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HomeMy WebLinkAbout027-300-029yji, a 36 J 027-30-0-029 Permit#94-1533 P,E(MH), TAYLOR, M.Virginia ) 2610 S. Villa Palermo ') �! ,gl 19`1 GAGE, C.C. 251-67B (util,' MH) 207-67E _ ELECTRIC J00 2610 So. Villa, Palermo pal_ 300-0 i' y �F (bedroom to be used with m GAS LINEobile home) 13 46.3 0 COMPACTION TEST REQ �p SUELORTp 027-300-029PERMIT#94-1832 - ACIk - TAYLOR, VIRGINIA 2610 SOUTH VILA -AV -S., PALERMO CONT; JIM WELCH MOBILEHOME INSTALLATION _ + 027-300-029 06-0875 ,. JOHNSON, BRIAN & DEANNA:' 2610 S. VILLA AVE, PALERMO I Cont: OWNER: ELEC SRV 027-300-029 06-1443 JOHNSON, BRIAN —'- 2610 2610 S. VILLA AVE, PALERMO Cont: TOMS MOBILE SPEC (� MH PERM FND(NEW) (� B07-1653 027-300-029 MISCELLANEOUS Wood Dec OPEN DECK 28X12 2610 SOUTH VILLA AVE JOHNSON, BRIAN Cm COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ERMIT NO. APPLICATION AND PERMIT 51--1�31Q ASSESSOR PARCEL NUMBER 027-300-029 ZONING ARMH1 BUILDING PERMIT` OWNER VIRGINIA TAYLOR 34 ONE 59201 SQ. FT. OCC. BUILDING VALUA ON OWNER'S MAILING ADDRESS 2610 S. VILLA AVE OROVILLE, CONTRACTOR'S NAME JIM WELCH TELEPHONE 534-5297 CONTRACTOR'S MAILING ADDRESS 8055 MELVINA AVE PALFRMn 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 $ BUILDING ADDRESS 261n s- VILLA AVE PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 PALERMO Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex O Mobilehome EX Other SPECIFr Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities O Installatior%R Other O Describe Work: MH SITE #94-1533 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOVORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 JI NEW CONST. DWELLING OCC P. OR ADDNS. ( & ACC. BLOS. ) SD. 3.5C FT. ' CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) W1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.000 OR Ex. Occup.FIXED OUTLETS (OUTLETS RESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a ,Certificate of Consent to Self -insure. P"I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 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 said County in consequence of the granting of this permit. Date 1� �� Signature of A licant -jiLOwn ❑Contractor 5—Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ 143.00 I HAZ. I O. FEE IMPF100D CDF EL PO HD SSUE 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. RE TOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON 7 25 ��- (betel ReceiMtNo. 167048 WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (i 5• t r 07/19/2006 13:16 FAX (- 0002 STATE OF CALIFORNIA - BUSINESS. TRANSPOR ]N AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Division of Codes and Standards Title Search Date Printed: 04/03/2006 X2`7 d 7 SCHWARZENEGGER, Governor SING q� a„i Decal #: LAH6015 Use Code: SPD Manufacturer 09755 FUQUA HOMES INC Original Price Code: AW Tradename: FUQUA Rating Year. Model: 601 Tax Type: LPT �. Manufactured Date: o9/o9/i9s5 Last ILT Amount: Registration Exp: Date ILT Fee Paid: First Sold On: 10/25/1985 ILT Exemption: NONE Serial Number HUD Label / Insignia Lengths Width 87610 135986 44' 14' 876170 135987 50' 14' t Record Conditions: PP): Exempt Registered Owner: + CALVIN J BRADLEY ' BARBARA L BRADLEY (Joint Tenants with Right of Survivorship) 30 OSBORNE CT f , OROViLLE, CA 95966 Last Title Date: 02/22/1991 Last Reg Card: 09/11/1997 Sale/Transfer We; Price $37,000.00 Trensferred on 09/25/1990 t 1 Situs Address: 30 OSBORNE CT OROVILLE, CA 95966 Situs County: BUTTE Legal Owner. FIRST INTERSTATE BANK PO BX 269028 SACRAMENTO, CA 95826-9028 Lien Perfected On: 02/06/199116:02:00 Title Searches: FIDELITY NATIONAL TITLE CO 505 WALL ST CHICO, CA 95928 Title File No: Alone * * * END OF TITLE SEARCH p Dot x .. 06/12/2006 11:40 FAX 530 343 4410 FIDELITY NATIONAL TITLE TAX TYPE I ORIG COST PRICE CODE YR 0002/003 ARTM USE ONLY I/We request that the new CerdRcate STATE OF RMA EXT LPT I PVT NT' USE ONLY 1 NS DE DEPARTMENT RKuFrr Numazit ) BUSINESS, TRANSPORAT[ON AND MOUSING AGENCY ON AN OUPR RECEIPT DATE(S) CLERKS INITIALS SALE DATE RF USE ONLY �ttna DEPARTMENT OF MDUSING ANO COMMUNITY DEVELOPMENT -- True Name(s)] 2� �► �l GLS, yt0.... OMSION OF CODES ANO STANDARDSREGWTIATIDPI SUBD test First Middle ILT AND TITLING FKOGWIMAPPLICATION FDECAL if applicable. dmck ane of the folimm . TENCOM OR 1.A 1 V I n COMPRO REM FOR DUPLICATE5tTU5 Street a , - i� CC MRF CERTIFICATE OF mLE Street State Zip RSF MMLING ADDRESS Moodd Name or A Name of Manufacturer Stak ............ �,,�:_Ila __ r_ -A . Zip 95clQo MFG ID t Trade name Fu OUN N'Olrnes City Stm Zip F OF UNIT Date of Manufacture Calif. peeler License V Date of Transfer to Deater from MFG ILT Exemption Date First Sob New SIT (print true name) OECAI/110E1J5E 0 MANUFACTURER SERIAL NUMBeii(S) LENGTH WIDTH HUO titeeL oa Yius16ivia a inches inches WEIGHT (Lbs) DATE FIRST SOLD if ddrerent Man above L l�OfCi CAI le1 U I Y 1?L�g0.o1"1 JfRSTENgOM AND Clty State ADD UNITS USE CODE EXPIRATION DATE TAX TYPE I ORIG COST PRICE CODE YR SALE PRICE ppF I/We request that the new CerdRcate ILT EXT LPT I PVT REGISTERED DEPARTMENT RKuFrr Numazit ) Middle OUPR RECEIPT DATE(S) CLERKS INITIALS SALE DATE RF USE ONLY -- True Name(s)] 2� �► �l GLS, yt0.... REGISTERED SUBD test First Middle ILT OWNER(5) (Print 1' if applicable. dmck ane of the folimm . TENCOM OR 1.A 1 V I n COMPRO REM True Name(s)] Street a , - i� t t vcity MRF FUTURE MAILING Street State Zip RSF MMLING ADDRESS StreetCi .. Stak ............ �,,�:_Ila __ r_ -A . Zip 95clQo PENI LOCATION ADDRESS street 1 O _�..^,�a � City Stm Zip PEN2 OF UNIT ,S/a LEGAL OWNER SIT (print true name) TRF U rrp RT MAILING ADDRESS Street JfRSTENgOM AND Clty State Zip TOD FIRST JUNIOR LIENHOLDER , MAIUNGADDRESS Street City State Zip ----------- - ---- - -- - ------- - -- -._... __.. --'-- ----- .. _ ......_--- -._.........___ _.......-....... _ .........__. ... ADD IRM 0 NOTE. SECTION 1, 'CERTIFICATION OF MISSING THEE' ON THE REVERSE SIDE MUST BE COMMETED. TO COMPLETE A TRANSFER OF OWNERSHIP, BOTH THE OLD AND NEW OWNERS MUST SIGN THE APPROPRIATE UNES ON TME REVERSE SIDE OF THIS FORM. HCD 480.4 - Page 1(7/97) Reproduction by FNF, MCD approved April 9, 1999. APPLICATION FOR TRANSFER BY NEW OWNERS DUPT I/We request that the new CerdRcate of Tide and RepvvCon Camfbe Issued as follows: REGISTERED Lj.A Fleet Middle OUPR OWNER(S) (Print 1- 0hr%. Cir► iCyr-i Q,A -- True Name(s)] 2� �► �l GLS, yt0.... SUBD 3. CONF if applicable. dmck ane of the folimm . TENCOM OR Ji1LS TENCOM AND COMPRO REM MAILING ADDRESS Street a , - i� t t vcity RREG FUTURE MAILING Street State Zip RSF 'ADDRESS LOCATION ADDRESS Street 1 O _�..^,�a � � 1 � � aunty State Zlp PLT of UNIT ,S/a Legal Owner SIT (want true name) U rrp RT It opplicable dxdc one of the TENCOM OR JfRSTENgOM AND COMPRO ASF Mailine A'ddrrf�ss T Street C N State zip Mp FIRST JUNIOR LIENHOLDER , MAIUNGADDRESS Street City State Zip ----------- - ---- - -- - ------- - -- -._... __.. --'-- ----- .. _ ......_--- -._.........___ _.......-....... _ .........__. ... ADD IRM 0 NOTE. SECTION 1, 'CERTIFICATION OF MISSING THEE' ON THE REVERSE SIDE MUST BE COMMETED. TO COMPLETE A TRANSFER OF OWNERSHIP, BOTH THE OLD AND NEW OWNERS MUST SIGN THE APPROPRIATE UNES ON TME REVERSE SIDE OF THIS FORM. HCD 480.4 - Page 1(7/97) Reproduction by FNF, MCD approved April 9, 1999. 06/12/2006 11:40 FAX 530 343 4410 FIDELITY NATIONAL TITLE i '0003/003 DECAL (LICENSE) NUMBER(S) SERIAL NUMBER(S) TRADE NAME LfrH 1o005 $ to I V VA' M duA� li (SECTION I. CERTIFICATION OF MISSING TITLE I The original HCD Certificate of Title or DMV Ownership Certificate (pink slip) was: ❑ Lost, ❑ Stolen, If the title was lost or stolen after receiving it from a party other than the Department, enter it the party's name here: !' ❑ Illegible,. ❑. Mutilated. A mutilated or illegible We must be surrendered to the Department. ,s ❑ Not Received from the Department. This box can only be checked by the Legal Owner of Record (lienholder), or if none, the Registered Owner of record. I/We certify under penalty of perjury under the laws of the State of California that there are no liens against this unit other than those shown on this application and the statements rade on this application are true and correct. I/We agree to-indemiiify and save harmless the Director of the Department of Housing and Community Development for any loss suffered resulting from the issuance of said duplicate Certificate of Title. Executed on at (Glare) Pty) (State) Signature Printed Name of Person Completing Certification SECTION II RELEASE OF OWNERSHIP AND/OR INTEREST OWW 1 A. RELWE OF REGISTERED SECTION III DEALER'S RELEASE OF ACQUIRED UNIT 3 A. NAME OF DEALER B. RELEASE OF DEALER SECTION 13f. 4 4 A. NEN STERE B. D OWNER , ► �R..Q.XIYlI C. NEW REGISTERED OWNER t I HCD 480.4 — Page 2 (7/97) NEW REGISTERED OWNER Reproduction by FNF, MCD approved April 9, 1999. If thi, trader Is the result of a sale, the sale glee and sale date a t be entered below. PURCHASE DATE RELEASE DATE ► E OF EGISTERED ER RELEASE DATE C. RELEASE OF REm5TERE0 OWNER RELEASE DATE 2 A. RELEASE OF LEGAL OWNER (LIENHOLAER) -RELEASE DATE B. RETENTION OF LEGAL OWNER DATE C. ASSIGNMENT OF LEGAL OWNER DATE SECTION III DEALER'S RELEASE OF ACQUIRED UNIT 3 A. NAME OF DEALER B. RELEASE OF DEALER SECTION 13f. 4 4 A. NEN STERE B. D OWNER , ► �R..Q.XIYlI C. NEW REGISTERED OWNER t I HCD 480.4 — Page 2 (7/97) NEW REGISTERED OWNER Reproduction by FNF, MCD approved April 9, 1999. If thi, trader Is the result of a sale, the sale glee and sale date a t be entered below. PURCHASE DATE l��''."-�++'�1�f'`4,"}�6A:�`�T.�e";ri'�:•,:w-"�"'"yr'�""'"t1Kj�rr::3:.i...:nl'�'..,c-rv.-gy.....+r=•:...: v'. , w.��::,..��• �J--r,-,• ;.-r.,.: �cOUNTYOFBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING -DIVISION N T,, 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use t PERMIT APPLICATION DATA SHEET N A - P�Ne- Building I Date _3era _ 0'.2- 1? At time of permit application, I was advised the following data must be7submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted . ........................... ' h !' :., 2. Plot plans, 3/4 sets, signed by preparer of plans. .......... .. ........ 1 3. Complete plans, 3/4sets, signed by prepa�rer of plans. f� 4, Engineered plans and Calcis;3/4 Cp sets,-Wit�,„wet,sJgna uFe on plan's)a* 5. Hazardous Material Form . .......................... '� - ^- ' 6. Energy Design Compliance and supporting documentation. .. .. .t ..... . 7. Statement of Intent for Non -Heated and A/C Buildings. ..........1......r� -... . .»9 Engineered truss details and layout in duplicate (required prior topff'd ;plheck). ... . Mobilehome data and manufacturer's installation instructions, &sets. ... R Fees of $ .................. Impact fees as shown on attached schedule. . .................. 