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027-230-104
County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Fleetwood Retail ADDRESS: 2243 Feather River Blvd. IMPORTANT: CITY & STATE: Oroville, CA 95965 SEE INSTRUCTIONS ON REVERSE SIDE DATE OF CLAIM: 12/30/2002 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Reason for the Cancelled projed Refund: Bldg Permit App No.: 02-2302 AP No: 027-230-104 Receipt No.: 361046 Receipt Date: 8/23/02 Bldg Permit Fees: $503.00 Owner's Name: Edward & Patty Silk TOTAL FEES PAID: $503.00 TOTAL FEES RETAINED (Breakdown Below): $0.00 Building Permit Filing Fees: Plan Checking Fee: Plumbing Permit Filing Fees: Energy Plan Checking Fee: Electrical Permit Filing Fees: Refund Processing Fee: Mechanical Permit Filing Fees: Inspection Fee: SRA Fee: $503.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated Dated this 13 day of December , 2002, at Oroville Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of , 2002, at Calif. Department Head or Authorized Deputy Dept. Code 440-001 Exp. Code 4210500 PAYABLE FROM Construction Permits FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept. Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB. PROJ. SUB. OBJ CLAIM NO. INV. NO. INV. DATE ENCUMB GROSS AMT. COUNTY OF BUTTE Oroville, California GENERAL CLAIM ADDRESS: 2243 FEATHER RIVER BLVD. .-ITY & STATE: OROVILLE, CA 95965 DATE OF CLAIM: 12/31/02 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE ;ATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OW ER DECIDED NOT TO BUILD AP# 027-230-104, BP# 02-2303 TOTAL AMOUNT PAID:75 & 02-23D4, RECEIP .00 RETAIN REFUND PROCESSING FEE: 25.00 RETAIN BUILDING PERMIT FILING FEE: .2 .00 RETAIN PLUMBING PERMIT FILING FEE: RETAIN ELECTRICAL PERMIT FILING FERe 2& 00 RETAIN PLAN CHECKING FEES: X2 46.00 RETAIN SRA PLAN CHECKING FEE: 43.00 TOTAL A.MQUi-.T TO BE R4EJ&1F4ZD--- 174-00, .TOTAL AMOUNT TO BE REFUNDED* TOTAL 5 8 4.00 . -1 he undersigned, declare under penalty of perjury that the services or articles claimed have been perfor ed or J correct as stated. .ted this _ day of 1416atK Oy Calif G c - the undersigned, hereby certify that, to the best of my knowledge, the services or at there is a Budget Appropriation ( I or Specific Board Approval ( ) (Check one) I iced this 31 day of DEC •X7� at OROVILLE 'pt. Code 440:=001 Exp. Code apt. Code 280 Exp. Code ept Code 280 Exp. Code Ii r , nd that this claim is true f Oa of Claimant been performed or de8vsred wW Department Head or Authorized Deputy VP(BLE FROM R11TT DTNG PFRMTTS _FUND FROM SRA �:y FUN YABLEFROM gi_IPRTPE FUN-PPFC — DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROD. SUB. 08J. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: Receipt Information: Number: Date: Issued To: Amount: G /6q Fees Retained: Processing Fee: Bldg Filing Fee: Plbg Filing Fee: Elec Filing Fee: Mech Filing F e: ergy P/C ee: Plan Che Fee: Inspecti Fee: SRA F e: Total Amoun Retained TOTAL RE UND DUE REFUND CLAIM APPLICATION CLAIMANT'S NAME MAILING`ADDRESS ASSESSOR PARCEL #: RECEIPT NUMBER(S) Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) ( ) Building Permit Fees _ ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. W SIGNATURE DATE PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. . 16 COUNTY OF BUTTE - DEPARTMENT OF: DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7546c- � EJWIT (Rev.12/96) APPLICATION AND PERMIT p!-50 ASSESSORPFJ�pl}1Mn0-104 �EDDW/ARD ZONING BUILDING PERMIT OWNER AND PATTY SILK TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 485 FOUR JUNES WAY, PALERMO 95968 CONTRACTOR'S NAME D & D MOBILE TELEPHONE 532-3301 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS FOUR JUNES WAY PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMITg Filin Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome f Other SPECIFY 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 CR Installation ❑ Other ❑ Describe Work: ONrT eJ D r +iA— D'3- Q 3 Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 a00VOR LES Main Service p0A 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 . 'n ILf ce and effect. �- i License Class Lic. No. I ' DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING Occup. OR ADDNS. ( a ACC. S. so 3.5¢FT, T. NO" N.RESID. MULTI.OUTLET @7,50 POWER APPARATUS a sIW Dimer LIS Ex. Occup. OUTLET OR FIXTURES .00 BAL @ 1.50 FIXOWNER-BUILDER Ex. Occup. our�is REESSID.) 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. have and will maintain workers' compensation insurance, as required by Section K,3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ensation insurance carrier and policy number are: Carrier 0 1 c> bt3 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections nee not be comple ed 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' comp nsation laws of California, and agree that if I should become subject to the work s' compensation provisions of section 3700 of the Labor Code, I shall forth ' h comply f e provisions. X - t Dare Z- Z- Q'L� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ate Receipt No. ' •I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT C5`COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive o Oroville, California 5 • Telephone (530) 538-7541 (Rev. 12/96) a3R" :E:fOR.ACAOAND P BUILDING PERMIT TEXOnpN! so. bcc. BUILDING v owNOLs LNa,NG ADOMSG C ALUATI0 cowmAc+oss NO LGT No I 1 I f 6ONi NAME � -ZtUCTURE 2. PARCEL. USEOFQSF O Duplex Mobilehome Oth TYPE OF WO K New O Addition O odei L7 /UtilGtiey in liation O Other O Describe Work: �/ o �LL� ate- � �� 11 � O r✓ . �rw,tl�} ��►� d � ®4hc;r Fire lace Total Valuation E Filing Fee coNTAACTons ~;i ADDRESS p L4 CONS TRUCnON LENDER LENDERS MAWNG ADDRESS 1� ARCNr•ECT OR ENWNEER tsuao«G ARCNrtECT OR ENONMR3 MAJUNO ADDRESS ADORES 3 NO LGT No I 1 I f 6ONi NAME � -ZtUCTURE 2. PARCEL. USEOFQSF O Duplex Mobilehome Oth TYPE OF WO K New O Addition O odei L7 /UtilGtiey in liation O Other O Describe Work: �/ o �LL� ate- � �� 11 � O r✓ . �rw,tl�} ��►� d � ®4hc;r Fire lace Total Valuation E Filing Fee y EX. Occup. nxEO Ai -6 OR ovnErs Eslo. EA ELECTRICAL PERMIT Permit Fee L O1 Oft LESS 200A OR LESS 20.00 Plan Checking Fee 3 a - Energy Plan Checking Fee i i PERMIT FEE $ Gni �a P SING PERMIT Filing Fee 20.00 Ea Trap 7.00 Soler or um afar heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas pi ing stem 1 - 5 outlets 15.00 Building sewer 15.00 NO N•R61D.� � YLKT�OLlTL,ET Cx. UCCLI. OUTLET OR fLxTLA PERMIT FEE f EX. Occup. nxEO Ai -6 OR ovnErs Eslo. EA ELECTRICAL PERMIT I Filing Fee 20.00 MainService O1 Oft LESS 200A OR LESS 23.00 a 3 Q Main Service 20" To tOOOA 46.00 NEWDNS. ( o�R� : DWELuNO occuP. S ACC KOS )_ I 3.5¢R' NO N•R61D.� � YLKT�OLlTL,ET Cx. UCCLI. OUTLET OR fLxTLA 20 0 1 00 ( SAL !0. EX. Occup. nxEO Ai -6 OR ovnErs Eslo. EA 1 5.00 Tem orar Service 23.00 Mobile Home Facilities 1 20.00 90 -OC Wsc. Wiring 23.00 Coo PERMIT FEE I _ MECHANICAL PERMIT I Rlino Fee 1 20. E 6.50 bile Home Installation Fee S Energy Inspection Fee i «c CONST• "PC To L FEE $ • (v �O/Q7'� NAz D. rEEs M ea EL esla Nt4,nn Ab 6Ci,L4+Ce" �� e This permft bhereby Issued under the appGceble provisions of the Butte County Code end/or Resolutions to do work C Indicated above for which fess have been paid. B69- y Date PERMIT EXPIRES ON "��%" t:'�R�1�w^�,�i 4'"�y��i'�t�+�►'�1'�'�!�y'�'���°'�,�,�i,-�+�q,P'�"'�F"�'t-�i�1Gi++},�_sr,.x'y�i4 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER —7 ' /6 7 Proposed Building Use: / / /C% Lf Counter Technician: �WDate: Q S " ), Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to. apply. 1.. Plot plans, 3 or 4 sets, signed,k the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial. plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the followinj items.) 14 -:'Fees as shown on the attached Schedule of44Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. sanitation and plot plan approval from the Environmental Health Department in ity of Chico Plumbing permit......................�3\e\C1P................... 1x18. California Department of Forestry plan approval paid. Sent_ by:` 2'� (?�.►:Y...:".......... 6` 46 19. Planning approval for (A) Use: ;4 i, (B)Parking: . (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ r ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to*owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization ......................................; ............................. ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone 5 3 a 4 / and hold for pickup. I have been informed f fhe a ov 'terns a d-re`q'uirements for obtaining a bbuyildi permit. Applicant•, 1. Index permit appli j:o�th above items numbered: Plan Check Letter 2. al items rdquired';� ontract designer, owner, was advised cf the above data by ❑ phone, ❑ mail counter, by a Date: o'Y Contractor, designer, owner, was advised of the abovp data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: -1 Date: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x ' " 5. PROPOSED BUILDING USE t ► v' 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 1. BUILDING PERMIT FEES $89.00 (paid at Building Division) --Balance Due ........................................................ $ $200.00 (paid at Building Division) --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee .................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x 10. OTHER At time of permit applicatio , may be changed:duringa ICAN Pursuant to Government Code imposed on your project. Yo items during which you ma7p Original - Building Div. 2 A.P.# DATE -yZ 3 a RECEIPT # DATE REC. was advised the above fees are required to be paid prior to issuance of the building permit. These fees n checkin s. eD)A:E S ton 660 , you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 Jove may have been ave 90 ys from the date of approval of the project or from the imposition of the above mentioned *ot . The requirements for a protest are specified in Government Code Section 66020(a). y - Applicant 3rd Copy - Owner (Rev. 6/00) —1.... ....... 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) P 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit applicatio , may be changed:duringa ICAN Pursuant to Government Code imposed on your project. Yo items during which you ma7p Original - Building Div. 2 A.P.