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HomeMy WebLinkAbout027-320-01327-.32-13 27-32- 502-91P,E 1.2-91 SMITH, LeeRoy SMITH, LeeRo X&Carol W 13 Evita Way, Palermo 13 Ev7ilta Way, -ermo atio��-Perm�it- P.-, /mh') (horse barn & ha. 0 0 (/ - I (/00_ y storage) ELEC Do- -14) GAS CT COMPACTION TEST REQ /00 SUPPORT STRUCT REQ AAq 27-32-13 Permit#503-91MHI (in,stalf�a'tioM/mh 027-320-013 PERMIT#94-2811 SMITH, LEROY 13 E -VITA WAY, OROVILLE .CONT: SKYCREST ENTERPRISES MOBILEHOME ON PERM FND rw �� MEQLE =0.6 AND WHEN RECORDER. MAIL TO. WK BUILDING DIVISION ,.,rr. 7 COUNTY CENTER DRIVE OROVILLE CA 95965 srrr. STATE. Nd a a 94-048580 94-048580 94-0 8580 94-048580l' l Rec Fee .00 I Total .00 Recorded I Official Records 1 County of 1 Butte Candace J. Grubbs I Recorder I 11:52am 30 -Nov -94 I FRMS XX 2 Y NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at Mie request of the Iotas' agency indicated is in accordance with California HeaM9 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 per- sons thereafter clearing with the real property. LEEROY M AND CAROL.A SMITH BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 13 EVITA WAY 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE, BUTTE, CA 95966 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP SAME 94-2811 (916) 538-7541 INSTALLATION MAIUNG ADDRESS, IF DIFFERENT BUILDING PE TNC1 �' TELEPHONE NUMBER 11/28/94 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL`AgE14CY OFFIC!AL DATE SAME COUSIN GARY'S UNIT OWNER (I.P nlso property owner, write "SAME") MAIL:.4G A 55 CITY COUNTY STATE ZIP DEALER NAJAX ( I : .... _ _ ae=' e, 52; e , write "YCNE" ) 91265 DEALER LICENSE NC. UNIT DESCRIPTION SKYLINE 1994 LEXINGTON 5514 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 2T70-0749 G 66'X36' ULI 382637/382638/382639 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #027-32-0-013 SEE ATTACHED LEGAL DESCRIPTION. HCD FORM 433(A) 4/86 u 91-02459 ORDER NO. BU -117933-3 Dp,.SCRIPTION.. ALL THAT COUNTYNOFBUTTE, DESCRIBED AS FOLLOWS: L pRopgRTY SITUATE IN THF. STATE 08 CALIFORNIA, gbagzt, it LOT 13, As SHOWN ON THAT CERTAIN KAP ENTITLED, "PARHAM SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF TNS RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 7, 1985, IN BOOK 100 OF HAPS, AT PACE($) 31, 32, 33, 34 AND 35. CERTIFICATE Or CORRECTION RECORD90 OCTOBER 24, 1986, UNDER BUTTS COUNTY RECORDER'S SERIAL NO. 86-37964. o�►tQaa B99zLJ S A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES D, "PARHAM OVER ALL ROADS, AS SHOWN wN� RECORDAT ED I IN�THE OFFIICS OF THE , SUBDIVISION", WHICH HAP STATE RECORDER OF THE COUNTY OF BATE PAGE(S) ( ) 31,F 3CAL FOR IA, O 3�8 7, 1985, IN BOOK 100 OF ?NAPS. AT CERTIFICATE OF CORRECTION RECORDED OCTOBER 24, 1966, UNDER BUTTE COUNTY RECORDERas SERIAL NO. 86 -37964 - EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS Or PARCEL I, DF -SCRIBED HEREIN - PB CEL TIis �r • ALL THAT REAL PROPERTY SITUATED -IN SECTION 23, TOWNSHIP 18 NORTH* YO RANGE DS AND PUBLIC DTXLITIES PURPOSES ON,NOVER ONAND UNDER A STR-ELUSXVE EAS IP OF LAND, 66 FEET IN WIDTH, LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTrJltLXNE: .:,; • 4r: ;` ;• BEGINNING AT A POINT ON THE NORTH LINE OF SAID SECTION 23 FROM tv(ii} WNYCH THE NORTHWEST CORNER OF SAID SECTION 23, BEARS SOUTH 87 DEG. 430 56" WEST, 30.00 FEET; THENCE SOUTHERLY AND PARALLEL WITH THE WEST LINE Or SECTION 23, SOUTH 01 DEG. 24' 40" EAST`, 967.90 rEETi THENCE SOUTH 44 DEG. 40$ 28" $AST, 409.87 FEET1 THENCE 125NFEET$ AGENT CURVE CENTRAL ANGLE OPE 370D�F.G151 14HWWTERLY " HAVING ARC LENGTH Of WHICH IS 81.20 FEETi THENCE SOUTH 07 DEC. 251 14" EAST, 144.20 FEET TO THE SOUTHERLY LINE Or THAT CERTAIN PARCEL CONVEYZ0 TO R. i B. HUNTER DEVELOENTS LlOOK 60 PAGE 1044, OTFICIALBRECORDS, ANDRTHE END or SAID LINEY DEED RECODED MARCH 9, 1970, IN ALL THAT REAL PROPERTY SITUATED IN SECTION 14, TOWNSHIP 18 NORTH, RANGE 4 EAST, N.D.B. 6 H., BUTTE COUNTY, CALIFORNIA, AND BEING MORE PUBLIC UTILITIES NON-EXCLUSIVE PURPOSES, ON OVER AND UNDER EASEMENT PARTICULARLY UNDERTHE FOR ROAD ApDFOLWWING DESCRIBED PARCEL: BEGINNING AT THE SOUTHWEST CORNER OF SAID SEC'T'ION 141 THENCE EASTERLY ALONG THE SOUTH LINE OF SAID SECTION 14, NORTH 87 DEG. 43, 56" EAST, 60.00 FEET: THENCE LEAVING SAID SOUTH LINE NORTH 01 DEG. 364 04" WEST, 30.00 FEET: THENCE SOUTH 87 DEC. 43' 66" WEST 60.00 FEET TO THE WEST LINU OF SAID SECTION 14; THENCE SOUTHERLY ALONG SAID WEST LINE SOUTH 01 DEG. 360 04" EAST, 30.00 FEET TO THE POINT OF 89CINNIN4. r.N11 OF OOCUMIENT C S\AT CCU � B Address or location of nc)13 EVITA WA OROVILLE Leo Description of A.P. #027-32-0-013. Rea! Property SEE ATTACHED LEGAL DESCRIPTION. NO. 94-2811 A E:Mobilehome/Manufactured Home E)Commercial Coach has been affixed to tll-:.: real property described above by installation on a foundation system pursuant tc Health and Safety Code Section 18551. Owner's norr+e: LEEROY M AND CAROL A SMITH Owner's address: 13 EVITA WAY, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: ULI 382637/382638/382639 SERIAL NUMBER OR V.I.N. 2T70-0749 G MANUtM AkCTURER'S NAE SKYLINE o 1994 YEAR OF MANUFACTURE: tom+ Asia—w MCD • t ac f7/001 11/28/94 @ 7 (916) 538-7541 lop STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a: 0 Mobilehome' commercial coach D Floating Home E] Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) Sky/;tie T20-0-,,/9 G I/We, the undersigned, hereby state that the unit described above: Affiant further agrees to indemnify and save harmless the Director of Housing and Community ..Development, State of California, and subsequent purchasers of said unit, for any loss they , may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. J/We-certify under penalty of perjury that the foregoing is true and correct. ,Executed on at (Date) (City) (State) 'Sina re of eac affiant Printed name of each affiant 1-57 Address City State. HCO 476.6 (Rev 11/86) � , "r .r '. �'. � 3 x *'•w v � '- +. "r.. ,.+• r-�{'t"" R � b: .� � i•�' .::..max*��dt ....� 7 r. , s .. yN .pra:�i'a�;q•°!r •; ..�r"w, -•r..Y• .. , .Y' t ,r*�F6'a�S;�u1IHrrd.rs«p. _ 1.- v �,.[�+.:%�.wca.]IfT• .]'_A. ..i.v!.-.v ...b:1t l•s �•. 9 1 -02459 ,t> - t 91--002459 1 Rac Foe 7.00 VMEN PXCORDtEO MAIL TO; I DOC 0.35 Recorded I Chock 16.35 L.f:EROY AND CAROL SMITH Official R•cord s i P.O. BOX 327 county of t PALERMO. CA 95M Butt• N Candace J. Grubbs i R�cord.r t tO0R0mKQ 5rLO8r. 61OOsa 22 -Jan -9i t vs 2 MAIL TAX STATEMEM TIO: DOCUMENTARY TAMSFER TAX O m to mw V" d 0 $ owrwK 0r1 SAME AS ABOVecore0lAM A WWW ysaNr�� OMWdW M 00 WW r VdA Y0 kre W M01(�10� t ��I� MWAy41 r 60 sora TAX PAM "m flry - :a dets�� w e ar wsl •dOSA.Ir 49FAC"w"m-6&L bo-roawm 0 ZF-33-u GRANT DEED FOR A VAWABLE CONSIDEJUTOK r4*Vpj d elide is tram &da &abdpra4 HENMf T. TWISIGH HMRY Y RUNGE. JR. rand CYNTM A. RUNGE, husbwW and wIN hp+lpr cfrnNr� to LEEROY M. SWM mrd CAROL A. SWrK husboW &W wHo. tis .faint Tsnrrea rt. ntd pfomv b11ha ll wm mperttrsa wn d Nt Cour a BUf" m x SEE ATTACHED LEGAL bE- FAPWN .