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027-240-066
F'7 m -97-7-77-77Z77 ` ^) , � � .......... �� --- � � ' > � . 1 ` ` , . 2725 Craig Ave',. Palermo Pelmit#3530-88P,,E(util, MH) GAS SUPPORT STRUCTURE REQp7zF_ f 4R41 7�24 66 ) v�/�� } 11.Exi . -. I 72725'.Craig AV^ 661. - ^ ' r ' / ^ ` ' . . ' ` 'BAMBdLA_ 'WILLIAM __-_~~~ w , ` ` � ' . It .. | } ` � � .......... �� --- � � ' > � . 1 ` ` , . 2725 Craig Ave',. Palermo Pelmit#3530-88P,,E(util, MH) GAS SUPPORT STRUCTURE REQp7zF_ f 4R41 7�24 66 ) v�/�� } 11.Exi . -. I 72725'.Craig AV^ 661. - ^ ' r ' / ^ ` ' . . ' ` 'BAMBdLA_ 'WILLIAM __-_~~~ w , ` NOTES RESIDENTIAL PERMIT NO. 027-240-066 01-2242`` BAMBULA, WILLIAM & ROSE 2725 CRAIG AVE, OROVILLE CONT: SIERRA MOBILE EX MH PERM FNDN THE HCD FORM 433A FOR THIS MH CANNOT BE l I RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: ' (1) LICENSE PLATE(S) OR DECAL (THE ' INSPECTOR MUST RETREIVE). '1► -(2) STATEMENT OF FACTS (ONLY ON I ,,.NEW MH'S). ; I INSPECTOR TO VERIFY SERIAL & LABEL #'S. F 11 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED Signature CHECKED BY V=OK 0 = Not OK - = Not Applicable • = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal- Enclosures 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /" L'ft. / P Nat. or / /"L"ft./ PLPG Electric 7. Well Clearance & Disconnect Frmg.; Sills•Anchors-Studs•Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 pw MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing t 5. Alum. Awn.; Columns -Connections -Splice -Decal- Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills•Anchors-Studs•Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed t 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 1 11. Light Niche i Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Ste el- Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive J Yes ] NoMalks Z) Yes J No/Planters ] Yes '] No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Tingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. &•Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes ] NoMalks Z) Yes J No/Planters ] Yes '] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: riii za EM _ - �_ -- ,: - • - f. , ,-,,- _:.,BUILDING. PERMIT.:NUMBER:.01-2242 Address or location of unit: 2725 CRAIG AVENUE, OROVILLE,•CA 95966 Legal Description of Real Property: A.P.027-240-066 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: WILLIAM J. BAMBULA & ROSE M. BAMBULA Owner's address: 2725 CRAIG AVENUE, OROVILLE, CA 95966 INSIGNIA OR HUD NUMBER: RAD919000/001 SERIAL NUMBER OR V.I.N.: CAFLTI7A/B18883VM12 MANUFACTURER'S NAME: 0953 L ETWOO ' YEAR: 1996 OFFICIAL APPROVING INSTALLATIO : = i ' (/LCA' DATE: 9%18/01 # PHONE: (530) 538-7541 , H.C.D. 513C ! I. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE Y - OROVILLE-CA95965 COPY of Document Recorded 19 -Sep -2001 2001-0043069 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. 71' is inrument is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, Upu,t Lila; real property described w. ith certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. WILLIAM J. BAMBULA & ROSE M. BAMBULA REAL PROPERTY OWNER&ESSOR - 2725 CRAIG AVENUE MAULING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write 'SAME-) MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 1-224 (530)538-7541 D lT N ELEPHONE NUMBER 9/18/01 SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. 09534 FLEETWOOD 1996 VOGUE MANSION MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLT17A/B18883V`MI2 25'8" x 60' FAD919000/001 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #027-240-066 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. f LEGAL DESCRIPTION A.P. #027-240-066 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 6, 'IN BLOCK 132, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SUBDIVISION .NO, _3 OF THE. PALERMO CITRUS TRACT",, . WHICH- MAP WAS--.,, ...: - RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 2, 1889. EXCEPTING THEREFROM THE EASTERLY 330.00 FEET, MEASURED AT RIGHT ANGLES TO THE EAST LINE OF SAID LOT 6. 0 s , Order No. 154798KA Escrow No. 24166LD WHEN RECORDED MAIL TO: MR. & MRS. BAMBULA 2725 CRAIG AVE. OROVILLE, CA. 95966 MAIL TAX STATEMENTS TO: SAME AS ABOVE 96-027.4881 Rec Fee. 9.00 1 Check 9.00 Recorded I Official Records I County of I Butte , I Candace J. Grubbs I Recorder I 8:00am 24 -Jul -96 I MVTC CA- 2 DOCUMENTARY TRANSFER TAX $...�............................... ... Computed on.the consideration or value of property conveyed; ... Computed on the consideration or value less liens or encumbrances remaining at time of sale; OR ... Exempt from imposition of the Documentary Transfer Tax pursuant to Revenue and Taxation Code § 11927(a), on transferring community, quasi -community, or quasi -marital property assets between spouses, pursuant to a judgmerit, an order, or a written agreement between spouses in contemplation of any such judgment or order. IN THE OPINION OF THE UNDERSIGNED ap # 0 2 7- 2 4 0- 0 6 6 Signature of declaring grantor or grantee INTERSPOUSAL TRANSFER GRANT DEED (Excluded from reappraisal under California Constitution Article 13A § 1 et seq.) This is an Interspousal Transfer and not a change in ownership under § 63 of the Revenue and Taxation Code and Grantor(s) has(have) checked the applicable exclusion from reappraisal: ❑ A transfer to a trustee -for the beneficial use of a spouse, or the surviving spouse of a deceased transferor, or by a trustee of such a trust to the spouse of the trustor; ❑ A transfer to a spouse or former'spouse in connection with a property settlement agreement or decree of dissolution of a marriage or legal separation; ❑ A creation, transfer, or termination, solely between spouses, of any co -owner's interest; ❑ The distribution of a legal entity's property to a spouse or former spouse in exchange for the interest of such spouse in the legal entity in connection with a property settlement agreement or a decree of dissolution of a marriage or legal separation; [� Other: To rHA u VE2ING OE RFr'n�n ❑ Check when creating separate property interest in grantee spouse: It is the express intent of the grantor, being the spouse of the grantee, to convey all right, title and interest of the grantor, community or otherwise, in and to the herein described property to the grantee as his/her sole and separate property. FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, WILLIAM JAMES BAMBULA AND ROSE MARIE BAMBULA, HUSBAND AND WIFE hereby GRANT(S) to Ir :t. .- WILLIAM J:. BAMBULA AND R� X14*-'VAMBULA, HUSBAND AND WIFE AS JOINT TENANTS (continued on reverse side) MAIL TAX STATEMENTS AS DIRECTED ABOVE 1004 (1/94) Paae 1 of 2 the real property in the City of =WnUUNICORPORATED AREA , County of BUTTE State of California, described as LOT 6, IN BLOCK 132, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SUBDIVISION N0. 3 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 2, 1889. EXCEPTING THEREFROM THE EASTERLY 330.00 FEET, MEASURED AT RIGHT ANGLES TO THE EAST LINE OF SAID LOT 6. , THIS RECONVEYANCE CHANGES THE MANNER IN WHICH TITLE IS HELD, GRANTOR(S) AND GRANTEE(S) REMAIN THE SAME AND CONTINUE TO HOLD THE SAME PROPORTIONATE INTEREST, R & T 11911." Dated STATE OF CALIFORNIA } COUNTY OF YUBA }ss. On JUNE 26, 1996 before me, LOIS M. D'ANTIN personally appeared_ WILLIAM JAMES BAMS 11 A AND ROSE MARIE BAMBULA personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) ed, executed the instrument. WITNESS my ha nd official seal. Signature WILLIAM`JhhES BAMBULA IN Uhl , =I#- If. -A LOIS M. D'ANTIN Comm.01oll M OTARY uoUC .CALIFS COMM. ExR 91116=0 .p (This area for official notarial seal) I.- 1004(1/94) Page 2 of 2 1:0 ' d IV101 • V VJII�GJJIMnar vn,.� I,Vn MnV nVVoll'IV AbC1�V T _ GRAY DAVIS. Governor DEPARTMENT OF HOUSING AND COMMUNITY OEVELOPMENT sure 01yblon of Cods and SHndards Title Search Date Printed : 09/13/2001 Decal #: LAV9666 Manufacturer: 09534 FLEETWOOD Tradename: VOGUE MANSION Model: 5603E Manufactured Date: 07/12/1996 Registration Exp: First Sold On: 08/05/1996 Serial Number HUD Label / Insignia CAFLT17AI8883VM12 RAD919000 CAFLT17BISS83VM12 RAD919001 Record Conditions: PPF Exempt Registered Owner: Use Code: SFD �:. Original Price Cade: AML Rating Year: Tax Type: LFT Last ILT Amount: Date ILT Fee Paid: ILT Exemption: NONE Length Width 60' IT 10" 60' IT 10" WILLIAM J BAMBULA ROSE M BAMBULA (Joint Tenants with Right of Survivorship) 2725 CRAIG AVE OROVILLE, CA 95966 Last.Title Date: 10/18/1996 Last Reg Card: 10/18/1996 Sale/Trauster Info: Price 545,706.00 Transferred on 08/05/1996 Situs Address: 2725 CRAIG AVE OROVILLE, CA 95966 Situs County: BUTTE Legal Owner: GREEN TREE FINANCIAL SERVICING CORP 2951 SUNRISE BLVD STE 175 RANCHO CORDOVA. CA 95742 Lien Perfected On; 08109/199616-.34.00 Title Searches: FIDELITY NATIONAL TITLE 475 ORO DAM BLVD SUrM A OROVILLE, CA 95965 Title Fele No: 102351 *** END OF TITLE SEARCH'** ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01-2242 ASSESSOR PARCEL NUMBER 027-240-066 ZONING BUILDING PERMIT OWNER WILLIAM &ROSE BAMBULA TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1540 R 83,160 00 . OWNERS MAIUNG ADDRESS 2725 CRAIG AVE OROVILLE 95966 CONTRACTOR'S NAME SIERRA MOBILE TELEPHONE 877-8575 CONTRACTOR'S MAILING ADDRESS - 8965 SKYWAY PARADISE CONSTRUCTION LENDER . LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 83,160.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 283.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 272 C E Energy Pian Checking Fee $ PERMIT FEE S 326.