# DATE -yZ 3 a RECEIPT # DATE REC. was advised the above fees are required to be paid prior to issuance of the building permit. These fees n checkin s. eD)A:E S ton 660 , you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 Jove may have been ave 90 ys from the date of approval of the project or from the imposition of the above mentioned *ot . The requirements for a protest are specified in Government Code Section 66020(a). y - Applicant 3rd Copy - Owner (Rev. 6/00) 1 FOR BUILDING DIVISION USE: Receipt Information: 3 ( ) G q l Number. Date: Issued To: Amount: `� q� • �� ✓ 230' Fees Retained: ` ✓. Processing Fee: Bldg Filing,Fee: Plbg Filing, Fee: V" Elec Filing Fee: Mech Fi4ing Fee: Energy P/C Fee: Plan Check Fee: Inspection Fee: ✓ SRA Fee: G Total Amount Retained O W 3 �o TOTAL REFUND D E 106 1 a 3 00 aI-),°() r rA $ oZ $ 106 1 a 3 00 aI-),°() r rA I I REFUND CLAIM \APPLICATION CLUIMANT S_� NAME} Tr MAILING ADDRESSireP" ASSESSOR PARCEL RECEIPT NUMBER(S)7 � � 1 � �� Request a refund of fees paid on the bove receipt numbers) for the following reasons: Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) ( Building Permit Fees (Sheriff Fees ( SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disposition of PI na s: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATURE DATE - PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE. ANY OTHER INFORMATION ON THAT FORM. v FOR BUILDING DIVISION USE.- SE.Receipt ReceiptInformation: Number: Date: ' �t%O • Issued To: Amount: Fees R_ etain-ed: I Processing Fee: $ Idg Filing Fee: PI Filing Fee: $ Elec ing Fee: $ Mech Fili g Fee: $ Energy P/C $ Plan Chec ee: $ Inspecti Fee: $ SRA F e: $ �— Total Amo nt Retained $ 3� TOTAL EFUND DUE $ REFUND CLAIM APPLICATION CLAIMANT'S NAME MAILING ADDRESS ASSESSOR PARCEL RECEIPT NUMBER(S) Request a refund of fees paid on the above receipt number(s) for the following reasons: _ t Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) ( ) Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. ti SIGNATURE _ DATE - PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. l COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541® _aPERMT o• (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPnE !UJy M6 101'. / NG 0NI BUILDINGPERMIT OWNER EDWARD RD A ND nATTY STLK TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 485 FOUR JUNES WAY, PALERMO 95968 CONTRACTOR'S NAME D & D HOMES TELEPHONE 532-3301 CONTRACTORS243 FEATHER DIVER BT -VD. ORMIT LE 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome E� Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U61'Ities ❑ Installation EX Other ❑ Describe Work:Mobile �I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ) License Class C Lic. NO. -7 ' / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ,Ihave and will maintain workers' compensation insurance, as required by Section X 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' comp sation insurance carrier and policy number are: Carrier U-5 C --L-1--- Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( & ACC. BLDS. SO -- Fr. T. NON-REOSIIDD. MULTI-OUTLETITS 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES .00 BAL @ 1.50 FDD Ex. Occup.ouri ASID1 A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy 1 J bt-_-)G Cl (The above sections need not be complete if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation I s of California, and agree that if I should become subject to the workers' co a 'sation provisions of section 3700 of the Labor Code, I shall forthwith c p witht ios eio S. X �� - [)ate2 G $Ignature Applicant - er ❑ Contractor ❑ Agent An OSHA permit is requ' e r excavations over SO" deep and demolition or construction of structures over 3 s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HA2. I D. FEES IMP I FLOOD CDF PARCEL PO 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 the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 36 4 04 3 00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE 'DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive w Orovill'e. California 95965 • Telephone (530) 538.75 4L� PERMIT N .t2i96) APPLICATION AND PERMIT aha AsstssoR r�n wra O _ BUILDING PERMIT Or w TVAPHOSM SO. FT. OCC. BUILDING VA N wNers wow woos, o / LUATIO Coon M411001 (ENDER LENDERS MUNG ADORESS ARC..RECT OR ENGINEER ARCWTECT OR ENO►NEERS NAIU; ADDRESS WLD«G ADDRESS a f� LOT No I :uEONaIONS MA AE USEOFSTRUCTURE SF O Duplex O Mobilehctne IBJ Other 7Udfr1511FWORK New O Addition O Remodel O ties ❑ in Describe Work: — A a 0 Total Valuation Is Filing Fee $ 15.00 Permit Fee y 20.00 Plan Checkin Fee s 120.00 Energy Plan Checking Fee i s PERMIT FEE PERMIT FEE s ELECTRICAL PERMIT PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping Is . 0 Each gas water heater or vent 1 5 00 SRAgvv sitter; 4 O *hur tied �� 3 :� %tAft4VMVt%r4b i� L4+, $Y%'Vd 11460" LA6+vr Ex. Occup. OUTLET OR fMrTUREs Gas i in stem t - 5 outlets 15.00 5.00 Buildingsewer 15.00 Mobile Home Facilities Mobile Home S G W 120.00 23.00 D PERMIT FEE s ELECTRICAL PERMIT (Flin Fee 20.00 O Service o0 uESS OR 23.00 Main Service 11 IOM TO IOOoA 46.00 OwE2AJM OCCUP. oR ADONc. a ACC. Etta. ] I 3.Ses I SRAgvv sitter; 4 O *hur tied �� 3 :� %tAft4VMVt%r4b i� L4+, $Y%'Vd 11460" LA6+vr Ex. Occup. OUTLET OR fMrTUREs I'O0 I Ex. OccuFIXED AIMS• on ovTtErs Esro. EA 5.00 Tem orar Service 1 23.00 Mobile Home Facilities Y0.00 M s,c. Wiring 23.00 PERMIT FEE I.$ MECHANICAL PERMIT I Fling Fee 1 20.00 6.50 PERMIT FEI= s Moble Home Installation Fee s X06-0.1 Energy Inspection Fee i 7;1PTt10;T L FEE $ /� �/ od This permit u hereby Issued under the applicable provisions of the Butte County Cod• and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON +"!'Fi 'trM' w . ,yr+�.i i"-..ti„t ..r r�r� ._- �':�=,.,n'�.-f•'j..`yl�i{�q,.�r.�j'?Vtir �ajr'jy-n.,�,.� 7 ��'r"ti`ii�f$`A+�'+t'�7%'r�7��r`}i•�.i�t..d' n•.7�a�.�.�ty dt"'��� +F:.. "F �, k... COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION - -. 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET ^� OWNER: ASSESSOR PARCEL NUMBER 4.2 27 ^ o2.3 e Proposed Building Use: / I I Counter Technician: Date: p ' C Items required in order to apply fora permit. All boxes MUST be checked OR marked NA in order to apply. .. Plot plans, 3 or 4 sets, signedty the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Eigineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate W manufactured homes: (A) Data sheets and installation instructions, ) Marriage line information, ) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. <t° Date Received ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ 0 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... 0 12. Hazardous Material Form ............................................. ................. :................ ❑ 13. Other LIM Remaining items needed to issue the permit. (May require additional plan review upon/receipt of the following items.) 14 Fees as shown on the attached Schedule of Fees Due Sheet..... ScAeal ave r .................... Statement of Intent for Non -heated and A/C Buildings............................,UO....... ..... r 16.' anitation and plot planeapproval from the Environmental Health Department in 7. City of Chico Plumbing permit?. .� ................................................................... .... - ^CDepartment .�alifornia of ForesttY Plan, approval aid. ltv), _,{ `1) MAI . Planning approval for (A) Use: ,D 6 (B)Parking: (C) Parcel Check"" O2 ❑ 20. Contact Land Development about El Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Perniitjfor,driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Slyle, Classification) ...................... r ❑ Worker's Compensation, , Carrier and Policy Number .............:.............................. ❑ Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 6. Letter of Signature authorization ............................................... :..`. ..."" Vecorded copy of Agricultural Acknowledgment Statement .................................... 8. anufactured home utility clearance .............................. .. .r..................... 9. Existing violations and/or expired permits......................................................... ❑ 3 ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ %Other. p�r�� � e. ��...� .i...., i z r` � '. (^••.�T 5u, en issued Telephone,A;5%-* 330 - and hold for pickup. I have been inform o fie a overitems quirements for'obtaining a building permit. tpolicant: Date a 3 1. Index permit application for t e�above i e s numbered:' Plan Check Letter 2. Additional itemsr�u' Ifo on Contrac i, desigri , owner, was advis d cf th above data by ❑ phone, .0. mail, counter, by Date: Z �1 7✓ Contractor, designer, owner, was advised of the above data by ❑ phone, 8 mail, ❑ counter, by Date: Plans reviewed by: 12-P5. Date: q O' `z— Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: 1 Note transfer by: Date: Yellow Building r)ivisinn COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER. PROPOSED BUILDING USE i. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ W3. -Revised Plan Checking Fee .................................. $ CHOOL DISTRICT FEESpaid at District Office) HERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ....................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) T8ATER TENDER FEES (Battalion . n #� ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. It c ^' r P 3 ^/O/ V DATE r 9L 3 RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during th Ian checkin ess. .v� APPLICANT DATE Pursuant to Government Cod�,ec 6020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. Y ave 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) EattecountqLAND OF NATURAL WEALTH AND BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 August 27, 2002 Lynda Silk 1651 Adams Yuba City, CA 95993 CERTIFIED MAIL Re: Administrative Permit ADM 03-03, APN# 027-230-104 Ms. Silk: Enclosed is your validated Administrative Permit No. ADM 03-03 to allow a temporary mobile home on property zoned A-5 (Agricultural, 5 -acre parcels). The property is located atnorth side of Four Junes Way, approximately 6,100 feet east of Palermo Honcut Hwy, south of Palermo. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, Diane Lewellen Office Assistant III Enc. cc: Land Development Division (G) Building Division (Y) Environmental Health (P) Department of Forestry (Gld) ,l ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Linda Silk FROM: Yvonne Christopher, Director - Development Services DATE: August 9, 2002 File#ADM 03-03 V PURPOSE: Administrative Permit for I4nda Silk on APN# 027-230-104 for a temporary second dwelling to be located at then rth side of Four Junes Way, approximately 6,100 feet east of Palermo Honcut Hwy, south of Palermo, on property zoned A-5 (Agricultural, 5 -acre parcels). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: 4: U A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Edward & Patty Silk. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. No rent is to be charged to the occupant of the mobile home. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed, with the Planning Division, within 60 calendar days prior to the date of expiration. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. The Permit may be revoked if any of the terms or conditions of the Permit are violated or if any acts or omissions of the permittee in connection with the use authorized by said Permit constitute a public nuisance. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. n M! . /2 Mo _`rL I4 Z; �/ 7ttitPc`�'tsf k APPROVED DATE AUG I 2002 Revelopment Plan USE PERMIT VARIANCE MINOR U.P. ADM.PERMIT7K_ PI ANNINn CnMMISS. DIRECTOR OF DEVELOPMENT SERVICES /b •0`L£/ ■w m s-EPnc� A EX/s'AV4 _._._- AlJpl�t9yG tT N/ �}aT Pte/ �— � �LSU l�1 D -- E AUG 7 2002 BUTTE C01,11`6 Y PtIANNING DIVISION h V E� August 15, 2002 Lynda Silk 1651 Adams Yuba City, CA 95993 CERTIFIED MAIL Re: Administrative Permit ADM 03-03,°APN# 027-230-104 Ms. Silk: 3utte C L A N D O F NATURAL WEALTH AND BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530)538-7785 Enclosed is your validated Administrative Permit No. ADM 03-03 to allow a temporary mobile home on property zoned A-5 (Agricultural, 5 -acre parcels). The property is located at the north side of Four Junes Way, approximately 6,100 feet east of Palermo Honcut Hwy, south of Palermo. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, Diane Lewellen Office Assistant III Enc. cc: Land Development Division (G) Building Division (Y) Environmental Health (P) Department of Forestry (Gld) Re cn.'Q-;j c -P - RESIDENTIAL,, 027-23-0-104 l SALVOS, TIMOTHY 93-1495 P,E .485 FOUR JUNES WAY, OROVILLE MHU I /C�-- r. �l r� S�or.i ✓bKlerS ��. �� - c� v -�- 4/Lc- 4, a.o�vr°vC �t rJ0@ FINALEO (D# 01. Slon#turo 1 .� V=OK O = Not OK Not = Not Readyable f.OBILE HOMES Date/Initials E HOME UTILITIES Plana OK except #'s fli�-�O_ZgAng Requirements -Setbacks -Easements Soils; Special MH Support Sketch l/3ySower, Location -Teat -Fall -C/O Concrete ter; Locatlon-Teat-Easement Needed (Sketch) S. Ele tricity; Locatlon-Clearences-Gr p -Concrete Gas; Locati Test-Wrep:' L" it— / -J"Nat. "ft./ ' 7. Well Clearance & Disconnect 8: Utili Clearenc Date/Initials 'MO E HOME INSTALLATION Plana OK except #'a 1: Zoning Requirements-Setbr" Easements 2. Fo tings; Size -Sp -Marriage Line asH Test-Demand-Valve—Connector lectricity; MH Test -Crossovers -Breakers -Clearances amain; MH Test -Fall -Flex Connector ate - H Teat -Regulator -Connector iter and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10 Cert. of ancy. IST� a t u � t ,3.7 C4 6�?-z V-3 4. -76 "—'b q s—/ - K-7— MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 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 8. 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/Initials 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 8. 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 Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' 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. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'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/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'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/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Bmc-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/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Beth Fixtures & Tub Access -Spa 66. • Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instid.; Drive E3 Yes O No; Walks 0 Yes D No; Planters 13 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg -Appliance-Fireplace: Clearence to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval _ 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE -'DEPARTMENT OF PUBLIC WORKS County Center Drive - Oroville, Califomi4'95965 - Telephone: 916.'538-7541 APPLICATION"AND PERMIT 9 PERMIT119S ASSESSOR PARCEL NUMBE lyZONING 027-23-0-104 A-5. BUILDING PERMIT OWNER TELEPHONE 533=7845 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2152 Greenville Street Oroville CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 'Tg-Bg Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 485 Four Junes Way, Oroville Permit fee $ PLUMBING PERMIT Filing Fee F 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCMAP �S`SA 5 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[j Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G CW @ 15.00 TYPE OF WORK New a Addition LU Remodel ❑ Utilities ❑X Installation ❑ Other ❑ Describe work: MH Utilities (3 bedroom) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20CATO 1000A1 . 37.50 NEW CONST.( DWELLING OCCUP.&\ 3.60 sq.ft. OR ADDNS. ACC. BLDGS. / NON•RESID NEW R BRANCH CIRCUITS) @ 5•00 (POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 7611 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 15.00 Permit Fee $ 48.50 - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said Co my in ons uen a of the granting of this permit. X �' Date Signature of Applica t — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE I TOTAL E $ 113.50 HAz 1 OFEES IM FLO CDF I PARCk Y/ PO HD Issu This permit is hereby issued under the applicable provi- sions of the Butte County'Code and/or resolutions to do Work indic ed ab which fees have been paid. I TO BLIC WORKS By Date e7la_ PERMIT EXP • ES Date Receipt No. ��� , WNITE-D.P.W., YELLOW -ASSESSOR• PINK -INSPECTOR. GOLDENROD -APPLICANT I 'S`��'#�►�.�ir�-�,.`*.....,.t+:_:; jis,.+r4i� '" _ '" .�:. (},J�►'���+,'^.F,i"`,�.rrti;::.s"��'�""r^r^ C IUNTYOF BUTTE - DEPARTMENT, F D PMENT �_ _ , SERVICES - BUILDING DIVISION -Irk 4 ..' i 7 7 COYNTY CENTER DRIVE - OROVIILLE; CALIFORNIA 95965 -TELEPHONE (916);538-7541 PERMIT APPLICA .ION DATA SHEET OWNER /V Proposed Building Use y 4 � /I i�11 A. P h8. /) 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. .........`...... I ...... .:................. 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with we�signature on plans . ............. 5. Hazardous Material Form . ................ .............................. 6. Energy Design Compliance and supporting documentation . .................. ' 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout. in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . 10. Fees of$ ......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood lifornia Engineer. . . 14. 'Sanitation and plot plan approval UU 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. . tj�T-19.Driveway permit (construction approval required prior to occupancy). .. .. .. . ;. 20.- Pre -inspection for required. .. o e� �d g Inspector (Date k 21. Contractor's license information. (No., Name Style, Classification) . ........:..:.:. i.. 22. Certificate of Workmans Compensation Insurance . ........................... x Owner -Builder Verification (Given to owner Mail to owner _). . _ t ' 4. Recorded copy of Agricultural Acknowledgement Statement . ..................� . etter of signature authorization. ........................:............. . Copy of recorded deed of parcel creation and 60 right of way to a public road. '.... . 7. Letter of intent on building use . ....... :.................................... 1 28. Mobilehome utility clearance. .............. i. 29. Documentation of legal access. ' 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................... ................ . 32. Plan check list . ................... ............................... . 33. -34._ When you issue theermit, process as follows: Mail to owner. Mail to contractor. Telephone 533-7Ry3 and hold for pickup at office. Deliver with inspector. Other Parcel Creation x . %% !/ p Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. T Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fireept. Other Date By The following data must be submitted prior to permit uance: (Circle new item not checked above). 1. Index.permit'for above items No. 2. Additional items required: r �r Contractor, designer, owner, was adviskof'bove required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E. 11. 11s1: ON 1.) ri,,t Plan nuached Pleur Plan AtUched sent to B.D. Owner Location Plan Approved for: Sewa`;e Disposal Water Supply: Public. _ Clearance for .S bedroom mobile home. Other A P# Private Well Hold final for: Final clearance O.K. for: C�, ► it NOTE:' 7--1 �- Environmental Health Specialise Date 8/92 COUNTY OF BUTTE - Department of Public.Works 7 County Center Drive; Oroville, CA 95965 Phone: 916-538-7541 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 vrials for construction of the proposed property ��,//imm�provement (yes or no) 2. I (have/have not) T� signed an application for a building permit for the proposed work. .3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License -No. 4. I plan to provide portions of•this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name - Address City Phone Contractors License No 5. I will provide some of the work but I have contracted (hired) -the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California. Health and Safety Code.-. -- - - This verification must be completed and returned to our office before we are per- mitted to issue the permit. 49 .g-021 i 19° : - . 93-021=2.19 _ . :-• , Rod Fee a. w Rettor'ded, t .1 . Ta • _ , �" r "._ j Dfficia'i'. Recordiv, 1, t. County of,t, i r. '�✓ I 'Candacm J. Grubb! �W " r ' j Reiorder 1 ; 1 t 40pm 25 -Map -93 I., AUBL., xx/71 T t Retr<_rn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT `Sectipp, 26-8.1 of the Butte requir s this acknowledgement prior to issuance of a building FOR RESIDENTIAL DEVELOPMENT County Code be recorded ` permit. The property described herein is adjacent to land or included within anarea zoned for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from 'the use of agricultural chemicals, including, but not limited to her pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All 'that .real :pro:perty:.`situate in . the County of Butte, State of California, described as follows: iqp Date: ��ZC�--�� PROPERTY OWNERS: State of On this.the 5,/n day of 19-23 before me, the SS.- undersigned Notary Public, personally appeared County of �) Personally known to me. kProved to me on the basis DODIE HULTZ ® of satisfactory -evidence. to be the person(s) whose name(s) i� ro Q NOTARY PUBLIC -CALIFORNIA t� ©ulleCounty sgbscribed to the within instrument and acknowledged that MY Commission ExphesFeb, a,1sese ecuted the same for the purposes therein contained. IN WITNESS ®®©�w.��saq.el�ga�r"aa»��sam®rreb REOF, I hereunto set my hand and official seal. Present A.P. No. /Autary P ORDER NO. BU -135297-3 DESCRIPTION: ALL THAT CERTAIN! REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: - PARCEL I: PARCEL 19, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER .OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1992, IN BOOK 125 OF MAPS, AT PAGE(S) 50 THRU 52. RESERVING THEREFROM THOSE CERTAIN RIGHT OF WAYS FOR ROAD PUBLIC UTILITY EASEMENTS AS SHOWN ON THE HEREIN PARCEL MAP. SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED MARCH 3, .1992, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 92-9036. PARCEL II: THOSE CERTAIN RIGHT OF WAYS AND PUBLIC UTILITY EASEMENTS, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1992, IN BOOK 125 OF MAPS, AT PAGE(S) 50 THRU 52. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PAGE 5 I � k N M .Q> � Cly c V\ APPROVED ;,'w• Butte County Environmental Health - 7 -N- ---------------------- Y D „----------- CIURES MID E00MAEmT NoWDING 1 --NTS. L ALL STRU 0wVERMANGS SHALL BE p. -SET Sl T BACK OF Ltd FT. FRofji OF Sf RUC-j-UFc-- S A*-'.