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027-330-001
Q 0 L 27-33-01 568-19`1E� , - --- SCHUPPADa Larry ck Ct.; Oroville S �` (elec-for lot development -aO :' =r 027-330-001 ;MN -a BALDWIN, BLY Esc M .' DS DACK CT., PAL CONT: PHIL DECANN NEW MH PERM PND NEW SITE - y: 1 NOTES 0 RESIDENTIAL 027-330-001 02-1943 PERMIT NO.-.-BALDWIN, BLY & MICHAEL-- - - - -- _ DACK CT., PALERMO CONT: PHIL DECANN NEW MH PERM FND NEW SITE HCD FORM 433A FOR THIS MH CANNOT BE �' y 2-,.11. ECORDED UNTIL ONE OF THE FOLLOWING HAS SEEN TURNED IN TO THE BUILDING DIVISION: { (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH,S) ---INSPECTOR TO VERIFY SERIAL & LABEL #'S. - r i SPECIAL CONDITIONS �# CHECKED IF BY _— SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS ' VERIFY t USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER �` ' OFFICE COPY `t • ' Address GAS DaZ Meter,By „ 'ELECTRIC"..^ • " ,;_�` . Meter - :•.r'• ' f. 1 jY JOB FINALED (Date Signature r V ="OK 0 = Not OK = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s toning Requirements -Setbacks -Easements Vis; Special MH Support Sketch ewer; Location -Test -Fall -C/O -Concrete ater; Location -Test -Easement Needed (Sketch) ectricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P 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 H ME INSTALLATION (Plans) OK except #'s UoOfoning Requirements -Setbacks -Easements Size -Spacing -Marriage Line as; MH Test -Demand -Valve -Connector ectricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector ater; kW Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged n _ 9. Tie Dpwns-Type-Installation Cert. 19p'E-xits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 tiw.. a r $- MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel I 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors t Shthg.-Frg-Bracing ; 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors j 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 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 i 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Liaht Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roti Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel- Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Hfr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection ' 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes ❑ No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters ❑ Yes J No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roti Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Hfr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection ' 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters ❑ Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: i, 1 E - DEPARTM NT OF DEVELOPMENT SERVICES `-CUILDING DIVISION co 60:3, COUNTY OF BUTT . 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 P tMI o• t(Rev.12/96) APPLICATION AND PERMIT 4] ZONING BUILDINGPERMIT ASSESSOR PARCEL NUMBER I 027-310-001 OWNER RAT DWTN RT Y R. MT OWNERS MAILING ADD SS P-0- BOX SAFE PAT CONTRACTOR'S NAME PHTT. DF(`ANN CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER I LENDER'S MAILING ADDRESS \/ ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS LOT NO. I SUBDIVISIONS 0 OFSTRUCTU SF ❑ Duplex ❑ Mobilehome RI Other TYPE OF WORK New IK Addition ❑ Remodel ❑ Uliliities ❑ Installation Describe Work: SO. FT. I OCC. Total Permit Fee— I• - Plan Checking Fee Enerov Plan Checking Fee BUILDING VALUATION $ -) KQ — 20.00 PERMIT FEE s " P r PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat um water heater 23.00 Water piping. 15.00 5,00 SPECIFY Each as water heater or vent 15.00 Gas piping system 1- 5 outlets 15.00 ❑ e 15. 00 Buildin sewer 15.00 Mobile Home S G W @20.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, ill do the work, and the structure is not intended or offered for sale. IV owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation 9f one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _q - IT Signatur o pplicant - GPOw6er ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60° deep and demolition or construction of structures over 3 stories in height. Receipt No. �bUS/1 WHITE-D.D.S.