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HomeMy WebLinkAbout027-230-052027-230-052 FERMI#94-171AG LEE, ELMER & SANDRARn 972 DUNSTONE DR., MVILLE 027-230-052 PERMIT#94-2723 AG EXEMPT PERMIT -STALLS W/HAY SIG LEE, ELMER & SANDRA 972 DUNSTONE DR., OROVILLE MOBILEHOME UTILITIES �l$/9 027-230-052 �j 00-0544 ELECTRIC 200 /�7�,y LEE, Elmer J•� � GAS LINE oho Cc/� C/� 972 Dunstone Dr, Oros • a. COMPACTION TEST REQ_/j/ Ex Mli on Pcrm Fnd SUPPORT STRUCT RE p 027-230-052 PERMIT#96-2509 LEE, Elmer.. &Sandra 972 Dunstc.,e Dr., Oroville� —M61; lehome Installation ✓�i lgjg % 027-230-052 PERMIT #97-2466 LEE, Elmer & Sandra .972 Dunstone Dr., Orovil Propane Line/MH1 1 I l / 027-230-052 01-0886 LEE, ELMER Fh_C q(1161 972 DUNSTONEIL DR. OROVLE CONT: OWNER RAMPS, DUCK, AWNING NOTES .RESIDENTIAL 7027-2-30-0- 52 01-0886 '972 DUNSTONE DR. OROVILLE CONT: OWNER , RAMPS, DECK, AWNING 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY T COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT (Rev. 12/96) APPLICATION AND PERMIT 0/ a3?k W17OR�31� ©MBER 52 ZONING BUILDING PERMIT OWNER E IER LEE TELEPHONE 533.1227 SO. FT. OCC. BUILDING VALUATION �j [ 184 CO 2 • i . OWNERS MAILING ADDRESS 972 DUNS'IONE DRIVE OROVIU.E CA 95%6 133 OPEN 931. C/OO�N��TTR�RAAC,,^^TOOR'S NAME VMI" TELEDHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ . BUILDINGADDRESS 972 DZNSZME Dun, OROS Lu Energy Plan Checking Fee $ PERMIT FEE $ • LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Mother SPECIFY Each Trap11 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 O Installation O Other O Describe Work: RAM & DEQ( & RE-INSTAM AWNING (BP#3006-80 AP#031-272-010) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V LE Main Service 200.OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License w for the following reason: I� 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. ❑ 1, 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. SO OR ADONS. ( a ACC. BLDS. 3.50 FT. µga10 MULTI.. IT.TS 97,50 8PSIONGLE OUTLET CIR.WER APPARATUS Ex. Occup. OUTLET OR FIXTURES BAS p';50 OWNER Ex. Occup.. DUTLEEDTS R�ID.OE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinci 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ^� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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. /�, �'' _�,��; 9-,,, „ Z .- Date �� .1 z9 {� _ 1(Si1)6na_tu_re 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. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEPE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE n TOTAL FEE $ �l HAz. D. FEES IMP .,, FLOOD CDF PARCEL PD HD ISSU 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 B- �! j7" , Date PERMIT EXPIRES ON Palo) Receipt No. 7aq3777,117777,17 WHITE-D.D.S.-B.D. CANARY -ASSESSOR' PINK -INSPECTOR GOLDENROD -APPLICANT d = OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. -Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Carports; Windows -Doors 7. Electric 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. 3. Footings; Size -Spacing -Marriage Line 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 Cent. 10. Exits; Insp.-Sketch t 11. Cert. of Occupancy \ 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Setbacks -Easements i t 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 FINAL (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- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 . V=OK 0 = Not OK - = Not Applicable = Not Ready Bedroom Exiting RESIDENTIAL (� Date 46. Underfloor (Plans) OK except #'s 69. 1. Zoning -Setbacks -Easements -Flood -Slope Fireplace or Stove, Clearance -Hearth 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 72. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth Elec. Outlets & Receptacles at Kit. Counter 4. Ftg., Porches & Decks'Soils-Steel-/ P' Ftg. Depth 75. 5. Stemwalls, Main; Ste el- Blockouts -Wrapped Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 78. 6a. Hold Downs and Special Anchors Insulation -Foam -Looked in Attic 7. Slab, Steel -Wrapped 81. 8. Piers -Fireplace Ftg.-Steel Clearance Looked under Floor Q Yes 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 83. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test A.C. Unit Disconnect, Electrical -Plumbing 11. Water Pipe, Test -Anchors -Regulator -Service Test 86. 12. Electric Underground Exterior Elec. Trim, G.F.I. Receptacle -Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 89. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Corrections from Previous Inspections 15. Access & Ventilation 92. 16. Insulation Date 94. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles 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 Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral Q Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 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. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date Bedroom Exiting FRAMING (Continued) G.F.I. & Bath Fixtures & Tub Access -Spa r 46. Hangers -Post Caps -Anchors -Connectors 69. 47. Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Ring. Fireplace or Stove, Clearance -Hearth 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 72. 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Elec. Outlets & Receptacles at Kit. Counter 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 75. 51. Garage Fire Protection Framing Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 52. Property Line Firewall & Openings 78. 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Insulation -Foam -Looked in Attic 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 81. 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Clearance Looked under Floor Q Yes 56. Siding -Nailing Veneer 83. 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access A.C. Unit Disconnect, Electrical -Plumbing 58. Glazing Area -Glass Protection -Skylights -Plastic 86. 59. Shear Walls; Nailing -Bolts Exterior Elec. Trim, G.F.I. Receptacle -Underground 60. Brace Interior/Exterior Wall Panels 89. 61. Insulation -Walls -Ceilings Corrections from Previous Inspections 62. Infiltration -Walls -Windows 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Date 94. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FINAL (Plans) OK except #'s Date 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa r 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 & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Insild./Drive J Yes J NoMalks D Yes J No/Planters D Yes J 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 Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: �iCOUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541P R IT NO. (Rev. 12/96) APPLICATION AND PERMIT a� ��� ASSESSOR PARCEL NUMBER 027-230-052 ZONING - BUILDING PERMIT OWNER ELNER LEE TELEPHONE 533-7227 SO. FT. OCC. BUILDING VALUATION 184 COV 1092. OWNERS MAILING ADDRESS 972 DUNSTONE DRIVE OROVILLE CA 95966 133 OPEN 931. CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 35.10 BUILDING ADDRESS 972 DUNSTONE DRIVE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE i09.101 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome NIX Other SPECIFY Each Trap 7.00 Solar or heat pum 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: RAL'KPS & DECK & RE—INSTALL AWNING (BP#3006-80 AP#031-272-010) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I WF- @120.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service noon 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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License w far the following reason: JT's` 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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 y-.�Li- O� nature 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. Main Service 200A TO 1000A 46.00 NEW CONST. DW ELLNG OCCUP. SO OR ADDNS. ( 6 ACC. BLDS. 3.50FT. p�IDT' MULTI.CIRCUI 97,50 TS POWER APPARATUTLET US b SI NGLE OCIR. OUTLET 20�'�00 Ex. Occu BAL @@ Z Ex. Occup..OFIX��S A� OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE n TOTAL FEE $ HAz. D PEES IMP I FLOOD CDF PARCEL PD HD Iss This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B Date EXPIRES ON t;0 a ReoeiptNo. Z72 qQn--?PERMIT WHITE-D.D.S.