*AmdCWVW%4 -It - Oatod .1m iaty l ot„t091 �. 5TJ1Tt.Q tJll.fft7p(pl1 • county of Ivm lay' a Cn Itua ,L day, of � � �1Kt.�, it�i/, afore Pa, 04 tern erSI9rWd. A In ud (OV UVO� t4t,vC1*4iA` ________, fluty - t�IT:11.71Onid yd a..lAT� p�lyMltty OiF:AtRI �'f �•� :. AI VY,l� J•. 'fk'1x7n111 / 4.w1 m no :iF�l Fr*.asr,. W irC' Q; q'Q u�tt: eh a7elataGC4Q[:� AVeJI+ifL'J. to OI w lnd\YldW% dese•abcU In and who ammvtod w famlolnq tNtrwant for Hta +elf And as •ttom.r In foot of CV1,41A a •"Iz,( • ali0 UWCV%A drlCrllMd, " A1!1,Anw4(q';..1 M " IA.1 .!" •yr lv,l 4M . 1-1 Low taro V 1 wI L31Y aft and tkLd tad" •w.frm Am'%clunciry est tad deaf of t1w .sal 11 CTS !f -A A. 1:—Itc fae w'usaa and purSauts leucin o.:ntio d, .rd 001 0416'1•ataud irJt •O POI.t!(O %W(r<1r AuVCeltU4j the CAWk lOM Of Nls Instcvlavlt h•■ rot EcCn rear.+l riot said ��� r 1• rvv Ila trryr1 000srlrtifJai0e0011•t•afa00a� . 1r SATS C arW off illt $CAI twmto ""t t;,. "Ay uaf year lq til" etrttftca1PiNrCL F, NUNT i ahors antetSrY_ % � :', ,_ .. •.•., .,. r.I.IprwA �. - Slvlu(0 `K 4' �(- � 1 �:•� u,t uicAVati,t7jl • 41 a a0a■•0000a0aa4a4aaaada RESIDENTIAL 027-320-013 PERMIT#94-2811 SMITH, LEROY 13 EVITA WAY, OROVILLE CONT: SKYCREST ENTERPRISES A10BILEHO ME ON PERM FND 7- cl� JOB FINALED e) _ Signature J=OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s j oning Requirements -Setbacks Easements Foot' gs; Size -Spacing -Marriage Line 3. as; MH Test -Demand -Valve -Connector ectricity; MH Test -Crossovers -Breakers -Clearances r ' ' MH Test -Fall -Flex Connector a Y'MH Test -Regulator -Connector .7-1ater-and Sewer Connected -C/O to Grade -HD Approval B�FaasN nElectricity Tagged a -6 -its; Insp.-Sketch 49-GBct.-of-Occupancy f 1 Date Z; rd 13-1 Date Card B-1 Date tard B-1 Date Card B-1 vyz f A,-- <:!� 4,1'o--� 6- q . �:t 76 -- 6 7 q-� Cs- e 7 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.: Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except tf's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48, Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped------- 6. Stemwalls, Garage; Steel- Bloc kouts-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 ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access ------------------------------------------ 21. Gas Pipe: Size & Anchors ------------------------------------ -------------------------------- Date Card B-1 Date Card B-1 ----------------------- ---------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except P's 22. Fixture & Transformer Clearance -Ins. Protection --------------------------------------------------------------- ---- 23. Elec. Receptacles Spacing -Lights & Switches at Doors - ------------ ------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -------------------------------------- - -- - -- - ---------------------------------- 25. ------ ------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. -------- - ------------------ - ----------------------------------------------- -------------- 2l ------------------------ 26. Equip. -Gro undmade-up- w/Meth. Fastners-Bond -Gas-.& Water 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI --------------------- ------------------------------------------------------------ 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size / ! ga. Cu or Al --------•------------------------------------------- 29. ----------------------------- 29. Range Circ / r ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect - - ------------------------------------------- 31-.-Equip.-Clearances Panel s- Equip. ------------------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --- ---- - -------------------- 33. Smoke Detector ------------------------- ----- ------------------------------------------------- Date Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ------------- -------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------ ---------------------------- --- - -- - --- 36.__ Condensate Drain & Overflow: Size & Grade 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------ ---- -- - - --------- -- -- -- - - - -- ----------------- 38 ------------- 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 ft's 39. Sils. Proper Material & Anchors - -- -- -- - ----------------------------------------------------- 40. Walls Studs -Nailing. Spacing-&- Bracing -Plates -Sound ---------- ----------------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing --------------- ----------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) -------------------------------------- ----------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------------- ----- ------------------------------- 44. Headers & Beam -Size & Bearing 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ------------- ----- 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers --55.-Siding-Nailing Veneer ____________ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic ------------------ 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------- ---------- -------------- - Date --Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except 4's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------ 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection 64. Bedroom Exiting 65 G F.I_& Bath Fixtures & Tub Access -Spa ----------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------------------------------ 67. Stags & Rails 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. ------- ------------------------------ 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ---------- - - ----- -------------------------------- ------ 72. -Garage -Fire Door: Swing -Landing -Closer ----------------------- ---- - 73. A.C. Duct in Garage -Damper ------- - - --------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor -Meth. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.1.