12. California Department of Forestry plan approval/feesc-.,-.... ................... t� } 13. Flood elevation letter (100 year flood) by California Engin 0- .................r -� x 14. Sanitation and plot plan approval Health Department . ............� ' 15. City of Chico plumbing permit . .............:............................ E 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: 0 •(B)�Parking: . ........ 18. Contaicl Land Development about (A) Improvements t(B) Drainage. 1..:. < y- ...... �:'': ` 19, it (construction approval required prior to occupancy). tsp'eeon re 20.varfor �3^ required. to Building Inspector - { - (Date) 21. Contractor's license information. ,(No" Nan% Style, Classification) . .............. - 22. Certificate of Workmans.Compensation Insurance. 23. Owner -Builder Verification (Giveno owner Mail to owner ............ '- 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature author`ization:--^' :�............................. ..... . 26., opy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ...................................... : : Mobilehome 661ity 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 r When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at ��� office. Deliver with inspector. Other' Parcel Creation + Acreage _ Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must -be submitted prior to permit issuance: (Circle new i m not checked above). 1. Index permit for above items No. 2. Additional items required: —1 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 _ DatekN Plans checked by Date Plans approved by '� Date Sets of plans on hold in File cabinet AP folder , ✓t - / Copy - Department of Public Works `\'-►7t�"Fa"`fi ,. ��e.� y�y.�,c - .. �.{ j y Yc.'+�:F�r•v-•a'SwI{ � }�,�-'RhH"'eiri'�t%i�i1'+li�'. �g .iY,�,ti•;.t•++�*�tt•7t'yyyne.l.;.npyq..._ .. .,x„ ''�'•'r#t }�CixJ�iJY.�7 ""���C'."� P+M1{'7"2"�l ., ' y.�.Y" 9�'iiRi ` � vf;�����i�e+�.t'#YC': �ti�r.� .` BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District 0/111-0 (�/� /5' S Building Department No. A. P, Number 0a7'30 in - Jurisdiction ❑ City ❑ County Property Owner�/ 6'1 /il��/g %/9 / L 01 -Z - Property Location/Address 6?�0/49 r S, G L/� Subdivison Lot No. Residential Development ❑ ❑ No, of Living MHI Addition Units Sq. Footage % 04 (Group R) OW110 Commercial/Industrial ❑ ❑ Sq. Footage New Addition (Including Exterior // Roofed Areas) (v guflding Departt Rep'resentative' Date (Floor Plans reviewed by School District Personnel) 4V1bV District Identification No. Ldp *oAchool District certifies that (APplic nt) (Street Addr s) (Phone Number) (City) (State) (Zip Code) �. has complied with the requirements of Resolution No. �D�� �rJ by payment of $ -� representing ` ' square feet. ❑ Q=ck h " School District Representativ D to Paid by Check # Remarks: o C'.AJ4� ✓1�J�- Bank Number Paid by Cash :cc�rQdcx , If, subsequent to the School District Representative signing this Butte G unty 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) feeformmk, (4/94) M COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION v: 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER �� 7LO� A. No. Proposed Building Use %Y% 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 . ...................... "C" 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). .... g. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... tir Fees of $ . 1. Impact fees as shown on attached schedule-.. 6MOL . ............. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...Pre � el � �eeqeest 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. .r 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. .... . Letter of intent on building use. . - 28. Mobilehome utility clearance . .......................................... r .,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 the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant 11VIZA+c� -GZJ I� 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 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 A PERMIT NO. -Z- Address or location of mobilehom"'I 6 V Owner's name 't -A Owner's address 10- Insignia or hud numbergA Manufacturer's name Serial numb pr-of1V-l.N/vA F'i 5,?/(2 L111 7^2 ILYear ofUnanufact r J-1 / /9, 7 (Official Ap6,o,-q' I (Date) - -q,1'nstc;1'lotji`qA) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION-� ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THlil MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 1, .0 c�7- 3 't 513B White - Owner, Yellow - Installer, Pink - D.P.W. 3 BUTTE COUNTY DEPARTMENT -OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHONE INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes No LJ (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4% Will the mobilehome:be located at least 5 ft. away.from septic tank and leach fields and clear of all setbacks and easements? Yes No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- /�y Amps 6. What is the mobilehome site service rating? ------------ d Amps.., 7. What is the mobilehome site circuit breaker rating? ----- J -,Amps 8. Is there any other electric load to be served by the mobilehome site service? ------------------------------p-- Yes No (If yes, identify the load and size: S Zi(Load) O (Amps) 9. What is the mobilehome site gas pipe size? ------ -- (in.) 1,0._ What is the type of gas_ service? --==--------: --- Natural_ LPG D, 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- * 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.) PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION. Y MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr.--` furnish Setup Model No. Year Width—(ft.) Box Length�(ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check 'one)U]<�1ood-pressure treated or foundation grade.2. Other (specify) SUPPORTS (check one) 1. Concrete block. F-1 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Ling T _ Line 1 Line 2 _ Main Beams_ _ Main Beams [___ — — — — — — — TL1ne 4 Tag or Triple Linp Lina 1 Piers: Line 1 Openings: Size -Min- ------------ x Size -Min. •^-^------------- Spacing-Max - ------------Spacing-Max. ,- Each Side of Openings From Ends -Max. ------- '_ " With Width Over ------•-• Lire 2 Piers:Z% ` Line 3 Piers: (Under Bearing Wall Only) Size-Min.=L----------- ox_ „ Size -Min ------------- -Max.-Max-- -----Spacing^----r------ x From Ends -Max./---- '- " From Ends -Max -------------- Line 3 Roof Loads Size -Min -------------,.x ..x .. .k ,k ..x .. ..Xr I ., ,k ., Location (From Front) Line 4.Piers:._. _ _ Line 5-Piers:-_(Under.Bearing,Walls Only_ s _, Size -Min.------------ k „ S'ze-Min------------------- 5c_ --- S acin ax .--------------- r_ Spacing -Max.------ . ., P 8M ' From Ends -Max.------- . From Ends -Max .------------- Line 5 Roof Loads: Size -Min.---------- Location (From Front) 6 IVE- D Butte County 57ntal!me=,,,I.I, ealth ate �,,Y Signature 1�3 1 � RESIDENTIAL 027-30-0-029 Permit# -9 �� TAYLOR, M.Virginia �`�-P,E(PRI) ` 2610 S. Villa, Palermo (util, MH) r 4' 6 i v Si OFFICE COPY Address GAS Meter By Da ELECTRI Meter By Da e JOB FINALED (D ' f_1 Signature J=OK O = Not OK No Readyable MOBILE HOMES Applic Date MOBILE HOME UTILITIES Plans OK except #'s L,--'I,.—zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Sewer; Location -Test -Fall -C/O Concrete WW.c; Location -Test -Easement Needed (Sketch) Electricity; Location-Clearences-Grnd-/ /Amp -Concrete as; tion -Test -Wrap: , 'L"ft. at. or/ /"L"ft./ G Well rance & Disconnect Utility Clearance Date and 13-1 ate Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION Plans OK except #'s Zoning Requirements -Setbacks Easements otings; Size -Spacing -Marriage Line as; MH Test-Demand-Valve—Connector lectricity; MH Test -Crossovers -Breakers -Clearances in; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector er and Sewer Connected -C/O to Grade -HD Approval and Electricity Tagged xitsjper�_S ketch ert. of Occupancy Date/ Card B-1 Date Card 6-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single ' = Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth - "y.' V...YC' JVIIJ-JICGPCICL. VIIIV i riy. UVPin I 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-RtIr. 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 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 4'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 ----------------------------------------------------------------- --- --- - ar- Date-----------------d--B---1 ----------- Date -----.----Card B - I- -- - 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 Size/GFI ------------- ---------------------------------------------------------- 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI - --------------------------------------------------- 29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O 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. --------------------------------------------- 33. Smoke Detector ----------------------------------------------------------------------------------- --------------------------- - ----------------------------------- --------------- Date Card B-1 Date Card B-1 -------------- --- ------------- -------------------------- --------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support -------------------------------------------------------------- ....... ------------------------------------------------------ 35. Vent Fan: Exhaust above insulation --------------------------- ------------ --------- - - 36. Condensate Drain & Overflow: Size & Grade ------ -- -- --- --------------------------- ----------- --- .-. --- _ . -- 37. 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic -------------------------------- --------- ------- ------ ------------- - --------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors - - -------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------ ------------------------------------------------------- ------ --- --- -- 41. Bearing Walls over Girders & Floor Nailing 42.--Draft-Stop in Watts (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub ---------------------------------------------------- ----------------------------- 44. Headers & Beam -Size & Bearing 49. Bdrm. Windows or Exitino Doors -Sill Hat. & Dimensions 50. Garage Fire Protection Framing --------------- ------ 51. Property Line Firewall & Openings ___52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Root 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; Nailinq-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 N'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. Stairs & Rails ----------------- 68. Fireplace or Stove: Clearances -Hearth - - - - - --- -- - -- - ------------------------- - 69. Elec. Outlets at Wood Panel: Int. & Ext. - -- - - --------------------------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter --------------------------------- -- -- 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection - ---- - ----- ------------ 75. Plb.. Elec. & Mech._Equip. Listed for Location ------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --------------------------------------- 7,. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No --------------------------------------------- 8 1_' --------- -------------------81. Stucco: Brown -Finish ------------------- ---- -- - 82.-A.C---.-Unit Disconnect. Electrical. Plumbing - - - -- - --- --- --------------------- -- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. -Water-Well:-Disconnect, Electrical, Plumbing 85. Exterior EIec. Trim; G.F.I. Rece tacle-Unde rg round 86, Ventilation Throughout House -------------------- -------------- 87. Glass Protection - ... . ------------------------- --------- ----------------- 88. Corrections from Previous Inspections - -- ---- ------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric - ---- ------------ -------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates - --- ------------------------- Date Card B-1 Date Card -B-1 - ------ ------------------------- Date ----------------------- Date Card B-1 Comments at Final: ---------------------------------------- Date Card B-1 Date __ Card B-1 Date Card B-1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPROENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 94-1533 / A,S$f$SpR LN1Jjd�j:�i ZONIX( j T -]T BUILDING PERMIT _eL O�WJNLER M. VIRGINIA TAYLOR TELE�PlH1OuNEutl 534-9201 SQ. FT. OCC. BUILDING VALU OMTOAASNG AVITLLA , PALERMO CA 95968 C AME TELEPHONE Cf"EOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2610 S VILLA, PALERMO PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome)p Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home SY Xv @20.00 60.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 9 Installation ❑ Other ❑ Describe Work: 2BR PERMIT FEE g 80.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 C` S�Q 41 tA' N Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 23.0 Main Service ( 200A TO I000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 10 I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 0 @ 100 BA . FIXED (RESID OR Ex. Occup.UT (OUTLETS IRESID.1 EA. ) 5•�0 Temporary Service 23.00 Mobile Home Facilities 20.00 20.0 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. $I I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63. UC Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 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 said County in consequence of the granting of this permit. //1 d ec% C/�✓,K�ll�/ Date X '��`��'/"` Signature of Appli nt 'ffS. Owner ❑ C ractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00 :!JD. FEES I IMP I F O COFPARCEL PO D 1 This permit is hereby issued under the applicable provisions of the Butte County Code and or Resolutions to do work indi at d above for w fees ave been paid. / Da By Date PERMIT PIRES ONeel W,Z-6 RecT N,,.. 163200 WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT rv..)-c...Sr-.-...,1`iris•�.".�,._...r.:.r�..::ti..•.+:�_�^I's•arM',.•:...i+vi..-../-....P+sy'4w*"Y'X11`�1,-.yr-'.r•r.•.�,�..YO-iryry,Nf�"Y:�+%'�ry�y �r� .. ,.Y1t. tiavrr«.�..r*.��...,..- tea. COUNTYOF BUTTE - DEPARTMENT OF DEV, EL QPM ENT SERVICES - BUILDING DIVISION S. 7 -COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Building I Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY All items h e been submitted . ..................................... . Plot plans/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. ....................... . 1 0';3 Flood elevatio letter (100 year flood) by California Engineer.................. 4. Sanitation ando�plaV approval 0 AQ 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: . ........ �&-Contact Land Development about (A) Improvements (B) Drainage. . _Q�_ 19. Driveway permit (construction approval required prior to occupancy). At ieQUe �6- 20. Pre -inspection for required. .. to Building Inspector1�1 (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... _Ow corded lder Verification (Given to owner Mail to owner _)............5� 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 . ..................... :.................. 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 the permit procss as follows: Mail to owner. Mail to contractor. Tele Fjpn�3�/ `��O 7 and hold for pickup at D office. Deliver with inspector. Oth Z 02 / Parcel Creation �� V0j �yy,Q'/ � Acreage -� Applicant, l/ /u Date '�J 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 _mailCou r b _Date Plans checked by Date Plans approved by Date �O- (O•� Sets of plans on hold in File cabinet AP folder Y✓ rP `C��j 7 Copy - Department of Public Works E.H. USE ONLY Plot Pl= Anadwdy/ Floor Plan AttwW Sot to B.D. TO: Building Department r - FROM: Environmental Health SUBJECT: Sanitation Clearance A.L)jr&I�jC'jL- OVQr Location AP# Plan Approved for: Sewage Disposal. Water Supply: Public Private Well Clearance for bedroom mobile, home. Other LA / � Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/92 COUNTY OF BUTTE - DEPARTMENT OF DEVEIAPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE.(916) 538-7541 OWNER A. P. a PROPOSED BUILDING USE Al / i / DATE / REC. # DATE REC SCHOOL DISTRICT FEES kZ� (paid at District O ice) ........................... 2. (paSHERIFFtFBildS arfinefit� �0 `7 /7'f- /9 1 Residential..... x =$ T T4s �r,� ��,✓� • T unit amt. Commercial (sgft)_ x =$ ,q- sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ #.units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) .......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. &lq 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT' DATE COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERe:::Pc�-7 3 OD i/1 �9 O` CV/ / 1ON'�j�/// r BUILDING PERMIT OWNER TELE PM/°C SQ. FT. OCC. BUILDING VALUATION YiW� Fireplace Total Valuation' Filing Fee - - $ 20.00 OWNERS MAILING T CONTRACTOR'S NAMEN^ IADDREESSG TELEPHONE CONTRACTOR'S MAILING CONSTRUCTION LENDER UNKNOWN LENOEWS MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ d Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS_ / PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF TRUCTURE SF O Duplex O Mobilehome Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 20'00 TYPE OF WORK New O Addition O Remodel O Utilities O Installation Other O DescribeWork: ��/ ■ I ` I N PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceOOOV OR LESS ( .A OR LESS ) 23.00 Main Service ( 200A TO IOGOA ) 46.00 NEW CONST. DWELLING OCCUP. SO. OR ADDNS. ( & ACC. OLDS. ) 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI.OUTLET .NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) SALL.. @ I o FIXED (RESID OR Ex. Occup.UT ( OUTLETS (RESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. a ❑ 1 shall not employ any person in any manner so as to become sub;.Ict to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to ental 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 said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee I $ Q 0, Q Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 34 HAI. I D. FEES I IMP I FLOOD I COF PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ThW 8st OfPlaM and wcttm8 MMT be kept On the Job at &L, tlxu*a r-ud Jt is unjav7gd to nkQw amy (%aaEMS or Ot"mZono on WrIum panrmis-%m ft -am t: -G aival-unoilt of puvio Works, C=Ity of &.gte. ALL STRUCTURES AND EMAPNIBMT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASE` 1134S . A SET BACK (Yr- FT. FROM THE SIDE AND �5- I=1'. F PI Ot i',.T; II -n EA iR 1 PI � 0 P E r5 F Y I EE S A N D I FT. FROMI I", -,E ROAD CEM"I'ERLINE SHAU- 8E MEAR Of "S . u TA CTURES A,",!D EQLUPIAENT EXCEPT FOR A 2 FT. SAVE OVERHANG. _ � : M�N��S �-X1 v 5fj 09- Sc N- D P0permif will be required for fhe insfdafion of the mo6ilehom,e. fA �,q HI) NLE' AW iLIEI-b matwWs & WOrkmansMP Shall Be In Aw9rdsncG with lOvecogni,ed Good -Practicas and 9 QuaRt;y Presoribed ftm? the Spscifted use ell the Unlibrm Building, Phimbing & Mechanical Codas W'd the National Electrical Code. 2W m go qj �UILDING Dr=ARTM19 Appp-OVEN M A&I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT" NO. BPO60875 B. C. aunaing Permii 01. 16-04 py I LICENSED CONTRACTORS 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 Issued Date: 04/18/2006 APN: 027-300-029-000 the Business and Professions Code, and my license is In full force and effect. License Class :. License Number: Site Address: 2610 SOUTH VILLA AVE PAL Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Description: RELOCATE EX ELECTRICAL SERVICE TO Contractors' State License Law for the following reason (Sec. 7031.5 NEW POWER POLE Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a statement that he or she is licensed pursuant to the provisions of Owner: JOHNSON, BRIAN &DEANNA signed the Contractor's State License Law (Chapter 9 commencing with Section 2610 SOUTH VILLA 7000) of Division 3 of the Business and Professions Code) or that he or PALERMO, CA she Is exempt therefrom and.the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95968 applicant to a civil penalty of not more than rive hundred dollars ($500).): (530) 534-4695 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: JOHNSON, BRIAN & DEANNA such work himself or herself or through his or her own employees, 2610 SOUTH VILLA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one PALERMO, CA year of completion, the owner -builder will have the burden of 95968 proving that he or she did not build or improve for the purpose of sale.). (530) 534-4695 O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code J QCa 1_ 0 !�CJ=X DQ N Date:L Owne WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for License #: 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 Architect: required by Section 3700 the Labor Code, for the performance of Engineer: 9 the work for which this permit Is Issued. My workers' compensation insurance carrier and.policy number are: Carrier: Policy#: Total Square. Ft: 0 S. F. ❑ 1 certify that In the performance of the work for which this permit Is Valuation: $0.00 issued, I shall not employ any person In any manner so as to Census Code: -Become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers 45500 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: jQ 1 _O G Applicant: - WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby Issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this permit Is issued (Sec 3097 Civ.) Resolu 'ons to do work In 'tate above for which fees have been paid. `i -113 -OC' performance Name: Date: (Z PER IT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repr¢sentatives of Butte County to enter upon the above mentioned property for Inspection purposes. /� Print Name l ��Q� r/i Signature: �l .