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome W Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IR Describe Work: EX M -(fid 1 -4 -R -M FW -DN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (9?20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Serviceeoov oR LESs 2OOA OR IESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.p License Class LIC. NO. 703 O 6 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 YOGA TO IOOOA 46,00NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BUDS. SO 3.5¢Fr. Npl R.0NS I.' MULTI -OUTLET @7.50 PowER APPARATUS a SINGLE ourLEr CIR. Ex. Occup. ovn.Er OR FIXTURES Yo Q 1.00 B++L @ -50 Ex. Occup.. oinlFrs AEclo-DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Q—t—have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation linsigance carrier and policy number are: Carrier �Z P Policy Number 6 F9 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith co ply with those provisions. X Date / Signature of pplicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 361.75 D P_10 F,06D c P EL Issu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. % By / aD to ` PERMIT EXPIRES O "/ G� Def ReceiptNo.33212/7$36113 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 a Oroville, California 95965 • Telephone (530) 538-7541 ay. 12/96) APPLICATION AND 'PERMIT 1.c PERMIT NO. .ssaswRrARceuwreei o DODO a-� BUILDINGPERMIT O`WNSR \ I i '�s1Dt 1 S0. FT. OCC. BUILDING VALUATION 7AMMe NANUM AOORIp s C " ,!I! � TalaliONs tDIDER C/oixi 56FROM AOORlss ACNIrLCT OR CNOt1EER RCNTCCT OR 00MERs MUM siA00RUs,(� vaDO ADDRESSfl 1 .-.1 � i1.rn iY 31No. 1 susafte"iWA Fireplace Total Valuation _Filing Fee Permit Fee Plnn Checking p Energy Plan Chi SING S S I Fee S S ERMIT FEE S RMIT USEOFSTRUCTURE !a is Each Trap F O Duplex O Mobllehoms ,� Other sPscsv Solar or heat um water heater Weter piping Each gas water heater or vent TYPE OF WORK ew O Addition O Remodel O Unities O hetalation O Other Gas piping system 1 - 5 outlets Building sewer ;ascribe Work: Mobile Home 1 S G W PERMIT FEE ELECTRICAL PERMIT Mein Service 0ow Oft UESS a00A OR u:ss "'—'—' "--- ' Main Service 200A TO 1000A oa; o7N*-' owglll0 OOCUP. OA A00Nt. i AOC. RDs. NONats�o. NM MuL.n.ovnrr • POWER APPARATUS as o 1 Ex. Occup. ovntT oR Fsrrvan [ I I Ex. Occu FDgA APP- OR ovruera Salo. u Tem orar Service 1 Mobile Home Facilities .. Misc. Wirina *PERMIT FEE PAIb SRA SHERIFF .OTHER AMOVNT RECEIWO $ 3il *RECEIPT NV"Ek I F) * TO BE Pir INTO COAAPV M PERMIT FEE _ MECHANICAL PERMIT Hood 20.00 00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 19 Fee 20.00 23.00 48.00 i.SeR 97.50 5.00 23.00 20.00 23.00 I Fes 20.00 8.50 IMobile Home Installation Fee $ Energy Inspection Fee $ 1 occ coNST. rvPa T AL FEE _ I ° NAZ 0. RQ P-wo COI P g ND eiK This permit is hereby Issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work 1 Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ty") ;•.: S �•(}y, �1 ` me t. JT aC r.` r .1:,..._ :,i. - 1f� h,i •:.i..�f1L. ,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: &Vn ASSESSOR PARCER: '-`O �P Proposed Building Use: Building Inspector: WDate: J Q At time of permit application, f was ad ed the following data must be submitted prior to permleprokessing and/or issuance: Date Received By ❑ 1. All iiems have been submitted .------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ E16. ----------------- ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. --------------------- ❑ 12. California Department of Forestry plan approval/fees--------------- ❑ 13. Flood elevation certificate. --------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: Die, (B) Parking: _ 1:118. Contact Land Development about ❑ Improvements, ❑ Drainage`Q,,Legal Parcel. ----------------- ❑ 1 ncroachment PermiLfor driveway (construction prior to occupancy). --------------------- Pre -inspection for br7 ;Ueauired. Request to Building Inspector on 1. Contractor's license information. (Numter, Nam tyle, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. ---------------------------------------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑ 24. Letter of signature authorization. ------------------------------------------ ❑ 25. Recorded copy of Agricultural Acknowledgment Statement.----------- E126. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utili clearance. --------------------------------------------------------------------------- W,❑ . Existing do and/o p --------------------------- ----- --------------------------- 29. 0433 t D , . . Title, eck to H.C.D $ �/� ---------------- 030. -------------- ❑30. Other:------ 6�-1LI-01 (Date) Wh you issue the t roc s follows ❑ Mail to owner, Mail to, ntractor. Telephones and hold for pickup at vim! I o ce. ❑ Deliver with inspector. Applicant: Date - Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail; ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Div ion counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil D ision counter, by D t . Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. DATE: LOCATION: S- A.P. CONTRACTOR: ZONING: PRE-INSPETION FOR: DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE ks FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: I Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Yes No Condition of Electric Electric currently On " Off Gas: Natural Propane- �one Currently O Off Obvious Problems: Sanitation: Plumbing Working Well WorkinPotable Water Obvious SewageProblems Comments: C ACTION RECOMMENDED: ISSUE: HOLD FOR Date Sketch buildings on reverse and indicate location on property. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING 7 County Center Drive a Oroville. California 95965 • Telephone (530) 538- 541SION . 12/96) APPLICATION AND PERMIT PERMIT No. �sasoa.Mcaw.ea BUIIL.15INQ PERMIT *alar ors SQ. FT.OCC. at MAaM10 AOOAM C =BUILDING VALUATION ACNRtCT 011 ddlfEOl .••.•••«� w o.Ormgiv www •OORps vao«o A9011ps 3T N0. I summed t mum USEOFSTRUCTURE F O Duplex O Mobllehome .(\ Other TYPE OF WORK ew O Addition ❑ Remodel O WWee 0 Installation O Other )*scribe Work: �. L *PERMIT FEE PAlb SRA . SHERIFF OTHER AMOUNT RECEXnb s3 S *RECEIPT NUMBER ��10,7? * TO BE PVT ZWo co#.pVTER Total Valuation is Filing Fee = 20.00 Permit Fee ��_ _ Plan Checking Fee = a-3 0 Energy Plan Checking Fee S S PERMIT FEE S Iry -i�— ri.umaiNG PERMIT Fiing F—p 20 Each Tr ^- 7.00 Solar or heat Pump water heater 23.00 Water PiDina15.00 Eeeh pee venter heater or vent 15.00 tGa"I 1 In stem 1 - 5 outlets 15.00 1din sewer 15.00 Mobiie Home S G W 020.00 PERMIT FEE I S P Main Service 'OO1 °R Ips 200A OR u<ss Mmn Service r 200A To IowA NEW oweu rro ooeu►. on.00ln. ' a A4C. ems. MOIFAQ10. YULTLOIrn� `/' wFJI AI►AMTUS i Ex. Occup. ouner OR .arnnlor Ex. OCCU . rorEo A.ItM. oR I ovn�!Ts oio. eve 1 T LST-P-Ofa(Y Service i Mobile Home Facilities Msc. Wiring PERMIT FEE S MECHANICAL PERMIT 20.00 23.00 46.00 5.00 23.00 Fee 1 20.00 6.50 IPERMIT FEE S Mobile Home Installation Fee S Energy Inspection Fee S i«c CoNOT. r.e TOTAL FEE $ �1AZ 0. R® I W► I RA00 I COI I ►NICO. r0 100 1 =Ug 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. 1 By Date PERMIT EXPIRES ON A 11-1 / guse 3-30 9 -� — 27-24-3iportloo •. ,,� " `. PHILLIPS , 2725 Craig Ave, Palermo *yam Permit#3530-88P,E(util, MH) Yf , ELEC .� GAS _-•--. - SUPPORT STRUCTURE REQ"a > r Y COMPACTION TEST REQ. U _ - 27-24-66 192-90MHI BAMBULA, William 2725 Craig Ave, Palermo (installation/MH) 1 27-24-66 ermit#746-9OP(gas piping/MH) ,: 44 A 027-240-066 PERMIT#96-1533 7 BAMBULA, Bill & Rose , '. 2725 Craig A✓e.,*arovill D & D Homes Cont; MHI Ex Site , .. ... ..' ;......:. � :ate.. -._. .. . . r- ,� .. 027-24-0-066 96-1738 B � r. BAMBULA, William : , .• ` 2725 Craig Avenue, Oroville (new open deck/MH) q �P t f +T RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 200 1 —0043069 Recorded Official Records CounBUTt Of CANDACE JT. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:08AM 19 -Sep -2001 REC FEE .00 CONFORM .00 Kristyy Page i of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described /) hereon, upon the real property deFcribed with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. WILLIAM J. BAMBULA & ROSE M. BAMBULA REAL PROPERTY OWNER/LESSOR 2725 CRAIG AVENUE MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE - ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP ' 1-224 (530)538-7541 ELEPHONE NUMBER =zff j&AU 9/18/01 SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. 09534 FLEETWOOD 1996 VOGUE MANSION MANUFACTURER'S NAME - DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLTI7A/B18883VM12 25'8" x 60' RAD919000/001 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER A.P. #027-240-066 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept. LEGAL DESCRIPTION A.P. #027-240-066 All that certain real property situate in the County of Butte,. State of California, described as follows: LOT 6, IN BLOCK 132, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SUBDIVISION NO. 3 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 2, 1889. EXCEPTING THEREFROM THE EASTERLY 330.00 FEET, MEASURED AT RIGHT ANGLES TO THE EAST LINE OF SAID LOT 6. RESIDENTIAL • 027-240-066 PERMIT#96-1533 i BAMBnA,'Bill & Rose 2725 Craig Ave., Oroville Cont; D & D Homes MHI Ex Site � �-- q O, `7 L14o--q 0 A i� V=OK O = Not OK Not Applicable Not ReaMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 2. Footings; SoilsSize-DepthSpacing-Connectors-Steel 3. Sewer; Location-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Electricity; Location-Clearances-Gmd-/ /Amp-Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location-TesWrap; / /'L'ft. / /Nat. or/ /"L"ft./ /LPG 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION Plans OK except #'s 1. Z ning Requirements-Setbacks Easements Card B-1 Date Card B-1 Foo ngs; Size-Spacing-Marriage Line Card B-1 Date Card B-1 as; Test-Demand Valve-Connector POOLS (Plans) OK except #'s ectrici • H Test-Crossovers-Breakers-Clearances 1. Setbacks -Easements 5. in; MH est-Fall-Flex Connector 2. Soils; Compaction -Structure Stability 6. Test-Regulator-Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. W and Sewer Connected-C/O to Grade-HD Approval 4. Elec.; Receptacles and Lighting, Distance-GFI as a ectricity Tagged 5. Elec.; Pool Lighting; 15 Volts-GFI e Do - ype-Installation Cert. 