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes -------------------------------------------- - - 78. Guard Rails & Deck -Co nstruction- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ---------- - ----- -- 81. Stucco Brown -Finish 82 A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ----- ---------------------------------- 84 Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec, Trim: G.F.I. Receptacle -Underground ---------------------------- --- 86. Ventilation Throughout House ... - - - -------------------------- ---------------------------- -- 87. Glass Protection .. -- ------------------------- - --------- 88. --------------------------------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--1---- ------ ------------------------ Date Card B-1 Comments at Final: Date _Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completad_Wyou have any questions pertaining to this matter, or need additional explanation, please tact this office immediately. C Date / Inspector REV 10/92 v CAUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive - Oroville, Ctilifornia 95965 - Telephone (916) 538- 1 P RMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-320-013 ZONING A5 BUILD G PERMIT OWNER LEROY SMITH M—T508 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 13 EVITA PO BOX 327 PALERMO, 95966 9948 2 2• 0 CONTRACTOR'S NAME SKYCREST ENTERPRISES _E}E-T—L 2 E694 C}L CONTRACTOR'S MAILING ADDRESS 13468 HWY 99 CHICO, 95927 Fire lace P CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ -358.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 13 EVITA WAY PERMIT FEE $ 401.25 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. 1 SUBDIVISION'S NAME PARHAM PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome d 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 01Addition ❑ Remodel O Utilities ❑ Installation O Other ❑ Describework: MH PERM FOUNDATION $p S?- PERMIT FEE J$ 65.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 OR LE Main Service ( `A OR SS ) 200 A LESS 23.00 23.00 Main Service ( 200A To IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) 3.50 SO . FT. NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ') @7.50 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O 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. Z' .f y/L 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason POW ER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20@1.00 Ex. Occu FIXED APPLNS. OR p' (OUTLETS IRESIO.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): w❑ This permit is for $100.00 (valuation) or less. ave placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 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 $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i onsequen f the ranting of this permit. X Date � a /o - 7` Sig ature of A licant - O Owner 1 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 $ Energy Inspection Fee $ occ cINIT. TYPE TOTAL FEE $ 509.25 HAZ. D. FEES IMP FL CDF PARCEL PO `— 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. �y By, 67) D to �l 7 IF/ PERMIT EXPIRES ON X ELI.) Receipt No. WHITE-D.D.S.-B. NARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .�. ..-- Jam.., ��i..t �,...-.-..,`:,,,,;��rjf.- ..�;.-•-•-1•--,�-„..:".p.;w. .n�=ti.-•,•.�'a{.Mr:a- nyj'^"'TI ":v•v�,YHY'f ry+ '-y"��.''. rY�1y"-i•�,�.M,.r• ., `1i.h+.rr.,..,:�-.�fw.•••r'w..�._,..v�a.•.. �.�..,,,., �,�•.� COUNTYOF BUTTE - DEPARTMENTOF DEVEEOPMENTSERV CES - BUILDING DIVISION -\* VA 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE(06)5M--7541 PER IT APPLICATION DATA SHEET OWNER A. P/ Npi�_`7 3Z �— Proposed Building Use Building Inspector Date I.” , J At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans................ ......... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and callus, 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. Mobil home data and manufacturer's installation instructions, 2 sets. ........... .iWFeesof $ ............ :............................. . • act fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . —.13. Flood elevation letter (100 year flood) by California 0 !2 Z)Engineer. ..... ,^tom 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: . ........ 1 Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . • Pre Inspection request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classificption). .............. t 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . ..................; 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 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 . ...................................... 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 `,/0'S�r�' Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept.)gj�m6r.. Date By The following data must be submitted p ' r' o it issua0cot checked above). 1. Index permit for above items Nor. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, own�,a � a/dvised of aboverequired data by _ phone _ mail Co r by _ Date Plans checked by Date® 3 % Plans approved by Date 1- Sets of plans on hold in &""File cabinet AP foIderC Copy - Department of Public Works s TO: Building Department FROM: Environmental Hcalth SUBJECT: Sanitation Clearance E.11. 1 sl{ ( ,) I Pha PLm Allachcd 19nor Him Attaclwd— — sent to H.U. ! —�- t-cs-< l 3 tic )� & . _ �22-,3c2 -�3 Owne Location AP# Plan Approved for: Sewaoe Disposal ✓ Water Supply: I'ublic Private Well -N Cx�,�5 Clearance for bedroom mobile home. Othcr Hold Final for: Final clearance O.K. for: NOTE. / Environmental ealth Specialist 8/92 co z9 h"g, Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER _DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER -S PROPOSED BUILDING USE SCHOOL DISTRICT FEES (/�/-114 (paid at District ffice .. ..S .......... 2. SHERIFF FEES /�• (paid at Building Depart ) Residential...... x -$ unit amt. Commercial (sqft) x -$ sq.ft. amt. Z&3. URBAN AREA FEES (paid at Building Department) Residential (per unit) # x -$ units amt_. Commercial (per sq.ft) x -$ sq.ft. amt. A. P. DATE d /D REC. # DATE REC 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division)::................ 4 %8&A 6. SRA FIRE INSPECTION AND PLAN CHECK (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 COUNtl( OF BUTTE - DEPARTMIcNT OFkD61ECOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Orovilfe, California�95965 - Telephone (916) 538-7541 APPLICATION ARID PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER G D- ZON NO BUILDING PERMIT OWNER TELEPHONE V O (I{' SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CON TRACTOR'S NAMET _- LEPHONf z-.2694 CONTRACTOR'S MAILING AD ESS CO 7 ^� Fireplace lace CONSTRUCTION LENDER UNKNOWN. Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ , (J Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS E (/ i (/ //f OlT Z3 t1l r/11 PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 r Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 ,pp LOT NO SUB01E PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 ,p Building sewer 15.00 ,p Mobile Home S G W @20.00 TYPE OF WORK tr O ❑ lnstallatio he New Addition El Remodel El 4P �%/�/� �• Describe Work: jq 4P �//L� � 1� PERMIT FEE g 0 Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service"vOR LESS ( 200A OR LESS ) 2.3.00 , Q Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. ( & ACC. BLOS. ) 3.50 FST.O. NEW CONST. MULTI -OUTLET •NON RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I dSdW 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 eIf@ct. ' /i 7 License No, 2 2 j–#J.Z Classification %1 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.660 Ex. Occup.FIXED API LNS. OR (OUTLETS IRESID.