-'iD U 1p. MESi EX A F_-RHANG- poR A 2 FT. SAVE OV A ffrMa met of plans and specifications IMT be kept on th%job at an urnes az(i it's Oft snake anchaxo9,33 perrnisston fro, EmrertOf PUbU O , Works, Ca=ItU of APPROVED Butte County Environmental Health 17 19 Date ioL --------------------- ign re NOTE: Accord of a qu in the,,,, Codes i I Alfff c e 16° 4fw H M • h M g OV STRUCTURES qND EQUIP " nRANOS SHALL BE CLEAR OFALL tASEMEN SET BACK OF __ F`f. FFpyl THE SIDE AND F7'. FR(34 THE RE.fig PROPERTy LINES AND 50 FT. FROM THE FirAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 Ff. EAVE OVERHANG. TbI$'set Of ans kept on and specifications thajob at MUST make arty changes tlmss and itis unlawful to written permlss,O or alterations on s works, County o f n f'om the De Department without Butte. partanent of Public. /9 NOTE: All Materials & Workmanship Shall Accordance with 1Re'cognimd Good Practices and :ofa Quality Described fog the Specified use in the:iform Building; lPluni6i & Mechanical Codes and the National Electrical Code. 11111110 '400 N &a .5. - 76.4 71 KALI. TRUCTU ES AND EQUIPMENT INCLUDING O BHANGS SHALL BE CLEAR OF ALL �SEMENTS. SET f3AC44 OF _. _._. FT. F90", THE SIDE AND S FT. FROM `7 H . R -EA.: PROPERTY L'i'IES AND �9 FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FORA 2 FT. EAVE OVERHANG. This. set of plans and specification MMT bel :kept on thetjob at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public" Works, County of Butte. h M 8 'E M 19 ti NOTE: . Materials & Workmanship Shall Be "Aocorconce v!*irh P,ecognized Good -Practices and of a Q��W Prescribad_bor e. p? ii3.iii�use in the Uniform Building, Plumbing & Mechanloal Codes and the National Electrical Code. A1$;-'9 im 449 1 /7 r 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 OWNER PERMIT N6 A routine inspect 6n indicates that the following violations of Butte County Ordinances exist at the above addr ss and should be corrected. Please notify this office when correction of work is completed f giu have any questions pertaining to this matter, or need additional explanation, please co act tis office immediately. REV 10/92 i ;74.1 --COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES' 1469 Humboldt Road, Chico, CA -' (916),8_91-2751 7 County Center Drive, Oroville, CAS (916)-538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE I 1 PERMrr 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. (LrVZ: 977-YL0z1 42- A/- r .. . . . . . . . . . .. ...... .. .... AID WHEN RECORDED MAIL TO. 1101E . BUILDING DIVISION mmm 7 COUNTY CENTER DRIVE.. My- OROVILLE CA 95965 01111 a (' 94-050288.',--, 94-9502881 Rec Fee I Total Recorded 1 Official Records I County of I Butte I Candace J. Grubbs I Recorder I 10:29am 12 -Dec -94.1 COMS SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) A.P. #027-230-104 REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED LEGAL DESCRIPTION. i . • rE„T 0r yC •"•...•'� HCD FORM 433(A) 4/8640 c SPACE ABOVE THS LAE FOR RECORDER USF OWY XX 2' SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) A.P. #027-230-104 REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED LEGAL DESCRIPTION. i . • rE„T 0r yC •"•...•'� HCD FORM 433(A) 4/8640 c SPACE ABOVE THS LAE FOR RECORDER USF OWY NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at die request of the Iotas' 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 tin i t 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 per- sons thereafter dealing with the real property. , TIMOTHY A. & KIMBERLY K. SALVOS BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT =,,d CFiLTIFICA.TP Of OCCUPANCY 485 FOUR.JUNES WAY 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE, BUTTE, CA 95966 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CRY COUNTY ' STATE 23P SAME 93-3323 1 (916) 538-7541 INSTALLATION MAILING ADDRESS, If DIFFERENT BUILDING PERMIT N ! TELEPHONE NUMBER ,4-' a 9— 12/8/94 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGE14CY OFFICIAL DATE SAME COUSIN GARY'S UNIT OWNER 1,I1 &1 so property owner, write "SAME") DEALER NAME (1-0 n--_ a x;'er sale, write "4CY_") 295412 MAIS.'..'S. A� DEALER LICENSE NC. ' CITY COUNTY STATE ZIP UNIT DESCRIPTION -. SKYLINE 11/93 OAK MANOR OKM2204 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 0670-0451 G 66'x26' ULI 374092/374093 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) A.P. #027-230-104 REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED LEGAL DESCRIPTION. i . • rE„T 0r yC •"•...•'� HCD FORM 433(A) 4/8640 c I ORDER NO. BU -135297-3 TION: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE 'OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 19, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE .OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1992, IN BOOK 125 OF MAPS, AT PAGE(S) 50 THRU 52. RESERVING THEREFROM THOSE CERTAIN RIGHT OF WAYS FOR ROAD PUBLIC UTILITY EASEMENTS AS SHOWN ON THE HEREIN PARCEL MAP. SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED MARCH 3, 1992, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 92-9036. PARCEL II: THOSE CERTAIN RIGHT OF WAYS AND PUBLIC UTILITY EASEMENTS, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1992, IN BOOK 125 OF MAPS, AT PAGE(S) 50 THRU 52. EXCEPTING THEREFROM ALL THAT PORTION• LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PAGE 5 tol STATE -OF' CALIFORNIA DEPARTMENT'OF HOUSING'AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a:[_)J� Mobilehome [] Commercial Decal (License) No.(s) Trade Name K -YL/ Coach [] Floating Home Truck Camper Serial No.(s) I/We, the undersigned, hereby state that the unit described above: Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same, I/We.certify under penalty of perjury that the foregoing is true and correct. Executed on / 12 2 at 0 l (Date)(City) (State) Signature of each affiant Printed name of each affiant � �-�.� �,� ill � ,C` � l . e�✓� � �l� �`` Address f57_e_ ���s e „ _ _ City HCO 476.6 (Rev 11/86) State ' C T ATCC'U C. A o 4( B"RM, NO. 93-3323 Address or location of .485 FOUR JUNES WAY, OROVILLE LogW Description of A.P. #027-230-104 _�j. Read Property - SEE ATTAC D LEGAL DESCRIPTION. A u:Mobilehome/Manufactured Home ElCommercial Coach has been affixed to t`:.: real property described above by installation on a foundation system pursuant tc Health and Safety Code Section 18551. Owner's Home: TIMOTHY A & KIMBERLY K SALVOS Owner's address: 485 FOUR JUNES WAY, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: ULI 374092/374093 SERIAL NUMBER OR V.I.N. 0670-0451 G SKYLINE 11 /93 MANUcAC7 ER'.S - - YEAR OF MANUFACTURE: - 12/8/94 (916) 538-7541 "Cc f l iG i7/001 Recorded -at the Request of Mid Valley Title & Order No. Escrow No. 135297-3 DH Loan No. WHEN RECORDED MAIL TO: TIMOTHY AND KIMBERLY SALVOS 2152 GREENVILLE ST. OROVILLE, CA 95966 MAIL TAX STATEMENTS TO: SAME AS ABOVE Escrow Company SPACE ABOVE THIS LINE FOR RECORDER'S USE DOCUMENTARY TRANSFER TAX $fa'i-fiII �i Computed on the consideration or value of property conveyed; OR Computed on the consideration or value less pens or encumbrances remaining at time of sale. The I1ndpr-RirinPantnr rtPr l^rPS Signature of Declarant or Agent determining tax - Firm Name APN 027-230-104 GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, HENRY T. RUNGE, JR. and CYNTHIA A- RUNGE, husband and wife hereby GRANT(S) to TIMOTHY A. SALVOS and KIMBERLY K. SALVOS, husband and wife, as Joint Tenants the real property in the unincorporated area of the County of as SEE,ATTACHED LEGAL DESCRIPTION Dated M --ay 14, 1-q9'� BUTTE STATE OF CALIFORNIA } }ss. COUNTY OF Butte } On May 14, 1993 befae me: Daniel F. Hunt personally appeared _ Henry T. Run e, Jr. and Cynthia A. Runge personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) .whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their author capacity(les), and that b his/her/their signature(s) on the instru nt t e person(s) the ent' u n [lot which the person(s) act ex uteri the I rumjnt. WITNESS my hand an officidll seal. A 1-7 kTHIA1 R E . , State of California, described E;7lwamac�en®raeoeaa®mmlm�am®®mt1��9�f DANIEL F. HUNT n � •.;,.;,, ,: .� NOTARY PUOLIGCALIFORNIA � s : ;,;: • , a "sn.Kh Vutto County a My Commission Expires OoL 1,1004 m Y �mmmm®ate®taaamaoomO>asm®®®®� i r Dave Carlson PG'�ko0 Housing Consultant F (916)343-8494 z. 13468 Hwy. 99, Chico, CA 95926 4 •y ,'. •� ',.fin k <r COUSIN GARY'S FACTORY°BUILT HOMES 13468 HWY 99:51244 .8 ..: ,:Ch ici: CA 95926 I � (916) 3414494y HCD # 91265 .• Contractor's License .# 2954124. NOTICE:THIS FORM IS COPYWRITED AND REPRODUCTION OF ALL OR PART IS STRICTLY FORBIDDEN. MANUFACTURED:HOME PURCHASE ORDER ANDIEDERAL DISCLOSURE STATEMENT PURCHASER: Al_F'XANDFR T _ SALVO S DATE:' 08'/20/93 ADDRESS. 2339 17TH ST'_ PHONE: DAY — ONE, EVENING PH _ r.. _ - -.fub ` _ :i1u�• ` Ydnd�' . � s .. •�. � �-�y�� _ dof natHn"P�VY:�� PD;�;OgR��` 7fl�wf .T- Y,+ „i.f �, ;.;§03 110 sS . •�.i7. � .��.�tl � f1.�• "'� . 3O6i.. ,.�' ..< . AM N Y •I' $iK�% ?' Y! .M 4 '."�. ,t?*^ d' F3k. •'�' - . ?t, , T IE EI :� EDEIVDIfIViB),q'_ SIR t IVA S flNIN0. ADDENJI4 loll, 'A 4 r' { y ,1 . P'.. Ddid ;� •ayP,, t •'ter - . +• F^.YFIiL . L ' �VX1 L�f "tOd$'xRF.Q �,: . - -r rti•, s ••'rw'sr •n -t... ', ',N. . . -�..?� .r. ' a '' � .t .W¢TLS'-x;N • H �3 .P>'r ;{ .•. - Vin. 'o. ,Ffr n Pt0?TsAL` A'CCE * t k 1 t: i.{ 1 1.'n. Y S.� .:ia'i Sw y� r 4fE`PREf=" �ew% g7OT 4ACCUEcy991JAIES OU IdEr�Iy10NME) MAKE MODEL 0X.0�`OdAL`s,MF,G;_„OfiAE�SI'Ar6CESSOgIES T.� $ Q.83i0,0 SERIAL NO: _ SALE5'TAXIITEMS NOT=INTEtl iM1RALtTO�H },'tryt`�t F�OUN�ATI�NaS�fSTEM °` 00; .AMOUNT OWING _ ACCOUNT NO.:''"�° /. _ � ���•�� � l 'c t� DE J1%RV � a)t!� �0 TO WHOM: SET(J,e"fs�ia`lyd�•``` ,T $ FW`., }` FEES $ty ��00$i ADDRESS/PHONE��.•; VENTILATION IMPROVEMENT -NEW ONLY. I HAVE RECEIVED VENTILATION IMPROVEMENT INFORMATION FOR HD d� 70 INSURANCE PREMIUM (ONLY IF SOLD,BUFALER) �° 4'•"4Sa"a' tjf""' "'. K, <'r.,r i +waw �, a ° is `1 ESCROW FEES � , t , 1160:'b0 ' ¢^ ��"3y a, SCHOOL FEESA THIS MFD./MBL. HOME. BUYER'S SIGNATURE v w OTHERS > F: tf2r� rr�atr �aU.ir $ .. �� 0,, "66.63E�tINOT�"AU.M. iNMEiVTAL CHARGE) �+� $� r��0 00 ; THE MANUFACTURER STATES THAT INSULATION.HAS BE twSTOTAI�CASH,PRIC6 s&Mi kw r 35;3'+4`•6'0.0 �sf,t"�?� � 5 - , _INSTALL -ED IN=THIS HOME=^S.r0l.:LOWS 'NEWc3NbY) �.. � �` ;-r� .TYPE, TIiICKNESS .R. FACTOR ` _ ROOF FIBERGLASS 7.00 ,+r� ._., ` .- E' 1 , a f S� 'a, s„ax tALLOW NCE E N TRAD N;c' ' s` tN� ofOW r LESSBA SOUABOVE' ^ra+ .. & , EXTERIOR WALLS FIBERGLASS NE-tEALL,0II�JANCE 9L y x; R ;$ , , .�1 '. I a ER!~WITHI `b� t� � �'•$� } vast~, • � -� 4 � �, � �^��Ir ��k FLOOR FIBERGLASS; , s� at'i CtASHBEFOREDEI,� r$Yrr�4���'� INSURANCE; OTI -t • st - t �xa(INCxINDNPMT DESIGNATED DEPOSIT�'�.�� WARNING=Unless a charge is incl ud r in this A, for Public R Liability or Property Damage Insurantye'; P lyM nt for such Coverage let �"° v� tjr ;+`LESS BUYERS DOWN PAYMENT N/® is not provided by this agreement ry > �R.p ° . 