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. s; Insp.-Sketch 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 1. Cert of Occupancy 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date and B- Date Card B-1 Dae Card B-1 Date Card B-1 C, ' MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 4 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except ✓e's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Rfng. ------------------ ------ 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped------- 6. Stemwalls, Garage; Steel-Blockouts-Wrapped------ -- 6a. Hold Downs and Special Anchors 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 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 1 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle -------------------------------------------------------- 17. Water Pipe: Test & Anchor -Nail Protection ---------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ----------------------------- ----------------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except u's 22. Fixture & Transformer Clearance -Ins. Protection ---------------------------------------------------------------- 23 Elec. Receptacles Spacing -Lights & Switches at Doors --------- - ---- ------ - - ------ ------------------------------------------- -- -- 24. Size Boxes & No. of Conductors -Stapled -------------------------------------------..._._----. 25. Romex Installed Close to Edge of Studs & C.J. --------------------------`-------------------- - ------ - -- --- - - - . 26. Equip. Ground made up w'Mech. Fastners-Bond 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. r I ga. Cu or AI -Oven Circ. I / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - ---------------------------------------------._...-. .. 30 Service -Riser Conductors & Ground -Main Disconnect --------.....---_......_ ......._........... .. 31. Equip Clearances Panels-Motors-Mech. Equip. ------------ - ----------- ----------- - -.... ......... ....... .. 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------------------------ 33. Smoke Detector --------------------------------- --- - --------------..._ _....... ... ........ --........ .. Date Card B-1 Date Card .B-1 ----------- ... -_-....._..._.... --------_.. ...... ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL(Permit) OK except P's 34. A.C. Ducts Insulation & Support ----------------------------------- - ------------....._....... .. ... .. _... .. 35. Vent Fan: Exhaust above insulation -------------------------------------- --------------- --- --- ----- 36. Condensate Dram & Overflow: Sze & Grade ----------- -- -......_......................_...... ....... . 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- - ----- .... ....... ... ... --..._. ... ... .. 38 Attic Access & Platform if Furnance in Attic --------------- --- ........... .. .... ......... Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except n's 39. Sils, Proper Material & Anchors ....... ... _. . ... ... ........ I... ... ... ... .. 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound .._ ... ----- ._ 41. Bearing Walls over Girders & Floor Nailing ...... ... . ....I....._.._.... - • ..... ... .. 42. Draft Stop in Walls (rat proof) ....._.._. .. .. ..........._..... ... --_. .... ... 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ...... _.......... ..... .. ._ ...... .. ... ... .. 44. Headers & Beam -Size & Bearing 60. Infiltration -Walls -Windows ---------------------------------------------- -- Date Card B-1 Date _Card B-1 ----------------------------------------- Date Card B-1 Date Ca -Fd B-1 . Date FINAL (Plans) OK except rr's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------- ------------------- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------------------------- 64. Bedroom Exiting ...............---------------------- -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ... -----.... --- --------------- p-------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ..---------------------------- 67. Stags & Rails ...............----------------------------------- 68. Fireplace or Stove: Clearances -Hearth ........ .._.. ------------------------------ 69. Elec. Outlets at Wood Panel: Int. & Ext. ..... ------------------ - ---------- --------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ---------------------- 71. - --------------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. -------------------------- --- 75. Plb.. Elec. & Mech. Equip. Listed for Location .......... ----------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection . -- --------------------------------------- ----------- 7,. Insulation -Foam -Looked in Attic ❑ Yes ---------------------------------------------------------- 78. Guard Rails & Deck Construction -Post Caps . .... --- _---------...---------------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - - - - -- -------------------------------- a0. Following instld. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ------------- - ---------------------- --------------------- 81. Stucco: Brown -Finish .. ------- - ---._...------------------------------------- 82. A C. Unit: Disconnect. Electrical. Plumbing . ... ... ... ... ... .... -------------------- Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings . . . .. ........................- --------------------------- 84. Water Well: Disconnect. Electrical. Plumbing ... .. . - -- - --------------------------- ------------- - 85 Exterior Elec. Trim: G.F.I. Receptacle -Underground . ..... - ------------------------------------- 66 Ventilation Throughout House -- - - -- - -------------- 87 Glass Protection -- - ---------------------- 88. Corrections from Previous Inspections -- - -- - --------------- 89 Gas Gas Test -Meters Tagged: Gas -Electric ........... ------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval .. . ----. _---....-- ----------------------------- 91. Energy Compliance Certificate -Other Certificates ----- -.. ------------------------ Date Card B-1Date Card B-1 . ... ................ ------------------------------ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments. at Final: ..�,,,� .. ���.-�-?-. �x ;^ '1k: 5 -•-"-.: x ,...cP- a.r t C' `YTy:�?. '7 :7 c; Z i v^�w:Yra?T�" '7 ;:�;^. �,; n w .4?5�-w� �rSE:.y.; qi,. ��.. a MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OFtUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ---PHONE (916) 538-7541 AP ac:0— .� PERMIT NO Owners: J2 IL 11 , ,Q 8/ Name: f Owners: Address: Mobilehome _ _ Year of Manufacturer -- %QY✓ Manufacture: Serial number C Insignia or r or V.I.N. r UD number:j� Official approvin stallation: Date: 7�e If;the mobilehome is moved or relocated, the mobilehome Installationa cl-ptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. : «:, f 51 3B hite-Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California.95965 - Telephone (916) 538-754/ _ 1PE,BMIT• APPLICATION AND PERMIT (� ASSESSOR PARCELNUMBER 027-240-066 ZONING A5 BUILDING PERMIT OWNER BILL & ROSE BAMBULA TELEPHONE 534-6813 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2729 CRAIG AVE OROVILLE, 9�966 CONTRACTOR'S NAME D & D HOMES TELEPHONE 751-9661 CONTRACTORS MAIUNG ADDRESS 880 ONSTOTT RD YURA-CITY, 9999_3 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 9795 CRAIG AVE PERMITFEE $ 43.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EX Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑X Other ❑ Describe Work: � — EXISTINC�--i�3TF BEDROOM Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main ServiceOOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. T� ( 2 G' License Class ' Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ACDNS. ( s ) SO. 3.5¢ Fr. NEW CONST. MULTI-TI�OUTLET TLE NOWRESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL .30 FIXED Ex. Occup. ( OUTLETS (R SESE ID.)EA) 5.00 t Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Z'C-��E t� �LV�`c?f� '2-0, MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number D 'k1-0 50 1 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. c X __ ___ Date -7 " �_' �" Signature of Applicant - ❑Owner Contractor ❑AgentCl 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 ::$00.00 Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD H U This permit is hereby issued under the of the a County Cod and/or indi ted e f whit fees have By PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. DateReceiptNo. -7Z 417 (D( -e) 202048 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER i 0s °L- a ir Lf 1&4 A. . No. 0 a 40 - G Proposed Building Use. e-x,5J,V1j2 Byi ding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineeredplans 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. . 