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): hNis permit is for $ 100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 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. X Date Signature of Applicant - O Owner O Contractor O Agent t fof 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 S Energy Inspection Fee $ Occ CONST. TrrE TOTAL FEE $ �� HAZ. 1 O. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid - DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON lDetel .�2— Receipt No. (�%jj 75 WHITE-O.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �l�_-; �; +.� _`.. y3-.;'lf'tj�1� _A"•r,'-`-tf ii.'�. .T, :.4' 'l, 1K; 1Aa4, y-y��.is "�': .M.,. 7' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District a ` Building Department No. A.P. Number � 3Z� ^ �� 3 Jurisdiction 0 City �unty Property Owner 4E /2 0—/ 5%j / 77-7' Property Location/Address 3 E V1 TA 69 %Z— Subdivison Residential Development No. of Living MHI Units Lot No. Sq. Footage Addition (Group R) Commercial/Industrial 0 New Addition Sq. Footage (Including Exterior Roofed Areas) /oio9� Date (Floor Plans reviewed by School District Personnel) is District Identification No. tt vi11�� School District certifies that fit' (Applicant) )\0 (Street Address) - _ (Phone Number) (City) %'--" (State' (Zip Code) has complied with the requirements ents of Resolution No. TC2- q V by payment of $Wme square feet. Paid by Check Number Bank Number Paid by Cash Remarks: W - l-0 A 4 - Date If, subsequent to the School District Wepresentative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to - additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeforrnmkl (4/92) ;� 03-�if 14ESIDENTI 1L Y 27-32-13 502-91P,E SMITH, LeeRoy & Carol 13 Evita Way, Palermo (utilities/mh) i OFFICE COPY Address GAS /6 p Meter By D:: t6 ELECT RI �'�rMeter By Da JOB FINALE w Signature v=dk . O = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MSKE HOME UTILITIES Plans OK except #'s 1 Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch L Location -Test -Fall -C/O Concrete aterzLocation-Test-Easement Needed (Sketch) /"L"ft. at. or/ /" L Clearance rete Dat: Card B-1 \ Date Card B-1 i Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s /f zning Requirements -Setbacks Easements 2. Fo tings; Size -Spacing -Marriage Line p a"H Test-Demand-Valve—Connector lec city; MH Test -Crossovers -Breakers -Clearances r ' ; MH Test -Fall -Flex Connector Water; MH Test -Regulator -Connector ate nd Sewer Connected -C/O to Grade -HD Approval Ga!2nd Electricity Tagged its; Ins ketch of Occupancy le Dat — , Card B- Date Card B-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.-Coonectors 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 -Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) , 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel -81ockouts-Wrapped . 6. Stemwalls, Garage; Steel- Bloc kouts-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. Gas Pipe; Size -Anchors 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. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat,proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearinq (NOTE: An entry must be mad 8 each time you visit job site) 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing .. 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd: Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card 13=1 " Date FINAL (Plans) OK except #'s ' 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. 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 -Meth. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. 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 0 Yes 80. Following instld.; Drive ❑ Yes O No; Walks 0 Yes ❑ No; Planters O Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 rDate Card 13-1 Date Card B-1 Comments at Final: 8 each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE O -� OWN R PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Aa0/01F I r o �/l --9 Date t Inspector 9 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE RE T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. A i Datei �1 Ins MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 c. PERMIT N0. ==J -: ` Address or location of mobilehome / (o.' It /"► Owner's name Owner's address " . Insignia or hud number Manufacturer's name j Serial number of-XI.N. ing Installation) Year of manufacture (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541• MOBILEHOME INSTALLATION SHEET (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. ',What is the type of gas service? -------------- ----- Natural F-1 LPG R1 11. What is the gas pipe length from meter or tank to the / mobilehome?---------------------------------------------! (ft.) * 12. What is the mobilehome gas demand? ---------- *(This information not required if pipe;eng, ess,,ian 6 ft. on natural gas or less than 50 ft. on LPG C1. On (BTU) 1. Owner's Name: 2. Installer's Name:.`! Yes No 3. Is the site currently under permit? (If yes, furnish permit number 5D� - 9�. ,(; ) OR Is the site an existing site? Yes u No N-1 (If yes, furnish two plot plans..) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields clear all setbacks and easements? Yes No and of t (If no, clarify 5. What is the mobilehome electrical,rating?--------------- Amps 6. What is the mobilehome site service rating? ------------- '200 Amps 7. What is the mobilehome site circuit breaker rating? ----- zQ O Amps 8. Is there any other electric load to be served by the F—]mobilehome site service? -------------------------------- Yes �No 1 2j (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. ',What is the type of gas service? -------------- ----- Natural F-1 LPG R1 11. What is the gas pipe length from meter or tank to the / mobilehome?---------------------------------------------! (ft.) * 12. What is the mobilehome gas demand? ---------- *(This information not required if pipe;eng, ess,,ian 6 ft. on natural gas or less than 50 ft. on LPG C1. On (BTU) MOBILEHOME SUPPORT DATA If other than single wide,, e',, Mobilehome Mfr. furnish Setup Model No. -'_',' :.'' Year Width/_(ft.) Box Length (ft. Tagalong or Expando,Size__ft. x - 2 --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 )Z1. Wood -pressure treated or foundation grade.0 2. Other (specify) SUPPORTS (check one) ®1. Concrete block.0 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Line 2 Line l �...Line I Main Beams . Lane 4 Tag or Triple Line I Line 1 Piers: Line 1 Openings: Size -Min. ------------ k Size -Min. ------------------�=1 Spacing -Max. --------- , Each Side of Openings From Ends -Max.