-B.D. CAN PERMIT FEE S ELECTRICAL PERMIT OOOV OR LESS Main Service YOOA OR LESS Main Service YOGA TO 1000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. Fling Fee 23.00 46.00 _3. 5eF°: @7.50 20.00 . OUTLET OR ;D RES EZ " ,50FULED APPLNS. OR OCCU 5.00 rOCCU m orar Service 23.00 bile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating 6.50 PERMIT FEE 1 $ rEnergy e Home Installation Fee $ Inspection Fee CONST. TV TOTAL F E $ 4.2±. 2-5- I HA7. D. FEES 1 IMP CDF I PARCEL PD I NO I ISS This permit is hereby issued under the applicable provisions of the Butte County CodPIW k indicated above for which By PERMIT EXPIRES ON CI, / Q COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 / P MIT N . (Rev.12/96)' APPLICATION AND PERMIT V `� ASSESSOR PARCEL NUMBER 027-330-001 ZONING A-5 BUILDING PERMIT OWNER RTy IN K MTC14AFT TELEPHONE 570-7225 SO. FT. OCC. BUILDING VALUATION -4;44, R 512,5516.0" . OWNERS MAILING ADDR SS P-0- BOX 996, PALERMO, CA 95968 CONTRACTOR'S NAME TELEPHONE 1440 R 77 760.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER ' Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 77 760.00 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee 540.5/2 $ 270.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 409 D -A -CK CT., RALERM0 Energy Plan Checking Fee $ $ PERMIT FEE $313.25 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ]1 Other SPECIFY Solar or heat pump water heater 23.00 Water piping 1 5.00 5 . 00 Each gas water heater or vent 15.00 TYPE OF WORK New EX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: j EWMH P� EISM DMJ SITE Gas piping system 1 - 5 outlets 15.001 Building sewer 15.00 Mobile Home IS I GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, ill do the work, and the structure is not intended or offered for sale. P/Iwas owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TOING 46.00 NEW CONST. DWELL WEE CCU OCUP. OR ADDNS. ( SO x: ,,DµgQIpT MULTI -OUTLET @7,50 POWER APPARATUS d SINGLE OUTLET CIRC Ex. Occup. OUTLET OR FIXTURES BAS p'. 0 Ex. Occup. OFucuTElE% g='.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date :1 – Ci r ci:1 Signatur o pplicant - wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. r Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL F,fEE $ 421.25 �HAZ. I D. FEES IMP CDF PARCEL oo HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions 7oo work indicated above for which tees have been paid. By D e ! PERMIT EXPIRES ON �� Q DaT Receipt No. 360 3 > > WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 Q� /I'E�2MITI�51 (Rev.12/96)' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER /) / ZONNo 5 BUILDING PERMIT OWNER $r TELEPHONE SOC. a 5 BUILDING VALUATION OWN D S ry Ilkt o 'S NAME TELEPNONE / .4ONTRACTORS MARJNG ADDRESS ONSTRUCTION LENDER ° LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHRECT OR ENGINEER LICENSE NO. Filing Fee $ 20,00 VARCHITECT OR ENGINEERS MAILING ss Permit Fee $ Plan Checkin Fee $ BUILDING ADDRESS OR -0 t2.A P L S V LAT NO. SUBDNISIONS NAME V ^ � • -7 R USEEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome" "I/Other sPEcsv TYPE OF WORK New ❑ P L. 0-25—D f x> ) o 2,,,9 SkA 11ingFeel 20.00 7.00 23.00 !5.001 15.001 15.00 15.00 V @20.00 Energy Plan Checking Fee $ tp $ PERMIT FEE S ARCEL MAP PLUMBING PERMIT fi 1 T 7�+ Each Trap Solar or heat pump water heater Water piping NEW CONST: OR ADDNS. ( Each gas water heater or vent I 3.5C FT50. Gas piping system 1 - 5 outlets Building sewer 07.50 Mobile Home I S I G I W P L. 0-25—D f x> ) o 2,,,9 SkA 11ingFeel 20.00 7.00 23.00 !5.001 15.001 15.00 15.00 V @20.00 Ex. Occup. OUTLET OR FIXTURES PERMIT FEE $ tp ELECTRICAL PERMITFling Fee 20.00 Main Service 2o0A 0OR LESS w oftLEss 23.00 Z _��• Main Service 20" TO IOWA 46.00 NEW CONST: OR ADDNS. ( DWELLM- OCCU 