1 Fees of $ . ............ . 4 /V11.Impact fees as shown on attached schedule. . CSC 00...0 w/. 41 . ........�� California Department of Forestry. P PP Ian a roval/fees........................ . P 1 lood elevation letter (100 year flood) y Calif nia Engineer .................. 4. Sanitation and plot plan approval ✓O ealth Department . ............ �/ 76 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 IreInspection req, p required. . . to Building Inspector (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. ..... A,, 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . .....................: 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits. ..................................... . 32. Plan check list . ........................................... "......... 33. 34. When you issue thpermit process as follows: Mail to owner. Mail to contractor. _ Telephone`Vu_ and hold for pickup at r office. Deliver with inspector. Other Parcel Creation / _Q Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. it Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prigr top rmit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: n 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 G (g a o 9-5 Date 7- (] 4 Sets of plans on hold in File cabinet �_ AP folder Copy - Department of Public Works JQ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 's B.H. USE ONLY _ y rent PI= Anaceea X Ploor Phu nmdiea X Sent to B.D. Plan Approved for: Sewage Disposal Clearance for \3 bedroo �?�ile Water Supply: Public Private . Well Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 2100) ..--.."....+"i.-�:.r�.roti,.`.w:.'^"�«.r..-:.�%.+i�.+r'�....:art^�Y`�R1•'�i.�'�.:wf�n�l"M'„�^v''''''i.,�,"4.,�5#�}�r`-r"�,s. � r't—.,-r "'x?::�. BUTTE COUNTY SCHOOLS IMPACT 1=EE CERTIFICATION FORM (One Form Per Building) School District 0 U ki; co fis A.P. Number dd / 4- 'YO -044 Jurisdiction: n Property Owner Property Location/Address Subdivison Residential Development Commercial/Industrial Building Department No. City LyJ County e Lot No. No, of Living MHI Addition Units �x ; Sf i rt Q V 0 New Addition (Floor Plans reviewed by School District Personnel) I Sq. Footage %Jr �, d (Group R) M N _ 108 off. Sq. Footage (Including Exterior, Roofed Areas) zq6 Date Identification No. 9700,03 N� School District certifies that 11L 111 ant) (Street Afdressgl1• / I (Phone Number) (City) (State) - (Zip Code) has complied)witthe requirements of Resolution No. Q� '�G by payment of $ representing uare feet. Asa $ FULL MITIGATION / School District Representative Date Paid by Check # Remarks: Bank Number i Paid by Cash » If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (11/94)dmm Li WW 11A RePL^e% ir\ C,, 0 I-5LJO PgFL4%0rj pi (.4 ery-,L5T ) PA 4 dD I D ti ELECTRICAL, MECHANICAL, AND PLUMBINC, CONSTRUCTION ( NOT PLAN CHECKED !$HAjLC,0MpLy, WITH CURRENT EDITl7 PF-::NEd,-UMC'�-,AND UPC. Tbi . a set of plans and specif . LOMiGns =BT be uov-pn; the jobai" times and it is WUMM to �ll n age aArchaAges or alterations 011 same without v ritten.permiBsion from the Department of Pub1l%. v orks. ominty of Butte. 1( TE: All Mat6rials & WorkinanshiP Shall Be 1n 49 3ordance with Recognized Good Practices and Af EL Quality Prescribed for the specified Use in the Uniform building, Plumbing & meohanieW Cc les and the National Electrical Code. to YLOFli- vaj - tk NA 7- •io 4 t,4Pxjj too, 1A AND EOUIPMENT I'NdMDM ,SET BAC OF F0,0M 'THE SIDE'A Th-- 1.p1,1E:RrY LINES AWI#a-o" FFr- ROM F T. nu T- o FFrERLINE SHALL. 90 . . T. ('EAR OF STRUU, EQUIPMENT EXCf-PT 'IG 0A A 2 FT. �AW. =to 5 ( U— I V—.Dse B-Orm IBQ Lck -L-77-5 -Cr2-A,14-, pave tPk* -46 A<'PN -2-7. -Z-4o • c>G(. -(UvbA cj-rj . CA 9gqq3 � 1st - 76 61 -70N,-/ Kc, -.-!,V*X> Vmp- -9KV'&' 17 --,eT (-w,-- A-. to VkC\ PkOVED- Bu to County Enviroi mental Healtf- Pate I r VV W D, r. Art %EVJ SUILiDING. EP. n rj () \1 E APP .57A3 FILE Co �"WAPW .Mgd' ?Wm < ,0 co -0-, �to> r -W 1. Owner's Name:' UJ CL A ozm QRo-b F 1% 0l.A 2. Assessor's Parcel Number: `Z`�1 -+6r, P& 6' 3. Installer's Name: CkS 4. Is the site currently under permit? Yes[ . ] No[yA,Permit No, -' 5. Is'tfie`site an'existing site? Yesk] No[ ] (If yes, furnish'two,plot plans). 6. What is the electrical rating of the mobilehome?. JO 0 .'Amperes. 7. What is the mobilehome site circuit breaker rating? 10 O Amperes. 8. What is the electrical rating of the mobilehome site?' 26<�> Amperes. - 9. Is the main service remote from the mobilehome site? Yes[ ] No[Pq If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- tE�FLR2___ Amperes- `50 Ay✓l ' 11. Type of gas service at mobilehome site: Natural[ ] Propane[] None[ ] 12. Size . of gas pipe at the mobilehome site from - the. , meter or tank: °2/4- inches. 14,• ' 13. What is the gas pipe length from the meter or tank to the mobilehome?12L(ft.). 14. What is the mobilehome gas demand? ( Zoo k B.T.U.* *(This information is not required if the pipe length is .less than 6 feet on natural gas or less than 50 feet on propane). - THE OTHER SIDEOF THIS•FORM MUST BE•COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION I afF% IIr r - 'r May 1995 8.5 Mobilehome Manufacturer: RE -Eq -16/0 O`er Manufacture Year: q ? If other than single wide, furnish Setup Model Number:CoO 3 !3 Width:26 (ft.) Length: b (ft.) Tagalong or Expando Size �—(ft.) x On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation gradeq Other: SUPPORTS: Concrete block] Other: Provide Tie Down Specifications for all Mobilehomes: 6� aav,1'p Lam. -t- Coo U L_ PierFootings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 Line 2 ................................................................................................ Main Beano Line2 ............................................................................................... ine 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams Line 2 Line 1 .................................................ine 5 Tag or Triple ine 4 rinel Line 1 Piers:,. Size minimum: r iZ I x r 201. Spacing maximum: 1 5- ` 0 ` From ends -maximum: 1 ` O ` Line-2,Piers: Size minimum: [ 12- ] x [30]. Spacing maximum: From ends -maximum: Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Load Size mi ' m: cation (from front): Line 1 Openings �� zy Size minimum: x 13051 Each side of openings with width over: I ` 0771 Line 4 Piers: Size minimum: [ ] x ]. Spacing maximum: ` From ends- mum: ` :54 x30 � 1 a� F> ° lbopu 33' �" `I'L' 4• torp" OVER n N N N 1 S14 L-1 a 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 ER .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, ple a intact this office immedi telt'. r Insp - - RESIDENTIAL 027-24-0-06696-1738 B. BAMBULA, William 2725 Craig Avenue, Oroville (new open deck/MH) JOB FINALED ate) Signature V=OK - - 0 = Not OK Not Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / fUlt. / /Nat. or/ /"L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing- eerStucco-Mesh 10. Roof; Sh oofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Dat 1. Zoning Requirements- Setbacks Easements Date 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES Plans OK except #'s g Requirements -Setbacks -Easements Footings; Soil ize Dep"pacing-Connectors-Steel 3. Decks; ' ers and/or Joists -Decking -Bracing -Stairs -Rails ood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing- eerStucco-Mesh 10. Roof; Sh oofing 11. Ex eps-Doors-Landings B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Envies -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable NRead Not Ready RESIDENTIAL'(Single =N Date 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.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except N's -16.-water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection ------------------- ------ 18. D.W.V : Test -Fittings & Anchor -Nail Protection ------------------------------------------------ --- --- 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ---------------=---------------------------------------------------------------- Date Card B-1 Date Card B-1 ----------------------------------------------- ------------------.. Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ------- - - ----------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ------------------------------------------------------- --- -- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------ ...... 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water -------------------------------------------- --------- ---- -- ----- -- - - - --- - - - - - - - --- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI -------------------------------------------..........- -- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At - ----------------------------------------------- .. 29. Range Circ r ' ga. Cu or AI -Oven Circ. r r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------- --- --------------------------...- _. .. 30. Service -Riser Conductors & Ground -Main Disconnect --------------...-----.... .............. ....... .. 31. Equip Clearances Panels-Motors-Mech. Equip. --- ---- . ----------- - ---_. ........ ....... .. 32. Clothes Closet Light -Shower Light -Spa Light ---- --------------- - ------ ---------- - ------------ 33. Smoke Detector --------------------------- --- .................. ........ ............... '- Date Card B-1 Date Card B-1 --------------- ---._..._.............. ..._---- ---........ ... ....... ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL.(Permit) OK except n's 34. A.C. Ducts Insulation & Support ------------------------------._.._._._...... - ------.............. .. _.. .. 35. Vent Fan: Exhaust above insulation --------- - -- --.......... _ ...-. . . .. ... ... ...... .. ... .. 36. Condensate Drain & Overflow: Size & Grade -------------- -- - ..... ....... ........--'... ......... ....... .. . 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- . - ----- .... _ ....._... ... ....._. ... ... .. . . .. . . . 38 Attic Access & Platform if Furnance in Attic ------ I—- ... ... ........... . .. .... ......... .. ... ... . .. .... .. Date Card B-1 Date Card B-1 --.---------- -. ... ....... . ..... ..... ... ... . Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors ....... ... -- _.. .. . ... ... .. 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing ....... ............. ............... I....... ... .. 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceil ngs-Stairs-Chases-Tub _..- ..._._. .. ................ ..... .. .......... .. ... ... .. 44. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. 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. -------------53. Stairs: Width -Headroom -Rise-Run-Landinq-Fire Protection 54 - , plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------ 55. Siding -Nailing Veneer -------------- ----------------- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access ----- ---------- ----------------- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. -Insulation -Walls -Ceilings ------------------------ 60. Infiltration -Walls -Windows -----------------_...-------------------------- - Date Card B-1 Date Card B-1 -------------- ------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings -------------------- - -- 62. Smoke Detector - --- - - --------- ----------------- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ----------------------------------- - -------------- 64. Bedroom Exiting 65. G.F.I & Bath fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------------------- -------67. Stags & Rails 68. Fireplace or Stove: Clearances -Hearth ..---------------------------------- - 69 Elec. Outlets at Wood Panel. Int. & Ext. ..... ..--------------------------- - ---------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ...... _. - - - - ----------------------------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter ...... . .....--------------------- 72. . .----------------72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper .....------------------------------- ----- ----- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----------------------------------------- ---------------------------- ----- 75. Plb.. Elec. & Mech. Equip. Listed for Location ...........- - - - - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------------ ------------ 7;. Insulation -Foam -Looked in Attic ❑ Yes ----------------------------------------------------------- 78. Guard Rails & Deck Construction -Post Caps ...... -- - ------------------------------- 79. ----------------------------79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - --------- - 80. Following instid.7 Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No . . . ................. ------------------------------- ------------------- 81. Stucco: Brown -Finish .. .... . .......... - --------------------------- --------- 82. A C. Unit: Disconnect: Electrical, Plumbing .. ... ... ... ... ... .....-- ...... ................ - Vents Above Roof: PIbg.-Appliance-Fireplace. -CI earance 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. ----------- -----------------------------91. Energy Compliance Certificate -Other Certificates ---------------------- -- -- - ------------------------- Date Card B-1Date Card B-1 . . ........ ....----------------------------------- Date Card B-1Dale Card B-1 .. ... ... ... .. -- - ---- -- -- - ------ Date Card B-1 Date Card B-1 Comments. at Final: u u 9 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 ERMIT N APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 27_240-066 ZONING A5 BUILDING PERMIT OWNER Wjvj $AMBULA T oN6813 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2725 CRAIG AVE OROVILLE, 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 5-400 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 2725 CRAIG AVE PERMITFEE $ OROVILLE, 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOTNO. SUBDN ION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 11 Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ubl'Ities ❑ Installation ❑ Other �1 Describe Work: OPEN DECK — Mobile Home S G Ew7 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service e00V OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law 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 NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BLOS. ) SO. 3.52 FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET S Ex. Occup. (OUTLET OR FIXTURES) 20 (9 1.00 BAL a .e0 EX. Occup. (oFT�s PES D.) R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall Oorthwith comply tho a provisions. 0 X Date Si nature of ppIa Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction structures over 3 sttories in height. 'BY Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ 109.90 HAZ. D. FEES — IMP FLOOD I COF PARcFAPO HD ISSIJ� 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. atte/14/(o /of PERMITEXPIRESON (Daf ) Receipt No. 262-1 y WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT +•M"ian arw'.� r'T".....�.a_,,..,q.�.+....,�+a.,«.t war-+.'�y�9^'":"'!'q�sFr'�'+V�'�i�'1ii+'VW�d:�"`r�"a,,.-. COUNTYOF BUTTE -DEPARTMENT OPDE-VELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965- TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Ow l �iiyi �G� �� A. P. No. 2_% _ Z(j U " b _6 6 Proposed Building Use CJS Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................ . ............... 2. Plot plans, 3/4 sets, signed by preparer of 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. ....................... . A -3 -,,Flood elevation letter (100 year flog) by California Engineer . ................. 04t Sanitation and plot plan approval lav 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 (copstruction approval required prior to occupancy). .. . . 20. Pre -inspection for required. .. o Build 9 �spetor (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 . ......................................... . 29. Documentation of legal access . ..................... :.......... ..t 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. W en you issue the ermit, process as follows: . Mail to o nr. Mail to contractor. Telephon and hold for pi up office. Deliver with inspector. Other Parcel Creation Acreage �pplicant 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 by Date 8-I If__l Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location Plot Pin Anuba Floor Pin Aftw;W Sem WB.D. —2-27 / `1 - AP# Plan Approved for: Sewage Disposal Water Supply: Vubc Private Well Clearance for bedroom mobile home. Other c, Hold final for: Final clearance O.K. for: NOTE: Environmental Q/(" Specialist 7�y���. Date NOTE: All Materials & Workmanship Shall Be In Accordance with Recognized Good Practices and of a Quality Prescribed for the Specified use La the Uniform Building, Plumbing & MechanicaJ Cedes and the National Electrical Code. p ButteROVED County Ith ntal Heb En'viranme�-� Signature This set of plans and specifications NMT ba - kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of PuWa Works, County.of Butte. bat. -- ALL STRUCTURES AND EOUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF -ALk. EASEMENTS. A 8ET BACK OF -5 FT. FROM THE SIDE AND � S FT. FROM THE REAR PROPERTY LINES AND ►A 5o FT. FROM THE ROAD CENTERLINE. SHALL BE pUBl.�l�6NE CZAR OF STRUCTURES AND EQUIPMENT EXCEPT POR A a Fr. EAVE OVERHANG.B`' � co y 3 WINGEFF; ; h � 7,1.6 L'p-4/C-� 40E ���/C?l�dttlllE CA. FILE Cil) ari- 2-qo-- o6,6 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES [�4 NO[ ]. 2. I HAVE[n HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: Com' PHRE; CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Nr�11E: ADDRESS: • C=:' PHONE: CONTR-CTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to pro,,ide'the work indicated: NAME ADDRESS PHONE TYTE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: ' -sI NOTE: This owner -Builder Verification is required by Section 19331 and 19332 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 6 ASSESSOR PARCEL NUMBER 27-24-66 ZONING A5 BUILDING PERMIT OWNER William Bambula TELEPHONE 393-3292 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5970 Sam son Blvd Sacto 5824 CONTRALTO 'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS 9799 Craig Aveniie, Palermo Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome© Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer j 5.00 Mobile Home S W t0.00e in TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstalIation!k1 Other Describe work: Gas Piping V _ Min Chrge 25 ODE] - 15 0101 5 Permit Fee -- $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business(POWER and Professions Code and my license is in full force and effect. icense No. Classification Rr"ll-, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.6 OR ADONIS. ACC. BLDGS.'