� C tJ�� I� `' 0 -mo Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. aunaing Permii 01. 16-04 py I BUTTE COUNTY "DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Lt Nprne ame Cit. f �l t,LA G ��4 Addr ss � I ,` 1 `(`(c,� V Ci --,T Stat Z* PhonS�p_ S3 L(— Fax E-mail APPLICANT INFORMATION CONTRACTOR Name ry Address Cit. f �l t,LA City Zi �g State Zip Phone Zip Fax E-mail Fax - Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Cit. f �l t,LA Address Zi �g City Fax State Zip Phone Planner Fax - E -mail State License Number APPLICANT INFORMATION Name Addresb, 1 o S V Cit. f �l t,LA Stat Zi �g Phone30_ 53gL q( Fax E-mail APPLICANT SIGNATURE x1 For office use only: Zoning Property Address a0o s Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS .A PERMIT NO. BA BIN # PROJECT LOCATION AP# 02 - Property Address a0o s City Cc Street SMIP WORKER'S COMPENSATION Policy Numbed\ I ,n Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. II Received by: 0 • Amount: _$55. GO Bldg I I I I t' _&OW Other I I Date: 1, �� ) 13 (C5 011 Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc` Page 1 of 3 REV 8-12-05 SRA Receipt #1 5b0C�3 Sheriff UtCC VA 2021 SMIP I I t' _&OW Other I I Date: 1, �� ) 13 (C5 011 Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc` Page 1 of 3 REV 8-12-05 . J, SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans: No'graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info,.(C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Lefler of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ ' 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature. authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees; plan check fees -for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12='05 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES .[V ] 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: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and -provide the major work: NAME: _ ADDRESS: PHONE: 4 It CONTRACTOR'S LICENSE NO: 5. I will provide some, of the work but I have contracted (hired) the following persons to provide the work indicated: NAME , ADDRESS PHONE TYPE OF WORK SIGNED:� PROPERTY OWNER 4 Pk R -A\ n A nCJ&) 4 DATE: U • � g _du NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. T1,iv var;Firatinn m„ct hP rmmnlPteri and rehired to our office before we are permitted to issue the .butte County ,Department of Development Services ADMINISTRATION `BUILDING `GIS t PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government 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 inmrance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Inteanal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under .state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor 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 contactors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, & E -T Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. ft rl - f �Butte County Department of Development Services � N O T E S 7 County Center Drive, Oroville, CA 95965 (530)538-7601 v^wv.buttecoitntyneVdds r i. eu-7f I.RF.a co 1 is RESIDENTIAL APN: Permil No . Y p' ( 027-300-029 06-0875 Owner. I_ JOHNSON, BRIAN & DEANNA _ 2610 S. VILLA AVE, PALERMO Site Address: ! Cont: OWNER - - - - - - - ContractorELEC SRV r . i I Type of Permit_ - ' 1 1 OFFICE COPY c Address GAS Meter By Date ELECTRIC !-Z `0G Meter By SPECIAL SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: G� - i f 1'f , 1 I 4 � t i) 1 if I �t 1 E' } 4; 4 1[ 1'. r n ` f [ OFFICE COPY c Address GAS Meter By Date ELECTRIC !-Z `0G Meter By SPECIAL SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: G� - i OK MANUFACTURED HOMES MISCELLANEOUS DATE Lj PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch f 3 Sewer; Loctn-Test- Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat 0 or LPF Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas. and Electricity Tagged 13 Tie Downs 0 Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S'C O V E R S'C A R P O R T S 'GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-6rcing Stairs-Guard/Handrails 4 Wood Awn; Posts -B eams-Rftrs -Cnnctrs-S hth g Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -lath 10 Roof, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls °tee °� oma• DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GF1 6 Elec Enclsrs- Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg Bokes-Enclsrs=pnlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide 4� 4 4. o`er o'er o`s i Pool Drawing OK Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Fig Main; Soils-Elec Grnd Fig Dplh 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Fig Garage; Soils-Steel-Elec Grnd Fig Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Fig Porches/Decks; Soils -Steel Fig Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic FtgSteel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test `� c 11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE MECHANICAL 13 Plenums & Ducts; Cirnc-MaterialSupport-Insultn 61 AC Ducts Insulin & Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pitfrm if Furnace in attic c o' o DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frpic Throat Clmc 72 Elec Trim & Subpnl, Breaker Sis & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, GuardlHandrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Cimc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clmc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Wi dth-Hdrm-Rise-Run-Landing -Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3•' drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Ins ultn-Walls-Cei lings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters [—]Yes ❑No °�� ms °�• �� 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb Appinc-Frpic-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-D10 to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Mer Certs 47 Subfeed Wire Sz g ❑ CU or ❑AL 98 Address Posted AC Wire Sz sa ❑ CU or [:1 AL 99. Fire Sprinkler 48 Range Circ ga ❑ CU or ❑ AL Oven Circ g. ❑ CU or ❑ AL Insulated Neutral ❑Yes ❑No a` 0�� 49 Service -Riser Cndctrs & Grnd Main Dscrnnct o,• o`er 50 Eqp Clmcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector i 027-300-029.• - r 06-1443 T NOTES JOHNSON, BRIAN s C I 2610'S. VILLA AVE PALERMO Cont:'TOMS MOBILE SPEC oor MH PERM FND(NEW) ` CS IR l . APN: Permit No. Owner. Site Address: Contractor. r — Type of Permit: l OFFICE COPY I A ress GASU P • _ - I - --i Meter By � Date ELECTRICi�, Meter By e' '� L Date( CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY bfJL USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE Manufacturer------ Date anufacturer— ---Date of Manufacture Serial Number(s) HUD Number(s) , DATE JOB FINALED: SIGNATURE: 6C o=OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS-. DATE e9RMANENT FOUNDATION SOFT -SET --PATE 10 E C K S•C O V E R S•C A R P O R T S'G A R A G E S 1 ZoningSetbacks-Easements ori tbacks-Easements Is; Special MH Support Sketch 2 Figs; SoilsSz-DpthSpacing-CnnctrsSteel r; cctn-Test; FalUC/0-Concrete 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails , 5 Elec Loctn-Clrncs-Gmd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑ 4 Wood Awn; Posts-Beams4Was-CnnctrsShthg. Frmg-Brcng Inch Sz Ft Lngth ckng; SzSpacing-Marriage Line 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 8 Gas- -M—H�Test-Demand-Valve-Cnnctr 9� iec MH Cntnty Test-Crossovers-Breakers-Clmcs T Electric 8 Frmg; Sills AnchrsStuds-Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath 11 Wtr & Sewer Connected -C/O to Grade 10 Roof; Shthg-Rooting and Electricity Tagged owns ❑ Foundations EgT: 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 15Cert of Occupancy,41� HUD LabeUlnsi nSNumbers� Serial Numbers d, V Id nb /�� DATE POOLS - 1 Setbacks -Easements Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec. Enclsrs; Conduit Entries -Terminals -Listed . y c Z oa' �'e T Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-En6isrs-pnlboards4ns4ltn.to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms K oda° 13 Bonding, Diving board or Slide 00 0,ss Pool Drawing z +=OK 0 Not OK- RESIDENTIAL (Single & Dut)lexl DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent Acc-Cmbstn Air Baffle 2 Ftg Main; Solis-Elec Grnd Ft4 DRth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Fig Garage; Soils-Steel-Elec Grnd Ftg Dpih 55 DWV; Test Fittings & Anchr. Nail Prtctn 4 Fig Porches/Decks; Soils -Steel Fig Dpth 56 Shwr Pan; Test, First fir -Tub Ace 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tuti & Shwr, 2nd fir - Tub Ace 6 Stemwalis Garage; Steel-Blockouts Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc FtgSteel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz AnchrsSz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgmd DATE IM E C H A N'I C A L 13 Plenums A. Ducts; Cimc-MaterialSupport-insults 61 AC Ducts Insultn & Support 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Ace & Vntltn 63 Condensate Drain & Ovrf w, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pitfrin If Furnace in attic 4p DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE F I N A L 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Wails over GirdersA. fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr 21 Fire Stops,'.Furred CeliingsStalrs-Chasers-Tubs In Garage; abv-flr-Ducts-Mach Prtctn 22 Headers & eamsSi &� Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Ace -Spa 24 Ceiling Joist-Rftr Ties-Puriin-Roof Brac-TrussShthg 71 GFi Arc Fault 25 Frplc Ties or Type A Flue-Frpic Throat Clmc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx .Orton -Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Cimc-Hearth 28 Garage Fire Prtctrt Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco lath Weep Screed-Fndtn Vnts-Undrfir Ace Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnis 83 Insultn-Foam-Looked in Attic 38 insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door D & Wood -Earth rn e 86 Clmc Drnge Planters � Yes ❑ No � ° �� 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Pimb-Appinc-Frpic-Clrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgmd 41 - Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntitn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gritting Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cites in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz w ❑CU or DAL 98 Address Posted AC Wire Sz Da D CU or DAL 99 Fire Sprinkler 48 Range Circ Qa DCU or DAL Oven Circ ya [::ICU or DAL Insulated Neutral Y. [:1 No 00 °.s �• �s` 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrnes pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector COUNTY OF BUTTE,','-'-'---'--.