3. UNPAID BAL. ON CASH SALES PRICE N/$ 4. FINANCE CHARGE N1$ 5 NOTICE: NO PERSON S. ANNUAL PERCENTAGE RATE,. IS REE 11RD�7AS A CONDITION PRECEDENT"'TO FINANCING PLIF?CHASE�t'a(OF A 6. TOTAL PAYMENT: AMOUNT"(3-`4� MANUFACTURED HOME TO PURtCMgSE�. INSURANCE THROUGH A PARTICULAR SIN URANCE AGENT` OR BROKER.? "' " t •� �; UNPAID BALANCE DUE PRIOR TO DEL: N/® l8 TOTAL DEFERRED PAYMENT PRICE (2+6) N/® _. ;PA ABLjAS FOLIl0WS � )Ne��`NO `THE DEALER'CER'T,'T IE3'TFIAT THE¢; ; `* TO BE;, DETERMINED`'BY 'LENDER IF APPLICABLE -EM�'r'��� "INSTALIs'AT10"ONTRA�I r n, • }"u''i.. , .: _., .. ;���.u.��. �>�u )�9ni���<< �,�n���a':•�x � _ � .. BUSINESSfADDiiESS���;,brV;<t�� In the event the manufactured home cannot be delivered 'and/or" inspection completed t- r �,fFw� a 3 ri Ir within the agreed delivery time due to nonperformance by the buyer, buyer agrees.to .. .d one.of.the,fo!low,n ?he..o tion cf s_!le.. either' (-1). tc a $ - . _ _ _--. -• :..... _,_ _ __ • , _ _ .._. : - _ .. A Contractor is required by IavJ to be licensed and regulated by the , 'Contractors' charges per day untila manufactured home installation acceptance or certific8t occupancy is obtained in addition to all other consideration owing or (2) pay the sum State License Board, P.O. Box 26.000 Sacramento, CA 95827. . of $ • 00 in lieu of total consideration•, • • 'A`)3DO NOTTSIyGN��TWE PURCHASE AGREEMENT BEFORE aYOU READ`ITk1'_OR'IFNITyCONTAINS`; a� A I S.; : C. I of Sk ' < S�' t Y r y : g 1 �. 4 1 '6 . , =ANY;:BLANKx;$PA.-,ES TOd,BE.,FILLSD-�,IN 13 YOUx'AREI NTITLED�TO A COMPLETELIY_:FILLED,LN CQPfY OF_THAT. zAGRE.EMEN�TNA1VD��117 URCHASING A�!�ANUFA'CTl°JRED/MOBILE�WOME�'COVERED'°BY An'WARRANTaYF`e'(/�-� 'P X } '' S P.3't13F17J ,.. i� 7).._'ia:. Ek fdC4:, Y, S .. ��i?ii. %� . eLn'. 2�. � T•` 7fS `.': {S.i-T'+Rr' �' �•� i f. 'W� � ` # Yj t •'i- \�S5 '�''•.. �r �dI1 V O .. �V1 ;OF�TWEiNARRANTY Compialntaconeerntn 4FteY urchaseof�la'�Ttanufactured :mobllehomershalhtbe,referred to;theealer,lf`Ityq"Is_'no} resol�et�; thecotii `lalnt ma"bo�'referedfo°th'e"p,. ,e n �y : „, ,.,,:,..,>..:. /rr •.za.. , �6( �vt S c:t, .J, i, .. t ,, p Y .. ,r ep "rtrtte . t, of I b slh , antl Commurntywevelopment,fDiv(slolt�of�Cbde§ra�ttf� ndertls;; '`'trona Ocx• Pam « lylrcensingg Post�officeSBoxt3 f 'Sacrarhento, Cahforn a 968'1.0031 tele' hohe 800196 6.527.6 A, f6ilure�to"disclose ii ei t ., ` (, ?� ) i. p to�thlsusectior F , �_.. h..., trail— all?not be �he�6aslsffor�r�ofssiort��f�a:cond)tigriel°"sa�e�contce�t� �� ;������ o.. art_ . �, ,. 9��_...•.:, e Menufacfuretl Woin'e'thAt; riftr'pu'r'chesln"'»t7Jili be}' setl ai3 a r.'esidenCe'H furtl er certif �'chat l undersfend tii'et'If.*; 'b'1act MeptTfactii r d` `Homo�IsIisetlyfo� `'„ Y _ `' ` `., Y" " �} "+ x anip' u'f ose°fh�er'tFi'enirre�itlertce :I rrta'"Teflieble otheState9Eioartl I te f .. tRar�to�nt. �9iicl�wdeil'=pur's�ant�lo�tfils�certific�te ��` '�"'°' gyp.. n„�� �� ��, n"� �*b ..`�' ����'� "� �.�',,�'' •`': ����'�ryA�����,���^ � t�� = . RECEIPT OF A FILLED`4N COPY OF THIS AGREEMENT IS HEREBY ACKNOWLEDGED BY._PURCHASER' •' r The Purchase Order. is. subject to credit approval and is not binding unless signed by an authorized representative of.seller Purchaser certifies � that ha`lS of ,A legal age, and agrees'.to sign a' Security Agreement, according .to the terms herein. In the'• -event payoff 'figures'' on 'a trade-in n toward the purchase hof . a ' Manufactured or Mobile Home are more than quoted by the Purchaser, the Purchaser hereby this excess demand., agrees ,topay -on ALL TERMS AND CONDITIONS SET FORTH ON THE REVERSE OF THIS AGREEMENT ARE INC RPORATED HERE N AND ARE FULLY ' APPLICABLE AS THOSE SET FORTH ON THE FRONT SIDE OF THIS AGREEMENT, COUSIN.GARY'.S FACTORY BUILT HOMES (CHICO) By: SELLER: PURCHASER:. / SELLER: 2./r. "PURCHASER: DATE:, ' U 9 U 8 AUTHORIZED REPRESENTATIVE,OF DEALER. 7` RuMishad by Berry D. Whlttleaev PubNcatlone CLAIMANT: ADDR ESS: MAGifffs 94,17 /' j9uta OROVILLE, CALIFORNIA GENERAL CLAIM TIMOTHY A. SALVOS 2152 GREENVILLE STREET CITY & STATE: OROVILLE CA 95966 IMPORTANT: 10/11/93 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER HAS MADE NEW APPLICATION FOR MH ON PERMANENT FOUNDATION. BUILDING PERMIT APPLICATION #93-1516,- RECEIPT #141389, DATED 5/25/93,- /25/9 ,21-230-1041 21-230-1041 TOTAL FEES—PAID---------------------=—=--=—$105.00 RETAIN -FILING FEE ----------------$15:00 RETAIN REFUND PROCESSING FEE ----$25.00 AMOUNT RETAINED------------------------- 40.00 TOTAL REFUND DUE --------------------------- $ 65.00 $65. 00 TOTAL $65 00 . I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or dellvere , an that this claim Is true and co ect as stated. amva 1'0 / `Dated thio .................................. day of ............`�........ 19 /. at ....V /�....... Celit.4Mif%-;.re-ofClaimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articl s cified above a bee performed or de- livered and that there Is a Budget Appropriation O or Specific Board Approval [D(Checkone for m Dated this ............ l. Ti............ day of .. OCT ................. 1923. at OROVILLE , ... Calif. ......... ................................ .... D partment ad or Authorized Deputy Code ..,,,440-002 Code ...............4210500 PAYABLE FROM ......................................................NST PERMITS F UND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE. ENCUMB. GROSS AMT711 Ik 75�L PA)5 f&I O-6A)crceie 1 Aj X65 ,/A e M1��L� q5��� oLpt, r r ' t , BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE. CALIFORNIA 95965 Telephone: (916) 538-7541 RONALD D. McELROY Deputy Director RE: Building Permit No. Expiration Date (A.P. No. With reference to the above subject, our records indicate that your Building Permit on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall -be renewed for z the original Building Permit Fee (plus a $15.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. . Should you not renew your permit within thirty days of the expiration date, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any questions concerning this matter, please contact the office. For your convenience, we are enclosing a renewal application form and owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. JFG:aam Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Chico - 196 Memorial Way/891-2751 Yours very truly, William Cheff Director of Public Works Glander ief Building Inspector Paradise - 745 Elliot Rd./872-6307 CO1)NjrY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-23-0-104 ZONING A-5 -- BUILDING PERMIT OWNER TIMOTHY SALOVOS TELEPHONE 533-7843 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2152 Greenville St Oroville CONTRACTOR'S NAME Cousin Gar TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 2_0 00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 485 Four Junes Way,Oroville Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF El Duplex❑ Mobilehome[3X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑; Addition ] Remodel ❑ Uti t es ❑ Installation EXXOthe ❑ Describe work:— 500 sq. min rr Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 18.50 200A OR LESS _ Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.8i\ 3.64 sq.ft. OR ADDNS. ACC. BLDGS. / NEW CONSTRMULTI-OUTLET @ 5.00 NON.RESID BRANCH CIRCUITS) POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 760 FIXED Ex. Occup. OUTLETS (PRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate \ / of Consent to Self -Insure. j� I shall not employ any person in any manner so as to become subject l�f` to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the'W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to Save, indemnify and keep harmless the County of Butte against all liabilities, jud ments, costs, and xpenses which may in any way accrue again said.Co n in equ of he ranting of this pe mit X k.�(�� Date Signature of ApplicD— Owner Contractor El Agent F]sions An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 70-00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 105.00 HAz DFEES IMP FLOOD COF PARCELPD HD IssuE This permit is hereby issued under the applicable provi- of the Butte County Code and/or resolutions to do I aid. work indicated above for which fees have bep en I DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. FELLOW -ASSESSOR, PI -NS Mo.. GOLDENROD -APPLICANT /�"'0'�,,.-..w+'`r'�'7^�r�'.-�-.1'.� x 'iiy�ir�.�.v�id.�v: a.*t. ��r'' . �. :-,�..!~�r-d.�^.F'"`�`'•-..f`v�;�+':ry�.,.nr�(,,,'�,;•,a=:S+#-tc1,.f„ln COUNTYOF BUTTE - DEPARTM_ENTOF.D.EVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER .4 /'M "- -) A,(Jo s A. P. No. 02-7 - 2_30 Proposed Building Use eRH-Z Building Inspector 40 Date S— P 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 plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ..................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5.. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . ngmeered truss details and layout in duplicate (required prior to plan check). ... . I 9. obilehome data and manufacturer's installation instructions, 2 sets. ........... 1 Fees of $ . ..........:.......... . .................. . ✓. 11)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. .. oB�ildn9I�spector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27 Letter of intent on building use . ..................... . ..........:........ ✓ obilehome 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 . ............... 'Al Existing violations/expired permits ........................................ Plan check list. .................. ............... . When you issue the permit, process as follows: Mail to owner. Mail to contractor. LL Telephone s3,3-7gg3 and hold for pickup at (p office. D liver with inspector. Other Parcel Creation ��t 51 �3 Acreage Applicant ate 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 trmit issuance- (Circle new not checked above). 1. Index permiffor above items No. ,ter 14 r 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date " Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works T,. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER / 7\� -1 �u �+ . �. A . P . NO. PROPOSED BUILDING USE �I DATE REC. # DATE REC 1. School District Fees c i. ou, l l t (paid at District Office) :2'*"2. Sheriff Fees (paid at Building Department) Residential X =$ J�C` unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X # units amt. Commerical(per sq.ft.) X =$_ sq.ft.. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees 1100 (Contact Land Development) .