/20sgft NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea APPARATUS &) SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES ZD®aoe eAL®30 EX. Occup. OUTLETS (RESI0 IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. INirin 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 f 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 Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 aginst.saio cons que ce of the granting of this permit. Cd Xviiiy , -,"/'-1 Date Signature of Applicant - Owner Contractor ❑ Agent ❑ 9? 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 TOTAL FEE $ 25,00 HAz I CUA PARK I SCHL I FLD I PAR I PD I HD Iss This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees I C R 0 UBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Da Receipt No. �q��$ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF NBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ND PERMIT c� ASSESSOR PARCEL NE —Z — �jjl�� ZONI BUILDING PERMIT OWNER l LL TE E HON w SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILINCI ADD ESS Z!Z J� CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ^� 6P -R1 6 G Permit fee $ PLUMBING PERMIT Filing Fee 10.00 �^ Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL t MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome A Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home GJ W V 10.00 ea 620. 6D TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation[] Other-❑ Describe work: Permit Fee $ -3n.6 Contractor , ELECTRICAL PERMIT Filing Fee 10.00 rA Main service 100 AMP 00V OR ORSLESS 10.00 fp Main service EA. ADD'L 100 AMP 2.50 CONTRACTOR LICENSE LAW 1 I declare under penalty of perjury (Check One): ❑ 1 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 as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.OR AODNS.• 1 // ACC. BLOGS. DWELLING OCCUP.a , �4sgft NEW CONSTR. '.OUTLET NO N.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS a SINGLE OUTLET CIR. Ex.00cup UTLETS o OR FIXTURES .20@030 zAL&30 FIXED Ex. OCCUp. OUTLETS P(RESID )REA.) 1 2.00 Temporary service • 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ 1 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 Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee = Contractor I certify that I have read this application and state that the above information 1s correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s id County in co nce of the granting of this permit. X Date ��' 2� g Signature o plicant – OW 4r VContractor ❑ 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 $ , TOTAL PERMIT FEE $ _ , OCCUP. CONST.T1'PE ecNoo@ FLOOD PAR L I PD H ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. • IREC R PUBLIC WORKS `1,549 BY L�— Dat///e��^ PERMIT EXPIRES Date �� ✓ Receipt No. � WNITE-O.P.W., YELLOW-A7eEe5OR. PINK -INSPECTOR, GOLDENROD -APPLICANT -COUNTY '�?r�tf'r�'f'�:.�.1�%1=.^;�..:.x�.tri+'—T7,;;1`R^.�-:�:.�;.ir'i+„''W`'r�, `�.+�ti.e�'+F�',�1'1•'StZy �! . r�i�l'S+' rev rM” �t� „� iV*�:�``'��•i^ .tY t+,,�,..'� ua`3�/'� t ` 1 i -COUNTY OF BUTTE - DEPARTMENT- 0\\ -`PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,," fiPRNIA 95965 - TELEPHONE: 916/538-7541 �Y PERMIT APPLICATION -DATA SHEET Permit No. OWNER— Proposed Building Use At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items.h ve e:n�subrni •�Qi^rY Plot plans 1-t�e. triplicate signed by preparer of plansv..,0 w 3. Complete Rkans in duplicate. riplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , , 9. Letter of signature authorization. . . . . . . . . . . 10.. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. �- Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) .. 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _15. Improvements may be required. . . . . , , , , , , 16. Mobi lehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Re uired, Building Pre- sg in . pector a request to (Data) ����_ q s Recorded copy of Agricultural Acknowledgment Statement. 9. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). �\ 22. Whenn you issue -the permit, rocess as follows: Mail to owner, Mail to contractor. W,. Telephone and hold for pickup ffice, Deliver w/inspector. Other Appl icant �� ate /� % ^0',G Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted pri r 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---Mai I counter by< date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved byOra Date ZZ' Sets of plans on hold. in File cabinet AP folder Copy—DPW TO Buildinci Department --. FROM: Environmental Health SUBJECT: Sanitation Clearance Owner. Loca ion AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for:. Water Supply Clearance for _ bedroom obile home. Other NOTE** Sanitarian Dat COUNTY OF BUTTE -,Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Phone: 916-538-7541 Attention Property Owner: An 'owner -builder" building permit has been applied for'in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit . will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 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 %l% - . !> - 8 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. RECOR,•=;VG REQUESTED BY .. I: CARL A. GLIDEWELL LORE= GLIDEWELL AND WHEN RECORDED MAIL TO Name F GARY PHILLIPS CARLA PHILLIPS Street Atltlfe55 629 Stimpson Road City& Oroville, CA 95965 State d d• * O 88-018999 Recorded Official Records County of Butte Candace J. Grubbs Recorder 8:02am 14 -Jun -88 �.Rec Fee 7.00 Check 7.00 I r - r t �l r (:-c r i 1 1 BG 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE Deed of Gift This Deed, made the .........twenty-seventh .......... day of ............ May ................... one thousand nine hundred and .. Piggh y. -eight ............. . Between .......... CARL..A. GLIDEWELL - and.-LQRENE . -GL ZDEWI 14L V. his.. wife.,.. as .joint tenants ........................................................................................ ....................................................................... .;.................................... , Grantor and .... ...GARY A: PHILLIPS and. CARLA„Y. , PHILL;IPS,,. i}i s, wife,.. as .............. .........joint. tenants ...................................................................................... Grantee Witnesseth: That -the Grantor, for and in consideration of the love and affection which ........ they...... ha .ve .. for the Grantee, do ....... by these presents gift, give, and grant unto the Grantee, 4TAftXXXXxXXX1m and assigns forever, all ................................................. .................................................................................................................... th at ... certain lot ......: piece .......' or parcel ....... of land situate in the ... Ci.ty...af........... ..... Orovi1.l.e ........................................................................................ County of .....Butte ....................... . State of ... California ............ and bounded and described as follows: All the real property described as a portion of Lot 6, Block 132, according to that certain map entitled "Subdivision No. 3 of the Palermo Citrus Tract", as filed for record in the Office of the Butte County Recorder on January 2, 1889, Butte County, California, and being more particularly described as follows: All of said Lot 6, Block 132 according to said map. EXCEPTING THEREFROM the easterly 330.00 feet, measured at right angles to the east line, of said Lot 6. AP NO.: 27-24-31 (a portion of) Together with the tenements, hereditaments, and appurtenances thereunto belonging or appertaining, and the reversion and reversions, remainder and remainders, rents, issues and profits thereof. To have and to hold the said premises, together with the appurtenances, unto the Grantee, KOAXXXXXXXXX R� and assigns forever. This doc rmem is only a general tom which may be proper for use in simple transactions and in re way acts. or is intended to an, as a substitute for the athn a of an ahor". The printer does rot make any warranty. either express or implied. as to the legal validity of any provision or the sunabihty of mese forms in any specific transaction. !R 47 DOCUMENT r 7 eL In Witness Whereof the Grantor, •ha . ve ......... hereunto set ..... thei.r....... . .. . .. . ... . and s .... the day and year first above written. Signed and Delivered in the Presence of b- an a �J Q STATE OF CALIFORNIA On this .........�.............. day of...... /� 1n the year Q�,,, ss, �?�...... COUNTY OF . '!"�!�'�........ ................................................... . before me, ..... a NotaryPubli , State of California, duly commissioned and sworn, perpnally appeared ..C.��� , . ,� •c`l .���.� 1 (� ......Lc ry\c ...... ........................... personally known to me (or proved to me on the basis of satisfactory evidence) to be c`t' V the person...S whose name................................................. . OFFICIAL SEAL ' PATRICIA ANS subscribed to this in.. instrument, and acknowledged that ......he �...... executed it. .: 4• r fes' rMAV I= • a IN WITNESS WHER OF Ihave hereunt set m hand and affixed my official . BUTTE C;JUIM ( in My , a0ur ar. L IM seal the ..........� .........� ............. County of .................LSC .............................. on the date set forth above in this certificate. OFFICIAL PATRICIA ANN I I IL ANKS OWARYPuBUC'CWFORHIA Notary Public, State ' ifornia BUTTE COUNTY MI eomm¢vM e-P4- S.M. 1. 