIN OF 4 - 014 TEX STS V COACH C OR, i 1EAM 30 x 30 PLATE ANGLE 3' WIDE 4 112' DOLTS SEISMIC PIER TYPICAL BEAM CONNECTIONS Not to Scole it It IN OVE*Cln rnR cmppm I [P CORK* IREAKAGE -4 Drawn JLT . ti 5/1' x !K 1. JR, .?40 I we 36. 112' 5"r 1 1 3 mizur.1m, ANCHO van, L 3.5 44-U4 VW -1 i0i I PRECAST CONCRETE FOUNDATIQR PAD SCALE, V = 1.5' 3/4' PLYWO13D SHEETS SCREWED TOGETHER WITH 30'x32'x3/4# 12 11 x 1 112' FHWS PLYWOOD //1 Z 60 HOLES FOR r C.S. 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