-B.D. C N RY-ASSES O PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and. return this information at your earliest opportunity .to avoid unnecessary delay in processing and issuing your building permit. No building permit v& . be issued until this verification is received. a I personally plan to provide the major labor and materials for construction of the proposed propertyimprovement : YESO NO( ]. , Z. I HAVEO HAVE NOT[ - ] signed_ an''application for "a;budding 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 followipg feisons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK PROPERTY OWNER: SOCL-kL SECURITY NUMBER:. DATE: y- 2 0 — 0 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. Dear Property Owner: r An application for a building permit has been submitted in your name listing yourself as: the builder of property improvements specified. :. For your protection, you should be aware that as "owner -builder" you are the responsible party of i+ecord on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply.. , If you plan to do your own work, with. the exception of various trades that t you plan to subcontract, you should be aware of the following information for your benefit and protection: ` 0 If you employ or otherwise engage any persons other than your immediate family, and the work -(including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0. If you are an employer, you must register with the State and Federal Governments as an employer and you.are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. f. 0 There may be financial riskifor you if you do not carry out these obligations,'and these risks are:especially serious with respect to worker's compensation insurance. 0 For more specific information about, your obligations' under Federal Law, contract the Inteinal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific i3formation about your y obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial (\ Accidents. If the structure is intended for sale, property owners who are not licensed contractors are. allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" . building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their owii work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned.. . Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This (>.vrer•Builder Information is required by Section 19830 of the California Health and Safety Code. N?.r .. i ��: 7.27 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 1 RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT —� ASSWfORPARCEi NUMBER V— DC' V?_,c;2�^ zoNNG BUILDING PERMIT oMn+eR TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILI AODRE99 o. 3 . CONTRACTORS MAIE TELEPHONE CONK ACTORS "NO ADORESS cONSTRUCTOH LENDER Fireplace LENOER'S MAJ NG ADDRESS Total Valuatlon S �� ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGEiFaS LuuNG ADDRESS Plan CheckingFee $ / Gq BUILDING ADDRESS 7 /� /may _ vI^ C� �e Energy Plan Checking Fee $ S PERMIT FEE _ Lo LOT NO. sueorasgNs NAW P""cE` ►aP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome A Other eP�I� Solar or hent um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ In Dation ❑ Other Describe Work: Qwh – 6 U3I-a71-r01 Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S // ELECTRICAL PERMIT Filing Fee 20.00 Main Service pw DNR t2s 23.00 *PERMIT FEE PAID $ SRA - - $ SHERIFF $ OTHER. $ $ $ AMOUNT RECEIVED $ 3 *RECEIPT NUMBER 02 C ) * TO BE PUT INTO COMPUTER Main Service 20" TO 1000A 46.00 NEW CONST. OWELLW OCCUP. 3.540 OR ADONS. ACC. BLOS. NOKRESID. MULTHCIRCUT 97.SO POWER APPARATUS A SINGLE OUTLET CIR. EX. Occup. OUTLET OR PoRURES 20 BLL ® I.S0 Ex. Occu MO APFL.' S ORA 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. S 0 Ventilation PERMIT FEi: S Mobile Home Installation Fee , $ Energy Inspection Fee I $ OCC CONST' 11 TOTAL FEE S "AZ °. fEESWP 1 I R°°° COF PARCEL PO HD ISSUE This permit Is hereby timed 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 to E.H. USE ONLY Plot Plan Attached _ Floor Plan 20 Attached M�-- ac�hed �� Sent to B.O. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ,�'I.vv� A � �-L'.l'J � � � � 'y►y�S` to cJ Q . �'� -- Z3 —S�2 Owner Location AP# Plan Approved for: Sewage Dispo Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: r Supply: Public Private Well �!s bA112 �v Environmental Health Specialist Date 8/96 Stalls 150'x300' Arena 1 " = 100' 660' 0 60' Pen 120'x120' Pen APPROVED Butte County Environmental Health A7_ - ) --- Da b �� ---- Propos 2 4 x 52 ed' Well / /� �e. anufact Home Leach Septic j Field Tank Service o� // Pole / II /'11001SAP ly /o PG&E Power But PROVCU Pole Er��iro to Coy nme my Dunst�e pt -*'24 �ta� Nea/th 111001 . •Sion — � -- Elmer Lee 972 Dunstone Dr. Oroville, Ca. 95965 AN 027-230-052 WE 660' Elmer Lee 972 Dunstone Dr. Oroville, Ca. 95965 1" = 100' AN 027-230-052 Di- oRg(e BUTTE COUNTY BUILDING DEPARTMENT • APPROVED ` wW%/`Zw F`La- ABOVE ❑RADE FOOTINGS DIA - 12" DEEP AB❑VE GRADE VARIES 3&" MIN. -e3 w s O -i 7 Pw • x � . Z .. � 36MIN. STAIR 6• -v m rn m BUTTECOUNTY A A W I DT4 CA rt'I O O • -%. A PPR OVE 1) z M -i 0. c b z a V b O a n - -4 b m C jCD .c CD 0>; 00 ' m m a a -n 2 m C N � w O N P X �IIIIII� • � r M A 41.1 Fp 3 tk N K L� I Co gam. 7q r48' C, MAX. A J 4? 7 rcs p Z N i 3 4" o �v J/HAMORAll RE16HT z `mil • 7d r x 6 yA \ 6 MAX. a Z .. � 36MIN. STAIR 6• BUTTECOUNTY A A W I DT4 CA rt'I �c -%. A PPR OVE 1) • � r M A 41.1 Fp 3 tk N K L� I Co gam. 7q r48' C, MAX. A J 4? 7 rcs p Z N i 3 4" o �v J/HAMORAll RE16HT z `mil • 7d r x 6 yA \ 6 MAX. a Z .. � 36MIN. STAIR 6• BUTTECOUNTY A A W I DT4 o ^ BUILDING DEPART 'ENi� -%. A PPR OVE 1) May 1995 6.5 � r NOTES RESIDENTIAL M1; i ( 027-230-052 00-0544 PERMIT NO. —"'- LEE Elmer; — I 972 Dunstone Dr, Oro ' Ex NTH on Perm Fnd 7RERD 0'RM /�33 OR TI -I ` CA0BEED UNTIL ONE OF THE FOLLOWINGHATURNED IN TO THE BLDG DIV:CENSE PLATE(S) or DECAL THESPECTOR MUST RETRIEVE)ATEMENT OFFACTS(ONLY ON W MH'S) 'INTO VERIFY SERIAL & LABEL #'SOr 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i 1 I , JOB FINALED (Date) Signature I CHECKED BY COUNTY OF BUTTE ~' 13UILDING DIVISION A� DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 ' 1� 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 ;—e above address and should be corrected. Please notice this office when correction of work is t completed. If you have any questions pertaining to this matter, or need additional explanation,, please contact this office immediately. aT�/ v� iD4 i wm�M Date �� ?, / Inspector REV 10/92 BOUNTY 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 address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. . -Al i A i Date &�J I v O Inspector REV 106/92 J = OK 0 = Not OK --Not Applicable = Not Ready MOBILE BIOMES fr Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements-Setbacks-Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location-Test-Fall-C/O-Concrete Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location-Test-Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete Carports; Windows -Doors 6. Gas; Location-Test-Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ /'LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOMEINSTALLATION (Plans) OK except #'s 1. Zo g Requirements-Setbacks-Easements ooti ; Size-Spacing-Marriage Line Card B-1 Date Card B-1 as; MH Test-Demand-Valve-Connector 4wollectricity; MH Test-Crossovers-Breakers-Clearances 1. 5. 6 7. 8. 9. Drain; MH Test-Fall-Flex Connector ater; MH Test-Regulator-Connector Water and Sewer Connected-C/O to Grade-HD Approval Gas and Electricity Tagged Tie Downs-Type-Installation Cert. 2. 10. Exits; Insp.-Sketch 3. 11. Can. of Occupancy 4. 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 f4 � b �, 7L60,/r 7 •s 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- Bea ms- 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 FINAL (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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date FRAMING (Continued) Underfloor (Plans) OK except #'s 46. 1. Zoning-Setbacks-Easements-Flood-Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 49. 4. Ftg., Porches & Decks; Soils-Steel-/ /" Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel-Wrapped 54. 8. Piers-Fireplace Fig.-Steel 55. 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test-Anchors-Regulator-Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance-Material-Support-Ins. 60. 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent-Access-Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor-Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor-Nail Protection 66. 20. Shower Pan; Test, First Floor-Tub Access 67. 21. Test Tub & Shower, Second Floor-Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & 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/Mach Fasteners-Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subieed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI-Oven Circ. / / ga Cu or At Insulated Neutral Q Yes O No 31. Service-Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light-Shower Light-Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing MECHANICAL (Permit) OK except #'s 87. 35. A.C. Ducts Insulation & Support 88. 36. Vent Fan, Exhaust above insulation 89. 37. Condensate Drain & Overflow, Size & Grade 90. 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet 91. 39. Attic Access & Platform if Furnace in Attic 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 41. Walls Studs-Nailing Spacing & Braces-Plates-Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs 45. Headers & Beams-Size & Bearing � v >ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll 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. Bdrm. Windows or Exiting Doors -Sill Ht. & 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- Walls -Windows 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 -Connector - In Garage; Above Floor -Ducts -Mach. 