------- '_ " With Width Over --------- " Line 2 Piers: Size -Min ------------- ------------Spacing-Max.--------- Spacing-Max ---------- Spacing -Max.--------- 1S,-6 „ From Ends -Max .------- " Line 3 Roof Loads: Size -Min. ------------ Location (from Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ "x Spacing -Max.--------------- From Ends -Max .------------- , Line 4 Piers: Size -Min .------------ Spacing -Max.--------- From Ends -Max .------- Line 5 Piers: (Under Bearing Walls Only Size -Min .------------------ "x Spacing -Max.--------------- From Ends -Max .------------- '- Line 5 Roof Loads: Size -Min.------------ _ "x "x "X 'k "x "x "x Location (From Front) br'l .5 C? / �ce�t� ►VW�� �. - Iowa -.8ma It 4 unlawful k G / - o �` b at a on thjaw ar alters inns ° o Uake any Daps Tel�,j��oy WY - - � - --- --- tern--- --- -- - � ----- ----------- - - - -- ' o / 1I-vt -,AW -------------- - --- ----- --- - - - I l� t So im r�Cji�' its Od /��G� b9lrloo e COUNTY OF BUTTE - DEPARTMkN,T OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 959E5 - Telephone: 916/538-7541 ��. ' APPLICGATION�AND PERMIT ASSESSOR PARCEL NUMBER 27.32-13 _ ZONING A5 BUILDING PERMIT OWNER i LeeRoy & Carol Smith TELEPHONE 520-3595 SQ. FT. OCC. BUILDING VALUA I OWNER'S MAILING ADDRESS P 0 Box 327 Palermo 95968 CONTRACTOR'S NAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS Total Valuation Is Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty $ 15.00 $ $ BUILDING ADDRESS 13 Evita Way. Palermo Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME Plq PARCEL MAP fw . 7 Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeMK Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home v IV I 0.00ea 30.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities U Installation❑ Other ❑ Describe work: _ Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 .00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.ad) OR ADDNS. ACC. BLDGS. '/zQsgft NEW CONSTR. MULTI -OUTLET NON.RESIO BRANCH CIRC ITS 2,50 ea POWER APPARATUS (t1SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 2AL@ "Lo30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 15.00 Permit Fee $ 37, Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. IM I shall not employ any person in any manner so as to become subject ►`tel to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilitie judg nts, osts, and expenses which may in any way accrue against oun .n co quenc f the granting of this permit. G� X Date le- �l C� Sig ture of Applicant — OwneContractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition Or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL F E $ 92.50 HAz. --. cuA PARK SCHL F COF PA P I HD IS This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date l— —cE PERM EXPIRES Date Receipt No. 83871 WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Lee, P�k/ Sm , +k - Eut'4c,�- (J 6i, z -;2 - 3 -)- - J,3 Owner Location AP# Pian Approved for: Sewaqe Disposal Water Supply Gell Hold final for: ^incl clearance O.R. for: Clearance for 1�1-- bedroom mobile ome. Other NOTE * * * Water Supply Water Supply L Da e Sanitarian / C1A'4T"'i -iI . •'' • F .3'.:r: ��. .I�,'4.."�i M:�f.. +„`�.4-. COUNTY OF UTTE - DEPAR%kENT'� LIC WORKS -BUILDING DIVISION 7 CONY 414TER DRIVE - OR.rC.Vkl!1A6hLIFORNIA 95965 - TELEPHONE: 916/538-7541 OWNER 1 ry )LQ-_ PERMIT APPLICATION DATA SHEET Permit No. A. P. No. 2. -2 — 12 Proposed Building Use LIZIZ Building Inspector ai Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ..... ............... 2. Plot plans in duplicate/triplicate, signed;,by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature -on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid..........................................6......... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner 11, Mail to owner ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... 2-24 Z 25. Letter of signature authorization ................................... 26. 27. �s (Date) y d When you issue the permit, process as follows: Mail t owner. Mail to contractor. _b!� Telephone '5-2D— 35-75 and hold for pickup at _office. Deliver w/inspector. Other Applicant �aG� .Date - 3 9 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--nail—counter by -.date Contractor, designer, owner, was advised of above required data by_phone_maiI —cour by date — Plans checked by Date Plans approved by 5__ Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE -''Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention .Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) VeES- 2. I (have/have not) �j/�ii� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License'No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name A) P Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Securit umbe - Date —,='/- 9/ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville; Californla 98985 - Telephone: 918/538.7541 APPLICATION AND PERMIT ABIKISOM FIARCKL NU NCR ZONING tj BUILDING PERMIT H N X0 � Sao - 3S SO. FT. OCC. BUILDING VALUATION WN 'S MAALIN GADA a a III^ Lo, ,Y CONT N M TELEPHONE y- L` CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ -- Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ / S Q a ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ �3 �/� ✓�MQ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF❑ Duplex[] Mobilehom�Other Building sewer 5.00 SPECIFY Mobile Home 0.00 ea TYPE OF WORK New❑ Addition[] Remodel[:] Utilities Installation❑ Other ❑ Permit Fee $ t� C9,0 Describe work: Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ; P OR Doo AMSLESS 10.00 lD.aO Main service EA. ADO'L 100 AMP 2.50 Z�Q CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.li AODNS. ) , /20sgIt I declare under penalty of perjury (check one): OR ACC. BLOCS. NEW CONSTR ULTI.OUTLET 2.50 ea ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business NON•RESIO BRANCH CIRCUITS POWER APPARATUS and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR.e ) License No. Classification. EX. Occup(OUTLETS OR FIXTURES 8AL@ALo30 El 1, as the owner, or my employees with wages as their sole compen- FIXED Ex. Occup. OU LETS P(RESID.)REA.) 1 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, the Mobile Home Facilities 15.00 as owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) Misc. Wiring g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ 3 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling g ❑ I shall not employ any person in any manner so as to become subject Hood 3,00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee $ provisions or this permit shall be deemed revoked. I Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. 