-.'. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER C) C, - PERMIT A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. W 0&, :7-0 "'5t -4_.m 0�9 Date ? rZ V ' v j� 4, Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR -INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. 1I-lCrItc3 LICENSED CONTRACTORS 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 Issued Date: 07/19/2006 APN: 027-300-029-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number. Site Address: 2610 SOUTH VILLA AVE PAL Date: Contractor. Map Index: Description: NEW MH EX SITE PERM FNDN 1288 p OWNER43UILDER DECLARATION I hereby affirm under penalty' of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: JOHNSON, BRIAN AND DEANNA permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 2610 SOUTH VILLA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or PALERMO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95968 violation of Section 7031.5 by any applicant for a permit subjects the 530-570-4695 applicant to a civil penalty of not more than five hundred dollars (8500).): O 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: TOM'S MOBILE SPECIALTIES such work himself or herself or through his or her own employees, 6366 LINCOLN BLVD provided that such improvements are not intended or offered for OROVILLE, CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 95966 proving that he or she'did not build or improve for the purpose of 530-533-9117 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: TOM'S MOBILE SPECIALTIES pursuant to the Contractors' State License Law.). 6366 LINCOLN BLVD O 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 .Date: Owner: 530-533-9117 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License M 865359 ❑ 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. I have and will maintain workers' compensation insurance, as Architect: Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policyy number are: 2V3 ``ylLl Carrier: ,_�: 1 ' (� f6 v b0 b S Total Square Ft: 1288 S.F. Q� Policy #: Rb]— Valuation: $83,720.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the 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. V� Date: Applicant: Jk60---n, v �V WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in 'addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY Thispe h efiy i ed•under pplica le provisions of the Butte County CodRanrVor I hereby affirm that there is a construction lending agency for the Resolutions t do dicate bove for voch fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY Date: PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the gweer. I agree to comply with laws building I it is form all county and state relating to construction. acknowledge unlawful to alter the substance a y official or docume of bite County. I hereby authorize repres atives of Butte Co to enter up n the above mentioned property for inspection purpo os. Print Name: r7 �" I���YI Signature: f Date: 0 Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2610 SOUTH VILLA AVE Owner: Permit NO: B07-1653 APN: 027-300-029 JOHNSON, BRIAN Issued Date: 8/1/2007 By GLB Permit type: MISCELLANEOUS 2610 SOUTH VILLA Subtype: Wood Deck PALERMO, CA 95968 Expiration Date: 7/31/2008 Description: OPEN DECK 28X12 (530) 534-4695 Occupancy: Zoning: U Contractor Applicant: Square Footage: JOHNSON, BRIAN Building Garage Remdl/Addn 2610 SOUTH VILLA PALERMO, CA 95968 Other Porch/Patio Total (530)534-4695 336 336 FEE INFORMATION DBEH Building Review Fee $75.70 DBMSC Deck -Open (Wood) $159.00 Total Charged: $234.70 Fees Paid: $234.70 Balance Due: $0.00 Receipt No: B4076 LICENSE_D_CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 8/1/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ 1, As OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be competed if the permit is for one a hundre cellars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' X _. 8/1/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Sig a re Date provisions. X 8/1/2007 ' 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree.to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I Dpreby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any si alk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County t ntioned property for inspection purposes. I hereby certify that I am the pro owner or ized to act on the property owner's behalf. 8/1/2007 CONSTRUCTION LENDING AGENCY - 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permia SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) �Owner 1:1Contractor OR; Agent for Owner Agent for Contractor FILE COPY Lenders Address city State Zip 566T I S9 .0 � d -�• U c C �t Q Q m � �\ cJ m i�1QIM Lli'XdW . -�- 2f J'd1 S N1W„ °1 £ o T _ Q9 G J­7 00 cc kn . IH91311tl2iQlVtlfi� �! ii I I t t I 1 o AIE ut Lu 19 CD .t LC u- q x 3 'XVW _j � c � • Z s 's ----- �3 ¢ L6 06. 4Ln � L W� • F" s: o� ¢ D • a — Ic v V L7 n � u o o v < Q Lu z . x S31c1 d11 • 1 i T 13UTTE COUNTY 1 i APPROVED tJ,T7/A Department of Development Services I•; iii/.• - Building Division o�-ry 0 7 County Center Drive o Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX GUARDRAIL DETAIL HANDOUT Nailing shall comply with Table UBC 23-11-8-1. Lumber shall be at least Douglas Fir #2 or better (D.F. #2).. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood js required. No wood shall be placed closer than 6" to earth unless it is foundation grade or pressure treated. (UBC 2320.13) 4Max. 4' ! Max. 36" Min. m Cf) LL Top of Deck SIDE VIEW Min. 2x pressure treated ledger Min. 2 – 3/8" x -T 'lag bolts or screws. —T TYPICAL LEDGER If the deck/porch is 30" Pier posts greater or greater above the than 3 feet in height finish grade a guardrail is need to be diagonally required. braced between posts 4 - 16d nails or an approved post base connection If using precast piers, wet set precast pier into concrete footing Guardrail 1997 UBC.Xls Min. 4 x 4 post @ 5'- 0" o.c. Intermediate rails spacing shall prevent the passage of a 4" diameter sphere. 4• Max. Top of 3/4" clearance Joist to the edge of �he wood member joist Min. 2 - 1/2" dia. thru bolts required \ GUARDRAIL An approved post cap connection Girder •• or connect girder and post with 1/2" plywd gussett Post and 3 - 16d nails top & bottom 6" Min. II ------------a 12" x 12" Footing] 8" Min. embedment I U COUNT T TYPICAL PIER FOOTING BUILDING ®IVISIO' AP'PROVED I �X3TF Department of Development Services f_ Building Division 7 County Center Drive ° Oroville, CA 95965 e0 �� (530)538 -7541 (530) 538-2140 FAX• 14 HANDRAIL DETAIL HANDOUT Nailing shall comply with Table 23 -II -B-1. Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3): and minimum 12" from the finish grade to wood girders or treated wood is required. Minimum concrete compressive strength shall be 2,500 psi. at 28 days. (UBC 1922.2.4) Stairs serving 3000 sq.ft.and greater; risers shall be T' max and treads 11" min. The dimension difference between the smallest and largest tread run or riser height BUTTE®UNiY within any flight of stairs can not exceed 3/8" (UBC 1003.3.3.3.3) Stair stringers shall be anchored to primary. structure. Toenails subject to BUILDING DIVISION withdraw are not acceptable anchors (2320.13). APPROVED 4- Ma- " Min. Top of 4—�— Top of Deck Joist Anchor stair stringers to the primary structure with an approved joist hanger and screws, lags, M.B. Mar posts greater than 3 feet in height need to be diagonally braced between posts. 4 - 16d nails or an approved post base connection If using precast piers, wet set Intermediate rails 4' Mar- spacing shall prevent the passage of a 4' diameter sphere. 4' M ax. 4'- 8'Min. 9'Min � Girder ' 6•Mar 1 Post An approved post cap connection or connect girder & post with 1/2* plywd gussett & 3 - 16d nails top & bottom 3-2x12 a Min: Stringers r 12 x 12 footing 1'2'Min. embedment 3.U7 1-v4• 3-V2 -Yaz m ,� 1 •trz- faie� 2"- i Al2 3-t2 • atar MA' 2- HANDRAILS 7 -1rz • 6:0� Handrail height 34"-38" Not Acceptable • 4 x 4 post min. Min. clear width at stairs shall be 36" Min. 2 - 1/2" dia. thru . bolts required J Min. 2x pressure treated sill plate Attach stringer to BUTTE COIIl�iT�'o� 3 C/ 7� PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO.BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 ' t05 A FEE WILL BE REQUIRED AT TIAYIE OFAPPLICATIOV Website: www.buttecounty.net/dds BIN # . ----'PLEASE PRINT CLEARLY-`- OWNER LEARLY-`- OWNER INFORMATION Last NameT Gr/I Firs me rL! Mailing Addres City P� Stated Zip�s�� � Phone 5,30-S3y y Fax E-mail CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Addtess Zip City Fax State Zip Phone Sq FT- Living Garage Fax E-mail (1� State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE PROJECT LOCATION AP# O D Property Address .Z 6 City IQA WORKER'S COMPENSATION Policy Number Carrier Z If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 1 C L- Flood Zone SRA Yes No Occ. Typp Cbnst. I i Sq FT- Living Garage Open Cov ❑ Structure Built without Permits O Proposed Change of Occupancy (Note previous use): (1� For office e I : t . Zoning Flood Zone SRA Yes No Occ. Typp Cbnst. I i (� '61P �� RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0038828 Recorded I REC FEE I& M Official Records I County of 1 COPIES 2.00 But I CMRMED COPY 1.60 CMCE J. 6Ri1BBS 1 County Clerk—Recorderl I 1 CW 910M 28—Jul-2006 1 Page 1 of 2 IIII'II�I"II"IIII"I'IIIII'II'�' 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. BRIAN AND DEANNA JOHNSON REAL PROPERTY OWNER/LESSOR 2610 SOUTH VILLA AVE. MAILING ADDRESS PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME 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 06-144 530 538-7541 BUIL ING RMIT NO. TELEPHONE NUMBER -b SIGNAT LOCAL AGENCY OFFICIAL DATE NO DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FUQUA HOMES 1985 FUQUA MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 8761U/X 48'X 147 46'X 14' 135986/7 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASS ESSOR'S PARCEL NUMBER 027-300-029 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder - CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. G� DESCRIPTION: r6,; A All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL ONE: A portion of Lots 13 and 14 in Block 49, as shown on Map entitled, "Map of Palermo and Subdivision 1 and 2 with Addition to No. 1 of the Palermo Citrus Tract", which Map was filed in the Office of the Recorder of the County of Butte,•State of California, September 17, 1808, described as follows: BEGINNING at the Southwest corner of said Lot 13; thence North along the West line of said Lot 13, a distance of 150.0 feet; thence East and parallel with the South line of said Lots 13 end 14, a distance of 182.5 feet to a point on the West boundary of that certain parcel of land described in deed from Olive Products Company, a corporation to Fred Frost, et ux, dated September 14, 1964, and recorded September 16, 1964, in Boor 1335 of Official Records, at Page 312; thence South along the West boundary of said. Fred Frost, at ux, parcel, a distance of. 150.0 feet to a point on the .South line of said Lot 14; thence West along the South line of said Lots 13 end 149 a distance of 182.5 feet to the point of beginning. PARCEL TWO: •1 The Westerly 10 feet of the Southerly 150 feet of the Easterly. 