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027-270-022
.. ..:rte •=•" 27-27-22 Louis .Roza.. 74 Montana A .,Palermo Permit 1749-77P,E( til.,MH) C ELEC'ap GAS SUPPORT TRUCTURE—REQ COMPACTION TEST REQ. N0 rPermit 27-27-22 #2275-77MHIsued 27-27-22 contr: Northstate Aluminum, Chico Permit #4110-7 B(new''attac-hed awning, & carport'/MH) ,,,;.i 9//17'7 -27-22 i gine storage .hldg. ) X02- MATTHEWS, JOANNA _A,'OROVI 74 MONTAN LLE � .. _ t `. CONT: OROVILLE PRODU + ! EX MH PERM FND EX Sft i34--5' 027.270-022 ;•'a ,,, 02=2868' MATHEWS, JOANN 74�MONTANA,' OROVILLEi4t n Y MiSGk ELECTRIC IOSHED`.�' -� ' . r ' size { t 'r NOTES RESIDENTIAL 027-270-022 02-2770 PERMIT NO. mATTHEWS,JOANN 74 MONTANA, OROVILLE CONT: OROVILLE PRODUCTS j EX MH PERM FND EX SITE THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS _ BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW +_ MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERM ITCONDITIONS SUB -STANDARD HOUSING LETTER A JOB FINALED (Date Signature CHECKED BY J=OK- 0 = Not OK . = Not Readyable MOBILE HOMES' Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date. MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date 1. Card B-1 Date Card B-1 Date 3. Card B-1 Date Card B-1 Date PEab4ANENT END SYSTEM (ONLY) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 7. Zoning Requirements -Setbacks -Easements 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. . Boxes- Enclosures- Panelboards-Ins. to Main Conduit 2: Footings; Size -Spacing- Marriage Line 10. Plumb.; Cir. Test -Water Supply Test 3. Blocking 12. Enclosure; Fencing -Alarms 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Ggs. and Electricity Tagged 10. AA xits License Decals --Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 61(fS. �7i '7 7 . 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 5. Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. . Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /' Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing -RC Channel 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 54. 6a. Hold Downs and Special Anchors 55. 7. Slab, Steel -Wrapped 56. 8. Piers -Fireplace Ftg.-Steel 57. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 58. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test Smoke Detector 12. Electric Underground 66. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Bedroom Exiting 15. Access & Ventilation 68. 16. Insulation 69. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Elec. Outlets at Wood Panel, Int. & Ext. 18. Water Pipe; Test & Anchor -Nail Protection 73. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access Elec. Outlets & Receptacles at Kit. Counter 21. Test Tub & Shower, Second Floor -Tub Access 75. Garage Fire Door; Swing -Landing -Closure 22. Gas Pipe; Sixe & Anchors 76. 23. Fire Sprinkler; Test 77. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection Insulation -Foam -Looked in Attic 25. Elec. Receptacles Spacing -Lights & Switches at Doors 81. 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Clearance Looked under Floor O Yes 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 83. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No Stucco Brown -Finish 32. Service -Riser Conductors & Ground Main Disconnect 85. 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 38. Condensate Drain & Overflow, Size & Grade 92. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 96. 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) Date 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Card B-1 Date Card B-1 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drib Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive D Yes O No/Walks 0 Yes Cl No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75411O. (Rev.12/96) APPLICATION AND PERMIT -2d ASSESSOR PARCEL NUMBER 027-270-022 ZONING IA -c; BUILDING PERMIT OWNER TE HONE _ SO. FT. OCC. BUILDING VALUATION 1440 R 77,76-0.00 OWNERMAULING ADDRESS S P-0- BOX 6419 OROVILLE, CA 95-9-6-5 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation 1$77,760.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 940 50.12 $ 970-25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS *DRESSS /-4 L ! Energy Plan Checking Fee $ $ PERMIT FEE $313.25 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX MEI PERM FM EX SITE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ .00 ELECTRICAL PERMIT Fling Fee 20.00 a00VR LESS Main Service z°.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those pro isions. /� X Date to -® Si ature of Applicant - U Own-e—r-0-'iffontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 NEW CONST. DWEWNG OCCUCUP. SO EL OR ADDNS. ( a ACC. BLDS. 3.50 ROµq°ESID. T. MULTI -OUTLET @7,50 6 OUTLET CAR. OWELER APPARATUS Ex. OCCUp. OUTLET oRF°cruREs 20@'.0° BAL @ .50 Ex. Occup. OFUTtEEDTSA Ra D E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 P,, _ tinn PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee Is occ corer. TYPE TOTAL FEE $ 363.25 HAZ. D. FEES IMP FLOOD CDF pARCE D ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By ; PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. A r D e �Sd3 Date ReceiptNo. WHITE-DD.S- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7, County Center Drive • Oroville, California 95965 • Telephone (530) 538-75�� ,7,PERMIT No. (Rev.12/96)' APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER. -7 ^2_7 0� O ZZ 20NIN0 - / C/. J BUILDING PERMIT OWNER �(^ TE o / f Sq FT, OCC. BUILDING VALUATION OWN, ILWQ AOOR ! / �� li • \� (� - / COM CT UNAME (/��( - TELEPHONE M Y V LCONSTRUCTIONLENDER U TI —_ CONTRACTORS MAILING ADDRESS _ Total Valuatlon Is LENDER'S MAILING ADDRESS Main Service Malrl'S@NICs ARCHITECT OR ENGINEER --' 23.00_1 46.001 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fees Plan Checking Fee—_ Energy Plan Checking Fee BUILDING ADDRESS 7 11 1 LOT NO. I SUBDIVISIONS NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome k7other TYPE OF WORK New ❑ Addition ❑ R odel P Utilities ❑ In Ilat Describe Work: %I S Iw *PERMIT FEE PAlD SRA • SHERIFF OTM AMOl1NT RECEIVED LICENSE NO. PARCEL MAP *IATKIEWTW IM '_S63`206 * TO iE wr Zwo wwvm Receipt No. _ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Fireplace PERMIT FEE / Total Valuatlon Is I Fling Feel 20.00 Main Service Malrl'S@NICs Filing Fee --' 23.00_1 46.001 T— 20.00 Permit Fees Plan Checking Fee—_ Energy Plan Checking Fee $ $ ----�-- -- ULTI-OUTLET I $ PERMIT FEE S` Ex. Occup. PLUMBING PERMIT 2a p I.W BAL @ .SO. Filing Fee 20.00 Each Trap 5.00 7.00�— Solar or heat pump water heater Mobile Home Facilities 23.00 Misc. Wiring Water piping _ 23.001 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 1 5.00 f Building sewer 15.00 Mobile Home I S I G I W 1 1 920.001 PERMIT FEE 1 $ MECHANICAL PERMIT Fling Fee 20.00 Heating _ Cooling 1 Hood 6.50 Ventilation PERMIT FEE I S ! Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 3 6 P— 1 HA2. D. FEES IMP FLOOD COF PARCEL PD I HD ISS UE -- �_ This permit is hereby issued under the applicable provisions ; of the Butte County Code and/or Resolutions to do work i indicated above for which fees have been paid. 1` By Date I I PERMIT EXPIRES ON (Date) PERMIT FEE S K ELECTRICAL PERMIT I Fling Feel 20.00 Main Service Malrl'S@NICs eoov OR LEss 200A OR LESS 200A TO IOOOA --' 23.00_1 46.001 NEW CONST.` OR ADONS. DWELLING OCCUR & ACC. S. 3.5cSO ----- Fr. I NEW CONST. NON-RESID. ULTI-OUTLET I @7.50i POWER APA RATLS & SINGLE O CIR. Ex. Occup. OUTLET OR FIXTURES 2a p I.W BAL @ .SO. EX. OCCU FIXED APPt 4S, OR OUTLETS RESID. EA 5.00 Temporary Service _- .00 Mobile Home Facilities ft 20.00 Misc. Wiring f _ 23.001 PERMIT FEE 1 $ MECHANICAL PERMIT Fling Fee 20.00 Heating _ Cooling 1 Hood 6.50 Ventilation PERMIT FEE I S ! Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 3 6 P— 1 HA2. D. FEES IMP FLOOD COF PARCEL PD I HD ISS UE -- �_ This permit is hereby issued under the applicable provisions ; of the Butte County Code and/or Resolutions to do work i indicated above for which fees have been paid. 1` By Date I I PERMIT EXPIRES ON (Date) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 r PERMIT APPLICATION:DATA SHEET OWNER: f ti' e � ASSESSOR PARCEL NUMBER O�� Proposed Building Use: 4I_ql rill) Counter Technician: cj_ Date: Q t/ Items required in order t6 apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signedAy the preparer of the plans. 2. omplete plans, 3 or 4 sets, signed by the preparer of the plans. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The -permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) r A14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... _ ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. _ ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in _ ❑ 17. City of Chico Plumbing permit......................................................................... _ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... _ ❑ 19. Planning approval for (A) Use: (B)Parking: . (C) Parcel Check: _ ❑ 20.; Contact Land Development about ❑ Improvements, ❑ Drainage ............................... _ ❑O23Cocntractor's roachment Permit fo drive y from the P blic Works Dept. (construction approval prior to occupancy). _ Inspection form (-} C'/,til required ................ _ license in oormation. (Number, Name Style, Classification) ...................... _ ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. _ ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... _ ❑ 26. Letter of Signature authorization.............................................I ..................... _ ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... _ ❑ 28. Manufactured home utility clearance............................................................... J . Existing violations a6d/or expired permits ........................................... _ L� 3e . ftats ettt�o F�askc-f�"T:eN�r-frnYh-i oal'CS�aPr C_h n G.T �tZ When issued Telephone hold for pickup. I have been informed of the above items and equirements for obtaining a building permit. ` Applicant: Date: 1. Index p6rmit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owneL was advised of the abo e d a by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: - Date: 'Z-- Plans approved by: Pn Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Buildine Division 0 WNER-BUI OWNER-BUILDER VERIFICATION �I Anencion Property Owner: An "owner -builder" building permit has been applied for in your name and bearing , Please complete and return this information at your earliest opportunity to avoid long in processing and issuing your building permit. No building permit will be issued usual his verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 0 NO 1 2. I HAVE IV HAVE NOT 0 signed an application for a building permit for the proposed W=L 3. I have contracted with the following person (firm) to provide the proposed eonststretiosi: NAME: ADDRESS: CITY: PHONE: COiV MACTOR'S LICENSE NO. A. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: ' NA1vlE: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contacted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: _ PRO RTYOWNER: S0CI_ .L. SECURITY N Nt MER: DATE: .10 6 L! --O �;Z— NOTE: This Owner -Builder Verification is required by Section 19831 and 19U2 4VAt California Health and Safety Code. This verification mast be tonVI Md aid returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION An application for a building perrrit has been submined in your name listing yourself as the builder of pn)pmy improvements specified For your protection. you should be aware that as "owner -builder" you are the responsible parry of6c= ansnch a permit Building permits are not requited to be signed by property owners unless they are persoaslty perfocmio6 Ibeir own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work. with the exception of various, trades that you plan to subconsract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family. and the work (including materials and other toss) is $300 or more for the entire project, and such persons are not licensed as contractors or subcoreactors. then you may be an employer. If you are an emplover, you must register with the State and Federal Governments as an employer and you are subjecr to several obligations including *state and federal income tax withholding, federal social severity taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious With resoect to worker's compensation insurance. ♦ For rnere sceciric information about your obligations under Federal Law, contract the Internal Revenue Service (and, it you wish, the U.S. Small Business Administration). For more specific information about your obligations under Save Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. Ic the saucrure is intended for sale. property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed conaactor or subcontractor, only tinder limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building pernit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 10.0 N Street, Sacramento, CA. 95811. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. NiI rely, clic el C. Vi ira, C.B.O. t ger, Building Inspection NOTE: Tera Owner -Builder Information is required by Secdon 19814 oJrhe Calijonrly Xeallh and SaJery C4"k OVER PRE -INSPECTION REPORT wIVER: 0>ATE: l 0 . c s LOCATION: � ( �(O/���vl Gi Oro AP. #_ d0-Z?a QZZ CONTRACTOR: e U r ( (Clell,o`� �t C��.� ZONING: PRE-INSPETION FOR:—M fi-/ �r/t-, - /j(l DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE ( ) AS FOLLOWS: Building Description: Electric: ResidentialM of Units:_L"�/T Currently Occupied Abandoned(Vacant Yes No Condition of Electric BUILDING QYSPECTOR•S REPORT Electric currently On / Off Gas: Natural Propane ,:./Nonc Currently On�ff Obvious Problems: Sanitation: / Plumbing Working / Well Working / Obvious SewageProblerm Comments: A X; Potable Water AMOk-RECOMMENDED: LSSUE: HOLD FOR 24 07 T -s Inspecto Dat e-� D ' 6 Q _ Sketch buildings on reverse and indicate location on p'ropert_ Mme. s- -•' 'Vy�l -� . _ :�,J.. fir_ _ -.r —.—X -M s g C �L? COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 19_2-7 X76 OWNER P€RVIrMO, A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is s completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 7 REV -10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7s„ounty Center Drive • Oroville, California 95965 • Telephone (530) 538-75 1 PERMIT rlo tRev.12/96) . 4. APPLICATION AND PERMIT 7 ASSESSOR PARCEL NUMBER _2_,70�0 ZZ if 20NIN0 - BUILDING PERMIT OWNER �� rE o/ l/ SO. FT. OCC. BUILDING VALUATION OWN ---�•j—g�FII�IUM gADO � L / ( ' — -- COtrt MCTUNAME TELEPHONE CONTRACTORS MAILING ADDRESS - \ 7 ' CONSTRUCTIONLENDER , I�Q Y-\ . YU o Y I - ---- LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHRECT OR ENGINEERLICENSE NO. Filing Fee $ 20 OC Permit FeedW!&= Plan Checking Fee $ �s $ ARCHITECT OR ENGINEERS MAILING ADDRESS _ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee I 20.Co USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each Trap 7.000, Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.001' TYPE OF WORK New ❑ Addition ❑ R odelP Utilities ❑ In Ilation ❑ or ❑tBuildin [ ( [ Describe Work: �t S ( � K( ['PERMIT Gas piping system 1- 5 outlets --- 1 5.00 sewer 15.00 Mobile S G W Home Ia20.00i ---- FEE $ ELECTRICAL PERMIT Filing Feel 20.00 Main Service eoov oR LEss--- zo.A OR LESS 23.001 - *PEPAIT FEE PA10 s Sn A � SHERIFF OTHERPERMIT ItAIIMW RECEXWb wft� NV A TO m rvr zwo comim Main -Service 200A TO I000A 46.00' NEW CONST' -•`DWELLING OCC.SO! OR AODNS. �.. & ACC. EILDS. 3.5OFT.L_- NEW CONS '. ULTI-OUTLET �O 7.50'• NON-RESID. 1 POWER AP MT Us I .. 8 SINGLE O CIR. Ex. Occup. OUTLET OR FORUR 20 1.00 IBAL © .SO ! Ex. Occup. OFIX APP .GEA 5.00 _ Temporary Service 00 Mobile Home Facilities 20.00 _ Misc. Wiri 23.00 _ -- FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Coolingi Hood 6.50 1 Ventilation _ PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPEZ TOTAL FEE $ 3 HA2. 1 D. FEES I IMP I FLOOD I COF I PARCEL PD I HD (SS: This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date Dete Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �+r =' �..y , •� 27-27-22�. Louis Roza 74 Montana A .,Palermo Permit1749-77P,E( til.,MH) �+ R' ELEC 4 s GAS SUPPORT TRUCTURE—REQ:_ COMPACTION TEST REQ.27-27-22 J Permit #2275-77MHI 9�j1J 7 Issued f7� ?7 ]"'�"�./ 27-27-22 • Northstate Aluminum, Chico conte Permit #4110-7 B(new--aattached awning, & carport/MH)� --- - -27-22 _ estorage bldg.) i i' H - '' ', �.. 4' '' r 'y, • -i- ' .' .. .1 feu .. ,. • a kW !74 F(s4 = ---------- �0 9 -A'�,u IJk� ki, V&u-�r Zp �/ Yeoo-T 4pp1; ��Q �vr 2lec t �p er-s•+if 0 7 , 2 L4 AV - A c •ETI � � : , k r •9 2'°x 2"x 3/1En 9 STEEL ANGLE W CL O N coW a r m N u-� m co M N m N CD m N LD m CD DETAIL "A" CHASSIS FRAME 4/4' GRIPPER PLATE (2) REWIRED 1/1' GRIPPER SASE 1/2-13UNC-1307 x 4' BOLT WITH HUTS (4) REQUIRED it 1/2' SCH 40 PIPE RISER WITH •1/2' ADJUSTER HOLES AND 3/8' THICK TOP PLATE I2' SCH 40 PIPE STAND WITH TWO 03/2' AD.IUSTER HOLES ABESCO ABS PAD #503 STEEL FRAME SFf DETAIL "A" 3/9' CAD FLATS GM. NUT S: W SN£R COUNTER BORED FLUSH WITH BOTTOM AT 8' O.C. (e) REQUIRED 1/4" STAND BASE I— ABESCO ABS PAD #503 / 36' AX TO BOTTOM OF PAD /1/2"x 3' C.R. LOCK PIN WITH • 1 /8' BRIDGE PIN MISS OR -��� _ its ^QACH 'C' FRAME 2' CHANNEL 1/4"x1-1/4"- TEK STS (2) REQUMED 1/4' GRIPPER BASE 1/2' A307 BOLT (2) REQUIRED 3/8'x 6'x 6' STEEL PLATE 1/2" A307 BOLT (2) REQUIRED 1 /4' GRIPPER PLATE 10.00-1 c o. 10.00 L,xo, 09/16 HOLE (TYP) STAND BASS TOP VIEW Cs�''G.? I li ,; i• TUF-1 PERMANENT FOUNDATION SYSTEM ABE,SCO-GUS GUARD COWANY 5851 FLOM - PERKM ROAD 3ACRAMEWO, CA 45823 PH: (800) 382-8831 FAX: (916) 383-5207 r —B AM ATTACHMENT COACH 'J" FRAW 1/4'x1-1/4" TEK STS (4) REOUIRED J-8 AM ATTACHMENT 1/4' GRIPPER BASE 1/2' A307 BOLT (4) REQUIRED $ $ g' 1/2' DIA. HOLE (8) PLACES 30 STEEL FRAME TOP VIEW STATE APPROVAL G�4. LK;ft Q 5 •� U O WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 1 o' 3 C. GENERAL NOTES GUS GUARD TUF— E I. DESIGN LOADS: LIVE LOAD - 30 L.B. FLOOR LIVE LOAD - 40 PSF WIND LOAD - BO MPH EXPOSURE 'C" SEISMIC ZONE '4" *SNOW LOAD 100 PSF (SEE NOTE 115) ?. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SNALL' BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE NOME INSTALLATM INSTRUCTIONS'. 