1 agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot OCC CONST TYPE TOTAL FEE $ Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against HAZ. CUA PARK scHL FLD cDF P R PD HD. IssuE all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �I This permit is hereby issued unser the applicable provi- X Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct. DIRECTOR OF PUBLIC WORKS ion of structuresover3 stories in hei htt.. By Date Receipt No. Z� _ 3 W — / 12, So WHITE-D.P.W., TEL -OW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT . PERMIT O. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONINGA OWNE 1( PHONE NO. �rC.G IVB, 9/6 SA6 OWNER'S ADDRESS r -p© 'sC -3 C'a- 906 x a LOCATION OF BUI DING / USE OF BUILDING � 6 et Ir yll�a o ('a SIZE OF STRUCTURE Q� X�' SO. FT. TYPE OF CONSTRUCTION: WOODFRAME�STEEL CONCRETE —OTHER (Specify) TYPE OF SIDING ROOF COVERT G FLOOR TYPE, 1 ESTIMATED COST OF CONSTRUCTION 6000 $ AG Buildings shall comply with the building front, site, and rear yard requirements of the applicable County Ordinances as follows: FRONT —i_6 `C-'-"► �—r SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Signature of Own r p� Permit Fee - $25.00 The above described AG Buildin\ Is exe pt from a building permit. FLOOD PARC P.D. i ROOFING ISSUE I I ZJ "/ I v I f-�l - Receipt No. ��2 8�t White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant Director of Public Works By Date1-2-1-47 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 OWNER �_ee Proposed Building Use_ PERMIT APPLICATION DATA SHEET Permit No. ill Building Inspector Date At time o`ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ _ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... -13. School District fees paid .............. _ 14. Sanitation approval from Health Department -15. City of Chico plumbing permit ..................................... _ 16. Plot plan and business license approval from City of t (see City for other requirements) _ 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW _ 19. Driveway permit (construction approval required prior to occupancy) _ 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) -21. Contractor's license information (No., Name Style, Classifications ... -22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... -24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... -26. 27. When you issue the permit, process as follows:ickMail to owner. Mail to contractor. Telephone and hold fo pup at office. Deliver w/inspector. Other .n 6-41-(3 3 Z__ APPI icar�� � Date Copy of Haz-Mat corm 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 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_-nail counter by ..date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date Retbrn to DPW AGRICULTURAL STATSVM OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded 91 071.7.9 O prior to issuance of a building permit. ; 91-007179 ; Rec Fee 7.00 The property described herein is adjacent Cash 7.00 to land or included within an area zoned Recorded for agricultural purposes, and residents Official Records ; - of this property may be subject to incon- County of veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 1:27pm 25 -Feb -9i ; XX 2 of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural 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: February 25 19U PROPERTY OWNERS: Carol Smith State of C'alifo nij On this the 25th-_- day of February , 19 91 , before me, the ) SS. undersigned Notary Public, personally appeared County of R,ittP ) CarolSmith ----------------------------------------------------- _ ----------------------------------------------------------------- _ OFFICIAL SEAL - p Sp " TFI(IA L. HAU(K ❑ Personally known to me . Q Proved to me on the basis ® NOTARYPUBLIC,- CALIFORNIA of satisfactory evidence. BUTTE COUNTY to be the person(s) whose name(s) My Conn. Expires June 199994 subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IV WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No.���.� Notary Public Tricia L. Hauck DESCRIPTION: 11 :91 07179 ORDER NO. BU -117933-3 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: LOT 13, AS SHOWN, ON THAT CERTAIN MAP ENTITLED, IPARHAM SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 7, 1985, IN BOOK 100 OF MAPS, AT PAGES) 31, 32, 33, 34 AND 35. CERTIFICATE OF CORRECTION RECORDED OCTOBER 24, 1986, UNDER BUTTE COUNTY RECORDER'S SERIAL N0. 86-37964. PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER ALL ROADS, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARHAM SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 7, 1985, IN BOOK 100 OF MAPS, AT PAGE(S) 31, 32, 33, 34 AND 35. CERTIFICATE OF CORRECTION RECORDED OCTOBER 24, 1986, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-37964. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: ALL THAT REAL PROPERTY SITUATED -IN SECTION 23, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M., AND BEING A NON-EXCLUSIVE EASEMENT FOR ROADS AND PUBLIC UTILITIES PURPOSES ON, OVER AND UNDER A STRIP OF LAND, 60 FEET IN WIDTH, LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT ON THE NORTH LINE OF SAID SECTION 23 FROM WHICH THE NORTHWEST CORNER OF SAID SECTION 23, BEARS SOUTH 87 DEG. 43' 56" WEST, 30.00 FEET; THENCE SOUTHERLY AND PARALLEL WITH THE WEST LINE OF SECTION 23, SOUTH 01 DEG. 24' 40" EAST, 967.90 FEET; THENCE SOUTH 44 DEG. 40' 28" EAST, 409.87 FEET; THENCE ALONG A TANGENT CURVE CONCAVE SOUTHWESTERLY HAVING A RADIUS OF 125 FEET; A CENTRAL ANGLE OF 37 DEG. 15' 14" THE ARC LENGTH OF WHICH IS 81.28 FEET; THENCE SOUTH 07 DEG. 25' 14" EAST, 144.20 FEET TO THE SOUTHERLY LINE OF THAT CERTAIN PARCEL CONVEYED TO R. J. HUNTER DEVELOPMENTS LTD, BY DEED RECORDED MARCH 9, 1970, IN BOOK 1605, PAGE 104, OFFICIAL RECORDS, AND THE END OF SAID LINE. - i0 Iw _ Elf® OF DOCUMENT , -A BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM NO- 300-01Z ( One Form per Building) A.P. Number ,..3---/ Building Department No. School District 6 ()udyt-- ����/ City D County Jurisdiction Property Owner,¢_ �� ct 9,5 rd Project Location/Addressy lJ Subdivision Lot Number 1� Residential Development: ^ ,1 /`' rSq. Footage /a U # of Living MHI Addi'tif n (Group R) Units Commercial/Industrial: a F-1 Sq. Footage New Addition (Including Exterior Roofed Areas) L ffz /j 3-�-q/ Building Dep Y;rtment Repfesentative Date ******************************************************************* r (Floor Plans reviewed by School District Personnel) District Id No. School District certifies that `L 1 AAua �J/Y V AJA , 0 d V )_I' plicant Name) (Phone Number 0914 reet Addre ) \ ` 4 A N 4) �4 957 6 r - City) (State) (Zip Code) has complied with the requirements of Resolution No. t by the payment of $ �.3 Q representing 7d 0 square feet. School District Representative PAID BY CHECK NO. BANK NO�'T_� PAID BY CASH REMARKS: Date white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) MUST