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 & Receptacles 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 -Mach. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive ❑ Yes Q No/Walks ❑ Yes :1 No/Planters 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 Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: •REi8ORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 30 -Jan -2001 2001-0003940 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. ELMER W. LEE & SANDRA L. LEE . REAL PROPERTY OWNER/LESSOR 972 DUNSTONE DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS. IF DIFFERENT CITY COUNTY STATE ZIP ELMER W. LEE & ROBERT E. LEE UNIT OWNER (if also property owner, write "SAME") 972 DUNSTONE DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY Cou,"ry STATE LP 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 00-0544 (530)538-7541 BU LD NG PERMITN0. TELEPHONE NUMBER 01/25/01 'SIGNATURE OF LOCAL AY 0 ICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO. CHAMPION HOME 1997 INFINITY MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 09986368921A/B 52' & 50.6' X 23.3' TRA386787/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED A.P. # 027-230-052 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. BUILDING PERMIT NUMBER: 00-0544 Address or location of unit: 0972 DUNSTONE DRIVE, OROVILLE, CA 95966 Legal Description of Real Property: A.P. #027-230-052 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: ELMER W. & ROBERT E. LEE Owner's address: 972 DUNSTONE DRIVE, OROVILLE, CA 95966 INSIGNIA OR HUD -NUMBER: TRA386787/8 SERIAL NUMBER OR V.I.N.: 0998-636-8921A/B MANUFACTURER'S NAME: CHAMPION HOME OFFICIAL APPROVING INSTALLATION: DATE: 01/25%01 PHONE: (530) 538-7541 + H.C.D. 513C YEAR: 1997 LEGAL DESCRIPTION A.P. #027-230-052 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: LOT 4, OF BLOCK 11, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAGNOLIA COLONY", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 11, 1897 IN BOOK 1 OF MAPS, AT PAGE(S) 27. EXCEPTING THEREFROM ALL OIL, GAS AND OTHER HYDROCARBONS AND MINERALS HEREINTOFORE RESERVED TO THE GRANTOR NAMED ON THAT CERTAIN DEED FROM BANK OF AMERICA NATIONAL TRUST AND SAVINGS ASSOCIATION, A NATIONAL BANKING ASSOCIATION, TO F.H. THOMAS AND MATTIE E. THOMAS, HIS WIFE, JOINT TENANTS, DATED MAY 14, 1943 AND RECORDED JUNE 18, 1943, IN BOOK 314, PAGE 152, OFFICIAL RECORDS, TOGETHER WITH ALL THE RIGHTS AND PRIVILEGES OF THE GRANTOR IN SAID DEED SET FORTH WITH RESPECT TO SAID OIL, GAS AND OTHER HYDROCARBONS AND MINERALS, REFERENCE HEREBY BEING MADE TO SAID DEED FOR THE PARTICULARS THEREIN SET FORTH. ALL OIL, GAS, MINERALS AND HYDROCARBONS WERE QUITCLAIMED FOR A DEPTH OF 500 FEET BY QUITCLAIM DEED RECORDED AUGUST 10, 1978, IN BOOK 2312, PAGE 498, OFFICIAL RECORDS. PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, INCLUDING BUT NOT LIMITED TO THE RIGHTS OF PACIFIC GAS AND ELECTRIC COMPANY AND PACIFIC TELEPHONE COMPANY FOR SERVICE TO THE GENERAL PUBLIC, THE RIGHT FROM TIME TO TIME TO INSTALL, MAINTAIN, OPERATE AND USE SUCH TELEPHONE, GAS AND ELECTRIC FACILITIES BOTH ABOVE GROUND AND UNDERGROUND AS IT MAY DEEM NECESSARY OVER, UNDER, ALONG AND WITHIN THE SOUTHERLY 30 FEET OF BLOCKS 10 AND 11 AND THE NORTHERLY 30 FEET. OF BLOCKS 18 AND 19, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAGNOLIA COLONY", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 11, 1897, IN BOOK 1 OF MAPS, AT PAGE(S) 27. AP NO. 027-230-052 io/20/97 13:27 BIDWELL TITLE/CHICO 4 BTEC1 IAO. t PLI Ub Record at the Request of Mid valley rif 9 4 3 625 1 1* 4 Eacrow Z�ompany_:._.- Ordor No. v E=row No. 143743-3 Loan No. 94"036251 1 Rec Fee 9.00 WHEN RECORDED ML TO: I DOC 20.35 Recorded I Check 29.35 ELMER W. LEE AND SANDRA L. LEE Official Recorda I County of 12455 LONNIE LANE KUNA, 10 83634 Butte Candace J. Grubbs 1 Recorder A;00&m 29 -Aug -94 I MVTC FM 2 MA;L TAX STATEMENTS TO. DOCUMENTARY TRANSFER TAX 5,2435 UMPAW on he a—w-"W% w YPw of W"Fgy aww"; OR SAME AS ABOVE mumvedom SVPA16" C1 Doestrerd w AqW ftwstothhg I" Fkm Nwo GRANT. DEED FOR A VALUABLE CONSIDERATION, r6calpt of whim Is hereby acknowl"d, JOHN FREEMAN, an unmarried man hereby GRAHT(S) to ELMER W. LZE AND SANDRA L LEF, hu*sband and wife,, as Joint Tenants the r" property In 114 UNINCORPORATED AREA County of 'BUTTE SLW6 of Worn;$. deem -bad as SEE LEGAL DESCRIPTION ATTACHED Dated - A.UaLmt I- load STATE OF CAUfORNIA COUNTY OF SLfrrX- C" 4.1 (� QUHN FREEMAN WDOWY kmgwn 10 rTW (Or PVM to MG On the bUIS of SeWaziory Wderco to bo kho pmwfsl who" -rame(a) Ware wburbw to Ih# vAM &%tnjmoN and M*ncpw to FM M hQ?'J'w1* vowod the BLRW "p-ION1,4rid Owl DANIEL F. HUNT WG'+ely On the r•o Pw"111 of 7 M of •NOTARY PVrtLi0_cAjjFORNjA WhIch ft pwbwgsl 44 v4 4 • 9 Dim Wunly • WITNESS "rof ha WYCORM115 CAk0&O0LI.jgQ4 Order No. 1-180113 REFINANCE ESCROW INSTRUCTIONS SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: LOT 4, OF BLOCK 11, AS -SHOWN ON THAT CERTAIN MAP ENTITLED. "MAGNOLIA COLONY", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 11, 1897 IN BOOK 1 OF MAPS, AT PAGE(S) 27. EXCEPTING THEREFROM ALL OIL, GAS AND OTHER HYDROCARBONS AND MINERALS HEREINTOFORE RESERVED TO THE GRANTOR NAMED ON THAT CERTAIN DEED FROM BANK OF AMERICA NATIONAL TRUST AND SAVINGS ASSOCIATION, A NATIONAL BANKING ASSOCIATION, TO F.H. THOMAS AND MATTIE E. THOMAS, HIS WIFE, JOINT TENANTS, DATED MAY 14, 1943 AND RECORDED JUNE 18, 1943, IN BOOK 314, PAGE 152, OFFICIAL RECORDS, TOGETHER WITH ALL THE RIGHTS AND PRIVILEGES OF THE GRANTOR IN SAID DEED SET FORTH WITH RESPECT TO SAID -OIL, GAS AND OTHER HYDROCARBONS AND MINERALS, REFERENCE HEREBY BEING MADE TO SAID DEED FOR THE PARTICULARS THEREIN SET FORTH. ALL OIL, GAS-, MINERALS AND HYDROCARBONS WERE QUITCLAIMED FOR A DEPTH OF 500 FEET BY QUITCLAIM DEED RECORDED AUGUST 10, 1978, IN BOOK 2312, PAGE 498, OFFICIAL RECORDS. PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, INCLUDING BUT NOT LIMITED TO THE RIGHTS OF PACIFIC GAS AND ELECTRIC COMPANY AND PACIFIC TELEPHONE COMPANY FOR SERVICE TO THE GENERAL PUBLIC, THE RIGHT FROM TIME TO TIME TO INSTALL, MAINTAIN, OPERATE AND USE SUCH TELEPHONE, GAS, AND ELECTRIC FACILITIES BOTH ABOVE GROUND AND UNDERGROUND AS IT MAY DEEM NECESSARY OVER, UNDER, ALONG AND WITHIN THE SOUTHERLY 30 FEET OF BLOCKS 10 AND 11 AND THE NORTHERLY 30 FEET OF BLOCKS 18 AND 19, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAGNOLIA COLONY", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 11, 1897, IN BOOK 1 OF MAPS, AT PAGES) 27. AP NO. 027-230-052 PLEASE INITIAL DATE STAMP AREA HCD 480.1 (REV 1195) Copy 1 - Department, Copy 2 - Purchaser, Copy 3 -Tax Assessor, Copy 4 - Dealer Book No. M 2 412 4 3 9FARTMENT USE ONLY STATE OF CALIFORNIA DEPARTMENT USE ONLY ' AS CODEV'DEPARTMENTOF BUSINESS, TRANSPORTATION, AND HOUSING AGENCY Sa-'as HOUSING AND COMMUNITY DEVELOPMENT DECAL NO. DIVIMHMANUON OF CODES AND STANDARDS 14FACTURED N HOUSNG ROGRAM - " - MCO CONTROL NO. DEALER REPORT OF SALE OR LEASE srrus cc NEW MANUFACTURED HOME OR MOBILEHOME TAX TYPE: LPT' EXT CALIF. EALER LICENSE NO. DATE OF TRANSFER TOn DEALER USE CODE heck one) SFD 13 MFD SALE PRICE 71-11c,l V ORIG. COST CODE NAME F MANUFACTURER la MANUFACTURER LICENSE NO. MANUFACTURE TRADE NAME = u.i Q(S g n MFG. MODEL �GORNAME OR UMBER DATE —a OF MANUFACTURE FOUNDATION TYPE (check one) DAT�OF Ci—' ') — ' —7, — 03 (6 (7 ❑ 18551 (peen), 18613 (pier) , [318555 SECTION NO. (1.4) MANUFACTURER SERIAL NUMBER(S) HUD LABEL NUMBER(S) LENGTH (Inches) WIDTH (inches) WEIGHT (Ibs) ,I - 4a&4o-99a TRA fob (oa,y y 1qD" 200qI - (a-g9a.I g „ ,yo„ gaaQ- ADD SECTION [3 Receipt Number: Receipt Date: DEPARTMENT USE ONLY " CLERK PPF Registered Last First Middle Owner(s) 1. L �. tM I W [print true RF nn 2. tG.. ��� 1 Fj name(s)] ILT 3. MRF PENt PEN2 If applicable, check one of the following: ❑ TENCOM OR JTRS 13 TENCOM AND ❑ COMPRO' Current Mailing street 1'7a N Address_ ,k n 54on Q. r . - city County State Zip Dro i I LQ. i14orn 10- scow TRF Future Mailing Street Address (if different than above) TOD City County State Zip Situs (location) Address of Unit Street ;• 9-7a � u,n "i-one r . DUPT DUPR SUBD City Cour State Zip r v l e. r ig foto Legal Owner Tre. e Se 1 C 1 Cof o r (lienholder) [print r true name(s)] CONF REPO If applicable, check one of the following: ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ COMPRO RREG RSF PLT Mailing Address street city State Zip O, Z> 3d Ra 1 �h v Co rd d VCL CA 4s 7 y I — 0 4/3 C) Junior Lienholder [print true names(s)] SIT H applicable, check one of the following: ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ COMPRO UTP RT Mailing Address Street City State Zip ASF ADD JR/LH CERTIFICATION CCP The applicant and dealer signing below state to the best of their knowledge and belief that all statements made in this application are true and correct The dealer certifies that the described unit is in compliance with all provisions of the Health and Safety Code and Department regulations adopted pursuant to the Health and Safety Code., TOTAL SIGNATURE REGISTERED OWNE (Sf) y Po L / 2. 