1990 My commission expires !R 47 DOCUMENT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMEN'., FOR RESIDENTIAL DEVELOPMENT .A Sect i.on 26--8.1 of the Butte County Code requires this acknowledgement be recorded - prior to issuance of a building permit.' The property described herein is adjacent tree J. (�`mbbs; Cle-tRecordw to ].and or included within an area zone COMP ['or agricultural purposes, and residents 4N41 pav of this property may be subject to incon- veniences or discomfort arising from' the use of agricultural chemicals, including, but not limited to herbicides; pesticides, p �i and fert_i.lizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, It ` spraying,pruning, and harvesting which occasionally generate dust; smoke, noise, and odor. Butte County has established cigr i c I Lural zones which have as a ,priority use for productive agricul:tur.al purposes, and rvsidrnt:: within sa i.d zones and on adjacent property should be prepared to accept -such i i c raven i c iicv or di.sconform from normal„ necessary .farm operations. , A All that. real property situate in the County of Butte, Stat.e. of: California, dcscrihc•cl ns follows: _1' All the real property described as a port�ioti of Lot 6, Block 132, according.to that certain map entitled "Subdivision No. 3 of the Palermo,Citrus Tract", as filed for recordiitn the Office of the Butte County Recorder on January 2, 1989, Butte County, California, and being more particularly described as follows: All of said Lot 6, Block 132 according to said map. EXCEPTING THEREFROM.the easterly -330.00 feet; measured at right angles to the east line,, of said Lot 6. Date: /� ��� AP NO.: 27-24-31 (a State of County of GENERAL ACKNOWLEDGMENT FORM 32 Rev 2/86 portion of) PROPER'T'Y OWNERS: J- I I the of ""`�`` 19 ick Vl the undersigned Notary Public, personally appeared G &r y vt U 1 t t yoS "5� , before me, �( I�tll�las b'personally known to me 13 proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is (are) c- subscribed to the within instrument, and acknowledged that executed it. Q�} p , Return•Lo DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 8'ET ` 3.6 5 9.5ti. J..: FOR RESIDENTIAL DEVELOPMENT Secti.on 26-8. 1. of the Butte County,- Code requires Lhis acknowledgement be recorded prior to issuance of a building permit. The' property .described herein is adjacent to land or included within an area zoned 88-038595 I Rec Fee 5'.00. .for agricultural purposes, and residents Cash 5.00 - of this property may be subject to incon- _ ; veni.ences or discomfort arising from the Recorded .: Official Records' I ,• `'• use of agricultural chemicals, including, County of, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit CandaceuJteGrubbs PARTY SHOWN of. agricultural operations' including, Recorder,i _ 4 but not limited to cultivation, plowing, ;`9 =21am=14-Nov=88= Ir spraying, pruning, and harvesting which JJJ occasionally generate dust, smoke, noise, and odor. Butte County has estab] J shed ;igr i cu I Lural zones which have as a priority use for productive agricultural. purposes, ;..incl rvsidc:•ni within said zones and on adjacent property should be prepared to, accept such incOnvc"iiic.•nrr or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of: Cal.iforn:i'�i, tic?tier i bed is follows: All the real.property describedoas a portion of,Lot 6, Block 132, according to that certain map entitled;"Subdivision No. 3 of the Palermo Citrus Tract", as filed forrrecordi:vm the.�Office of the Butte County Recorder on January 2p 1989, Butte County, California, and being more particularly described as follows: All of said Lot 6, Block 132 according to said map. EXCEPTING THEREFROM the easterly 330.00 feet; measured at right angles to the east line „ pof said Lot 6. Date: AP NO.: 27-24-31 (a. portion of PROPERTY OWNERS: On this the day of 19 , ,bdfore, me, the undersigned Notary Public, personally appeared State of. ), SS. County of ) E] Personally known to me. [:] Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s)_ subscribed to the within instrument and acknowledged Char. executed the same for the purposes therein contained. I.N_. WI'I'NI?SS- WHEREOF, I hereunto set my hand and official. seal. Present A.P.• No. Notary Public Jd h. , , R h State of County of the d of I Y "� �"'v`` 19 D U , before me, Aa o- I I the undersigned Notary Public, personally appeared o' personally known to me 13 proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is (are) Com- subscribed to the within instrument, and acknowledged that executed it. WF-NE,SS my hand and(o-fficial seal. ,\ nature from �@ p, settlack on s and a setbaco prop �� from the road of 5 shall be clear of c cent rline m®nt oxc@v U uses or equip stry eaV , overhang— d h+5 for 2ft, 6`°rs \�°�v COP o0o�\e ��ok k kre r\rd 0C o e c�\�I b bre a\{ \erode. 0 O obi R 5 O ` Q SQ. FT. AAiNI �L4At\ D,\" 1 i� FOR I%P%OEIL S' a ftssf a 1pl rite! sped1flea¢i®ns A VST b, cept on the irL, rot all tinges and it is uMnwfil +c hake am► or alter ,, icons on some wifhou9 written permission from fhe Department of P_H* 'AI"s, Gwally of DO & NOTES=AA Mcterials & Workmanship Shall k 1� Accor;Janco wieh Recognize:; Good Pro,-jtIo@s wO . ®f a qua!'.:,-?, prescric"' fog• tho S ac€flo ! :;fie In 'r' € j Uniform Bui;airg, PIUMIjing. & Mec arfical Qedel a" she National Electrical Code. / 09� - y ICOUNTY OF BUTTE - DEPr'AIRTMENT OF PUBLIC WORKS 7 County Center Drive - Oro%ill%, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 19.1- 0 V / ASS SOR PARCEL N MBR ZONIN ✓ `(J BUILDING PERMIT o N R I vn a TELEPHONE e 9 SO. FT. OCC. BUILDING VALUATION ()�NE�i'S MAI G ADORESSO ) goC fo 93_ ^ // K CONT CTO 'S N ME W TELEPHOO-NE CONTR C O MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ << (J1 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ a ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 a (L © Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.0Oe TYPE OF WORK New ❑ Addition ❑ Re_mode1 ❑ Uti lities ❑ stallationx Other ❑ Describe work: �� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BuslneSS 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 oR ADDNST ( DWEACCLLIN GS.C1U1.&\ / 21/2Qsgft NEW CONTR. MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES 20®50t eAL030 Ex. Occup. our ETS PRESID ILNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iia lities, judgments, costs, and expenses which may in any way accrue again aiounty-n conseque ce of the granting of this permit. n� a s tq 9 X `J( Date — - Contractor ❑ Aga ❑ Signature of Applicant Owner An OSHA permit is required for excavations over 5'0" deep and demolition or construct- n of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE n TOTAL FEE $ ©!/ ALSCH HAz CUA PARK �" F PAR/1PD HD Is This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRE :TOFYOF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. p WORKS Date. LR.:ec:e,ptNo. W.. YELLOW -ASSESSOR. PINK•IN9PECTOR, GOLDENROD -APPLICANT =-_ COUNTY OF BUTTE - DEPARTMEN "F^PUBLIC WORKS - BUILDING DIVISION ti 7 COUNTY CENTER DRIVE - OJ LCe7_-ALIFORNIA 95965 - TELEPHONE: 916/538-7541 1� v PERMIT APPLICATION DATA SHEET y ' Permit No. OWNER�Aa � A.P Proposed Building Use ,�%/b� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 All items have been submitted . ................................. 2. Plot plans inuplicate riplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ....................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 6 Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation I instructions........................................................ 10. Fees of $ `........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................. 13. School Dist i t fees paid .............. Sanitation approval from/��2�/ rT - Health Department City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (constructi,oii approval required prior to occupancy) 20. Pre -Inspection for / required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... t� 24. Recorded copy of Agricultural Acknowle gment Statement ........ 25. Letter of signature authorization 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted p�'or t 1. Index permit for above items No. 2. Additional items required: Date it issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---jnail_counter by .date Contractor, designer, owner, wa4'advised of above required data by —phone _maiI—counter by date Plans checked by x0/ Date > 4 Plans approved by� Date _ Sets of plans on hold in . File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental -Health SUBJECT:. Sanitation clearance Z-7 Owner Location U Plan Approved for: Sewage Dispos . al Hold fin al for: Final clearance O.K. for: Clearance for �bedroom mobile home. Other NOTE AP# Water Supply Water Water Supply Water Supply se(nitarisin—_ 0 Date COUNTY OF BUTTE - Department of Public Works_ 7 County Center Drive, Orovil.le, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement {yes or no) • n 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name y 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 116mber Date -1118- /qc) 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. rz) . ....... . . . . . tp tp -n 3:74 0 F= Z m ul, Z - 7z ink, .70 to 23 CD 7,1 7f CD Cm Q- 7 MOBILEHOME SUPPORT DATA iIf other than single wide Mobilehome Mfr. P,�furnish SetupModel No \' . / v:y C C Year cS 7 j Width!`_(ft,) gox Length% (ft,) Tagalong or Expando Size _/ ft. x ft. On all mobilehomes manufactured after October 7, 19731 furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) �1. Wood -pressure treated or foundation grade. 2. Other (specify) .