be Mac~$ all d it Mr. same Wl on nrdw- 4 y the 4, WMI"On Wr" ....................... .............. ova 7S 3X yl T. FOR A408ILEi iio 21 ol Iry /Z COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 . LeeRoy & Carol Smith P.O. Box 327 Palermo, CA 95968 With reference to the above subject: / / Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER L_2a We need the following information: DATE Mav !2, 1991 RE: MH Installation Permit A.P. # 27-32-13 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. / 7 OTHER) School di stri rt fppc ,- _ 2 ) Mobi lahome i nsts ll ati on rista gfitz et-,, i nrl ndi ng mnniifari-:irAr' c i notal l ari nn instructions. Should you have any questions concerning the above, please contact of this office. Yours very truly, Anne William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector OWNEP,.,S i )_Tx'+ PERMIT 4kO MH UT IL. CLEARANCE DATE INSPECTOR `7 ELECTRIC GAS Support Struc. Compaction Test Re . Service Size- Other Load Pipe. Size Length YES NO YES NO —Type COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Californla 86886 - Telephone: 816/638.7541 V/ APPLICATION AND PERMIT PERMIT NO. C ME 27-32-13 ZON I NO BUILDING PERMIT wN LeeRo & Carol Smith s HONa 520-3595 SQ. FT. OCC. BUILDING VALUAT OWNER'S MAILING ADDRIE33 P 0Box 327 Palermo 95968 CONTRACTOR' S NAM Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 13 Evita Way, Palermo Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[K Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationp Other ❑ Describe work: 12x60 (MHU#� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. \�[I 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y New OCONS. A ,h¢sgft MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUSe SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20®501 SALO3o FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ i have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilit'es, judgments costs, and expenses which may in any way accrue against ai Co in equenc f the granting of this permit. ca %� Date's L� Sig rare of pplicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 45.00 Energy Inspection Fee $ occ CONST TYPE - TOTAL F E $ 0. 0 HAz. cuA PARK scH FL c PA o I s This permit is hereby issued unoer the applicable provi- sions a Butte Cou ty de and/or resolutions to do wor Indi ate above f hich fees have been paid. IRECT O PUBLIC WORKS By Da `� i PERMI EXPIRES Date Receipt No. 83871 WHITE-D.P.W., YELLOW-ASeESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT `-�/7�'-•W s. -r �'ti .iYyl,a+��.ti .F'rr)`�y�{ �.vx .�'�-.�. .�L. �y �L• ti, � r �W ,COUNTY OF BUTTE - DEPARTM T, OF PUBLIC WORKS - BUILDING DIVISION \/ 7 COUNTY CENTER DRIVE - �" i "CALIFORNIA 95965 -TELEPHONE: 916/538-7541` PERMIT APPLICATION DATA SHEET Permit No. OWNER - �n`� Vit- �.Pt�G •�iY� �� A. P. No. a !- / 3 Proposed Building Use 122447:: Building Inspector — - Date -2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation Instructions....................................................... 10. Fees of $ ........................ k hico Urban Area fees paid ....................................... ark fees paid .................................................... Leo ,�x,.� School District fees paid .............. anitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... ZPAX 24. Recorded copy of Agricultural Acknowledgment Statement ......... 2 Z. 5 ?-,L- 25. Letter of signature authorization ................................... 0426. .�.� u. C.C�iuG� S- 4 27. When you issue the permit, process as follows: Mail to owner. Telephone Other and hold for pickup at office Appl ica Copy of Haz-Mat form sent Health Dept. Copy of plans sent Health Dept. The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: Mail to contractor. _Deliver w/inspector. Date -o V I/ Fire Dept. Air Pollution Date Dept. Other Date By — t issuance:,(Circle new item not checked above). Contractor, designer,owner as advised of above required data by_phone�rnail Contractor, designer, owner, was advised of above required dada by—phone—mail checked Sets of plans on hold in Copy—DPW Date . lans approved by File cabinet AP folder ter by 4 X4 )date ter by date Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER- 13 ZONING ,�l PBUILDING y/[/( PERMIT _ OW ER CLQ hi TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILANG `ADDRESS 'S lJ oxC,_7 �C7G CONTRACTOR'S NAME r� GLS � Cr� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ®� ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ -on1-3 . PLUMBING PERMIT Fi I ing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex[] Mobilehoml Other ```""111111 Building sewer 5.00 Mobile Home S I G I W t0.00e SPECIFY TYPE OF WORK Ne Addition C]Remodel ElUtilities ❑ Installation Other ❑ Permit Fee $ Describe work: -2 le ti O Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service V OR 100 AMP OS RLESS 10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.EE OR AODNS. ( ACC. , h¢sgIt I declare under penalty of perjury (check one): SLOGS. ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Business NEW CONSTR. ULTI.OUTLET NON.P.ESID BRANCH CIRCUITS) 2.50 ea and Professions Code and my license is in full force and effect. (POWER APPARATUS e� SINGLE OUTLET CIR. License No. Classification Ex. OCcU OUTLETS OR FIXTURES P 20@5065AL@30 F1 1. as the owner, or my employees with wages as their sole compen- LNS. OR Ex. Occup. OUTLETS ED APPIRESIO ) EA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract - Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 3,00 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject Ventilation to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ ovi is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee g to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I TOTAL �d also agree to save, indemnify and keep harmless the County of Butte against FEE $ 757i all liabilities, judgments, costs, and expenses which may in any way accrue PARK SCHL FLO PAF41 PD HO ISSUE against said County in consequence of the granting of this permit. I I I I X This permit is hereby issued under the applicable provi- Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS Receipt No._S? 3 p 7/- 7epr o Q By Date WHITE-D.P.W., YELLOW-ASSC330R. PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date COUNTY OF BUTTE" ='Department of Public Works 7 County Center Drivd, Oroville, CA 95965 Phone: 916-538-7541 . OWNER -BUILDER VERIFICATION Attention Property Owner:. An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction.of the proposed property improvement (yes or no) 2. I(have ave not) Z 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 Ai Address City Phone Contractors License No. Q 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Dates - C,2)/ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. / / OTHER Cl A no I 4, +r i C_f -E S o n t G Q t 0. S S CL u c_ f u 1 at r U e, O nSGL Should 'you have any questions concerning the above, please contact 1411 y 0 of this office. Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE:/916 /-538/-7541 DATE J�/off/ q(� /� /ee%CoY 4- �a(\cl S -n if k RE:�{ �� t�'o � Pc-+�,� � �- O. fox � a � .��s'fa � ,-f- I � CA�S �(o � A.P. #lervnp� J With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. / / OTHER Cl A no I 4, +r i C_f -E S o n t G Q t 0. S S CL u c_ f u 1 at r U e, O nSGL Should 'you have any questions concerning the above, please contact 1411 y 0 of this office. Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector KEL rn'to DPW • Permit#503-.91MHI (installation/mh) T O It CONSTRUCTION L LENDER'S MAILING ADDRESS AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 27-32-13 I� rMENT OF PUBLIC WORKS _ rnla 95985 • Telephone: 918/538.7541 .�-- IND PERMIT RCHITECT OR ENGINEER'S MAILING ADD UILDING ADDRESS 13 Evita Wad LOT NO. I SUBDIVISION NAME Palermo PERMIT NO. 503 - 9�1 -- _- BUILDING PERMIT HONtI SO, FT. I U" -T BUILDING VALUATION UNKNOWN PARCEL MAP USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeM( Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ( Other ❑ Describe work: 12X60 MHU# _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do tbe.work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Fireplace Total Valuation I $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S FGIE WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. IAn 1so agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments costs, and expenses which may in any way accrue ainst ai Co"in equenc f the granting of this permit. Date�'��' L/ g ture of pplicant — Owner Contractor ❑ Agent ❑ OSHA permit is required for excavations over 5'0" deep and demolition or construct - f a•r..�•..,< ever 3 stories in height. Permit Fee Contractor ELECTRICAL PERMIT Main service 100V DR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW. CONST.- OWELING OR ADDNS. (-ACCL BLDGS CCUP.!!I\ e Ex. OCCUp(OUTLETS OR FIXTURES FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) EA. Temporary service Mobile Home Facilities Misc. Wiring Permit Fee Contractor MECHANICAL PERMIT Heating $ 5 S S Filing Fee 2.00 20.00 5.00 5.00 5.00 Cooling Hood Ventilation Pennit Fee Contractor Mobile Home Installation Fee Energy Inspection Fee OCC CONST TYPE TOTAL FEE we7 I MIA 1 PARK I SC FLD 1 CC 5.00 0.00 e i Fee 10.00.00.50( q ft This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS --- NOO Filing Fee 10.00 3.00 S $ 45.00 PAR I PD 70.00 j HD . ISSUE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS --- .E�►'y» M MBQLMM U.6 AND WHEN RECORDED MAR. T0: MW BUILDING DIVISION ....�. 7 COUNTY CENTER DRIVE """"' OROVILLE CA 95965 CRT. STATE and a 194-48580 94-0485801 Rec Fee .00 I Total .00 Recorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder I 11:52am 30 -Nov -94 I FRMS XX 2 NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM C-9 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 un it described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all per- sons thereafter dealing with the real property. LEEROY M AND CAROL,.A SMITH REAL PROPERTY OWNER/LESSOR 13 EVITA WAY MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADORESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (If also property owner, write "SAME") MAIL:NG A..=RZSS CITY COUNTY STATE ZIP 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 94-2811 (916) 538-7541 BUIl01 G PE T TELEPHONE NUMBER 11/28/94 SIGNATURE OF LOCAL . C! OFFICIAL DATE COUSIN GARY'S DEALER NAN.E lI. .-_ a ale •r sale, w __e "`NCNE") 91265 DEALER LICENSE NC. UNIT DESCRIPTION SKYLINE 1994 LEXINGTON 5514 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 2T70-0749 G 66'X36' ULI 382637/382638/382639 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER f A • P . #027-32-0-013 SEE ATTACHED LEGAL DESCRIPTION. 1 0 t14 Or h% • ••� �� �•���; HCD FORM 433(A) 4/86 I • � o I c sa-assso � �.� A%I r:R, c x ORDER NO. BU -117933—: f DESCRIPTION: j ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• LOT 13, AS SHOWN ON THAT CERTAIN MAP ENTITLED,-PARHAM SUBDIVISION", WHICH MAP WAS RECORDED IN4 THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 7, 1985, IN BOOK 100 OF MAPS, AT PAGE(S) 31, 31, 33, 34 AND 35. {. CERTIFICATE OF CORRECTION RECORDED OCTOBER 24, 1986, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-37964. PARCEL II: A NON—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER ALL ROADS, AS'SHOWN ON THAT CERTAIN MAP ENTITLED, "PARHAM SUBDIVISION", WHICH. MAP WAS RECORDED INI THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 7, 1985, IN BOOK 100 OF,MAPS, AT PAGE(S) 31, 321, 33, 34 AND 35. CERTIFICATE OF CORRECTION RECORDED OCTOBER 24, 1986, UNVER BUTTE COUNTY RECORDER'S SERIAL NO. 86-37964. i EXCEPTING THEREFROM 'ALL THAT PORTION LYING�WITHIN THE BOUNDS OF PARCEL I, DESCRZBED;HEREIN. PARCEL III• i 7 ALL THAT REAL PROPERTY SITUATED'IN SECTION 2,3, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B.!& M., AND BEING A NON—EXCLUSIVE EASEMENT FOR ROADS AND PUBLIC UTILITIES PURPOSES ON, OVER AND UNDER A STRIP OF LAND, 60 FEET IN WIDTH, LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT ON THE NORTH LINE OFISAID SECTION 23 FROM WHICH THE NORTHWEST CORNER OF SAID SECTION 23, BEARS SOUTH 87 DEG. 431 56t1 WEST, 30.00 FEET; THENCE SOUTHERLY AND PARALLEL WITH THE WEST LINE OF SECTION 23, SOUTH 01 DEG. ?241 4011 EAST, 967.90 FEET; THENCE SOUTH 1144 DEG. 401 2811 EAST,; 409.87 FEET; THENCE ALONG A TANGENT CURVE CONCAVE SOUTHWESTERLY HAVING A RADIUS OF 125 FEET; A CENTRAL`; ANGLE OF 37 DEG. 151 14" THE ARC LENGTH OF WHICH IS 81.28 FEET$ THENCE SOUTH 07 DEG. i251 14" EAST, 144.20 FEET TO THE SOUTHERLY LINE OF THAT CERTAIN PARCEL CONVEYED TO R. J. HUNTER DEVELOPMENTS LTD, BY DEED RECORDED MARCH 9, 1970, IN BOOK 1605, PAGE 104,.IOFFICIAL RECORDS, AND THE END OF SAID LINE. I PARCEL IV• :Ij } ALL THAT REAL PROPERTY SITUATED IN SECTION 1!4, TOWNSHIP 18 NORTH, RANGE 4 FAST, M.D.Bi. & M., BUTTE COUNTY, CALIFORNIA, AND BEING MORE PARTICULARLY DESCRIBED AS A NON—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES, ON, OVER AND UNDER THE FOLLOWING DESCRIBED PARCEL: BEGINNING AT THE SOUTHWEST CORNER OF SAID SECTION 14; THENCE EASTERLY ALONG THE SOUTH LINE OF SAID SECTION 14, NORTH 87 DEG. 431 5611 EAST, 60.001FEET; THENCE LEAVING SAID SOUTH LINE NORTH 01 DEG. 361 0411 WEST, 30.00 FEET; THENCE SOUTH 87 DEG. 431 5611 WEST 60.00 FEET TO THE WEST LINE OF SAID SECTIOM'14; THENCE SOUTHERLY ALONG SAID WEST LINE SOUTH 01 DEG. 361 04t1 EAST, 30.00 FEET TO THE POINT OF BEGINNING. END OF DOCUMEN END OF DOCUMENT T'