3. DEALER NAME:• il" iga iil-4Home--9,. T/iG. ' = SIGNATURE OF AUTHORIZED AGEkTY J A4 AIA Iftnw DATE STAMP AREA HCD 480.1 (REV 1195) Copy 1 - Department, Copy 2 - Purchaser, Copy 3 -Tax Assessor, Copy 4 - Dealer Book No. M 2 412 4 3 Lc,"#l"aya9a4 ;S /,)34. H.C.D. ATTACH CHECK NAME: AP#: DATE: H.C.D. ATTACH CHECK NAME: AP# : DATE: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI ISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- 41 PERMIT o. APPLICATION ANb PERMIT OD " ASSESSOR PARCEL NUMBER 230-052 ZONING 1 LDING PERMIT ?K OWNER ELMER W. LEE TELEPHONE 533-7227 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 972 DUNSTONE DR OROVILLE CA 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 572 $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ DRESS BUILj21 / L C� DR, ORO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ 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 ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX MH ON PERM FND Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S 50.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20 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. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law f r the following reason: V1, 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 zooA TO 46.00 CCU000A NEW CONST, OWEWNG OCCUP. OR ADDNS. ( a AI eLDs. Sp 3.5¢x; NpµR61UT MULTI.OUTLET @7.50 POWELEPPARATUS a SIR A NGOUTLET CIR.zO Ex. Occup. OUTLET OR FIXTURES Q 1.00 BAL o .so Ex. Occup. OUTLEEDTs REFS DEKA. 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 FEE $ Policy Number he 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, 1 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. ` Date (/ ign 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 336.25 TOT L FEE $ �H�A p, FEES I FLOOD CDF P PD HD 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 Data Receipt No. Z • Z S WHITE-D.D.S.-B.D. CA ARY-ASSESSOR -A PINK -INSPECTOR GOLDENRODPPLICANT "`�,r•.�t+:d� �jsi7's►.•r..s'r�!�4'�,�A,..;,.i�:.'.�.ip,.; �:rjM:K;;9�b'F"•�.��'�^�t �-,:-w!.�,�;„'�-. _-:_ `�ts ia:; COUNTY OF BUTTE - DEPAwRTMENT OF DEVELOPMENT SERVICES - BUILVFNG DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, GA-MF—ORNIA 95965 - TELEPHONE (5 538-7541 3i �' �_ a PERMIT APPLICA TION DA TA SIIEEn OWNER: C ASSESSOR PARC ER: U� /" 3C% "—� Proposed Building Use: m Building Inspector:. Date: At time of permit application, I as advised the following data must be submitted prior to pe proc ssing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 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.--------------------------------------------------------- 'J� 08. 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. --------------------- ------------------------------------------------------------------ 0 -------------------1'------------------------------------------------------------------ ❑ 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 Parcel. ----------------------- 1 . Encroachment Permit for. Oveway ( ns ction approval prior to occupancy). --------------------------8--,-, /00- V Pre -inspection for 1► t � • required Request to Building Inspector on �(Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number. --------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. ------------------------------------------ ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ----------- 026. Letter of intent on building use. -------------------------------------------- 1327. Manufactured Home utility clearance. ------------------------------------- Existing vi ns and/or x iredpermits%-------------------------------------------------------------------- 433 A,Aant Deed, Q �d H. Title, ;.Check to H.C.D $ ° --------------- 030. Other:------- W�h�ewyou issue the permit, process as follows ❑ Mail to owner, ❑Mail o ontractor. OTelephone 5 33- q� :17 and hold for pickup at �� office. ❑ Deliver with inspector. Applicant: 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: q ❑ 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, ❑ Build' ivisio counter, by Date: Plans reviewed by: Date: Plans approved by:Date: �j U Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. `"Orr ,n;4•:D::: ••:�- ub�e'6.6aRo"3"S` �,-f'il �iiis'�'i . - - ;:::••(...:R:;. r::>:>�;rmx.!/ .td'iA?a>9i. :. N:C+•ii.6Y.': ..uyd -'u�'. Attention Property Owner: An "owner -builder" building permit as been --applied for' iri-your name and bearing - signature. ,.. :. . Please complete .and_,.return .this -information .at, your earliest lopportumty to avord unnecessary delay in processing and issuing your building permit. No building permrt:will be issued until this verification is received, II personally plan to ' provide the' "major ,lal;or::and 1haterials • for coristruchon of the ' ro osed roe im rovement YES] P .P P P.,rty P_z [ l , _ .._ ... ; I HAVE HAVE NOT[ ]signed an app hcatrori fo`r` iNildrng permal or thYe U PPos ro ed work:• ' _ • _ .-.. _..._,,� ;_.1:• .. �(..__ f t.,-.:w.;r;'.._rr -" ,?,.,,K `" �,r t.:i�`i„r r 3. I have contracted with the •following .person. (firm) : to _provide :the proposed 1 construction: NAME: r. :•j ,r E,;.r.e- tra. ADDRESS: : _ _ _ Ka=' _ /'�*�) _ __ _ :,r 4. -.CI i.F'- ` .tet ''3 •p:r PHONE:.CENSE:NO. -1".,f 4. I plan to'piovide =portions of this work; =but Ihave =hired the `following =perso'n" sto coordinate, supervise, and provide the 'major work. NAME: ADDRESS: 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,eb ,.: ^_ G D: _ PROPERTY OWNER: SOCLkL SECURITY NUMBER: , DATE: 2— �2 0— Q 0 - .-. 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. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do .your own work, with, the exception of various. trades that you plan. to subcontract, you' should be aware of the following information'for your benefit and protection: ` z _. 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and. Federal Governments as an employer and you_ are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance; disability Insurance costs, an unemployment compensation contributions. 0 There may be financial risks. for you _if you do not carry out these obligations, "and these risks are especially serious with respect to worker's compensation insurance. ; 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an 'bwnerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their ov ii work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. _ Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This 0%,mer-Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California •95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION ARID PERMIT ASSESSOR PARCEL NUMBER �Q^O� --� ZONING i BUILDINGPERMIT OWNER L e TELD"ONE - 22 SO. FT. OCC. BUILDING VALUATION OWNER'S MARINO ADDRESS V, q, fyyq© .5..3,3 "l /e s a. S I CONTRACTOR'S NAME TELIPNONE CONTRACTOR'S MLALINO ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADORESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee , S 1— $ ARCHITECT OR ENGINEER'S MUUUNG ADDRESS Plan Checking Fee $ SUtDINO ADORESS Energy Plan Checking Fee $ $ PERMIT FEE LOT NO. SVBDNISION$NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SOuplex O Mobilehome )"\ Other sPEc�v Each Tra 7.00 Solar or heat pump water heater 23.00 Water piping15.00 S^ IO Each as water heater or vent 15.00 TYPE OF WORK New O Addition Remodel ❑ Utilities O Installation O Other/ Describe Work: 4z - Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (020.00 PERMIT FEE t SO -60 1 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2200A OR tESSS 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR 3.50SO OR ADONS. 6 ACC. SLOS. MW NS I. MULTbOUTIET NON•RESID. @7.50 6 PSINGLE O CI0.OWER APPARATUS OUTLET OR FIXTURES EX. OCCU 20 ® 1.00aAL 0 •50 Ex. OCCU pQ R, 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 FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONSTj1fPdE TOTALFEE_HIAZ IMP 0 OF PARCEL PD Hb I 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) 0--n PRE -INSPECTION REPORT OWNER: CI Yllk�� L-10� LOCATION: ( Q l.(/v> r. Doa;,�� CONTRACTOR: PRE-INSPETION FOR: DATE TO INSPECTOR: Building Description: Electric: Gas: Commercial/Usage: Residential/# of Units:— Currently nits:Currently Occupied AbandonedNacant DATE: A. P. #•7�C�-� ZONING: PERMITHISTORY:( ) NONE ( AS FOLLOWS: BUILDING INSPECTOR'S REPORT Yes— X_ No Electric currently On Off Condition of Electric Natural Propane ble, None _ Currently On_k_ Off Obvious Problems: Sanitation: Plumbing Working,>4, Well Working >6!� Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: Y HOLDFO Adw Inspector: Date Sketch buildings on reverse and indicate location on property. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION '� 1 7 County Center Drive • Oroviile, California 95965 • Telephone (530) 538-7541 PERMIT NO. (g1ev.12/96) APPLICATrON AND PERMIT ASSESSORPARCELNUMeER Dal 30^O -� zomma _ BUILDINGPERMIT OWNIERSO. IL6- 1. L e TE 3 NE 2:2 FT. OCC. BUILDING VALUATION OWNER'S MMUNO ADORESS a. S OONTRACTOWS NAM TELERIONE CONTRACTOR'$ MAUNO ADDRESS CONSTRUCTION IETOEA LENDER'S MAILING AOORESS Fireplace Total Valuatlon $ ARCNRECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 ARCMTECr OR ENONEERI MAlJNO ADOAM Permit Fee L6. , Z- $ a43 . 2 s^ Plan Checking Fee $ BUILDING ADORES'$ Energy Plan Checking Fee $ S PERMIT FEE $ p2 LOT NO. SUBOWSIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE VAI;Duplex ❑ Mobilehome A, Other BP�� Each Trap 7.00 Solar or heel pump water heater 23.00 Water piping15.00 JS^ Each as water heater or vent 15.00 TYPE OF WORK j` New ❑ Addition f�, Remodel ❑ UBGties ❑ Installation 13Other Describe Work: Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT F4EES SQ. 60 IF ELECTRICAL PERMIT Filing Fee 20.00 800V LE Main Service ao.OR LESS 23.00 Main Service 200A TO IOOOA 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( A ACC. SIDS. 3.50M NEW CONST. NON -REBID. MULTFOUTLET 97.SO POWER t SINGLE APPARATUS O CIR. Ex. OCCU OUTLET OR FORURES 200 1.00 SAL a .SO Ex. OCCU � o0" 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 FEP- S Mobile Home Installation Fee $ Energy Inspection Fee b occ CONST. nPE TOTAL FEE $ 3C,�a S RAZ. D. FEES IMP FLDOO I COF PARCEL PO NO 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 027-230-052 FERMI#94-171AG LEE, ELMER & SANDRA 972 DUNSTONE DR., b*VILLE 027-230-052 PERMIT#94-2723 AG EXEMPT PERMIT -STALLS W/HAY STG LEE, ELP'IER & SANDRA 972 DUNSTONE DR., OROVILLE �f MOBILEHOME UTILITIES ELECTRIC 0200 ,P GAS LINE oto -1 COMPACTION TEST RE SUPPORT STRUCT RE p 027-230-052 PERMIT#96-2509 LEE, Elmer.& Sandra 972 Dunstc`e Dr:, Oroville I • on-lehomer Installation 027-230-052 PERMIT #97-2466 LEE, Elmer & Sandra 972 Dunstone Dr., Orovill Propane Line/MH 1 Ill _A BUILDING'DIVISION COUNTYOFBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT RMIT NO. — 17 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASf S R ARC %OX..�ZONING lq6 OWNER L_�L PHONE NO. ,1 / �V !OV OWNER'S ADDRESS a vV �� LOCATION OF BUILDIN v o d USE OF BUILDIN I t H n 11 VL/ �� A SIZE OF STRUCTURE ' ��0. x = FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL�/ CONCRETE OTHER(Specify) TYPE OF SIDIN L ROOF COV II FLOOR TYPE C STRUCTION $STIMATE� 0 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT r I - J I - , �� SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 12— /2— q y Permit Fee - $60.00 Receipt No. Signature of Owner. The above described AG Building is exempt .from a buildina Dermit .1 1 FL PTI P.D ROOF G ISSUG_E� - _ Manager Building Division By Date l2. White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant ` ' ��'"c�`'��S'�G.i{���•.5_�.6.�'-".�:y�„ �'�'. y< •. -. ,�„qur��.�-'v`.�.'zr;:,ty�ps.�=+�"�"r-f2i;"r�'ar k•' 027-230-052 PERMIT #97,2466 LEE,'Elmer & Sandra 972 Dunstone Dr., Oroville Propane.Line/MH iIi7JL q q _ y-1 l A _t1 E r f COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965, - Telephone (916) 538-7541 ERMI NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-230-052 ZONING A S BUI " NG PERMIT OWNER - ELtM & SANDRA',iEE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS " ' 1C1 72 DUNSTONEDR OR&ILLE 95966 ' CONTRACTOR'S NAME G4MER TELEPHONE CONTRACTORS MAILING ADDRESS T CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS i Plan Checking Fee $ BUILDING ADDRESS ' 72 DUNSTONE DR Energy Plan Checking Fee $ _ OROVIILE 95966 $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCE� MAP PLUMBING PERMIT Filing Fee 20.00 USEbFSTRUCTURE I SF ❑ Duplex ❑ Mobilehome 5 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 WOR70- K; New ❑ Addition ❑ Remodel ❑ Utilities ❑ In. fellationtv❑rn�Other ❑ Describe Work: ADD PROPANE TO MI/MHU RE: #96-2509 Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home IS G W 920.00 20.00 PERMIT FEE S 40.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service noon OR mss 23.00 LICENSED -CONTRACTOR'S DECLARATION 1 I hereby affirm under penaty 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. O-NNER-BUILDER DECLARATION I hereby affirm under pena ty of perjury that I am exempt from the Contractors License Law for the following reason: ,.1. ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed! contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To I000A 46.00 NEW CONST. DWELLING OCCUR OR AIc.N ( 8 ACC. BLOB. so 3.52FT; NON-gEOS�p. ' MULTI -OUTLET BRANCH CIRCUITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES zo @ 1.00 BAL SD Ex. Occup. OUTrLEEDrs AEs o.DeA 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 me ntain 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 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' compensaton provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �% //, X%/ 4 `-7_,LOX Date �%��� _ Signature of Applicant --❑ Owner ❑ Contractor ❑ Agent I 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 $ DCCCONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON ��/���— r the applicable provisions Resolutions to do work been paid. Date i 1,74-7 / ' Date Receipt No. 7.i 11 (9 WHITE-D.D.S.-B.D. CANAF.Y-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ZMN COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califwhia 99665 - Telephone (916) 538-7 P R IT NO. (Rev. 12/96) APPLICATION AND PERMIT T5419 ASSESSOR PARCEL NUMBER 027-230-052 A 5 ZONING BU ING PERMIT OWNER ELMER &SANDRA LEE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 972 DUNSTONE DR OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS 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 72 DUNSTONE DR Energy Plan Checking Fee $ ROVILLE 95966 $ PERMIT FEE $ L.OTNO. SUBONISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Y1 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 ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD PROPANE TO MHI/MHU RE: #96-2509 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS1 §1 WF_ @20.00 20.00 PERMIT FEE $ 40.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zounoa�ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 i (commencing with Section 7000 of Division of the Business and Professions Code, ( g ) 3 and my license is in full force and effect.POWEPPARATUS 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: DC ❑ 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 zooA TO L000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 6 ACC. S. SO 3.50FT. NEW CONST. MULTI. NON -RE NS C I% c,, @7.50 & SINGLER AOUTLET CIR. Ex. OCCU OUTLET OR FIXTURES 2L 0 I'50 BAL 0 .50 Ex. Occup. ouT�rs ESID.OE AA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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.) o� ❑ 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, 1 shall fort ith comply with those provisions. X �fC� _ Date=��� _ Si nature of Applicant - ❑ Oer ❑ 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 $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. /'/7/ ^' By Date fF� 77� PERMIT XPI ES ON I 11619J) FLeceiptNo.23 181 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT AP # � 7 - OWNER OWNER PERMIT ' l �G� 2 Nit UT IL . CLEARANCE DATE INSPECTOR ELECTRIC. GAS Support Compaction Struc. Test Re': Service Size Other Load P,T; Eee, Pipe Size Len th YES NO YES NO IVIR I t,o .� . RESIDENTIAL QGs'o 027-230-052 PERMIT#9!-2728 LEE, ELMER & SANDRA T 972 DUNSTONE DR., OROVILLE MOBILEHOME UTILITIES T� DOWNS, k OFFICE COPY Address GAS Meter By D Meter By 11 JOB FINAL ( ate _ Signature J=OK + ' O = Not OK Not Not Readyable MOBILE HOMES Date MOBI OME UTILITIES Plans OK except #'s kr-fog Requirements -Setbacks -Easements oils; Special MH SupportZke!RK ewer; Location -T6 -F +oncrete �x ater; Location -Test -Easement Needed (Sketch) ctricity; Location-Clearences-Grin - Amp -Concrete "' /"L �L.P.. l. ,�/� / at. ell Clearance & Disc ect ility Clearance Date/G-22--gk Card B-1 go Date Card B-1 Date Card B-1 Date Card B-1 Date BILE HOME INSTALLATION Plans OK except ft's i 1 oning Requirements -Setbacks ftqements 2. otings; Size -Spacing -Marriage Line ,%, 3. Gas; MH Test-Demand-Valve—ConnectorGas; MH Test-Demand-Valve—Connector 4. Electricity;,MH Test -Crossovers -Breakers -Clearances j 5. Drain; MH Test -Fall -Flex Connector 1 6 ater; MH Test -Regulator -Connector Ne"T Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged i 9. Exits; Insp.-Sketch j 10. Cert. of Occupancy"`.-. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 j MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. ' Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;, Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK Ir jr. O=Not OK ?� =Not Appli6 a Read Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK exce t q's P 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /', Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors. 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10: UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11.. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except n's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -------------------- ---------------------------- 17. Water Pipe; Test & Anchor -Nail Protection ----- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan. Test. First Floor -Tub Access ----------------- ----------------------------- 20. Test Tub & Shower. Second Floor -Tub Access ----- ------------------------------ 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 -------------------- --------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection - ------------------------------- 23. E-lec. Receptacles Spacing -Lights & Switches at Doors ----------------------- - -------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled - -------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w!Mech. Fasiners-Bond Gas & Water ------------------------------------ - ----------------------------------------------- 27. ----------- --------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI - ----------------------------------------------- 28. Subfeed Wire Size ! ga. Cu or AI-A.C. Wire Size ! ga. Cu or At ----------------- ----------------------------- ---- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑-No - ------- ---------------- 30. Service_Riser Conductors- -& -Ground-Main---- - Disconnect- - --------------------------------------- - 31. Equip_Clearances Panels-Motors-Mech. Equip. ------------- ---------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light -------------- -------------- ------- --------------------------------------------- --- ----------------- 33. Smoke Detector ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------- -------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n'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 a's 39. Sils. Proper Material & Anchors ------- -------------------------------------------- 40. Walls Studs -Nailing Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing - ----------- ------------------------------------------------------------ 42. Draft Stop in Walls (rat proof) -------------------- ------------------------------------------- ----- ----- --- 43.- Fire -Stops: Furred Ceilings -Stairs -Chases -Tub ------ ---------------------------------------------------- 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------------- _ _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings ------------ ------------------ 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 . --------------------------- -- Date Card B-1 Date Card B-1•• Date FINAL (Plans) OK except ft'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. ------ 64. Bedroom Exiting 65. G F. 1. & Bath Fixtures & Tub Access -Spa -------------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------------- 67. Stairs -& Rails 68. Fireplace or Stove: C16arances-Hearth --------------------------------- 69. ----------- - - - -69. Elec. Outlets at Wood Panel: Int. & Ext. ------------------------------ 70. -----.......-----------------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. ----------------------------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 --------------------------------- ---- 7,. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------ - 78. Guard Rails & Deck Construction -Post Caps -------------------------------------------- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth \ - Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------------- ---- 81. Stucco: Brown -Finish 82. A.C.Unit: Disconnect. Electrical, Plumbing .. --- ------ -- -------------------- PP - -- 83. Vents Above Roof: Plb9 - A fiance-Firep lace. -Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing - 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground ---------------------------------- ------ 86. Ventilation Throughout House ... -- ... --... --------------------- 87. --------------------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 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: �ra COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95.965 - Telephone (916) 538-7541a 2 PERMIT NO. APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER ETMET LEE & SANDRA LEE TELEPHONE SQ, FT, OCC. BUILDING VALUATI N OWNERS MAILING ADDRESS 19455 LONNIE IANEI KUNA, TI�Al4n 83 '14 CONTRACTOR'S NAME OWNER TELEPHONE COVTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 972 DUNSTONE DR PERMIT FEE $ 23.00 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home G @20.00 TYPE OF WORK New ❑ Addition O Remodel O Utilities 6Installation C) Other O Describe Work: PERMIT FEE 0.00 $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 500 SQ FT MIN Main Service ( 100V OR LESS 200AORLESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I & ACC. BLDS. ) gp, 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) D I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. _j�icense No. Classification t►� I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) SAL. @ 1.0500 Ex. Occup.FIXED APPS. OR ( OWUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. KI shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. No ice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Ounty in co sequence of the granting of this permit. Date ature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FE HAZ. D.. FEFg I P FLOpe I CO PAR L PD HD (SSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have r BY PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate � atel Receipt No. 168758 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V �1 '7•'��'ie�T 7,­ .j,ft.COUNTYOF BUTTE - DEPARTMENTOFDEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL-E; CKFORNIA95965 -TELEPHONE (916) 538-7541 �. /V PERMIT APPLICATION DATA SHEET 1 OWNER ( O IL� - ' '} A P. No. Proposed Building Use r Building Inspector Date g 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 items have been submitted . ........................................ 9I 2 1, Plot plans, 3&.ets, signed by preparer of plans. ........ . ............... Complete plans, 3/4 sets, signed by preparer of plans . ..................:.... - 4.' Engineered plans and calcs, 3/4 sets, with wet signature on plans. ............. . 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation. ...... _ 7. Statement of Intent for Non -Heated and A/C Buildings . ....................... 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... r 10. Fees of $ . .. ........... .. .. 11. Impact fees as shown on attached schedule.......... Ciee�s�d 12. California Department of Forestry plan approva ..fit .........:....... 13. Flood elevation letter (100 year flood) by Califl9rnia Engineer. ........::........ I ' 14. Sanitation and plot plan approval (>ZV- Lo Health Department .............. 15. -City of Chico plumbing permit . .......................................... c� {16. Plot plan and business license approval from City of Biggs/Gridley. ............. 97.' Planning approval for (A) Use: (B) Parking: � 18. Contact Land Development about (A) Improvements (B) Drainage. ........... I f�19. Driveway permit (construction approval required prior to occupancy). . . egF 20. Pre -inspection for required. .. o Building aspect (Data) 21. 'Contractor's license information. (No., Name Style, Classification) . .............. s. -22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner ...... t� - 24. Recorded copy of Agricultural Acknowledgement Statement. . 25. Letter of signature a 'thorization. ............................ ........ _ . - 26. .Copy of recorded deed of parcel creatiomand 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ...... 31. Existing violations/expired permits. i' t 32. Plan check list . ................................... ...... '. .. t. . 33. .34. When you issue the germit, process as follows: Mail to ow r. Mail to contractor. Telephone and hold for pickup at Omit (C�2_ office. Deliver with inspector. Other Parcel Creation v Acreage .� i Applicant - �. vi--Px-- Date - Copy of Haz-Mat form sent iHealth Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Dater By The following data must be submitted prior 1. Index permit for above items No' 2. Additional items required: o new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was Vi ed of above required data by _ phone _ mail Counter by _ Date Plans checked by /�- Date , � /3.2Plans approved by Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE Department of ISevelopment Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) -� a v e� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name. Address City . Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name. Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner�— Social Security Number Date e �� J-9—FY 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 permitted to issue the permit. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE 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. A .. n C c < Date — Inspector REV 10/92 9y - 7.2 �s- OWNER PERMIT -NO. ti. 