� SUPPORTS (check one), Concrete block. a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE L1nLln Line .MULTI f Line 1 Lin, 7 Main Beams — — — — — — _ — — • ins 2 Main Beams .•,� — — — — — ._. — — � — .� � � .ane ne 1 . Line ! Tag or Triple i '�. Line 1 Line 1 Piers: -Size-Min - Size -Min. ------------ ..x v' Spacing -Max. --------- From Ends-Max.------- ------ -Size-Min.------------ Spacing-Max - ---------_-Spacing-Max.------_-_ , From Ends -Max .------_ Line _LRoof Loads: Size -Min ----------:__ Location (From Front) Line 4 Piers: Line 1 Openings: Size -Mia. ---------^-----__� 'k Each Side of Openings With Width Over-------- 4 u Line 3 Piers: (Under Bearing Wall Only) Size -Min.--___•________-_._ Spacing -Max.--------------- From Ends -Max.------------- ,• G Size -Min ------------ . Spacing -Max. -- 7 'k From Ends -lux .------- - Size -Min.---------.._ location (From Front) Line 5 Piers: (Under Bearing We is U Size -Min.------------------ ' Spacing -Max .--------------- , From Ends -Max. __ i W BUTTE E COUN t1 SUILDJNG DEPARTMENT APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: Alm 5. 2. Installer's Name: -e a":;, Amps 6. What is the mobilehome site service rating? ------------- 3. Is the site currently under a H J`✓U Amps P permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? . Yes �` No F-1 (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes F -q. No F-1 (If no, clarify (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas ipe size? -------------- ��� (in.) W6M.TT X,,e�.q D "FOV—S 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- / -.27 l (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- �.� L� Amps 7. What is the mobilehome site circuit breaker rating? ----- J`✓U Amps P 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas ipe size? -------------- ��� (in.) W6M.TT X,,e�.q D "FOV—S 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- / -.27 l (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) AP# -V0 OWNER PERMTT�kb-�O� MH UT IL. CLEARANCE DATE I Dk- INSPECTOR ELECTRIC GAS Support Struc.. Compaction Test -Req. .vice .e Other Load T e Pipe Size Len th YES NO YES NO COUNTY OF.BUTTE - DEPARTMENT OF PUBLIC. WORKS 7 County'Center Drive, Oroville, CA 95965 PHONE: 916-538-7541- William 16-538-7541 William Bambula 5970 Sampson Blvd Sacramento, CA 95824 Dear Mr. Bambula With reference to the above subject: XX Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form RE: Mobile home 192-90/ A.P. # DATE 1/gzlgn installation permit appin 27-24-66 Mobilehome Utilities Installation Sheet — Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced OTHER / xx We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of'$ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. XXX Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico XXX 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. /—VXOTHER Complete mobilehome installation sheet nrovidp marriages line infnrmntin.,, including pier size, loading, spacing directly rPfesrring to Mndpl Nn of mobile home. Should you have any questions concerning the above, please contact Da✓P_ t1),g5lN� of this office. Yours very truly,. JFG/aj William Cheff Director of Public Works i�J.F. Glander ~ ' Chief Building Inspector VA PLANNING DIVISION -BUILDING PLAN APPROVAL Use: -Date: Parking: Landscaping: Other: Signature: WA rt olo ll T_ 666 vl\ . C_S v � h 3 � rt olo ll T_ 666 vl\ . C_S U131M fiCkS, i MUNDA of OUTUNt OF MOtILZ caum r� r PLA JOUBLE WIDE MOBILE COACH Scale: I" - .10' FOR MORE THAN TRIPLE WIDE UNITS. SUBMIT 1AYOUT TO THARP & ASSOC. FOR APPROVAL. STANDARD FIER & FOOTING SPACING PER MOBILE HOME MANUFACTURER'S INSTALLATION MANUAL n n n 93 MAX TUNE HEIGHT 193 N' SHORT IUK "MON 2' DIA 4 - 3/4' �V4"0.1 T. 71wJAw rhm 009DDRAWNLOW CAUMWILDANi L AL M NTALM/ 01410 1% pd47JUM0 NAU • SCAM BIM AU TO W PRO MC17Vt OOA7= n n TO 100 i o N Ep A"IOVW MQMVMJW AND OVAL U UNTSD AND tAlOW BY CUMT1><D i1 M40 AND COW LTIM 2 - 3/1' x 10I OL T S Du tiRvx=(KIm1OR''THSPo�O'1ARN1lIIOADB: FIELD DRILL HOLES ,ice, � I 1 C N 4 - 414 TEX STS COACH C muic PICRs • /OUNDAPAa I OR J IIE A14 9 7. u 1 / 4' x 2' x 4' 3' x 3' SINGLE HIDE TYPICAL ANGLE 3' VIDE PLATE PLAN SINGLE LE, COACH SCSI*: 1" - 10" STANDARD PIER A FCf)TING SPACING PER MOBILE `1CNE MANUFACTURER'S INSTALLATION MANUAL M ON1 JU& W tsT7LVA wtoaal= WA 70 POW SOUiW NOR%!. 4 - l/2' !• M ANWIf WUM DIWF R!<NEtAt iRAiNiI<NT (N)1,) CAN OCdJa. MANUPACRUa><O MONY tIlMU Bi DOL T S SC ISNIC t� t PIER . KWWA :INKED W1 & PLA JOUBLE WIDE MOBILE COACH Scale: I" - .10' FOR MORE THAN TRIPLE WIDE UNITS. SUBMIT 1AYOUT TO THARP & ASSOC. FOR APPROVAL. STANDARD FIER & FOOTING SPACING PER MOBILE HOME MANUFACTURER'S INSTALLATION MANUAL ELEVATION NOT TO SCALE W T � 1L PLA -M . AM AM O MAX TUNE HEIGHT �Ni MONiti� N' SHORT IUK "MON 2' DIA 4 - 3/4' �V4"0.1 T. 71wJAw rhm 009DDRAWNLOW CAUMWILDANi L AL M NTALM/ 01410 1% pd47JUM0 NAU • SCAM BIM AU TO W PRO MC17Vt OOA7= I ( x TO 100 i o N Ep A"IOVW MQMVMJW AND OVAL U UNTSD AND tAlOW BY CUMT1><D i1 M40 AND COW LTIM 2 - 3/1' x 10I OL T S Du tiRvx=(KIm1OR''THSPo�O'1ARN1lIIOADB: FIELD DRILL HOLES � I 1 C N 4 - 414 TEX STS COACH C muic PICRs • /OUNDAPAa I OR J IIE A14 0►OIIO ACH COACH 7. C !" 1 / 4' x 2' x 4' 3' x 3' SINGLE HIDE TYPICAL ANGLE 3' VIDE PLATE PLAN SINGLE LE, COACH SCSI*: 1" - 10" STANDARD PIER A FCf)TING SPACING PER MOBILE `1CNE MANUFACTURER'S INSTALLATION MANUAL ELEVATION NOT TO SCALE � Pt 79"k suaw ZOML ..wry 4 n .302f 00 • 3 � : K• 1. THt Dom LiQADM 01" NR OO"411 1W W1M MO13P LM IAAAI WND JAMA AND IMM ZOW At 3/4' THREADED 3/14' PLATE LEGS RRA1ftS�M�1�ORlNtAMR1�1T1wtIR�IOrr<tii1NA %Mt1WA' ROD T rP Or 4 I. TIlM 1�A77QN tNiOfaN� Rf C10N>r1'fl111'R Al�RPiMMR1F1' POIMIL>lATION. 4. AM 11001M AUTO 111 MPMM BY Birt MA/.4./sIM UNDO OONUM 1014 PoaMM AM 5/14' PLATE DWWW POOR 1001 PMP Ti1►M10AD WL MULU AND 01" U COMPATM W1Tlt.•1ACAL BOR. 5/9' X 1 IN' XXT Coal VITH HARDENEQ VASMER !. BTRUCTIIRA[.fi'ILiLt SEISMIC PIER Not to Scale ► NIAI1.NFAtIWAUDZOOBaD TO AMB WWWAMW C.P. SEISMIC PIER#1 - PATENT PENDING A jM"L/1a°u"�"` 0Ri4T0AWt' "'1DN , C'L'w011w• ' NL7N1 � CQACH 1 KAN 3' X 3' PI A TE 1L PLA -M . AM AM 4 - 3/B' MAX TUNE HEIGHT DTZ N' SHORT IUK 14' LONG TUNE 2' DIA 4 - 3/4' SID PIPE T. 71wJAw rhm 009DDRAWNLOW CAUMWILDANi L AL M NTALM/ 01410 1% pd47JUM0 NAU • SCAM BIM AU TO W PRO MC17Vt OOA7= TIGHTEN 3/14' PLATE TO 100 CLAMP IN -POUNDS T(>ROUE A"IOVW MQMVMJW AND OVAL U UNTSD AND tAlOW BY CUMT1><D i1 M40 AND COW LTIM � Pt 79"k suaw ZOML ..wry 4 n .302f 00 • 3 � : K• 1. THt Dom LiQADM 01" NR OO"411 1W W1M MO13P LM IAAAI WND JAMA AND IMM ZOW At 3/4' THREADED 3/14' PLATE LEGS RRA1ftS�M�1�ORlNtAMR1�1T1wtIR�IOrr<tii1NA %Mt1WA' ROD T rP Or 4 I. TIlM 1�A77QN tNiOfaN� Rf C10N>r1'fl111'R Al�RPiMMR1F1' POIMIL>lATION. 4. AM 11001M AUTO 111 MPMM BY Birt MA/.4./sIM UNDO OONUM 1014 PoaMM AM 5/14' PLATE DWWW POOR 1001 PMP Ti1►M10AD WL MULU AND 01" U COMPATM W1Tlt.•1ACAL BOR. 5/9' X 1 IN' XXT Coal VITH HARDENEQ VASMER !. BTRUCTIIRA[.fi'ILiLt SEISMIC PIER Not to Scale ► NIAI1.NFAtIWAUDZOOBaD TO AMB WWWAMW C.P. SEISMIC PIER#1 - PATENT PENDING A jM"L/1a°u"�"` 0Ri4T0AWt' "'1DN , C'L'w011w• ' NL7N1 � TYPICAL BEAM CONNECTIONS Not to Scale If 1,R X: DVCR$IZt i01t CHM/m AMLt 00 CLiRICR MCMfA�. siR' . 1 v4. 1,[N. 1 8• 24- �--- 36 112' -------� ur II yr rtmac tt/dK[it tt([t .Kir► wast x`3.5' PRECAST CONCRETE. FOUNDATION PAD 30'x3i Pl Inill.s Iu� 1/2' Cit. 1G'xi.'4'xJ/4' Pt. YVOOD SCALE: V = 1.5' 3/4' PLYWUOD SHE.EIS crwr..rn IEJGETHER VITn r 1 1/2' FHVS 1 i AL ]"ERNA`I'IVL PLYWOOD FOUNDATION PAD FUEN���� 1. Titt POUMMT M PAD 00iNUPi a1 T10t n AN N A PBIy W OONCRM ilOtW"TtON PADS WS PLY WOOD lOUIFOATftM1 PAD -MAY MMWRD-AN AW>RNA7R Z. 110104DA' "IPA"MAU.JILKwww4w wwtm4mns■•rwr. 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AM AM NOTE, ti 1110 0011MDLTt; i L42 A1'111 A440-A><TN A32S IRO IN -POUNDS IS EQUIVALENT TQ t5 rt -POUNDS T. 71wJAw rhm 009DDRAWNLOW CAUMWILDANi L AL M NTALM/ 01410 1% pd47JUM0 NAU • SCAM BIM AU TO W PRO MC17Vt OOA7= i THtI=AlIDlt100LIUAYtUPIMTASSIMKMW &84ODATIDWfMSHPiMANWKMAMS 01410 1,t A"IOVW MQMVMJW AND OVAL U UNTSD AND tAlOW BY CUMT1><D i1 M40 AND COW LTIM 2 - 3/1' x 10I OL T S tiRvx=(KIm1OR''THSPo�O'1ARN1lIIOADB: FIELD DRILL HOLES OP T l ON OF a 1ATKILAl1 1,700 Bc MAX 4 - 414 TEX STS COACH C b6 V<1MAt.: UtMIMMAX OR J IIE A14 7. THU POUR" 1 N "W FOR PLAOM MANLIFAI."TJRJ<D KnI.111d0/ CM47RUCM WfM LO WIR) WAL OR 1 / 4' x 2' x 4' 3' x 3' CROM JODFP% ANGLE 3' VIDE PLATE % TNS POUNDATM PLAN I109MO D TO>W OMOT RUC'LRD CFI A FAIRLY tZVU KM WITH NO i?fJtT M BOIL M ON1 JU& W tsT7LVA wtoaal= WA 70 POW SOUiW NOR%!. 4 - l/2' !• M ANWIf WUM DIWF R!<NEtAt iRAiNiI<NT (N)1,) CAN OCdJa. MANUPACRUa><O MONY tIlMU Bi DOL T S SC ISNIC RMDJtJf1'l<a W100d .119 tTXM tW# OR WHIN AT WW. 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SPACMO t1IOWN ON TIN PIM AU POR CWHIM WRl1 10 WH AND 13 M DRAW OR It MM PAW OORRIt0A77D NAM 1 ANY OIM S D" HEMI ISNOT TO CAM1 XM MM THAN i.$ F"T Old LACH IIND OF UNR APND aAf.7M0 Ot �W10C PRRIt G1i�1 NO? . P40NDu�'!ON=Yj'1� AMSlAAD &Wy C0K M'10ri =l • ' AI•rRovim St13J!(i' TO CORP.::: '. ;Gh'S. NQ'R!I?4i MlWftDOLSNOTAUtIIOR=ORARROVIMy �J► (�y{L, NttotsMOR ONVYM N FRO,, IMQU=k0M Op 7 A"U4Ni SZ=AAftAMD RICULAT" ' fti'IN .. . . D'M'"r"'t�s�tralwr•itr.u.velrar :a pffC.0mSR'ANDAItDS AWROM b» ZL-oo . ARM- 0 • SF. PATENT N 55953" RENEWAL OF S'CATE SUBMITTAL 30-5F !!tY'ttlON>� �Y 4/12/99 LP 04/14/00 Y W O M Ono 73 R vi U � U CAW (A< � C • 0 u 1 a u p" C H 1,/) n rTi 1 Z_ CU a Np M Fo .� z v oat. 09/Ofm tadN AS Shown cram XT Job 95-36 1 M 1 sm tM ,1� i