6 ACC. BSS.P. I 3.5C FT50. N ONS . / NON•RESID. \ MULTFOUTLET C BRANCH AMC I 07.50 Ex. Occup. OUTLET OR FIXTURES I 820 O 1.000 1 Ex. OCCU FIXED APPLNS. OR OUTLETS ESID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43 L MECHANICAL PERMIT Fling Fee 1 20.00 Hood 6.501 Ventilation 'PERMIT FEL: S Mobile Home Installation Fee $ Energy Inspection Fee $ oc` CGNST. TrPE TOTAL FEE $ % U This permit is hereby issued udder the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date _ f TO Building Department i FROM: Environmental -Health { SUBJECT: Sanitation Clearance 4Cz -7� ctj. 0Y Owner J Location AP# Plan Approved for: Hold final ,for: Sewage Disposal,. C ^anal clearance O.K. for: Clearance for ,� bedroom mob'iloEome Other NOTE *** Sanitarian Water Supply Water Supply Water Supply Dais , OWNER: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 TTTA XYT ♦ "1 Y Y! ♦ TYl1 T T 1 T ♦ C YYi . TT Proposed Building U� : ( ( i� ouriW-0clirAcihr� (/l Date: / Items required in rder to apply forte permit. All boxes MUST be checked R arked NA in order to apply. Plot plans, 3 or 4 sets, signedty the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ` eeEngineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! 5. Enpr compliance desi and supporting documentation in duplicate. ` ufactured home:P ata sheets and installation instructions, (B arriage line information, (C)Floor Plan, (D) Tie down or foundation plans, allliri du licate. P � a , ❑ 7. Metal buildings: '(A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs ............................. :...... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) VI 4. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... , ❑t6 - Statement of Intent for Non -heated and A/C Buildings........................S anitation and plot plan approval from the Environmental Health Department tin❑City of Chico Plumbing permit .......................................... California Department of Forestry, planapproval paid. Sent. by: Ti �C/................... 0 19. Planning approval for (A) Use: (B)Parking: ' (C) Parcel Check: ❑ O. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... I. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ...... ........:...................... ........ ❑ . Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 26. Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. E"/sl ing violations/ and/or expired permits ................................................. v0 ❑ 30.rant Deed, 9 M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, /Check to H.C.D. $ ❑ 31. Other: When issued Telephone T7 -7 2 Z S and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. ` Applicant: Q k Date:' I —n . o 1. Index permit application r)t a ve items numbered: 0 j'~e~ .v ` , s Plan Check Letter 2. Additional items req e / Contractor, designe owner, vised cf the above data by hone, ❑ mail, ❑ counter, by 12 16_Date: �1 d2— Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: RJj, Date:—%/I pi— Plans approved by: 2� Date: 8 a Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow Building I)ivisinn 0 E.14. USE ONLY Plot Plan Attached Fl�`��---- oor Plan Attaclsa'a sent to 8.071= ly TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 2_-h Owner Location AP# Plan Approved for: 'Sewage Disposal--_,ater Supply. Publi Private Well Clearance for - dwelling. Other - Z" � >A Hold final for: Final clearance O.K. for: i NOTE: ' Environmental Health Specialist 8/96 R Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE BUILDING PERMIT FEES S7 Balance Due ....................... $ ° Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee ..... may.....$_ I � SCHOOL DISTRICT FEES ( i� L ZDod at District Office) (Available after Plan Check) FEES (paid at Building Division) ...................... x. $360.00 = Units Commercial (sq. ft'.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. A.P. # DATE RECEIPT # DATE REC. Commercial (sq. ft.) ............ -x-=$ Sq. ft. 'Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 1 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) $ } 8. WATER TENDER FEES (Battalion # ) �. $200.00 (paid at Building Division) [ 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) f 10. OTHER 4 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees! may be changed during the plan checking process. APPLICANT �� C a l� �=►-cJ DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) S t BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM N . , (One form per Bullding) School District Aph&v �1-19 Building Department No. A.P. Number U i J TUU Jurisdic Property Owner Property Location/Address Subdivision Residential Development 571 No of Living Mobile Home Units Installation Commercial/Industrial New Addition Building Department Represente tiV County 1 Lot No. G ................................................................................................................... Sq. Footage I , q Addition/ 'Supplemental to (Group R) Conversion Permit # '(No foundation inspection); Sq. Footage (including Exterior Roofed Areas) /z 02 - Date 2Date Irioor runs reviewed by school uistnct Personnel) ? District Identification No. /�L� ,I School District certifies that h (Applicant) (Street Address) (City) has complied with the requirements of Resolution No representing 13 T// 7` square feet. District Representative Paid by Check # � � Remarks: GY (State) (Phone Number) (Zip Code) by payment of $ 2P76-1& & AB 2926 S FULL MITIGATION S F- Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (budding department),, Pink (school district) feeform.xls (10/98)dmm X SITE PLAN REVIEW APPLICATION Date: %—) 1)— ©2 AP# 2-7 — 3� — 00 ' Permit Number (if applicable) D 2 - ) L� APPLICANT INFORMATION Parcel Size: `j B 6 A L Owners Name: 03A L D L^J 11J , Ly 1� G.} -a A L. Owners Address: f -D. L 6Y2j ' D C A C) 59 b S Telephone No.: 57 O - 7 -L Q_ Situs Address: _D A C_Ie-C--_T_ Proposed Use: Residential ❑ New Single Family Residential- [:] Single Family Addition Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporaly Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non=residential ❑ New Commercial ❑ Single Family Remodel ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary):_ DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved Conditionally Approved Site Plan Stamped Approved By ❑ Resolve Problems Prior to Approval Date 7-2.5-- 0 2 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY K Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: IX 1 • Flood Panel No.: ) 0 2S Index Date: Ll -20 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mu I berry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Varilnce ❑ Variance -------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ^ ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning:_p - 15 Applicable Building Setbacks: ® Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Yi�e Preventton ubdivision Map Front L Side Side Street Rear 3 Height Waterway N/A N/A ® Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other N Amount Formula f ------------------------------------------------------------------------------------------------------------------------ Subdivision Map Special Fees , i ❑ Water Tender i ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: 1 r Date of Creation: Legal Access Provided: ❑ No ❑ IYes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards.for Deed Creation: ❑ No ❑ Yes Comments: . 1 ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to.Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone Meet current Environmental Health Department requirements Page 3 of 5 1 t Q Subdivision Map/Parcel Map: (3 (2_Z> )4 1 t_LS 24:4 N C.}---1 S U G Map Date of Recording: b --?- Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: ) Cry Page: SIZ�, -% Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall' be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. Page 4 of 5 �`V 0 x .:r F 0 x Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. (I CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 , I F Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. (I CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 , I COPY of Document Recorded AND WHEN RECORDED MAIL TO: 13 -Aug -2002 2002-0041880 J' BUTTE COUNTY BUILDING DIVISION Has not been compared with 7 COUNTY CENTER DRIVE original OROVILLE, CA 95965 BUTTE .COUNTY RECORDER i AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte'County Code required this acknowledgment to be recorded prior to issuance of a building 1 permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established 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. i All that real property situate in the County of Butte, State of California; described as follows: 1•01- iqS Skog a^; 'AAA Cer?-tJJ(Av r)qp r;-�v'f,.'tlep "Oi2o W A -p wq5 RN«���l�d �� %% �(+ 0 fie Recc,2leP, ciF0e cai.JaF eI Sfi4f'o'F �(��c 2nttH/ 8/4�,t%NC' •7, )985 "I'J Re0�� 100 i t ��zs 3 iQrqi��7, P T f Date Q XS-� (�, , (;Q),� PROPERTY OWNERS: t i State of California ) --� t County of On �v' A'i ,13 before me, personally appeared `C,' V' ° k "1 CA �'Vj "f• tr e I �' �j,Vy personally known to me (or proved tom on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the'entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my and and official seal. Signature ,i Seal:: CARRIE M. GIRDLER Commission tt13524W0 A.P. # •7 ` Notary Public-Califomia JJU • �' Butte county My Comm. Exp. APR. 20, 2006 - • i L-obioosH fns=uooQ 0881A&G-sass S61mS- uA- t t 11w bsxsgmoo nssd Ion asH 93090339 YTKUOO JTT Ua r 1 � r4-4 C� W lJ NOTE:. See the attached; ;---2i elretii� The attach6d Fire Saie requir"rts MOW bwWl .. APPROVED as specified and gvmved, _- Page5 . by C.D.F. BuY�e County' a Environmental Health _Z2 Dat s signature, w i I 1% REVIEWED BY lY BU.E CO.'FIRE DEPT. i CALIF. DEPT. of FORESTRY ' . I ❑ approved as submitted I approved with conditions i aPr attac ` h Sri et. ' � + / nSignature 2r3 %•� ---- Date 5 , ALL r STRUCTURES'lANE EQUIPMENT INCLUDING OVERHANGS SHALL BE LEA OF ALL EASEMENTS, ,(APSE BACK OF ' . , . FROM THE SIDE AND rROM TI- E R :AR PROPERTY LINES AND w f. FROM THE R AD CENTERLINE SHALL SE G� p C OF STRUCTURE.. AND EQUIPMENT EXCEPT CO A 2 FT. EAVE O ER ANG. ' l4 � f 375 EW7E COUM WILDING DEPAR�IiEi�l'� J P A0dE D IS +� ^ • 1 ii cl a.9`7# APPROVED Butte County Environmental Health �Date /d ,------ __ Signature NII aq- yq 2i. �I c.. -1 N cls 44J� 1 sw� BUT E COUNTY IMLLLVR DEPAF111NEN? - APPROVED.' A/r ry r I 0 Mobilehome Manufacturer: Manufacture Year: O If other than single wide, furnish Setup Model V /- - ,.I Number: / , !t Width: -2 </ (ft.) Length:� (ft.) Tagalong or Expando On all M'Obilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grad C," Other: SUPPORTS: Concrete blockk Other: Provide Tic Down Specifications for all Mobilehomes:_ Pier Footings Sizes :and Location SINGLE WIDE MULTI-NVIDF Line I ; 0 Line2 .............................. Linc2— 0 ....................... Line I ............................. Tag or Triple ........................... —Line I Line 2 ......................................................... Main Beams .......................... ............................. R'Linc 2 Line 3 4 Line 2 ......................................................... Main Beams Line 2 Line I ine 5 ine 4 ............. ine I Line I Piers: Size minimum: r lxr!I. Spacing maximum: I From ends-maximum:i Line 2 Piers: Size minimum: VY- I X Lyn] Spacing maximum: J` 0 From ends-maximum:1 Line 3 Roof Loads: Size minimum Location (from front): Line I Openings Size minimum: x 0 Each side of openings with width over: 0 Line 4 Piers: Size minimum: X Spacing maximum: From ends-maximum:1 .3 Line! Roof Loads: Size minimum: Aqlvpo�Lq Location (from tront) 4v OVER �Oaq.1.2*30 1.2.4yzql I I ::� 32-"- 110' 56' I I I OVER I Owner's Name: 2. Assessor's Parcel Number: 0,;2'4 d — d I 3. Installer's Name: 4. Is the site currently Linder permit? Yes[ ] No[ /Permit No. 5. Is the site an existing site? Yes[ ] Nop<� (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? /Ejo Amperes. 