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4'. OR WITEN IT WILL ADVERSELY AFFECT MOBILE NOW£ UNIT. 5- CARRY ALL FOOTINGS DOYEN TO FIRM. UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1.000 PSF TOTAL LOAD SOIL PRESSURE. AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED 10 FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL- FABRICATED ACCORDING TO RISC SPECIFICATION. .WELD ADCORTNNG 10 AWS SPEGFICATIONS. ELECTRODES -370 PLATES -ASTM 436 BOLTS -SAE GR 5=AS1N A449=ASTM A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND AS90GATES FOR THE FOLLOWING LOADS: ALLOW LE LOADS: HORIZONTAL VER"CAL GUS GUARD TUF-1 2200/ 6000/ GUS GUARD MGP PAD 2200/ 6000/ GUS GUARD E-2 TIE PAD 2200/ 6000# 13. DURING PRELIMINARY INSPECTION, THE ESTIYAIOR SHALL ENSURE_.•:. - MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFTFEED TO RESIST SEISMIC FORCES BY ' w RMALLING GUS GUARD TuF-1 UNITS AS SHOWN ON THIS PACE OF TYPICAL ;S FDUMBATm._.pL,Am& 10. RIE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF R.00DINiG DOES NOT EXCEED WILE HEIGHT OF THREE FEET. 16. FOUNDATION BLOCKS 16% 16'x12' POURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) -- I - S 5--+— -5 E� ❑ ❑ RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER a 0 (TYPICAL) n ❑ ❑ El ❑ 0- ❑ ❑ ❑ n 8' NOM. LJ 2' NOM. ❑ ❑ PADS IN ANY PAIR MAY BE STANDARD M.K. FOUNDATWN ROTATED 90 DEGREES OR ' PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE AVOID CLEARANCE PROBLEMS. ENGINEER- TYPICAL THROUGHOUT SUPPORT PAD (TYP) t 1. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED ti c,:,•, $a ;` u THE NUMBER OF TUF—i UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. ' (SEE SHEET #3) ' !c OF 13. ALL METAL -COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EX(STANC£. PAD IS NOT REQUIRED.. ANCHOR STAND TO CONCRETE SLAB WITH FOUR (4) 1/2% 3 1/2" EXPANSION ANCHORS. 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED WITH EXISTING STANDARDS REQUIRED BY COACH MANUFACTURER OR REPLACE THEM ON A ONE TO ONE BASIS. TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMEPM, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL H z c � E- o u< 1 r.a O Q cu j WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3 IV w Q Q_ V U) w m Q r m N u, m CC) m n m m N m m N LD ED LD m 1/2-x 3 1/2" 1/2'x 8" LONG (4) REQUIRED EXPANSION ANCHOR ANCHOR SOLT 3/8- CAD PLATED BOLT. NUT & WASHER (4) REQUIRED (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM AT 8" D.C. (8) REQUIRED 1 15, �1. r CONCRETE PAD INSTALLATION 1 1 ! POURED IN PLACE 16x16x12 CONCRETE 1r ,r FOUNDATION INSTALLATION 1 CHASSIS FUME LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION • 36" MAX MULTI -1r= Q1+RlS BIIiGIB mm UN1T5 1/4" GRIPPER PLATE . • TO SOT10A1LIENOW -0 (2) REQUIRED OF PAD • 1/4" GRIPPER BASE 01/2"x 3" C.R. 1. 1/2-13 W,TH3NUTS 4" LOCK PIN WITH Drl NUMBER OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED SOL(4) REQUIRED PIN 1i1�lE; SINCLE WIDE UW REQUIRE (4) E-2 TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACM AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL. 01 1/2- SCH 40 'PIPE RISER WITH 01/2- ADJUSTER HOLES AND 3/8- T HICK /8'THICK TOP PLATE ILL TATE APPROVAL 02- SCH 40 PIPE STAND WITH TWD ) /1/2" ADJUSTER HOLES+~ ASESCO ABS PAD #503 STEEL FRAME r =w 'z- ;�. o a .� A < Ca !� < o J 1 37' TUE-1 PERMAN ENT R o C 's z FOUNDATION SYSTEM w CIDy I e 112" ASESCo.OUS GUARD COMP,a Y �' q S85] FLOWN - PERKM ROAD SACRAIvlF NM, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 3 of 3 OF H011E 24 YFI THD 26 HOME 4a LIP To 44 a a a 1 u-1' to 12 12 12 la W-1" b 10 2t1 24 1 H OF HOME 10 WI HOF 12 HOMi 14 16 UP TO 4< 6 6 6 6 4a -1 to b6' s s a s W-1" b 10 16 10 10 . RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 01-Hov-2002 2002-0059022 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JOANN MATTHEWS REAL PROPERTY OWNERAMSOR PO BOX 641 MAII.ING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 74 MONTANA INSTALLATION MAII.ING ADDRESS, IF DIFFERENT OROVELLE BUTTE CA 95966 CITY COUNTY STATE ZIP UNIT OWNER (if also property owner, write "SAME') SAME MAII.ING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAMING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 02-2770 (530)538-7541 B . PERMrr N0TELEPHONE NUMBER IGN OF LOCAL AGEN CL --L DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. MERRY HOME 1977 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER S794A/B .60 X 24 045877/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNLNLABEL NUMBERS) REAL PROPERTY LEGAL DESCRB'TION ASSESSOR'S PARCEL NUMBER SEE ATTACHED A.P. # 027-270-022 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: 02-2770 Address or location of unit: 74 MONTANA, OROVILLE, CA. 95966 Legal Description of Real Property: A.P.# 027-270-022 SEE ATTACHED (g) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: JOANN MATTHEWS Owner's address: PO BOX 641, OROVILLE, CA. 95965 INSIGNIA OR HUD NUMBER: 045877/8 SERIAL NUMBER OR V.I.N.: S794A/B MANUFACTURER'S NAME: MEERY HOME YEAR: 1977 OFFICIAL APPROVING INSTALLATION DATE: 10-29-02 PHONE: (530) 538-7541 H.C.D. 513C EXHIBIT "All THE LAND REFERRED TO IN THIS POLICY IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OR BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: LOT 7, IN BLOCK 127, 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. PARCEL II: AN EASEMENT FOR ROAD AND UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHWESTERLY CORNER OF LOT 7, IN BLOCK 127, 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; THENCE NORTH 70 DEG. 39' 51" EAST A DISTANCE OF 398.8 FEET TO THE BEGINNING OF A CURVE TO THE LEFT WITH A RADIUS OF 245 FEET AND A CENTRAL ANGLE OF 75 DEG. 25' 40"; THENCE ALONG THEA RC OF THE SAID CURVE A DISTANCE OF 322.53 FEET TO THE END OF THE LINE BEING DESCRIBED HEREIN. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PAGE 5 NUV-01-'&&(� Kl) W:L�J key mortgage/red blutt � RMWIJ bZ( 4NIJ 1'. bbd/bl7z KeyMortgage 5rx20Walnut Street � Red Bluff, CA 96060 ® (530) 527-4700 s (530) 527-4790 FAX • (530) 209-6092 CELL November 1, 2002 Trans America Regarding: Joanne Matthews Key Mortgage 520 Walnut Street Red Bluff CA 96080 (530) 527-4700 (530) 527-4790 Fax To Whom It May Concern: I am writing this letter in regards to Joanne Matthews mortgage. Miss Matthews bas been approved through New Century, broker being Key Mortgage. Before we can go forward with her loan process we need a permanent foundation installed under her modular home. Once that has been accomplished we will proceed with the loan. Trans America will be paid in full from New Century once the loan finalizes. Should you have any question regarding the above stated information please feel free to contact our office at the numbers provided on our letterhead. 9lian youtuj v lK. r l'Mozcna Office Manager OCT-16-2002(WED) 07:30 key mortgage/red bluff (FAX)530 52Y 4"M P.002/002 10/16/2002 07:46 FAX 530 527 8828 FIDELTY RPD aLUff Q001/001 o [4'IB UP 0WF0fM-BUSINESS, 7RANSP0RTAU0N AND HOUSING AGIGT GRAY DAVID. OOwM10f DEPARTMEw OF HOUSING AND COMMUNITY OVEWpMEM suvC AE 0k�lalan pYdbde6 and 5tana�pe Title.Search a O� hied : 10115/2002 0 D=1 #: ABO9258 Manufact= ABL Tmdonatne: iti 2my HVME Iv odej: ILT Maffk d=9d Date; 00100/19T! 1Wt'b0ti0n F.xp: 0713VIM Fust Sold On: 07/18/1977 Serial Number S794B S794A R.ecml Conditions: Remstered 0wnca: HM Label ! Insignia 045877 045878 Use Code: sFD ChWnA Price Code: ABL Rating Year. 1977 Tau 7yW; ILT Last ILT Amount: 9.00 Dene ILT Fee Paid: 12/27/1996 ILT Exenwtion: NONE Lente Vrldth 60' 12' 6D' 1Z' HCD Lien Placed an Unit for 120 R,Z Dd que=y ; FFF 6acmpt An applieadon fur dtle of rc*Uadun ehaagr jj pending wits► $be depatms= For information regarding this ap azdan. p(uegc cull 1-8=952-H356 and mquosr to speak with a customer mptzscYc. 7OANN E MAT171BWS FO BX 641 OROvU.LE, CA 95965 Las! Title Date: 04/1111997 LVA RegCardb 04/11/1997 SaielTrAuSfrrYnfa: Price $15.000-00 Transfima on 0W26/1996 Situs Address: 74 MONTANA AVE OROVUAZ, CA 95966 Sibm County; BUTTE Legal Ownw, TRANSAUMR.1CA FINANCIAL SMVICES 455 ORO DAMBLVD STE D PO BX 808 OROVUZF,, CA 95965 Iden P On: 01rM99712:15:00 Inactive Deca.Vl W.- DMV SF8704. DMV SF8705 Renewal Fees: $548.0[1 *** END OF =Lt SEARCH •*"` M/M'd bdZ6 Iii' 9T6 OL7 QNiQ�H TO:ST 333 --ST—= � 4 ' 1ui02i2002 17:02 FAX CrlflfrWa a5361ouff�.:t%i 7 LW&M nro. I ssbibm Load NCL I. . MIFIpAlA�COilDr mri«7>x ' ss -038 3141 g. Off Recta Fto ". 00 .7agH1a P. luz nfeltss Rgaardea j Ch:� 8s. Op OXVIIAZ. CA 959b6 county cd 1' Salta 1 040-C Gunda4e J. arabba t AP X6. 07727"- j—D , flaao6-A t $ t00ofl 7b-Aup-q6 1 jIVTG ]!D 2 WUMOMUffrMam V-A a J 7 f 9fl ... , speck Peove Ma arm rere +a c .Ckhrofto ft OCIM&MM w W&VO of PMPD*.. ecM.Oft CR a000nI"NMPdw=nnv m"r.mwspo.emmm SAID IlriD2RSICNEb CPA= DELL. M r.e�eWtDna�waeeao a ea..�t. GRAM YEW FOR A VALUULE CMIDERAMON. twmW of wmo is h uft scknWMfgK VADA R. RM. ti widow hamby ORAtd M to JOHN T. NA7riUS, an unmarried vemaa ft fled fxt PW N fha C4 c f UFJNCORPORltM A $FA ca" d Blli'fE . stue aI Com, aesaelbed AO SP1: LWL DUMI YON AtTAOM MM DOW AuAuat 21. 1931b • 1 as, Au au 2I. ■ 1996 iw,i,rew. oe MascbWa Ps-n*Ar9w@d Vada It. Heys kw- O W (w maw= w ma as Pw ban o somdft MW mmaftomm L,Wwl�at�p d7ato- nta�hWU*Ahftftmu nm saint a maonm CMUMC 4 awe MO by h%O wMwr malq mom bt/p10�gN ay paaohpl a Ws ortrN 4" bowel= mo N+�mW bares. araeneea mo bwvu�eAe. M7140 my nub onbaceeW wee - -- - I ^i��....t. MAIL TAX 8T XgAFWS TO: SAM AS Afl0vR 1/' // If n 19 t)l�NE aIIATTHEWS IL r CONK •.1col $ J eoeuaeumC.CWML4 'f � ceMo ' a4r p1a w0 bOmoW tour��l Do�criph3nrs: Butta,,CA DOOltmvatrY®ar.bacYD 199d.323Z4 Page: ]. of $ drdar: warn Cont: ►aattWrq GG_l0!1 OO 'd op b 477 OpG (XVA) -1-a-n l q gai/a6e6}jow Aa>l @002 I i 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 n?-98F,R ASSESSOR PARCEL NUMBER 027-270-022 ZONING BUILDING PERMIT OWNER JOANN r,i.A.TH,WS TELEPHONE _ SO. FT. OCC. BUILDING VALUATION . O��W77NN�7E�WS� MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ J PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome N Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Udlities ❑ Installation ❑ Other EX Describe Work: POWER TO 336 FT SHED Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W F 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 V OR LE Main Service . ' OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLAS. SO 3.5QFT; N N-palpT MULTI -OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FaTURES 0 aAL @ 1.55 Ex. Occup. oFucFEEDTsRMID°REn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 "nn PERMIT FEE $ 43e00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 wit ose pro 'sons. Date l Applicant - Owner ctor ❑ Amitis required for excavationsover5'0"deep and demolition or constructionover 3 stories in height. r1HA MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD IVUE This permit is hereby issued under of the Butte unty Code and/or indicated ab a for which fees have y PERMIT EXPIREON the applicable provisions Resolutions to do work been paid. Date 1 0�� (Date)v ReceiptNo. 36397WIZ43e00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE MIT.,c '(Rev. 12/96) APPLICATION AND PERMIT ---�-� XMV ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNERTE HONE SO. FT. OCC. BUILDING VALUATION OWNER_ l V COfR 'S ELEPHONE ---_-.. CONTRACT S MAIUNO ADDR 55 \ CONSTRUCTION LENDER Fireplace - LE 'S UNG ADDRES , Total Valuatlon $ __ ARCHITECT OR ENGINEER UCErSE NO. Filing Fee Is 20 OC Permit Fee $ _ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ _ BUILDING ADDRESS Energy Plan Checking Fee $ - PERMIT FEE _ LOT NO. SUBDIVISIONS NAME ARCEL MAP Pee PLUMBING PERMIT Filing F 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent '-- 15.00! TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherBuildin X Gescribork—_ Gas piping system 1 - 5 outlets — 1 5.00 sewer 15.00 Mobile Home S ��' @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee! 20.00 OR LESS Main Service 200A OR LESS 23.00; - *PERMIT FEE PA10 � Sn . SHERIFF 0 �� ._� AMOUNT RECEZWO � * NVOSM * TO im Pii � coArim Main Service 200A TO 1000A 46.001 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BIDS. 3.SCSC�----'- FT.i NEW CONST. MULTI -OUTLET ^7—FO -- NON-RESID. CIRCUITS_ L:. (POWER APPARATUS 6 SINGLE. OUTLET CIR. -! ,--_ Ex. OCCU OUTLET OR FIXTURES B20 @ 1.00 0 FIXED AP NSOR