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. i2 }i n t; C. !Y . y Date I a - as=:9 Inspector S 5 ` REV 10/92 � 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 9y - 7.2 �s- OWNER PERMIT -NO. ti. 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. i2 }i n t; C. !Y . y Date I a - as=:9 Inspector S 5 ` REV 10/92 � COUNTY OF BUTTE T Fes' `BUILDING DIVISIONA' 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 - OWNER _ - 2-,'(x-- f. 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. i f pec 2'26 Date % " > Inspector • _ r i REV 10/92 ..1 Stalls 150'x300' Arena 1" = 100' 660' 1-,- 120'xl20' Pen 0 60' Pen Proposed Well / 24 x 52 0 / I �j anuf c Home Lea/h Septic / / / Field Tank Service 0/ � / � / Pole I / / �%/ /O PG&E Power z.tPPROVFD / Pole Er)vjr n e Cov y mental / le -01 yea, Dun s t�e Pfo' Z' ;C) � fat ---� Elmer Lee 972 Dunstone Dr. Oroville, Ca. 95965 AN 027-230-052 - ------ - --- iGITC1-IEN' DINING ��' n'-o•xn•.a. �IU_• w 1DRY I I I i— L I I car. I 5�;EAR RE I I i !AST=R ° B::::DROGrl / MNG ROGN � I 3'�5^cn•-e• � � I i � 5EDR00I" 1 '2 3 BEDROOM • MODEL 636 • 24'x 52' • 1 193 SCS. F'T. 36. 5ti=1.R w4LL R 36. 5�ijAR w4LL .< c"ampion - -- --- Y HOME BUILDERS CO — 4- COUNTY OF BUTTE - DEPARTMENT OF`DEVELOP:YMNT SERVICES, BUILDING DIVISION 7 Councl cancer Drive, oroville cA 9s96s ELMER AND SANDRA LEE Phone: 9I6-538-7541 - 12455 LONNIE LANE KUNA IDAHO 83534 RE: PERMIT APPLN 494-2728 (MH UTIL) A. P. # 027-23-0-052 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations owner -Builder Verification Fm DATE JR/30/95 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes.Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's -installation instructions, 2 sets. Fees of S , pavable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. XXXSanitation and plot plan approval OROVILLE Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Develccment (a) imprcve:ments (h) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. .Jame Style. Class) or exemption statement. Certif'_cate cf wcrc:mans Cos nensaticn=nsurance. Owner -Builder Verification Form. Recordedy ty of Agr_c"uitural Acknowledgement Stat_me_,t Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 501k subdivision develcped or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right-of-way to a public road. Other: PLEASE OBTAIN THE AB( Should you have any questions concerning the above, please contact DONNA SPERING of this office. Y rs very truly, I Al, MicJael C. Beira, C.B.O. MCV:ahb Manager, Building Inspection Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEM M l 95 Building Division FOR RESIDENTIAL DEVELOPMENT '. Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. . C) _ n 1 RA 7 I 15039 The property described herein is adjacent to land or included HYDROCARBONS I Rec Fee i 6.00 within an area zoned for agricultural purposes, and residents I COP Recorded1.00 I Cash of this property may be subject to inconveniences or Official Records I 7.00 discomfort arising from the use of agricultural chemicals, County of I including, but not limited to herbicides, pesticides, and Butte I fertilizers; and from the . pursuit of agricultural -,operations Candace J. Grubbs I including, but not limited to cultivation, plowing, spraying, i Recorder pruning, and harvesting which occasionally generate�` 1: 4 4 p m 8 -May -95 I P U B L dust,smoke, noise, and odor. Butte County has established - - _ _. X X 1 1 .agricultural zones which have as a priority use for productive — - ,__ - - - aagriculturml purposes ;and residents within said .zones and :on adjacent property should be prepared ,to accept such inconvenience or discomfortfrom normal, necessary -farm operations. _ _ _-- _ _ _ _ - • - ;..._ t *, .All that real property situate the County of Butte, State of California, described as.-follows:y _. -Al _ _ "LOT Ok' - 3;OCK 1 l fi SriOkk U d THAT 'CERTAIN : MAP ENTITLED, '!3iA GNOLIA ' COL WL l.c=ii MAP FiieS c? . ORDER IN THE OFFICE OF THE , R1 CORDEf2 cI THE CC GN'a.'`.1 "'TATE-OF-CPiLIFORNIA, ON JANUARY - '> 11, 1.897 IH DOOK 1 OF MAPS, AT PAGE(S) 27. -- AND EXCEPTING •- THEREFROM. - ALL. OIL, GAS AND OTHER MINERALS HEREINTOFORE RESERVED TO THE GRANTOR NAMED ON THAT CERTAIN DEED FROM BANK OF AMERICA NATIONAL TRUST AND SAVINGS ASSOCIATION, A NATIONAL BANKING ASSOCIATION, TO F. H. THOMAS AND MATTIE E. THOMAS, HIS WIFE, JOINT TENANTS, DATED MAY 14, 1943 AND RECORDED JUNE 18, 1943, IN BOOK 314, PAGE 152, OFFICIAL RECORDS, TOGETHER WITH ALL THE RIGHTS AND PRIVILEGES . OF THE GRANTOR IN SAID DEED SET FORTH WITH RESPECT TO SAID OIL, GAS AND OTHER HYDROCARBONS AND MINERALS, REFERENCE HEREBY BEING MADE TO SAID DEED FOR THE --- PART-I.CULARS ..THEREIN. SET FORTH.., ALL OIL, GAS, MINERALS AND HYDROCARBONS WERE QUITCLAIMED FOR A DEPTH OF 500 FEET BY QUITCLAIM DEED RECORDED AUGUST 10, 1978, IN BOOK. .2.3] -27-;:.-PAGE 49.8,, .OFFICIAL RECORDS . Date: ,r r ,PROPERTY OWNERS: r State of California ) County of . -P ) On rj- 5 before me, personally appeared ' E \ vr.e-r �_DV-t-f SQ.r\r a_ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) V/are subscribed to the within instrument and acknowledged to me that Ws*/they executed the same in hit/hkr/their authorized capacity(ies), and that by lAs/hir/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the persons) acted, executed the instrument. WITNESS my hand and official seal. r °'"" J. DONNAHOE . Signature 0. MM. #986122 NOT RYO UBL C -CAL FORNIA UI ~ o BUTTE COUNTY Ste: _ s My Comm. Expires February 28, t 997 It END OF DOCLMENT L MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION -7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN:1 5� (//�)07 - PERMIT NO.: Owner's: % n - 4�v Name: Owners: [✓•-� Address: Mobilehome C 7Yea,'ofiManufacturer # ture: Serial number ;s� ��/ W� U nv � � /„t Ir rv,'LJIY/� Insignia or or V.I.N. HUD number: Offcial approvin 'installation: Date: l 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 -Bldg., Gold -Assessor COUNTY OF BUTTE- DEPARTMENT OP DEVEWPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT -0 —SSI ASSESSOR PARCEL NUMBER 027-23-0-052 ZONING A-5 BUILDING PERMIT OWNER ELMER AND SANDRA LEE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 972 DUNSTONE DRIVE OROVILLE 95966 CONTRACTOR'S NAME OuJNER TELEPHON 0 CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER NONE UNMOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER N&E LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 972 DUNSTONE DRIV PERMITFEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome XX Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK w New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation dL Other ❑ Describe Work: SII/94-2728 2 BEDR0014 — Mobile Home I S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000Y OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law Jor the following reason: I, as ownerof the property, ormy employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BLOS. ) so. 3.50 FT. CNS. NEW CONST. / MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( & SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL Q .SO Ex. Occup. FIXEDAPPLN o.OR 5.00 Temporary Service 23.00 Mobile Home Facilities Misc. Wiring J��23.000 PERMITFEE s 11 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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 - ith comply with thos rovis' X __ Date Aure gpplicant ❑ caner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is i nn nn Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 I0 HA2. 1 D. FEES I IMP FLOOD CDF PARCEL PO HD ISSUE his permit is hereby issued under the Tf the Butte County Code and/or indicated above for which fees have _ //nn By /jlD( Awk PERMITEXPIRESONTE-O.D.S.-B. applicable provisions Resolutions to do work been paid. Date (Date) eiptNo. 206814 E D. CANARY -ASSESSOR - PINK -INSPECTOR GOLDENROD -APPLICANT ..r.r+.e..�,i..„,,,.zyx�."�rw+r.aw-,.:,�r`UL,..,••""'"�.vyr..r..-...'........,y„ryt}=::� i...�aw�v- r.n�,..�+'T4'r.K_,.rr'e,,.��a.�•. �.....a. .. � _� . .. ... �. r. ,�.. .. - � v COUNTYOF BUTTE - DEPARTMENT OFDEVELQPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET -, WFC, 4eC- 0 E 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 items have been submitted. ...... 2. Plot plans, 3/4 sets, signed by preparer of p ads ............................... 3. Complete plans, 3/4 sets, signed by prepares of plans . ...................... 4. ;Engineered plans and talcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material,Form............................................. •� 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan chec ). . Mobilehome data a man Wirer o ns c cros, 2 sets., . Feesof $ .......................................... Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees...................... . 13. Flood elevation letter (100 year flood) by California Engineer .................: . 14. Sanitation and plot plan approval Health Department. ......... . 15. City of Chico plumbing permit.......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ....... •..... . 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. 