� Aee'5 -6 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. DATE APPLICANT ��. J/-; ;( 1 'C ; : l ,` i ,� ✓ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 910 538-7541 , APPLICATIOLN AND PERMIT ASSESSOR PARCEL NUMBER 027 - a30— U ZONING BUILDING PERMIT OWNERiMO�Lh SAI0005 3 TELEPHONE 3-78y .50. FT. OCC. BUILDING VALUATION OWNER'S MAILING AD RESS Z1 2 ('eerJ0i cT s -r D„I(-e. 9% CONTRACTOR'S NAME TELEPHONE CD US/ AJ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS U U IJ�S Permit fee $ S��^ PLUMBING PERMIT Filing Fee 15.00 Utl� Each Trap 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome /l Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mob le Home S G W @ 15.00 TYPE OF WORK New:'Addition;_; Remodel[ Utilities❑ InstallationF.Other ❑ Describe work: �� �S"'@o LSCS F'% /1/%1'14 4 1 Permit Fee $ Contractor ELECTRICAL PERMITFiling 4— Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Main service 200A TO t000A1 37.50 NEW CONST.( DWELLING OCCUP.&) OR ADONS. ACG. BLDGS. 3.6dsq.h. NEW CONSTR. MULTI -OUTLET BRANCH CIRC ITS @ 5.00 PO ER APPARATUS e (SINGWLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 @ 76d P 460 FIXED Ex. Occup. OUTLETS (RESIO IRE A.� .3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that ttle.above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, incemnify and keep harmless the County of Butte again ; all liabilities, judgments, costs, and expenses which may in any wa accr e against said County in consequence of the granting of this permit. J X Date S Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA ons over 5'41” deep and demolition or construct- ion of Structuresover3gstories oineheight. Mobile Home Installation Fee $ Q Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ i HAz OFEES IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date 1 �L Receipt No. 5 0 / WHITE-D.P.W., TELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT v � : ivpA-rl o N PLANJ V-!� 2 S. b'7 ' --- _ 11/0 = z.zl Z '5� P -10F � s psF 407 LL= 2c�IW(2- 15 Sf'r4-ejv,--D )qc,�4- c�L- to lbs% Ff'- M�-Nr�F =g.zs a 3 t. W-U.-Yz.. VD, L = 1.22(s V, L , 2c, Y -(P -2c, Y, 13) + 4 2.277 x 6, 2.� �L - -2 L L = 2co i 5.2�-�2 SQUARE FOOTING DESIGN Pa e hs --------------------------- ,----- ---------=--------------------- . -- DESCRIPTION » >> �----'-------' (� ---- LOADING DATA ---- ' ------'--- -----'-------'---•---- DEAD LOAD I Ik; k; 0.38 1.26 0.63 �\Uj S\rod LIVE 1.53 2.89 1.45 "' SHORT TERM k; 1f6 SEISMIC ZONE (0=wind); OVERBURDEN WT psf; COMBINE LL+ST? y/n; Y Y Y Y Y Y ---- FOOTING DATA ---- LENGTH & WIDTH ft; 1.5 1.75 1.5 THICKNESS in; 12 12 12 # OF BARS 3 3 3 BAR SIZE C 4 4 4 COLUMN SIZE in; 16 16 16 f'c psi; 2,500 2,500 2,500 3,000 3,000 3,000 Fy psi; 40,000 40,000 40,000 60,000 60,000 60,000 BAR COVER in; 3.25 3.25 3.25 3 3 3 CONCRETE WT. pcf; 145 45 145 145 145 145 ----- SOIL DATA ------' BASIC ALLOW. SP sf; 1,500 1,500 1,500 SHORT TERM MULT. i. .33 1.33 1.33 1. DEPTH BELOW SOIL ft; 1 1 1 INCREASES...... PER FT DEPTH ' psf ; 300 300 .300 7- 6 WHEN BELOW .... f t ; 1 1 1 tG`T No `ThL 2-9 UCiC PER FT WIDTH psf; 300 300 300 WHEN WIDER.... ft; 1 1 1 -- CALCULATED FORCES -' ------- '------- '------- '------ ' -------'------.- Max. Static SP psf; 994 1,500 1,069 Allow Static psf; 1,650 1,725 1,650 Max. Short SP psf; 994 1,500 1,069 Allow Short Term psf; 2,195 2,294 2,195 One Way: Allow psi; 100.00 100.00 100y0' Vu/phi psi; -8.63 -10.31 9.14 Two Way: Allow psi; 200.00 200_0.0%0.00 Vu/phi psi; -3.24 -2.79 -3.44 Mn k-ft/ft; 10.91 9.41 10.91 Mu/phi: Actual it ; 0.01 0.06 0.01 ---- REINFORCING -----;--------;-------;-------;--------;-------;------- Actual Bar Depth in; 8.50 8.50 8.50 8.50 8.50 8.50 MIN ALLOW. % STEEL 0.0014 0.0014 0.0014 0.0014 0.0014 0.0014 200 / Fy % ; 0.0050 0.0050 0.0050 Req'd Per Analysis 0.0000 0.0000 0.0000 USE ....... % 0.0014 0.0014 0.0014 In"2 Req'd per Foot ; 0.143 0.143 0.143 Total Req'd in"2; 0.214 0.250 0.214 --- REBAR CHOICES ----;--------;-------;-------;--------;-------;------- Quantity of: #4 � � 2 #5 2 #6 1 2 1 #7 1 1 1 #8 1 1 1 #9 1 1 1 #10 1 1 1 ---------------------- ;-------- ;------- ; ------- ;-------- ;------- ;------- ------------------------- DEFAULT ACI LOAD FACTORS --------------------- ACI 9-1 & 9-2 DL = 1.40 ACI 9-2 Group Factor = 0.75 ACI 9-1 & 9-2 LL = 1.70 ACI 9-3 Dead Load Fact = 0.90 ACI 9-1 & 9-2 ST = 1.70 ACI 9-3 Short Term = 1.30 .... Seismic = ST * 1.10 UBC 2625.(c)4 "1.4" Factor = 1.40 UBC 2625(c)4 "0.9" Factor = 0.90 z N Vj ON - a OWNER PERMIT MN UTIL.CLEARANCE DATE INSPECTOR ELECTRIC' GAS Support Struc. Compadtior Test Req. ervice ize Other Load Type Pipe Size Length— YES NO YES NO 3 =MWWWIQ: Aft W10 RECORDED iil11 T0: 1871E _ BUILDING DIVISION Aw sa 7 COUNTY CENTER DRIVE C"OROVILLE CA 95965 and a 94-50288 Rec Fee ' I Total Recorded Off•icia`1 Records 1 County of Butte I: :Candace J. Grubbs I 4 Recorder I 10:'29am 12 -Dec -94 I COMS �_.__ l"!;:Ptd R"(35,� `*!� ►e�+Y+1:w in�'�::,e:�v-� :f:.� NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR -COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Em Recording of this document at Ilia request of the locai 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 tin t descr ibed 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 per- sons thereafter dealing with the real property. TIMOTHY A. & KIMBERLY K. SALVOS BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR' LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 485 FOUR.JUNES WAY 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE, BUTTE, CA 95966 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP SAME 93-3323 (916) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NC TELEPHONE NUMBER 12/8/94 CITY COUNTY STATE ZIP SIC44ATURE OF LOCAL AGTC, OFF!C!AL DATE SAME COUSIN GARY'S UNIT OWNER (If also property owner, write "SAKE") DEALER NAtAX (I-- n _ _ �L- er save, wr_:e "%CNE"l 295412 t1AILZNGA..""RL55 DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION SKYLINE 11/93 OAK MANOR OKM2204 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 0670-0451 G 66'x26' ULI 374092/374093 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) A.P. iRr REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER #,027_230y SEE ATTACHED LEGAL DESCRIPTION. HCD FORM 433(A) 4/86 P,OENT ox No:' Q. �11 W 1 0 1� c ~VMrry OV r 94-5:0288 ORDER NO. BU -135297-3 DESCRIPTION: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 19, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1992, IN BOOK 125 OF MAPS, AT PAGE(S) 50 THRU 52. RESERVING THEREFROM THOSE CERTAIN RIGHT OF WAYS FOR ROAD PUBLIC UTILITY EASEMENTS AS SHOWN ON THE HEREIN PARCEL MAP. SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED MARCH 3, 1992, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 92-9036. PARCEL II: THOSE CERTAIN RIGHT OF WAYS AND PUBLIC UTILITY EASEMENTS, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1992, IN BOOK 125 OF MAPS, AT PAGE(S) 50 THRU 52. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PAGE 5 END OF DOCUMENT RVA 3 lea S RESIDENTIAL F- 027-23-0-104 93-3323 B SALVOS, TIMOTHY i! 485 FOUR JUNES WAY, OROVILLE CONTR: RD PRATER PERM FNDN FOR MH / VT 1 d OFFICE COPY I Address j GAS Meter By :D ELECTRIC iMeter B,y' �--Date OFFICE COPY Address f GAS Meter By - . ELECTRIC Date Meter By o r(_C a : --- - — -- Dat � • a JOB FINALED ata) Sipnatun V= OK O = Not OK =NotReadyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fell -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 8. Gas; Location -Teat -Wrap: / P 1t. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect S. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Teat -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector. 8. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 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 B. 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/Initials 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 S. Elec.; Pool Lighting; 15 volts-GFI 8. 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-Pane lboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd. / P' 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.; Fell -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. Plenums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'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/initials ELECTRICAL (Permit) OK except k'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24.Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes O No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Egyip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'a 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/Initials FRAMING (Plans) OK except #'a 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Purl in -roof Brec-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-Ceilinas 60. Infiltration -Wells -Windows Date/Initials FINAL (Plans) OK except #*a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Pib., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive 13 Yes ❑ No; Welke O Yes 0 No; Planters ❑ Yes O No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE .DEPARTMENT OF DEVELOPMENT SER -BUILDING DIVISION 7 County Center Drive - Oroville, Califoar>ia 95965 - Tel hone 916) 538-7541 APPLICATION, AND PER PERMIT NO. 93-3323 ASSESSOR PARCEL NUMBER NRXX23NHIXXXXX 027-230-104 zONING A5 BUILDING PERMIT OWNER TIMOTHY SALVOS TELEPHONE 533-7843 SQ- FT- OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2152 GREENVILLE OROVILLE 95965 1716 R 92,664 CONTRACTOR'S NAME R.D. PRATER TELEPHONE 534-9230 CONTRACTOR'S MAILING ADDRESS PO BOX 336 PALERMO 95968 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 304-00 ARCHITECT OR ENGINEER LICENSE 110. Plan Checking Fee $ 197-60 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS 485 FOUR JUNES WAY OROVILLE PERMIT FEE $ 521.60 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARC L MAP �� Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome diOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition ElRemodel ❑ Utilities ❑ Installation 1:1 Other] Describe Work: PERMANENT FOUNDATION PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 (USE 93-1495 FOR UTILITIES, LIE OR iSS Main Service ( 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCC UP. OR ADDNS. ( & ACC. BLDS. ) So, 3.50 FT. CONTRACTORS LICENSE LAW I dlare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professionslicense is in full force effect. License No. a n Classificatio O I, as the owner, or my mployees with wages as heir 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) El am exempt under Sec. Business and Professions Code forthis reason NEw CONST. MULTI -OUTLET _-NON.RES30. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 1.00 BAL. @ 50 Ex. Occu FIXED APPLNS. OR p' ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities20.00 Misc: Wiring J� 23.00 WORKER'S COMPENSATION INSURANCE I 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. ❑ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree t0 comply to all utte County Ordinances and California State Laws relating to a hereby authorize representatives of the County of Butte to building constru io Wtoave enter untioned property for inspection purposes. I alsoemnify and keep harmless the County of Butte against all liabilitind expenses which may in any way accrue against said t granting of this permit. X Date® 6 3 Sign ure o Ap licant ner Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. g - �(6 °= 5370 Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 521• 0 HAz. D. FEES IMP FLOOD CDF PARC PD HDCountf This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 0 6 p PERMIT EXPIRES ON t lDetel Receipt No. 148989 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ` 'T+"�t`yin„"'`'1P-ern....