Ex. Occup. OUTLETS RES10. E!L 5.00 _ Temporary Service 23.00 Mobile Home Facilities 20.00, Misc. Wiring 3.0 _ PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating _ CoolingI _- Hood 6.501 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ J HAZ. 1 D. FEES IMP Fi000 CDF PARCEL PD I HD i 65- This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do wore indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON 1 Dete ReceiptNo. WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION A;tencion Property Owner: An "owner -builder" building permit has been applied for in your name and besting lout sigrpte�e. Please complete and return this information at your earliest opportunity to avoid v�ooelxsalq►�dyr in processing and issuing your building permit. No building permit will be issued ui 8ds verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 0 NO O I HAVE C3 HAVE NOT C3 signed an application for a building permit for the �Odc. 3� I have contracted with the following person (firm) to provide the proposed eo • YA�iE: • PHO 4. I plan to prov supervise, and N:0 E: ' ADDRESS: PHONE: CON--MkCTOR'S LICENSE NO. ons of this work, but I have hired the follon to cootdinawi 7�-� the major work:' CONTRACTOR' 5. I will provide some of the work but I have the work indicated: NAME ADDRESS.,-' SI PROPERTYOWNER: SOCI_kL SECURITY DATE: //)=C �- —02. CENSE NO. (hired) the following persons to provide TYPE OF WORK NOTE: This Owner -Builder Verification is required by Section 19831 and 10832 4Vis California Health and Safety Code. This verification must be eonyd&W pd returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORINIATION 1 CC--- P70CIV-7i A.i application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection. you should be aware that as "owner -builder' you are the responsible pmy of t+ee x on ach a permit. Building permits are not required w be signed by property owners unless they are personally perfoemia lllieir own work. If your work is being performed by someone other than yourself, you may protect yourself fmtn poatible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract; you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family. and the work (including materials and other toss) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcoraac:ors. then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation eontrtbutioas. ♦ There may to F.nancial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more scecit:c information about your obligations under Federal Law, contract the Internal Revenue Service (and, i i You wish, the U.S. Small Business Administration). For more specific information about your obligations under Save Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. 1; the stsuca:re is intended for sale. property owners who are not licensed contractors are allowed to perform their work personally or throu&h their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit. erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 10.0 N Street, Sacramento, CA. 958 I4. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I rely, Ivtie el C. Vi ira, C.B.O. hi ger, Building Inspection NOTE: T11 Lr Owner -Builder Information is required by Secdon 198J0 of the Calljornla Xeabh and SoJay Codes OVER i' PEA IT NO. r' 4800-77B i PERMIT EXPIRES OWNER Louis Roza ',CONTR. owner `LOCATION (A.P. 27-27-22 ) 74 Montana Ave., Oroville ' E 7 I i 4 s Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Da e) (Sig ature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECT ION ACORD BUILDING BUILDING (Cont�d) PLUMBING Setback Firewall Soil Pipingj Forms Parapets 1st Floor i Main Bldg. Restroom Finish 2nd Floor Footin s Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing ffUWater Piping Piers Roofing Y91 Sewer j Garage Fdn. Vents Fixtures Footings StemwaI I z Garage Vents Insulation Water Htr. ` Heaters ! Slab Carport Footings Prov. for physically handicapped Conformance of e4f. structure Appliances Gas Piping & Test TemD. Gas % Slab Final v`? Sanitation % Patio FIREPLA61k Final Footings Footing ELECTiRICAL Relnf. Steel Final Fixtures Bond Beam FIRE SPR,) KLERS Motors Framin % Test Water Htr. Stucco Final Subpanels Mesh F4,IECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ----------•------- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS $��.,� 7 County Center Drive tt CYr jille, California 95965 o` -� Tel ephAe: 534541 APPLICATION AND PERMIT �J ciuuw1i c, icNicacntauvca Lilt: %.,L) Illy UI ouue to enter upon the above -me ed proper or inspection purposes. Date Signature o{ P ite &r gent Receipt No. / tu_.1 `n ( / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFAIBLIC WORKS BY Date_.=� Bu ing permit expires Date BUILDING fly I Owner SQ. FT. OCC. BUILDING VALUATION� ` V Mailing Address v►1�r `I T le hon Fireplace Contractor N, i Al Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building AddressPLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 4iX e Each gas water heater or vent 1.50 A. P. No. a r7 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. . on Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel I Declaration Parcel Ma p 60' /W Im r p ovemen Lawn sprinkler system 2.00 Bldg. Pla4r Recd Parcel Approvov Plans Apb 4oal Permit Fee ,$ $ NEW/E3"-- ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OROR SLESS 5.00 Main service EA. AOD'L 100 AMP 2.50 Single Family ❑ Dupl.ex ❑ Mobil Home ❑ Others 0 OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD -L. 100 AMP 1.00 • NEW CONST. DWELING OR ADONS. ( ACCLBL GS.CCUP. &) 20sgft NEW CONSTR MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS & NON-RESID, (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL�1 Ex. Occu FIXED APP LNS, OR P•(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE , $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ cc ciuuw1i c, icNicacntauvca Lilt: %.,L) Illy UI ouue to enter upon the above -me ed proper or inspection purposes. Date Signature o{ P ite &r gent Receipt No. / tu_.1 `n ( / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFAIBLIC WORKS BY Date_.