137.5 feet of, Lot 14, in Block 49, as shown on Map entitled, "Map of Palermo and Subdivision I and 2 with Addition to No. 1 of Palermo Citrus Tract", which Map was filed in the Office of the Recorder of the County of Butte, State of Califorioie, September 17, 1888. 0 0 ae CTI rr, U-0, OF DOCU►AENZ RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded CPy 28 -Jul -2006 2006-0038828 "Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS i.rNR vnit n r.rnvnru iter nATY v 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. BRIAN AND DEANNA JOHNSON REAL PROPERTY OWNER/LESSOR 2610 SOUTH VILLA AVE. MAILING ADDRESS PAI:ERIVIO....." 'BUTTE----......-CA'- CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write 'SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVII.LE B, t E__7 A 95965 CITY COUNTY STATE Zip 06-144 530 538-7541 H ING O. TELEPHONE NUMBER SIGNA LOCAL AGENCY OFFICIAL DATE - NO DEALER NAME (if not a dealer sate, writ •NONE-) NONE DEALER LICENSE NO. UNIT DESCRIPTION FUQUA HOMES 1985 FUQUA MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 8761 U/X 48'X 147 46'X 14' 135986/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY t t MS IPTION ASSESSOR'S PARCEL NUMBER 027-300-029 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITF. _ r „ R-A_ rAMA— car.. ten.,. ..... r �1 OESCgIPtIOM• IN All that oertsin reel prepsrty •!tusks In the Copnty of Butts, Caltfornls. de saelbed ea follevgi Stele of PARCEL INEe A poetlan of tate Ls and 14 in 839011 490 as '0614n on Map entltleda *Ms of Citrus o and Subdivision i sed t NLth Addition !m ev. . 1 of thei psjerms Citrus Treet"to �rhioh Msp Nae Piled Ln th0 W106 '. -Of the Recorder of the County o/ 9ulte�.Slsto of Callfoenlsa 8aytesbee 170 18081 dseerlbed as fslloroa BEGINNING at the Soulhrest Qaene; or sold Lot 1S` !hence NeelA slang the fleak line of said Lot 11j a distance of 00.0 foeli th®eeoe Eae1 and e►4esliai pith the South tioe of said Lets 17 and 14, m dlstnfees at 182.g feet to a point an the vast bovnd41r of that e:seE4Ln pateel 4f land deaeribed.in dead fto■ alive _ Prodyeto Cemdanya a corporation to Peed l and at u:e dated September 140 19d4a and recorded Sepleaber 16, o ea In Boob 1735 of arriFred al toseeda. at Fega Seto thence South along the veat boundary. _ OF sold vtad Feeeta et up,_ parsei�-. a_.diml4neo ot. the Soulh-Ylns -oP —said Lok 14, themes Meet ■lengllh� Sough line of" onLots 17 and 14. a diotanee of 1®t•S fast 10 the R®3�et e/ ouchbegliing. PARCEL 4100! •�' , The �edtie 1p 16 Post a the 5auther4y 1!1 fee t' Eae!®elr yyT.s 'tee! of lot 141 to 81oo'k 49.1 as shorn an Mmp enlllled elle 6900411310m 1 and t with Addition is Ke. 1 of Ptietae Citeuefte c! p whlOh Mep Mee filed In the Of/tee of the Jleoordea of the County of oiutlsa Stela of Cslifecnlea Septembet 179 1888• ft i • EP10 OF DOCtoAC9 ..... . . . £0 ' d . Mm:w 11 31111 A37ltif l a i w Mas 9002-tl-NM FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-1443 Address or location of unit: 2610 SOUTH VILLA AVE. PALERMO CA 95968 Legal Description of Real Property: 027-300-029 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: BRIAN AND DEANNA JOHNSON Owner's address: 2610 SOUTH VILLA AVE., PALERMO CA 95968 INSIGNIA OR HUD NUMBER: 135986/7 SERIAL NUMBER OR V.I.N.: 8761U/X MANUFACTURER'S NAME: FUQUA HOMES YEAR: 1985 OFFICIAL APPROVING INSTALLATION: DATE: � - a;� - 6 `f' PHONE: (530) 538-7541 H.C.D. 513C ,. . •� A . ; -'Gaffs ?;5'`.9c '•yft,>i.`YG :.::'�.�, " '�,, `.`q �'s'-Sr�'�"'�'�.-iz'. n- �� s, q,�M+y 'V .> `..`v N`.,Ya;°��,x _ . 2.'K1 84rx �zx "• rv' BIJTTEsCOMMU. BANK 5.4 p21121i1`°. hss I`ALTIESfi� +� Ma RSTREEt MOBILEaS'PE. C," ... , I 27 MYE Sx� ..;.. ' ,ar:':IgF1YI'll.'i $ G„v, 1' II Mn I'1�"`:% I'�'illh« Ilq 'H it i. .!,.I'�n'ii �r4. i w:;f-r, E°z-v'r.'k..;N s. X-�•..vafi .,.,s':. , cf. r �M1 rd,r I nlll afn, ,, X...�II,. SMI .II.I d i �G� a,�! �u. ','tar..: I, I�.. � II�°€•XI+ `N�BLyD, OROVILA95966.��yJ tn�-Ek'-. . �, 9�a_�v.�d yes �� �",,Zr'�•�� �'. � x' k�������e � ��� �� �±�.i. 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BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP061443 LICENSED CONTRACTORS 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 Issued Date: 07/19/2006 APN: 027-300-029-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 2610 SOUTH VILLA AVE PAL Date: Contractor. Map Index: Description: NEW MH EX SITE PERM FNDN 1288 p OWNER -BUILDER DECLARATION I hereby affirm under penalty' of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: JOHNSON, BRIAN AND DEANNA permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 2610 SOUTH VILLA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or PALERMO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95968 violation of Section 7031.5 by any applicant for a permit subjects the 530-570-4695 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: TOM'S MOBILE SPECIALTIES such work himself or herself or through his or'her own employees, 6366 LINCOLN BLVD provided that such improvements are not intended or offered for OROVILLE, CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 95966 proving that he or she did not build or improve for the purpose of 530-533-9117 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: TOM'S MOBILE SPECIALTIES pursuant to the Contractors' State License Law.). 6366 LINCOLN BLVD ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 Date: Owner: 530-533-9117 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 865359 ❑ 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. I have and will maintain workers' compensation insurance, as Architect: Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:, (,� (� G by b S 3 Total Square Ft: 1288 S.F. Q� Policy #: �) Valuation: $83,720.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, 1 shall not employ any person in any manner so as to become subject to the 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 th/osey provisions. V/ Date: R VV Applicant: v WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is he e6y isslLiecrunderAinpplicawe provisions of the Butte County Cods ?nrl/or I hereby affirm that there is a construction lending agency for the Resolutions t do AicatedAbove for ch fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY � V Name: Date: � Address: PERMIT EXPIRES ON:.Z[1!!2 _2- Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the wner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substanceora y official form or docume of Ile County. I hereby authorize repres atives of Butte Co u to ee/nte�r up n the above mentioned property for inspection purpo es. Print Name: Signature: jn l lU Date: ❑ Owner Contractor ❑ Agent for Owner 0 Agent for Contractor �uT rBUTTE+COUNTY„ PERMIT C C + DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION cN�. o 0 AND SUBMITTAL REQUIREMENTS �X ` L p - d� _ r 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP C o OFFICE #: (530) 538-7541 0� A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION BIN # If IN Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** ".14- OWNER INFORMATION Last Name .le irst Name Address b S. L11 I 1 AV City AState City Zip S zip�� Phone X33 Fax 533 -a Phone OL4).qSFax Lic. #a6,6-, E-mail ".14- CONTRACTOR Name .le Address o Address Fax City Stated zip�� Phone X33 Fax 533 -a E-mail Lic. #a6,6-, Class b S ".14- APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone �, (�j Q Fax E mail Lot # State License Number APPLICANT INFORMATION Name Address eo) i31 u . City State Zip Phone 5�3 — �! J1 Fax E-mail APPLICANTSIGNATURE X 4del L16w_ For dffice use ly: SRA Zoning A111 IFlood Zone I A I SRA I Yes Occ. Type Const. Subdivision Name �, (�j Q Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PROJECT LOCATION AP# 0 v -Ga Property Address City a'61 U S Cross Street WORKER'S COMPENSATION Policy Number S�-vim Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: C' hoe t oY, a L9 -o s u I J a Sq FT- LivingGarage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Receiveoh Amount: ; 19'96—Bldg I I N � SRA Receipt #- � Sheriff J SMIP Dater �, (�j Q Other Total Page 1 of 3 REV 8-12-05 1-01-- SUBMITTAL & PERMIT REQUIREMENTS., ' The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. 0wner-Builder Verification (if,required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits Issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees -for work plan checked avid other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County.Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �J v t 1 §SESSOR PARCEL NUMBER al • 3 Proposed Building Use: o Permit Technician: Date: I �% s required in order to apply for a permit All boxesNUST be checked OR marked NA in ordetto apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. T 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 0 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for n -heated and A/C for Non -Residential Buildings. 8. Manufactured home : Instal ationn manual including marriage line info) Floor Plan Tie down or fnd plans, all in duplicate. ►�ast� ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other R a in ins needed to issue the permit (May require additional plan review upon receipt of the following items.) 14' anitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... 1►1 &Erosion Control Plan Required........................................................................ Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ �alifomia Department of Forestry plan approval ❑ paid. Sent by: ........ l /eJ 3. tanning approval for (A) Use: 6V (B) Parking: (C);Parcel Chedc:.1� ...... ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: PDESForm ........................................: ......:... /J 27 Nncr achment Permit for driveway from, the=Pdblic Works Dept ..:...... _................. ❑ / 28. Contractor's license information. -(Number, Name Style, Classification) :.................. 11 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... 0 34. Deed Restriction.......... .. ❑ 35.