�•1•�+/''7�•��R�•��t�„'�y�..�D'W'�f���.rw��i''�Y`i�f'iw+�+''I'�'?�.riril`t:"'`•i'Ye•�..rt��`;•Mr�wt"---rv�..w\.��n..�-.fi•. ... � �; COUNTYOF BUTTE - DEPARTMEIVTOF QE1/ �?MENT ERV CES - BUILDING DIVISION - ' 7COUNTY CENTER DRIVE -OROVSILE-CAtIPORNIA95965- ' EPHONE(916)538-7541., PERMIT APPLICATIO'N DATASHEET \. OWNER O� - 3C� -/0-/�Q vO S A.P. No. Proposed Building Use Building Inspector Date eq At time of ;permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: { DATE RECENED BY 1. All items have been submitted. .. ,', i ... ................. `..:....... . 2. Plot plans, 3/4 sets, signed by prepare'r of plans . ........................... 3_ Complete plans, 3/4 sets,signed,by;p eparer-of._plans..; ........�........ .4. Engineered plans •and catcs, 3/4'sets, with wet signature on plan's± ....-rcJ 5. Hazardous Material Form . .................. l ' 6. Energy Design Compliance and supporting documentation. r `r"' . . . . 7. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate (required prior to plan check). . Ok, Mobilehome data and manufacturer's installation instructions, 2 sets. ... b ' 10. Fees of $ . ............................... 11. Impact fees as shown on attached schedule. .. ... ..... !✓ I / I California Departme t of Forestry plan approy ,?eesx.�/�A.4V-0-:%(,r?.i4,,40-4- ` ani'-` 13. Flood elevation letter (100 year flood) by California Engineer. 4 r 14. Sanitation and plot plan approval 2,'! Health Department. . I ........... 15. City of Chico plumbing permit) ......................................... 1 16. Plot plan and business license approval from City of Biggs/Gridley. ............. r `� 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage.............' 119. Driveway permit (construction approval required prior to occupancy). .. ' 20. Pre -inspection for required. ...B.'IT 9 os - (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. , 22. Certificate of Workmans Compensation, Insurance ......................... ✓ n 23. Owner -Builder Verification -(Given t caner" Mail to,owner, _ .............' 24. Recorded copy of Agricul(uraLAcknowledgement.Stafernenf-3 :Oi r4............ . 25. Letter of signature autho'rization...:.:..................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ....................... ------ "+ ^""� --- --- 28. Mobilehome utility clearance. ...:r... ................ ..~ 29. Documentation of legal access ....................... ...�.......0 .'...':�.:'� ` -v t t E/1 30. Documentation of 50% subdivision developed or (A) Road impro#vement�-_completed ` and (B) Parcel meets zoning area and frontage requirements.' .......... 331. 2. Existing violations/expired pe't»./.l� ....::. - 33. V7 1 34. C -PN 4 n1 o r j 2 09/O 2 When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 5 33 -and hold for pickup at office. Deliver with inspector. Other Parcel Creation % iU//,, Acreage Applicant ���� Date � 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 p i%to per it issuan(Circle new item 4-olcMcked above). 1. Index permit'for above ite o. 2. Additional items required: Sd6l' 1`r 3 c / t Contractor, deer, ovJ'ner�advised of above required data by���h a mail Counter by® Date Contractor, designer, o was advised of ab ¢ a egJ46d*54%;, 1ph,one mail Counter b� Date D -Z 0 - Plans checked by Date Plans approved by Dat P7 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works r COUNTY OF BUTTE - DEPARTMENT OF,DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER I !M �yl IyQ A.P. # Vol �-J30-/0y PROPOSED BUILDING USE ! �/ /y a in DATE /4"*) 1. SCHOOL DISTRICT FEES n rC) ' (paid at District Office) ......................... 2. SHERIFF FEES (paid at Building Department) Residential...... [ x sz Q =$ 3 0 unit amt. Commercial (sqft) x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development'Division)............... 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) `�Y�Y0151; 10 E-M0bU I - REC. # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT J `'� ' /6 ✓� ✓�� DATE YF BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Od 7 230 - �Q l A.P. Number 6a7 -,2W ,/0V Property Owner —7//Y%Q7``r, Jurisdiction 0 S/� /Vs Property Location/Address 485 Subdivison Residential Dveelopmept�� = No. of Living Units Commercial/Industrial Building Department No. City � County Lot No. Sq. Footage AIEW16 ` MHC /a K IN0l Jtipg (Group R) N4*J6 V , -1-`,) 3 -(, It Sq. Footage New Addition (Including Exterior Roofed Areas) f Cj J ! I { Date (Floor Plans reviewed by School District Personnel) , ;atic�n-f-ro. (^.tlC� A n 0 1+,hoot District certifiesthat J6 -L ✓�'' J V (Applicant) S) ./ ,` (Phone Number) I/ L� y mplied with the requirements of Resolution No enting % square feet. School District Representative Paid by Check Number Bank Number Paid by Cash (State) 16,6-- M (Zip Code) by payment of $ �1 Remarks:�� Date l/l�!Zr�r`way 11 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 distract) feeformmkf (4/92) COUNTY OF BUTTE; { BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Roild,,Chico, CA - (9;16) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, paradise, CA -'(91'6) 872-6307 CORRECTIOITNOTICE OWNER ` PERMIT NO. i 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, ;rY please contact this office immediately. Date�[l O Inspector REV 10/92 i I 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 vow OWNER I " 3 --J�23 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 comp) ed. If you have any questions pertaining to this matter, or need additional explanation, please ontact this ffice immediately. i� !/La AIZ5 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt RoM, Chtcd, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916).538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 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. Date Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive Oroville,•Califoniia 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ,. 027-23— — ZONING BUILDING PE"REF OWNER TIIJOTHY A SALVOS TELEPHONE 533-7843 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS p 485 FOUR MIES WAY EST 1500.00 CONTRACTOR'S NAME recision u;_1p 42560 TELEPHONE 589-3914 CONTRACTOR'S MAILING ADDRESS po BOX 1029 OROVILTE 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �`�f' �'� PERMIT FEE $ 78.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO.SUBDIVISION'S 1 NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome &�X Other sPECIFr Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition O Remodel O Utilities O Installation O Other O Describework: H2O SUPPLY FOR SPRI.NKI,ERS PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 - Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( S ACC. OLDS. ) 3.50 FBT.O- CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 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 ) 20 @ 1.00 BAL. 50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS 1RESIO.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I 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. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou�conseq nce f the ra ing of this permit. Date Signature of Appli nt - O Owner O 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 FEE $ 78.00 HAZ- I D. FEES I IMP ""� I FLOOD I CDF PARCEL I PL) "— I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic above for which fees have been paid. RE' TOR OF PUBLIC WORKS By Date / �7 PC- 7� q PERMITEXPIRESON (De re/ ReceiptNo. 153188 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT n�.-v ,-..ryi^ 1 . . "'A" 1� 'f TfC' ��1„ti,i1'y\J.(�I•�r" `^IyN'21..�r��iy /t .w,�T'-/.M,{�1. _... .. COUNTYOF BUTTE - DEPARTMEIIT OFDEVLOPMENTSERVICES -BUILD NG DIVISION _ ' 7 COUNTY CENTER DRIVE - OROVILLE, CALM=9RNIA.95965 -TELEPHONE.( 6) 538-71'� a ` y� PERMIT APPLICATION DATA SHEET .OWNER ` - M (] Proposed Building Uses Z- Building Inspector Date to 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.plans. .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...........:......... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $.......................................... 11. Impact fees as shown on attached schedule . ............................... 12. 'California Department of Forestry plan approval/fees. ...............::....... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City. of Chico plumbing permit . ......................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for required. .. t. a4iI 9 osPedoerst - (Date) �. 21. Contractor's license information. (No., Name Style, Classification) . .............. -.22. Certificate of Workmans Compensation Insurance . .........................: 23. Owner -Builder Verification (Given to owner , Mail to owner ............ - 24. Recorded copy of Agricultural Acknowledgement Statement . .................. -- 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... ' 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... f 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 perm` its . ..................................-... . 3.2. Plan check list . .............................................. 11111 ... . 33. Wh n • u issue the per i , process s follows: Mail to owner. Mail to contractor. Telephone 73 and hold for pickup at office. Deliver with inspector. Other �. Parcel Creation Acreage 'Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent ; Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _phone _mail Counter by _Date Contractor, designer, owner, was advised of above required data by _ phone mail Counter by_ Date Plans checked by Date Plans approved y�. ,Date /Z 7 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,'California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER ir►oTi� SI4LuOS E SQ. FT. OCC. BUILDING VALUATION OWNER'S AI C ADDRESS 0012 ONUS W( 5 o CONTRALTO O e�� I �\ J TELEPHONE ��� 53V 27 CON OR'SMAIUNGADORE$5o� 0X0 ��y�o // 7 Fireplace CONST CION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER uc-SENo. Filing Fee $ 20.00 Permit Fee $ Plan Checking Fee $ 77Q0 aZ 3,d ARCHITECT OR ENGINEER'S MAIUNG ADDRESS /�` Energy Plan Checking Fee $ Penalty $ BUIUING ADDRESS =-0� ,/J l,,`,f Arp �/� ilii/ (% PERMfT FEE $ Q . Lor SUBDIVISION'S NAME Ci`� / USE OF STRUCTUREf -6 SFO Duplex O Mobilehom Other \ SPECIFY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Ad%'d��i7ti'o O Remodel O Utilities O Installation ❑ Other ❑ Describe Wbrft` � SO ��i� F0 Vv s;? f PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service"'OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST, DWELLING OCCUP. OR AODNS. ( & ACC. BLOS. ) SO 3.50 �_�l. NEW CONST. MULTI -OUTLET NON-RESM. ( BRANCH CRC UITS ) FT @7.50 CONTRACTORS LICENSE LAW 1 declare undo non It o O under Of perjury {Check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) -I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. POWERA UTLE TUS (6 SINGLE OUTLET LIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPUJS. OR ( OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of �thean�q�hspoerm�it /)X Date/v —�� 9_3 Signature of Applicant gent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ rQ HAZ. 1 D. FEES I IMP I FLOOD I COF I PARCEL 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. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON lDetel Receipt No. _ ")J / J Z� n WHITE-O.D.S.-9.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ids ill - -- ��� �I II �.j- -.--- III II III -. � _ -- I � � -- -- --- i --- III = COUNTY OF BUTTE - DEPARTMENT 7. County Center Drive - Orovillf APPLICI ASSESSOR PARCEL NUMBER 027 OWNER TING OWNER'S MAILING ADDRESS CONTRACTOR'S NAME CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILING BUILDING ADDRESS 'ELOPMENT SERVICES - BUILDING DIVISION nia 95965 - Telephone (916) 538-7541 Q PERMIT NO. AND PERMIT Ac BUILDING PERMIT ' SQ. FT. OCC.BUILDING VALUATION 1500.00 - Total Filing Plan $ $. $ Ig Fee $ Checking Fee $ $ PERMIT FEE $ E Trap Solar or heat pump water heater LOT NO. 1 SUBDIVISION'S NAME PARCEL MAP Water piping Each gas water heater or vent USE OF STRUCTURE Gas piping system 1 - 5 outlets SF O Duplex O Mobilehome V( Other Building sewer SPECIFY Mobile Home is G TW - 1 -TYPE OF WORK Describework:_ H2O SUPPLY FOR. SPRINKLERS CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person iri any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building -construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned. property for inspection purposes. I also 'agree to save, indemnify. and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coun in conse o�-CQI e ra 'ng of this per %� / Date v ' �S rmature of Appli wner O Contractor O Agent l OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Contractor Main Service( BOOV OR LESS =A ' OR LESS Main .Service ( 200A TO IOOOA ) NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC BLDS ) NEW CONST. MULTI -OUTLET .NON.RESID. ( BRANCH CIRCUITS ) (POWER APPARATUS a SINGLE OUTLET CIR ) EX. Occup. ( OUTLET OR FIXTURES ) Ex. Occup. ( FIXED APPLNS. OR OUTLETS (RESID.) EA. ) Temporary Service Mobile Home Facilities Misc. Wiring Contractor - Heating Cooling Hood Ventilation PERMIT FEE $ PERMIT FEE $ 20.00 78.00 Filing Fee 1 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 Fee 7 20.00 6.50 Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ 74T�TALF ONST. TYEES 7$.Az. D. FEES LOOD COF PARCEL Pp ND 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. DIRECTOR OF PUBLIC WORKS Receipt No. 153188 By WHITE -D. D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT EXPIRES ON !Dere/ Date DEC 01 `94 16:57 SI{YL_ I HE WOODLR ID - Skylln4 Homes, Inc. ° P.O. Box 18370 Woodland, California 95776-1984. t` ;, E �a ' "' • `"''� (916) 666-0974 Ott December 1, 1994+ J ! TO WHOM IT MAY. CONCERN, RE:' SPRINKLER SYSTEMS SPRINKLER SYSTEMS MAY BE INSTALLED IN SKYLINE•.HOMES. NEITHER RCD ? NOR HUD HAVE REGULATIONS OR SPECIFICATIONS REGARDING SPRINKLER SYSTEMS. THE ONLY REQUIREMENT THEY HAVE _IS' THAT THE -SPRINKLER SYSTEM MUST -BE REVIEWED AND INCLUDED AS AN OPTION IN--A- MANUFACTURER'S DESIGN APPROVAL PACKAGE. SPRINKLER SYSTEMS ARE INCLUDED IN OUR DESIGN APPROVAL PACKAGE, WHICH IS APPROVED -BY UNDERWRITER'S LABORATORIES, WHO SERVE AS OUR DESIGN "APPROVAL AGENCY.;- THUS, SPRINKLER SYSTEMS,. IN OUR HOMES CONFORM TO THE REQUIREMENTS OF BOTH HUb AND HCD. ' VERY TRULY YOURS JEFFREY S. BRUNNER v .QUALITY CONTROL MANAGER i • WOODLAND DIVISION r - - - f. - �T � u _ :--c-t --_- -- fi --.,---------..:-----_- ----:------..-.-------------------------------------------- - F FIRE SPRINKLER NOTES: 1. FIRE SPRINKLER INSTALLATION AND SUPPLY SYSTEM SHALL COMPLY WITH NFPA-13D. 2. TANK FLOAT SWITCH MUST BE SET TO MAINTAINGALLONS MINIMUM USEABLE WATER STORAGE IN TANK (110% X . 3. PROVIDE AN ALARM TO SOUND WHEN USEABLE WATER STORAGE IN TANK FALLS BEI-Oft6 ALLONS. 4. PROVIDE ADEQUATE PROTECTION AGAINST FREEZING FOR SYSTEM COMPONENTS OUTSIDE OR IN UNCONDITIONED SPACE. 5. THE FIRE SPRINKLER SYSTEM SHALL BE TESTED FOR LEAKEAGE AT NORMAL OPERATING PRESSURE. 6. THE C-16 CONTRACTOR IS REQUIRED TO PERFORM AN OPERATIONAL TEST OF THE SYSTEM AND CERTIFY IN WRITING TO BUTTE COUNTY BUILDING DIVISION THAT THE SUPPLY SYSTEM OPERATED PROPERLY. 7. SEE PLANS AND SPECIFICATIONS FOR OTHER REQUIREMENTS. d f, \,Ivn cr WILLIAM F. SQUYRES, Jr. Fire Protection (916) 34&1012 fox (99 6) 345-1630 <j •� s�h1� a�l 13 O-� ktr 5 �'lakc 4��d �''1e Al VATER SOKY SYSTEM , t- pjSPec�,e �-M ✓�e�F� IF BUTTE OOUNTY BUILOM DEPARTMENTrR� APPROV D tv4MG PM, Al PS%' stoe'Al f rl 5=. Gass. (-Fl&e� A, v YVW Sit rziol S •Ti :; GPS► 28 � � . psi 33 �'lakc 4��d �''1e Al VATER SOKY SYSTEM , t- pjSPec�,e �-M ✓�e�F� IF BUTTE OOUNTY BUILOM DEPARTMENTrR� APPROV D tv4MG PM, Al PS%' stoe'Al f rl 5=. Gass. (-Fl&e� B9TOTELH lmdmstri 201 CARLISLE PREMIUM HEAVY DUTY • COOS BAY. OI•il_GON 97420 (503) 26 (800) 1335--0652 FAX (503) 267-4848 FEATURES: m 1 his 11.1up(l corludnlucl sualrllesa desi(ill is huinU ullurud in I'lumiuni (.;ludo and Hea4iy•Duly Graefe. If hlea,vy Duty lank Is installed below giouncl, it can only.be buried to lho top of. tfna:,�Ide wall. It also has a 20" manhulu on lop with a removable cup lot maintumoicu. w This tank has buun molded wilh an FDA approved miiluri:il lot 4,7 pulahlu watol todluurl i I1ruullim). 11 +tIau ItiIs 11-V,. ullibiliiuin huill in lug 1111) +1 it luuliun ;1ol4in:11 null light y; Ioyat. II in it 414411 cele, 11) ��, y, i• 14.0duc:u algau Ipuwlh. CAL'ACI I Y: ..250t 500, This tallk 1:; Ilou t;lru��llnll. It nuotls nu supped syslual. SCOTT'S. TANKS P.O. Box 1273 Laytonville, CA 95454 (707) ctf4- 66.12 INS7•A'ILLA'I-ION IN S7 13eacl cialelt,lly! Thu ROTA TECI I pulablwwalet lurk call bo illsiallud oilbur iabovu of billow Ipuund. • 'I I IE RTI TANK HAS A LIFETIME WARRANTY. • 'I I IE Ill] TANK IS EASY TO CLEAN - "NOTHING STICKS TO POLYETHYLENE". I I til._ I1 rI IS A ONI_PIECE L-L=AK1'fl(_>O1= 'I-ANK. 0 Uj 0 ac a. a. d • THE 11'11 CAN BE TRANSPORTED IN ANY 1=ULl_ SIZE PICK-UP. • -I LII_ RTI • IS LIGHTWEIGHT EASY TO INSTALL. Fill is constantly adding new sizes and !0lal)css ill lullks to nluel cc.lslonlers•',;s. 11 thuru is a lugtiicenlo.cit which is no"16 ed hood in otic slatidaid sizes, pleaso ask the di:;hihulul to (;all FITI. + 11' Wib1111 EVERY INS I ALLA I ION, I I IS IMI'UII I AN I' 1l) Ill. A(,E 1'111= *1 ANK ON A LEVEL. WELL. i LQS`S(V!I hvq�r( . ,:IN;ALL CASES THE '1 ANK BASE MUS'l HE I'IlO l L:C:11=D 1=11UM EROSION 13Y WATER AND 1Md'�IIDr; °11A' cY.a3C2( RhT10,N.1'S BEST TO PREVENT UNNECESSARY WA 111'14 WARMING BY SUNLIGI I F. illlVli§iN�P,IT M,ECOMMENDEl) I -IIA I' '11111' 1 c)I' c)1 1111= I ANK IiE INS I ALLI L) I OWER 'I'l1AN GROUND S'U'IA�EI fiFI %14O'LE IS I-AF1GE ENO11(:il l *10 I:iA(:I<I II.I. SOLIDLY WITH I I c:�ItANlll-ATI=D MATERIAI_.(NO V©.IUS;)(.,. YOU MU '.'P`.FII,�'''T!MC- •LANK WITH WATEI't BEFOHE BACKFILLING 10 113l_VENL ACCIDENTAL DAMAGE. BELOW!'p�,RC)UND T�'AINK;Si CAN; BE BURIED TH O THE HIM. DO NOT BACK FILL OVER TE DOME. IT IS NOT h1,Q0'Q' Yi til!D: :D.T.M; 'MX:BE INSiLAI_I-ED UNDE11 VEIIICULAN THAFFIC AREAS. 1\ A wide angle mercury float switch designed for dependability. Enliie Unit Qli Lit .d for Vlutur • Recommended S Sewage Running Current 83H2 LR54245 Junior Super Single0pump switch APPLICATIONS The Junior Super Single, pinup switch provides automatic pump operation when directly controlling smaller sump pumps and sewage pumps as well as water and liquid applications. Although the Junior Super Single' is not. sensitive to rotation, it is afrectcal by turbulence and should be mounted in ;t non- lurbulent location. 'T'his product is not recommended fur use with panels, conlaclors or relays. @DD[E@D[PD@&Moa@ I CORD: Flexible 16 gauge, 2 conductor SJOW-A (UL), SJOW (CSA) water-resistant, Neoprene (CPE). FLOAT: 2.81 inch diameterx 3.42 inch long (7.14crn x 8.68cm), thick -wall, high impact resistant, non -corrosive PVC plastic for use in liquids up to 140OF (60eC). ELECTRICAL: Voltage 60Hz, Maximum Pump Maximum Pump Recommended Single Phase Running Current Starting Current Pump HP _ 120 VAC 13 amps 40 1/2 HP or less 230 VAC 13 amps 20 1 HP or less NOTE: This pump switch must be used only with pumps equipped with irnogral thermal overload protection. ADVANTAGES • Directly controls pumps up to 1/ HP (120V) or 1 HP (230V). No control panel needed. • Not sensitive to rotation. • Adjustable pumping range. • 'Iwo -year limited warnurly U.S. PATENT NO. 4,529,854 and 4,572,934 0 LU O rr a. a. Junior Super Single" Pump Down • position Available with the following: . Standard cord lengths of 10, 15, 20, and 30 feet e Pump Up (Normally Closed) or Pump Down (Normally Open) versions . 120V Piggy -back Plug or 230V Piggy -back Plug . Models Without Plug for direct wiring 'NOTE: Units without plugs may be used for direct wiring in either 120V or 230V applications within specified amp ratings. b- f -.- z Lu 1- 7. W .7— 17 — ..-- nATr - 7-90---,01 CHECK VALfS 0 W6 -dd - 3/4!0 THRU Qi" 7 MODEL 885 On I cn -T d� g - 4 0 LL- 5 6 7 3/4!' SIZE' SCREW REPLACED BY RIVET HEXNUT 2" SIZE ONLY SIZE PART NO. A B WT.---(Ibs) 3/4 8030 1.45 2.75 .64 1 8031 1.86 3.55 1.08 1 1/4 8032 2.20 4.00 1.70 1 1/2 8033 2.55 4.62 2.70 2 8034 3.00 5.25 3.50 PART QTY DESCRIPTION MATERIAL ASTM 1 1 BODY BRONZE 8271 2 1 SOC. HD. SCREW STN. STIL. 18-8 3 1 FLAT WASHER. STN. STL. 18-8 4 1 "0" RING BUNA-N 5 1 HEX NUT STN. STIL. 18-8 6 1 SPRING STN. STIL. 18-8 7 1 POPPET. BRONZE 8271 17 — ..-- nATr - 7-90---,01 IH i.'. - 71 OWN vv spinog m L 3DUVHos10 z t Nouns c 0 9 9 RURMUMM M I; 01-11(.33. EM ImIximmm ■ 77 _-F— 77 r .4. ki, 7� v, 101 00 wt ti 4 "ZI 7 t3, % -e _ - I- , , -4 -1 .-r,fP.A 1. 7 Ic To, tr�,-_ 7t 71. ��, wqgj 71 _41 'At VV T % -,te' 30i Qj �7' -I,' 4t '00 %Wool t4 n, It— lT,,�-_r x J, P" - r p E3 4 1 �'O, I lo �p - � I - � ., I , , e , - - . . utr ;0� L f 4 7 -0 Jll i I ','I- - A ti W. '14 0 Sw, it, 'V ", tt! 7 ;v, Y % j. J, . , 7, J � , ." . , .-'- - I _ ., y 4.4, -fo P, '73, It t� 7,z 70! A`- oL It, . , � 't 4:.,` 1 , - .., A` r ivt P QA� IZ Xj - t -� � — % . t J0, L zi �o -4 .., I I I I ,t ; i, , - 11. "' I. - .. 7 F., ABItA;, r!t el 771 ";rl OZ56 8y; A ir xo- �.T '4t. 4.1 'Flai., I v I It� .1 f 'j; -.tk -1 �T, tf A -A, k:� Is - - - - - - - q� %"K wc Im IT ,, U. MA' ACT 'IT —re l."' i, v" o7. 1;. t N 10 M PL A. 7,. L 4-w, Fo P... A. i. , I , , I -V v . . 1 .11'. 1� ,, " � JAN QA w �J A, IT Tt'. A 4 OU N uj AL T ZI dwk A 17. twe 1, .1', _;, , : — , , I.," -,�, p Y. 00, 4 'TV 7 w 1z4; P, "-0 7 'A -z'! y-� it 7' fta� 7t 4 f j, "Ot, t- 4 tI" , E�-k, 'EJ N t Z e, '74 l,: , i%tt- :�� , — - r ",��-,�;:I�t� '�, - '-,— 'il"7- tz- p- Z 4, -4, t. _,ZA �4:71A4�FI�a T 7