=� Bu ing permit expires Date PERMIT NO. 4110-77B . PERMIT EXPIRES 'V/v' OWNER Louis Roza "CONTR. Northstate Aluminum, Chico ,LOCATION (A.P. 27-27-22 r 74.Montana Ave., Palermo ,f Y ;I i Temp F Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) ' _ (Si n ture) rramn - Z4Zi COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Water Htr. BUILDING BUILDING (Cont'd) PLUMBING SetbackV Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footin s Prov. for phsically handicappe.1 Conformanc o e . structure %• Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final. Footings Footing ELECTRI L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam CPRI KI FRC UMr rramn - Z4Zi Test Water Htr. Stucco Final Subpanels Mesh MEtAANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final - MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEH )ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) s QOUNTY OF BIJTTE — DEPARTMENT OF PUPLIC WORKS r 0. 7 County Center4Drive %,; Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT � 2 -�zT 4A authorize representatives of the County of Butte to enter upon the abov -ment operty for inspection purposes. �. 11117 X Date Si nure of Perr/mitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 BLIC WORKS BY Date -Z-- 77 wilding permit expires Date � _X 7-7 BUILDING 7rfffl.7 Owner SQ. FT. OCC. BUILDING VALUATION El Mailing Address' � Telephone No. Fireplace _ Contractor - Total Valuation Mailing Addres el one No. J Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ Building Address PLUMING No. @ FEE PERMIT FILING FEE $3.00 e Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or 1.50 A. P. No. ef� �0� Zoning & Planning Gas piping syste - 5 outlets 1.50 Each additi outlet .30 F s a ion Fire Dept. Fire Zone Use Permit Buil sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Fb40`s Recd Parce pprovol PI s Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ E PERMIT FILING FEE OR L Main service i°o°o AMP ORESS5.00 Main service EA. ADD' L AMP 2.50 Sin?glJ/e{�FFaajmiilly�,❑ Duplex ❑ Mobil Home Others ❑ Main service �o E MP OR LESS 25.00 Main sere' EA. ADD -L too AMP 1.00 ♦ NEW NST. %/ DWELLING OCCUP. & O l DNS. ACC. BLDG 22syft N CONSTR. MULTI.OUTLET NON -R ESI D. BRANCH CIRCUITS 2.50ea NEW CONSTR (POWER APPARATUS & NON -REST D. SINGLE OUTLET CIR. CONTRAC RS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Busi ess & Professions Code under the name St Ie Y Ex. Occup(OUTLETS OR FIXTUREBAL@109 FIXED APPLNS EX. Occup. OUTLETS ( D.) EA) 2.00 Temporary servic 10.00 Mobile dwFacilities 15.00 License No Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Work en's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ PERMIT FILING FEE Heating Cooling Venti ation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the abov -ment operty for inspection purposes. �. 11117 X Date Si nure of Perr/mitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 BLIC WORKS BY Date -Z-- 77 wilding permit expires Date � _X 7-7 i t. x'749-77P,E PERMIT NO. PERMIT EXPIRES Louis Roza OWNER CONTR. owner LOCATION (A.P. 27-27-22 ) 74 Mont na Ave., Palermo . B i Temp. Power Pole Called PG&E Temp. Elea Serv. Jai• Called PG&E Temp. Gas Serv. -7IJP 7 XY ' Called.•P-G&'E JOB �4 FINALED (Date (Signature) 'M0BTi,CaiO:•1.1` INSTALLATION INSPECTION C1iECK LIST 1. Is the mobilehomE loc�Iteil wi Lh required separation from lot_ lines and buildings and generally conform to plot plan? 'Y.'(! No No ?. Does the ,nr)bi1ehome have required clearances above ground? (Sec. 5085) YesZ No 3. Are footiii,;s and supports properly sized, spaced, and braced a; er approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes` No 4. Is the mobilehome level.? (Sec. 5088) Yes1 No 5. If mo e than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No Water A. Is flexible connector of adequate size and properly installed (1/,2" ID min'.)? (Sec. 5566) Yes No • B.- Test - Does water piping withstand working pressure or 50 lbs, air test? YesNo_ 7y C. Backf. coac is n �lifornia approved, does station have.backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A.. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does i.t have minimum ;" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 -gallons. of water through each fixture including washing machine standpipe? Yes No Y. D. oach °i_s not State of Ca i ap roved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas siipply with an approved 3/4" minimum mob ilehome connector not more' than 6 ft. long? Note:_, All piping is to be at least as large as the mob!�i/l_ehome gas line ixilet without reductions other than the m6bilehome connector. Yes X No B. 'gest OK as per following procedure? YesNo 1. Open all appliance connector valves. -X 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? S4/_ No 9. Electrical A. Is service large enongli to provide adequar_e amperage to mobilehome (must equal rating of mobilehome faith a. ::;in:u;:um of.,100 amp) and other faciliti,!s on lot, i.e., water pumps, Oara-e, cabana, etc.:f Yest No B. Is them proper cleafances Around panels? Yes' No C. Is power supply cord or feeder assembly properly fused? Yes No i D. Is continuity test satisfactory as per the following procedure.? Yes No__ 1. De -energize electrical wiring, system of the mobilehome at the pedestal. 2. Make sure that thepower supply cord or feeder assembly conductors, in neutral conductor, have been disconnected. 3. Switch X111 breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the OLllel lead to each Tl7uu 1..LC1lUlIlC S'll� )I CUC1LLl1 C.tG"L', 11101 Uu lllg neutral. 5. All Iron -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te:;L shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment mai' be approved for energizing. ;.'?. job card signed by health Departmeat for water and sanitation? 11. If everything ol:ay, sign off card and tag services. 