-g.'Legal description, M.H. Title, title search, registration C r ......................... ❑l 6.O(her. �� t .Othera i Lk When issued Telephone and hold for pickup. I have been infor1.4 med of the above items and requirements for obtaining a building permit. Applicant Date: 1. Index ` it applicati r the 'yV; ems numbered: 2 . Plan Check Letter 2. Additio al items required �Factor., esigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: esigner, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, wa a ' ed of the ab ov d tab ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: L Z Note transfer by: Date: /L A Yellow: Building Division TO: FROM: E.H. USE pN�y Plot Plan Attaotted Floor Plan Attadied (^ Sent to BD1DS / Building Division = Development Services Environmental Health SUBJECT: Sanitation Clearance 1)hAsh Owner Location AP# Plan Approved for: Sewage Disposal: n s1 Water Sup ly: Public/� P 'vatle Well Clearance Clearance for dwelling. Other a B.?j,1�ii�•, �►-� �.� K��,* t� Hold final for: Final clearance O.K. for: Environmental Health Specialist Building Clearance 9/2005 flINA Date BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner JOHNSON, BRIAN APN No: 027-300-029 Permit Type: Subtype: App Date: 6/16/2006 Permit No: BP 06-1443 Permit Desc: 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $549.90 Plan Check portion of Permit Fee $219.96 $329.94 Balance of Building Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0 $204.98 (State Responsibility Area) Building Inspection $109.98 0 NON-REFUNDABLE portion of fees due at application $219.96 RECEIPT D TE Tech/Asst FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $219.96 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $338.31 4 Balance of Building Permit Fees (from No. 1 above) $329.94 5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) $8.37 6 Additional Plan Check Fees (NON-REFUNDABLE) 7 Other*: 7a Other*: F 8 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling Per Dwelling Applications After 04/15/06 u SFD MFD ,> MH County 4249.11 3183.54 3238.72 Chico Urban Area 6146.23 4538.82 5648.44 EI Medio Fire District 3249.97 2385.76 2422.68 North Chico Specific Plan A SR -1, SR -3, SR-1/PD 8801.091 7395.041 8486.40 �.c R-1 8897.09 7491.04 ° 8582.40 R-2 8390.091 6984.041 8075.40 R-3 7604.091 6198.041 7289.40 RECEIPT DATE Tech/Asst Processing Fee is automatically added to impact fee total 0 $100.00 9 WATER TENDER FEE (Not coiiected when Impact Fees Applicable) Enter Bat.# $200.00 DRAINAGE FEES* 10 CHICO STORM DRAINAGE 770 Butte Creek $7,997 MASTER PLAN 771 Comanche Creek $8,341 772 Little Chico Creek $9,088 773 Big Chico Creek $6,776 New construction, vacant 774 Lindo Channel $8,267 land, on 1 acre or less - 775 SUDAD Ditch $7,211 Enter 1 or less acre value 776 Mud -Sycamore Creek $6,275 RECEIPT DATE Tech/Asst 777 PV Ditch $8,893 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling I $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES' Palermo Union High School 092 ' ,�-,/ / 0, oroville 12a RECREATION DISTRICT FEES* <-U� `l ° U Y' -MI '7117A V 611. At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: / Date: Pursuant to Gove ment code'�n 6602pou are Hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of ipproval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 o�Qcgj"'�r T TFc . / 0 �� i I 0 /'— C a 0 0 0 AcOUN� �y QCIc WOP ®e.partment C o u n t i J. Michael Crump, Director t of Public o f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive oroville, CA 95965 (530)538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN I ACRE1 Project Description: Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that .contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Lest than 1 Acre NPDES & SWPPP Compliance Certification Butte County Stone Water Management Program -------- Butte County Department of -Development Selvlces O�VTrC. p 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile BUILDING PERNHT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledgd: a I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation: clearance to the Building Division as soon as clearance is obtained a I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. i. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or r uire submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: 4-/„s APN: (�rl 30o -Q:2 Building site address: ")4n/« s 16 %iz iP , Permit No.: I have ead, understood and accept the terms and conditions as expressed herein as indicated by my subviission. of the above -referenced building permit application and my signature below: F AdVPLICANT DATE t, 0TrF01 Department ®f Public Wo.rks o 0 C o u n t y o f B u t t e 0 7 County Center Drive C Oroville, CA 95965 y0 J. Michael Crump, Director (530)538-7681 ©O 1 1 n1'� (FAX) 538-7171 a 5 �etlC WCR� Shawn H. O'Brien, Assistant Director Assessors Parcel Number: ���` �J OP���ZgBuilding permit # Owners Name: Owners Mailing Address: %G Property Address: e ENCROACHMENT PERMIT ACCEPTED: PERMIT MJMBER: O -6 b I - 3 ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: Q �;-9 6 n Not a County maintained road [] Existing driveway conforms to County S-31 standard r El Other r Approved by Printed Name D Uls�hs Title �� Date CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1. An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. i BUTTE COUNTY SCHOOLS IMPACTTEE CERTIFICATION FORM (One form per Building) School District I)Le, A.P. Number (��' :JVy� Jurisdiction: City Property Owner Property Location Subdivision Building Department No. [County 0qa - w o Lot No. ....................................................................................... Residential Development Q Q Q Sq. Footage No of Living Mobile Home Addition/ Supplemental to (Group. R) Units Installation Conversion Permit # '• •(No foundation inspection) ........................................................................................ Commercial/Industrial New Addition Building Department Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) 6 J b . c)� Date District Identification No. 0 7 0 0 0 School District certifies that :10 h n S D r ly, (Applicant) , Q�D\)D S (Street Address) -�b - 3u (Phone (City) (State) (Zip Code) has complied with the,requireriients of Resolution No. by payment of $ r. M. representing School District I Q 4� -..«, square feet. VB -28 $ MITIGATION $ Paid by Check # Y, Remarks: ,533 -t)►l7 -A 15\6\, Date Notla : You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In cohVilance with Government Code Section 66020(a), within 00 days from the date fees are paid. Failure to submk a timely written protest will prohibit you from challenging the Imposition of the fees in any court action. N, subsequent to the School District Representative signing this Butte County Schools Impact Fes 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 mlflga% Its' mpact an the school district's schools. White (school district), Yellow (building department), Pink (applicant). feeformids (3F0SWM BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM C FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) 09-1'U� ` Building Pen -nit Number C,"306' `� 3 Property Owner (s) Project Location /Address a U V 1 ff30 Subdivision Name Assessable Sq. Ftge - ( ;� Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) , .Non -Residential to Residential Multi -Family Dwelling. VV/ Mobile homey/Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: , Building J �1MO J! Date 0 FRRPD 0 CARD ❑ PRPD D DRPD certifies that: Applicant Name Mailing Address Phone Number City State Glp Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: Paid by Check No: Paid by Cash: Representative per unit for a total of $ per sq foot for a total of $ Receipt No: i Return to: AGRICULTURAL STATEMEN'C OF ACIGYOWLEDGEMENT Building Divisions FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be record prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and CCAM WM4 fertilizers; and from the pursuit of agricultural operations rt 000)ME' including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for.productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or ' discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California; described as follows: Date: State of California County of Butte n On 6-6-94 personally appeared 15 C -Y i Q --I 1 o /'.A . PROPERTY OWNERS: before me, Michelle A. Miller M. Virginia Taylor 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) acted, executed the instrument. • ;3 u » ®`- -' WITNESS my hand and official seal. OFFICIAL SEAL 0 MICHELLE A. MILLER • NOTARYARPUBUC CALIFORNIA pel Office /��► /%/%,, Cohiin .IOCT.26,14:sb • Signature Seal: ••®•••••••••®•® _. A.P. # a 7-30 0 - 2' DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: OF CALIFORNIA' a. A PORTION OF LOTS 13 AND 14, IN BLOCK 49, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF PALERMO AND SUBDIVISION 1 AND 2 WITH ADDITION TO NO. 1 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED'IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 17, 1888, DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHWEST CORNER OF SAID LOT 13; THENCE NORTH ALONG THE WEST LINE OF SAID LOT 13, A DISTANCE OF 150.0 FEET; THENCE EAST AND PARALLEL WITH THE SOUTH LINE OF SAID LOTS 13 AND 14, A DISTANCE OF 182.5 FEET TO A POINT ON THE WEST BOUNDARY OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN DEED FROM OLIVE PRODUCTS COMPANY, A CORPORATION TO FRED FROST, ET UX, DATED SEPTEMBER i4i 1964,. AND RECORDED SEPTEMBER 16, 1964, IN BOOK 1335; PAGE 322; OFFICIAL RECORDS; THENCE SOUTH ALONG THE WEST BOUNDARY OF SAID FRED FROST, ET UX, PARCEL, A DISTANCE OF 150.0 FEET TO A POINT 014 THE SOUTH LINE OF SAID LOT 14; THENCE WEST ALONG THE SOUTH LINE Ok SAID LOTS 13 AND 14, A DISTANCE OF 182.5 FEET TO THE POINT OF BEGINNING: PARCEL II: THE WESTERLY 10 FEET OF THE SOUTHERLY 150 FEET OF THE EASTERLY 137.5 FEET OF LOT 14, IN BLOCK 49, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF PALERMO AND SUBDIVISION 1 AND 2 WITH ADDITION TO NO. 1 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA; ON SEPTEMBER 17, 1888. PAGE 4 r Mar 03 06 02:17p p.2 MOBILEHOME [ MANUFACTURED HOME SUPPORT DATA SHEET Home Manufacturer: 1—oab4. Manufacture Year: Setup Model Number: V 601 Width: (ft.) Length: FOOTINGS: Wood - pressure treated or foundation grade[ ] Other:[>Q S �la ;�e- Oaf SUPPORTS: Concrete block [jl Other.[ j Provide manufacturer's installation manual, structural support requirements and state approved / engineered foundation or tie down specifications for all mobilehomes manufactured homes. SINGLE WIDE MULTI -WIDE Line 1 -- ---------------------- Line 1 Line 2 Transportable section 1 , Line 2 Line 3 Transportable section 2 Transportable section 3 Line 1 Piers: Size minimum: L I X [ Spacing maximum: ' From ends maximum: " Line 2 Piers: , Size minimum: X Spacing maximum: " From ends maximum: 0." 