20. Pre -inspection for -., required. .. o Building �speaor. (Date) 21. Contractor's license information. (No., Name Style, Classifi a ion) . .............. 22. Certificate of Workmans Compensation Insurance. ....`...................... . 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . .............'......................... . 26. Copy of recorded deed of parcel creation an'd 60 right of way to a public road. ..... 27. Letter of intent on building use . ............... ' .......................... 28. Mobilehome utility clearance.' ................. ....................... 29. Documentation of legal access . ..................... :.............. 30. Documentation of 50% subdivision developed or (A) Road improvements complete�,d and (B) Parcel meets zoning area and frontage requirements. ............ 31. Existing violations/expired permits. ... ..............................-.. 11 . Plan heck list .... . Zn 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pi kup at office. ' Deliver with inspector. Other g2y Parcel Creation Acreage Applica Date v� 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 1. Index permit for above items No. 2. Additional items required: not checked above). 16 ontract ,designer, owner, was advised of above required data by— phone _ maiV Counter by _Date ractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by 49n�-' Date /d ' Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works E.H..HU ' Piot Pim Amchad v Floor Plea Ansched Seat to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearan ;J Owner /Location AP/i Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for --:? bedroom mobile home, Other Hold final for: Final clearance O.K. for: NOTE: z Environmental Health Specialist Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER. l yin r L' �- A.P. # PROPOSED BUILDING USE M1q T DATE GD �5)4 z?z� U REC. # DATE REC 1. SCHOOL DISTRICT FEES �—I PO o ,`o ti /D (paid at District Office) 9 2. SHERIFF FEES (paid at Building Division) Residential...... x • �6 Q =$ �"� `� d(3 IL unif amt. Commercial (sq.ft.). x _$ 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.). x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) . 6. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE 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: YESN NO[ 1. 2. I HAVkf -41 HAVE NOT[ 1 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 ADDRESSf PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. May 199-5 This verification must be completed and returned to our office before we are permitted to issue the permit. 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an ` ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by, contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. . Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 RECEIVE -TE COUNTY SCHOOLS IMPACT'FEE'CEkIFICATION FORM (One form per Building) OCT 2 3 1997 oqz-o1,-;5 School Dist c _ Building Department No. BIY_ _" BUILDING DIT A•.P. NumberV SI _OS C�- Jurisdiction: Q CityE* County A r-- I f Property Owner Property Location/Address r, Subdivision strict Identification Lot No. 0 Lei Residential Development No of Living Mobile. Home Addition Units Installation Commercial/Industrial (City)A New Addition ilding Department Represer (Fl098 or Plans I IDistrict ha complied w0fi the requirements of Resolution No. epresenting� square feet. �? eta School District Representa90 Paid by Check # School District Personnel) Sq. Footage ( roup R) Sq. Footage (Including Exterior ,. . r, Ro fed Areas) a Dat (Applicant) one Number) (State) (Zip Code) by payment of $ D �• S S A!9 Date 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(x), within 90 days from the date fees are paid. Failure to. submit a timely written protest will prohibit you from 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) feeform.xls (2/97)drtim strict Identification 0 Lei (Street ress) ' (City)A (Fl098 or Plans I IDistrict ha complied w0fi the requirements of Resolution No. epresenting� square feet. �? eta School District Representa90 Paid by Check # School District Personnel) Sq. Footage ( roup R) Sq. Footage (Including Exterior ,. . r, Ro fed Areas) a Dat (Applicant) one Number) (State) (Zip Code) by payment of $ D �• S S A!9 Date 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(x), within 90 days from the date fees are paid. Failure to. submit a timely written protest will prohibit you from 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) feeform.xls (2/97)drtim CERTIFICATE-- OE-- ANCHOR INSTALLATION ' Title 25 CCR Moblehome Parks Act Section 1326 W3) 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. -rets instailation instructions, plans and specifications of the engineered accordance with thel�- tiedown systerU. refel'enced .on this certificate. _ Tieddvin. Systsr: Manufacturer: Model: • a'A 0,44-a Vi e.t- _ Date: l/ % Installed. by: Y Contr./Owner: _ _ " J"i rr� , i 'License No.: 5 1110 (a • A NOTIC 811 Materinlb fd Workmanablp Shall Be 1t Accordance with Roo '(In6d sand of a Quality Prescr9, for the Speci led use . In the. Uniform Builr, ;g, Plumbing & Mechanical Godes; and the 1�atio Electrical Code. REVIEWED BY BUTTE CO. SIRE C=PT. CALIF. DEPT. of FORESTRY (� approved as submitted j r)er hts set of plans and kept on thajob at all tt make any changes or a Written permission itro, Works, County of Hutto. Fe— a ttacw IRro sat4 requirements must bs as. specified and aWri 24.1.-L(•q Data PRPROVED Butte County Environmental Health Dat -- ------�---------- $ignature wIffttions Mm be 3s and it is unliLwful to irations on same without the Depart of PubUo ........1. ALL STRUCTURES - AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR;OF;4L FRSEMi=Id'S. A SE'I" BACK OF 30 FT. �F3OtJ THE ;SIDE . AND . `. F-1. F=ROM THE REAR PROPERTY LINES -AND' �O FTFROM THE ROAD CENTERLINE sHALt;BE! Mzw qF STRVOTURES AND! EQUII'�1r1041 EXCEPT' A 2 FT. EAVf . dVI_F1IiA:NG. Q: . . . i . Oo C ' ` 00 i Jv 9 t o l e/ �o�v BUTTE COUNTY _:� .- nF-PARTW 0v ED a rot 10 a CDF FIRE SAFE`REQUIREMENTS AP# 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. rV Y(] 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 [x1 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-,rte7iant 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 [X1 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 ver_i:-.:l 'curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. KI 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. EXI 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of , :?.-, AP # PERMIT # NAME [x] 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. [ 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. [xj 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. [ 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings .from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 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 Jr � Z7 -2-3 - 52 qq - AP # PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves LCE, CLM E,e S kA - NAME [ ] 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 'i0% 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 Date Signature Page 3 of 3 Mobilehome Manufacturer: champion Manufacture Year: 1997 If other than single wide, furnish Setup Model Number: Infinity I I 636' Width: 24 (ft.) Length: 52 (ft.) Tagalong or Expando Size (ft.) On all mobilehomes 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-WME line 1 line 1 Line Z Line 2 - Main Beaau Line 2 ...... ...........:......................................:......................................... e2 Line I Line 3 - Line 2 Main.Bea= .. ................................................ .... Line 2 Line 1 ............................ ...... e 5 Tag or Triple e 4 ine 1 Line 1 Piers: Size minimum: r i x Spacing maximum: ` From ends -maximum: 1 _ : ` Line 2 Piers:. Size minimum: [24 ] x [30 ]. Spacing maximum: 8 0 ` From ends -maximum 0 ` Line 3 Roof Loads: Size minimum Location (from fhwE): rear Line S Roof Loads: Size minim Location (i B,rm b" DING DEPARTMEW, Line 1 Openings Size minimum: [12 x[ 30 Each side of openings with width over: 4 . '0 ` Line 4 Piers• Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` r zQd`W OVER M.H.I. 2 1. Owner's Name: /m e r t �a -.,d'✓ e � 2. Assessor's Parcel Number: 2 7 —;;z Z> O — (3 E- 3. Installer's Name:_ INTEGRITY HOMES, INC. 4. Is the site currently under permit? Yes[X] No[ ] Permit No. 5. Is the site an existing site? Yes [0] No [S(] (If yes, furnish two plot plans). 6._ What is the electrical rating of the mobilehome? /06 Amperes. 7. What is the mobilehome site circuit breaker rating? 00 Amperes. 8. What is the electrical rating of the mobilehome site? ;;LQ 0 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No [X ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service.- Load- ervice:Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None[ ] 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? 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). 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