'NOBILEilOL4L DATA J Manufacturer and/or Namestyle Length 60 Width Vehicle Serial No. 26/_,�' State Identification No. 4 dei ;. t ional Information or Comments: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number ffor the following location: 'Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE — QEPA.RTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING A, BUILDING (Cont'd) PLUMBING Se ack F ewall SdXl Piping For Pahpets 1 t Floor Mai Bldg. Rest"Nom Finish 2n Floor Fo ins Windo 3rd Noor Stem all Siding To out Slab Roof SheaNhina Water Pi i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings V Prov. for physical handicapoed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation /✓� Patio F EP ACE Final Footin s Footing E ECTRIC L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea IRE SPRINKLE Motors Framing Test Water Htr- Mesh MECHANICAL Grd. Failt Prot. Scr ch HeatltA Servi B n Coo ng T160. Pole nish D is Onderground erior Lath nUlation Permanent oor Closer Inal Inal MOBILEHOMEUTI (TIES ---------------- Elec. Service Elec. Pedestal Water Pipinga Sewer �, / Gas Piping E ME INSTALLATION - - - - - - - - - - Support j Elec. Continuity Water Piping Drainage G Gas Piping DATE �J REMARKS OR CORRECTIONS .:;70 `/4, & Oda J/ (NOTE: An entry must be made on this form each time you visit the job site.) ' . COUNTY OP BUTTES — DEPARTMENT, OF PUBLIC WORKS 7 -County Center Drive '— Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -m ioned propert for inspection purposes. Date,4///-77 Signature of Permitee r gent 7 Receipt No. es ?�l White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/PUBLIC WORKS BY`Date r —/0, 712 B ilding permiMxipir=Dat�e L/—/ F' 7 F" BUILDING Owner �_ © U1 Z 1: SQ. FT. OCC. BUILDING VALUATION Mailing Address �L, 3 �' G�--t 0 -1 Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee . $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 300 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 1d-oo Lcnlilg Verification Only Each gas water heater or vent 1.50 A. P. No. *17 —7.% — Z y �- f Z Gas piping system 1 -5 outlets 1.50 �f'oo Each additional outlet .30 Fees W. C. S tation Fire Dept. Fire Zone Use Permit Building sewer 5.00 p o0 EQA Parking Plans Parcel Declaration Par el Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Recdarcel Approval PI s Approval Permit Fee $ $ 3 0 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 36-0 Main service 100 AMP ORV OR LESS5.00 SOO Main service EA. ADO'L too AMP 2.50 Main service OVER 600V 00 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L too AMP 1.00 5UO SQ. . MINIM MUM FT�7 UM NEW CONST ( DWELLING LOG.CCUP. &) 22sgft OR ADDNSACC. CONSTR MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea EM NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style Of: Y Ex. Occup(OUTLETS OR FIXTURES)50 @25t 109 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /3 00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby AA --VD 6Ur$-)-oil;, ;Lr 00 TOTAL PERMIT FEE $ �'/ Dd authorize representatives of the County of Butte to enter upon the above -m ioned propert for inspection purposes. Date,4///-77 Signature of Permitee r gent 7 Receipt No. es ?�l White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/PUBLIC WORKS BY`Date r —/0, 712 B ilding permiMxipir=Dat�e L/—/ F' 7 F" COUNTY OF BUTTE — DEPARTMENT QF PUBLIC WORKS ' g 7,County Center Drive - .Oroville, California 95965 —//7 . Telephone: 534-4541 % QZ !7/ APPLICATION AND PERMIT 10/c22 auurvrrce rep eseniailves of the County or Butte to enter upon the above -me 'oned property for inspection purposes. 4 X Datev_� / 7 Signature ooff�Per—mite e Agent Receipt No. v White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O"UBLIC WORKS BY Date 7- Z-- 7—_ uilding permit expires Date _ 7',�' %y BUILDING Owner 0 cus z SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address '' ® , Zy� . 3 1 Tel h ne No. 3 J `-� q Fireplace Contractor , Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. p ^� o- 2 Zoning & PlanningGas piping system 1 - 5 outlets 1.50 $ Each additional outlet .30 Fe W. ire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im proveme Lawn sprinkler system 2.00 Permit Fee $ BId a s e 'd Parcel Appro Plan Approval NEW ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 /in's AAchn), '6-1%d4tA V OR LES Main service 10000 AMP ORS SLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600v 100 AMP OR LESS 25.0 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGSCCUP. &� 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID. (BRANCH CIRCUITS 2.50ea NEW CONST. POWER APPARATUS &) NON-RESIR D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. .3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@1 FIXED APPLES. OR Ex. Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 %4 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL N0.1 @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ -30 ©Z TOTAL PERMIT FEE Is auurvrrce rep eseniailves of the County or Butte to enter upon the above -me 'oned property for inspection purposes. 4 X Datev_� / 7 Signature ooff�Per—mite e Agent Receipt No. v White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O"UBLIC WORKS BY Date 7- Z-- 7—_ uilding permit expires Date _ 7',�' %y 2 f A red, NOTE:—All Materials & Workmanship Shall Be in This set of plans and specifications MUST be Accordance with Recognized Good - practices end kept on the job at all times and it is unlawful to of a quality prescribed for tl�e S �-� iin� c+nN chrncses or alta-�}ions on Barrie without Uniform Building, Flurnbing, gl p`"'fled_ use'' the written permission from the Department of Public the 1`+ 1'.:�nal, Elgc'� ' odes and Works, ,Cou^;Y of Butte. , ce. , wit YIF r Septic systema _ The,ldg: Setbac all be 5 ft, from the oto be asp r ,side property B a and 50 ft, from the Butte County Health Dept. R " centerline of t' a road, permitting a maxi qu.irements. ;num of a 2 f . eave overhang but entirely rout of all asements. v y fi AI utility connect ons shall be located within.4 ft, cufside the rear third section of Ac mobile home on the left (road) side of the mo6il� d e off' °c BUTTE COUNTY BUILDI.NC DEPARTM N'f .APP OVf D Pliod to nalf')DO1 2.3 ed ot ivo-duf;., nAiw boln-)of -li:"qcry )Th 1.) lbr,oll +1-1 YTAU03 T T U - Moth by;'o, tio Qnn&t J, 0 T? L LO •N • Pliod to nalf')DO1 2.3 ed ot ivo-duf;., nAiw boln-)of -li:"qcry )Th 1.) lbr,oll +1-1 YTAU03 T T U - Moth by;'o, tio Qnn&t J, 0