'Line 3 Roof Loads: Size minimum: Location (from front): Size minimum: Location (continued): Line 4 Roof Loads: Size minimum: Location (from front): {4 Size minimum: Location (continued): I Line 2 Line 4 Line 2 Line 1 Openings: Size minimum:. X [a. y ] Each side of openin s with width over: p " BUTTE COUNty BUILDING DlVtsl( APPROVED 1. 1/2"x 3 1/2" EXPANSION ANCHOR (4) REQUIRED Wilms CONCRETE PAD INSTALLATION CHASSIS FRAME 1/4" GRIPPER PLATE �O • (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED 011 �2" SCH 40 PIPE RISER WITH 01/2 ADJUSTER HOLES AND 3/8'- THICK TOP PLATE p 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD X1503 p STEEL FRAME 3/4" DIA, It 18" LG. 1/2"x 8" LONG (4) REQUIRED ANCHOR BOLT 3/8" CAD PLATED BOLT, NUT do WASHER (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM ?. . _•, :, ;,.. AT 8" O.C. ` (8) REQUIRED -' POURED IN PLACE 16xl6x12 CONCRETE FOUNDATION INSTALLATION 36" MAX TO BOTTOM OF PAD 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN RwNm 0 51G'ltM10 LIGHT HEAVY—WEIG' T� 'E �: ; 3kt'°s�'��r PLASTIC PAD INSTALLATTO Ld `FJ i~' RU D zg =17 -RIDE UNI'L'B 811tiGLE RIDE mm LENGTH OF YBOTH` Or E� HOME UPM44' d 2 —f" b 66 12 1 12 1 12 1 1 u'-1" h 80 20 2 20 4 NUMBER OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED 11M SINGLE WIDE UNITS REQUIRE (4) E—Z TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL UNGTH OF HOME WIDTH 0 12 OF ONE 8 UP TO 8 1 6 18 4<-1 fb B 8 8 B u'-1• IoIQ 10 1 1 1 10 STATE APPROVAL MANUFACTURFD HOMEI ORILEHOM6 FOUNDATION SYSTSM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRBC'I IONS NOTED .gam APPROVAL DOES NOT AUTHORIZB OR APPROVE ANY s1C OMISSIONS OR DEVIATION FROM REQUIRSMF.NTS OF APPLICABLE STATS LAWS AND REGULATJOI4S '�%► �/1 @® Sm of Celifornie VOF bepwbmdetlim sing and Community Drivelopment 5851 FLORIN - PERKINS ROAD SACRAMl M, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 OF CODES AND 11V BPA WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 3 of 3 c i Full ear arra Manufacturing defects reported to Skyline .within one year and ten ys after original delivery by an authorized dealer will b\correcd on site, witho charge and within reasonable !Imes. Misuse, unauthorized alterZnnor imperfections and dealer or owner improper transportation re excThis warranty gives you specific legal rigmay ghts which vary from state to state. For details on how to obtain service, see page gfie oj'PiQmeowner Manual. LINE Reality Company oQ a fi-P #a,�)- 36 6 --a a? Environmental Health JUN 71994 Oravill®, California APPROVED Butte County Environmental Health Date ht1__-,/�1�--- Signature AP # OWNER Q�j PERMIT , lk Ni t UT IL . CLEARANCE DATE i INSPECTOR ELECTRIC GAS Support Struc. Compactio: Test Rea. Service Other Pipe YES NO YES NO Size Load Type Size Length ,' t 1, ,EMARKS: rr�r X .la r_.. (. c i V �( el�((pG0.lLt Is a(locn �.�j" �1 (t.o�.r c �� u�. R e c 4� �- < ✓ ct c SG V cCLta�cr -}1-a.r �/5� :._1� I -� 6 I r, r- '. z -t. tt `t'o f. �. n Aja .P �� V'lOi•�S iL �e EC t5Z3 — A n,. 1. I'J r_i'� X11 c , c._ ,. �o V � c.� e. S Q i L+ nva . _ - y�%/�b(f (lM f CJT��o •I ie �GX34 1 / VALUE ADDED TAXABLE VALUE �ovdcv J /4 ASSMT. YEAR SECONDARY BASE YEAR LOT H/S VALUE el UNIT VALUE VALUE TAXABLE ADDED VALUE ASSMT. YEAR Y PRIMARY LOT(tI 5 BASE YEAR VALUE SQ. FT./ ACRES I Amn vel IIF rOMPUTATION SUP11LEMEN I AL BULL YEAR I NO. I DATE I LAND SECONDARY IMPS. UNIT VALUE VALUE ADDED TAXABLE VALUE �ovdcv ASSMT. YEAR SECONDARY BASE YEAR LOT H/S VALUE SQ. FT./ ACRES UNIT VALUE VALUE TAXABLE ADDED VALUE ASSMT. YEAR Y PRIMARY LOT(tI 5 BASE YEAR VALUE SQ. FT./ ACRES EXISTING BASE YEAR EXISTING VALUE PORTION RETAINED RETAINEDI VALUE EXTENDED EXT. %YEAR i VALUE TO YEAR TRANS. DATE VALUE PORTION TRANS. TRANS. VALUE EVENT DATE VALUES PARTIAL OWNERSHIP CHANGE ASSMT. X = X _ X __ X _ _ = LAND LAND COMPUTATIONS IMPS. IMPROVEMENT COMPUTATIONS X = X = LAND LAND COMPUTATIONS X = X = X = IMPROVEMENT COMPUTATIONS X = X = X = IMPS LAND COMPUTATIONS X = X = X = LAND IMPROVEMENT COMPUTATIONS X = X = X = IMPS. LAND COMPUTATIONS X = X = X = LAND IMPROVEMENT•COMPUTATIONS X = X = X = IMPS. LAND COMPUTATIONS X = X = X = LAND IrerR0vF.MFNT COMPUTATIONS X X _ T - -___- _ X __ IMPS. - SITE PLAN —7– —7 ...... 7 ............ ...... 7 ............ ...... 7 ............ ...... 7 ............ ...... 7 ............ ...... 7 ..... 7 ............ ...... 7 ............ ...... 7 ............ 7 ............ ------ 7 ............ ...... ...... 7 ............ .................... ...... 7 ............ ............ ...... ...... ...... ..... ...... ...................... ...... ..... ...... ...... ...... I ...... ..................... ..................... .................... ..... ------ ...... ............. ....... I ...... I ...... ...................... ........................................ ..................... ..................... ...... ............. ...... ...... ............ ................ ...... ............ ...... ..... ...................... ............. ....... ..... ...... ...... I .............. ............ ...... ...... .................... ............. ...... ...... .............. ...... ................... ...... ...... ...... ...... ...... ............. ...... ..................... .............. * ............................ .................... ....... ................... ..... ...... .................................... .................... ...................... ..................... ...... ....... ................... ...... ...... ..... .. . ............ ...... ........ ............. ...... ...... ...... ...... ...... -7- 7-111 ..... 7.... ...... ...... ..... ...... ...... ...... ...... ..7-- : ............. ...... ...... ...... .......... ...... ...... ...... ...... ...... ...... ..... z ...... ...... ..... ...... ...... ...... ...... .. ..... ...... ............ ...... ...... ...... ........................................ ...... ..... ................... ................... .......INS ...... ...... ...... ...... ............. ..; ............ ...... ...... ...... .............. KAM ..................... ..................... 13: ...... ...... * ..... ...... ...... ...... .1rd ..... .................. ............................................... ....................................... Lt F .............. D-5-16-.�- -7 1 ....... . . . ...... ..... ...... ...... ...... ...... ...... ...... * ...... ...... ...... ............. ...... ...... ...... ...... ............ . ............ . . ..... ...... ------ ...... ...... ............................ ............ ........................ --------------- DE of .......--•--.:............ ...... ...... ...... ...... ...... ........ . ..... .... .................................. ................... ..................... ..... ..... CALIFORNIA CO S �Siglr�tur� C- d-� REGULATIONS TITLE 25 t'*****: ... . ............ :-*----* ................. ................... ..... ....... ............ . . . . . . Requirements as amended by the ...... ...... ...... ...... ...... ...... .............. ...... ...... ............. I ...... ...... ...... ............. ...... . . . . . . ............ ...... ............ ...... .................... ............ ...... ...... ...... ..... . Jurisdiction apply to this prolpct ............. ...... ............ ............. ............. ..................... ...... ............. ...... % ................... ............ ...... ................... ..... ............ ......;...........i......;...........;....... ...... ...... ............ ............. The 2001 CBC, CMC, CPC, 2004 ...... ...... ..... ...... ............. ...... ... ... ..... . ..... .......... .......... ...... 7 ............. ...... 7 ................... .............. ............ . ................... ...... CEC, and 2005 California Ener ...... ...... ............. ...... .......... ............ ...... ...... ...... ..... z ...... ...... z ...... ...... z ........ .... z ...... i ...... ...... i .......... ................... .................. gy Standards as amended by the ...... ...... ..... .................... : ..................... . ................. ................... . ......................... % .......... ..................... . ............... ......................................... ...... jurisdiction apply to this project. ...... ...... ...... ....... ..... ............. ................... ...... ...... ...... ...... 7 ............ ...... .............. .......... ............. ...... 7 ...... ...... r ..... ....... ......... ... ...... .... ....... ............... .... ..................... . . . . . . . . . . . . . . . . . . . . . . . . ............. ........... . .. ...... ........ ... . .................. ...... ...... ...... ...... . ....... .................... ..................... ............. . ... .... . ..... ..... ...... 7N PERMIT SHALL BE ON SITE ........... U . . . . . . . . . . . . . . ......................... ...... ..... r ..... ..... ...... ............. ...... ...... ...... ...... ...... ...... ...... ........... ...... .. ...... FOR ALL INPECTIONS .......... ............ ............. ...... ...... ...... ..... ..... .. .. ... ...... ...... z ...... ........... ..... .......................... ...... ...... ............ ...... ............. ...... ............ ............ ............... •..................... .............. ...... ............. % ........... . ...... ...... ..................... .... ................... % ...... . . ........ ................... ...... ............ .............. ...... ...... ..... ...... ..... ...... .................. ...... ...... ............ MING PERMT # 06 MY31 z...... ...... ..... ...... ..... .... . ...................... ...... ................... ................... ...... ...... ...... I ...... ............. ...... ...... ...... * ..... ...... ...... ...... ...... ...... ...... ...... ...... ASSESSOR'S PARCEL# 0 ............. ............ Z ...... �50 �-(51-7 ............ ...... ..... .......... ............ ...... ...... ...... ...... .................... ................. ............ ...... ............ ...... ................... ................ 7 ............. ................... ........ ...... COL BL. ...... ..... : T. T- t: ............ ...... ............ ...... ...... ...... ...... ...... ...... ...... ............ * ...... ..... ...... ...... ............ ...... ...... ............ ...... ............ ...... ................... ............ .......................... G -v Ivi or -ION ............. ..................... ..................... ............. ...................................................... .... ..... ...... ...... ...... ...... ...... A ............. ...... ...... ............................. % .......... 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