7. What is the electric service rating of the mobilehome site? ( IbO Amperes. 8. What is the mobilehome site circuit breaker rating? a p Amperes. 9. What is the main service breaker rating at this location? a Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ J No[ ] If yes, please identify the load and size: (Load) (Amperes) H. Type of gas service at mobilehome site: Natural[ ] PropaneNone[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: (J� inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED TN ORDER TO PROCESS THIS PERMIT APPLICATION j OVER mid=. OflLLI cz MML e� � � —____. �_.._._�_ /BSL' �• ., /ZS90i° � 1 / _.>, i �5/BO's )O'°� /. ,� •.t"� _ � Ac 40 0- 32!0" IZ9900 yV' 4320 ¢ 3960 /+ ` ' 1�... _. .. ___.�_.. .. ....—._ .._._.__.—... _.. ___._....... ..._-•_-..__� ._.__.._. __ ....... .iL �� Vii•- 1 `r-a;.CENTERUNE SUPPORT REQUIREMENTS--- — F le� a 77//S 'SI/EET TD ©E /AISEF?EO W/77/ ,5UPPLE',l4L-AIT o ,z � •, v _ 70 c/ELD fA/STALLAT/O.1/ M.4AIUAL inlC' 3hf {'Ont' SERIES DESCRIPTION NOS 51 30)0' RODE ,<. 56X 24 2lllfrPD B ` -} LIVE LOAD i '�'�� .. , - . • OWO BY Af/AIE6LL I 61 POJY CHECKED s1a [!R S HT: __ r•Oi _ Vii, f•i O v U1 w P4 Q r m CV Ul m OD m m CD 2"x 2-x 5/16 STEEL ANGLE DETAIL "A- CHASSIS FRAME 1/4- GRIPPER PLATE (2) REQUIRED 1/4' GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT W" NUTS (4) REQUIRED 01 1/2- SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE s2' SCH 40 PIPE STAND WITH TWO f1/2 ADJUSTER HOLES ASESCO ARS PAD 1503 STEEL TRADE SEE DETAIL "A" 3"b CAu ftJ••Lz DCLT. m _* W'ImEP COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REOUIRIEO 1/4" STAND BASE i— ABESCO ABS PAD 0503 36" MAX TO BOTTOi1 Of PAD 01/2"x 3" C.R. LOCK PIN MATH 01/8- BRIDGE PtH 37' i 18 I/2" / COACH 'r' FRAME 2" CHANNEL 1/4'xt-1/4 TEK STS (2) REQUIRED 1/4' GRIPPER BASE 1/2- A307 BOLT (2) REQUIRED 3/8'x 6'x 6' STEEL PLATE 1/2- A307 BOLT (2) REQUIRED 10.00 ----moi p o 10.00 LiO x9/113 HOLE (TYP) STAND BASE TOP VIEW TUF—t PERMANENT FOUNDATION SYSTEM ABF -';CO -GUS GUARD COMPANY 5951 FLORIN - PERK NS ROAD S.ACRAMlXr0, CA 95823 PH: (800) 382-8831 fA,: lo1h1 383-5702 ---COACH "J- FRAME r 1/4 GRIPPER PLATE TEl< STS (4) REQUIRED 1/4- GRIPPER BASE 1/2" A307 BOL u (4) REQUIRED -B AJ-8EAN f�4 ATTACHMENT ATTACHMENT � as WAYNC T. POLVADO, Pi-LISTINIG N0. F942E9 SHEET I of J $ + $ e' 1/2' DIA. HOLE (8) PLACES �+ -- ---- -- 30' STEEL FRAME T OP. VIEW STATE APPROVAL > ti, 0 �gl �04�p�M{ 1 �- c �] .. > 4- �, god o = �� m � g � ° C h o _ O j co � o C4 m WAYNC T. POLVADO, Pi-LISTINIG N0. F942E9 SHEET I of J CV ' !fl O 0 N Q r 19 CV In 00 M CD n m CV 9 m CV LD 0 Lc. c, GENERAL NOTES GUS GUARDTUF-1 1. DESIGN I,OMS: UVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE '4' *SNOW LOAD 100 PSF (SEE NOTE # t 5) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL'BE LOCATED AND SrZ[D FOR THE LOADS AS SHOWN IN THE 'MOBILE HOME INSTALLATION INSTRUCTIONS'. C IN AREAS WHERE DIFFERENTIAL SETTLEMENT (O.S.) CAN OCCUR. MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4', OR WHEM IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM. UNDISTURBED SOIL FOOTINGS ARE DESIGNED FOR 1.000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONOITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL. FABRICATED ACCORDING TO AIISC SPECIFICATION. WELD ACCORMkG 70 ANS SPECIFICATMS. ELEC7110DES-370 PLATES -ASTM A36 BOLTS -SAE GR S=ASTN A449'_ASTN A3725. 7 - 'THE GUS GUARD ASSEWBaS SHOWN ON THIS PACE SHALL BE LISTED AND LABELED BY 85K AND ASSOCIATES FOR THE FOLLOWING LOOM - ALL LOADS: HORTZONTAL vERT'ICAL GUS GUARD TUF-t 2200f 6ODO# GUS GUARD"MGP PAD 2200/ 6000# GUS GUARD E-2 TLE PAD 2200# 6000jI 8. DURING PRELPIINARY INSPECTION, THE ESTIMATOR SHALL ENSURE T}L}iy- ;- •. - MOBILE NOPE CHASSIS BAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FDRCES BY NTSTALLJNG GUS GUARD TUF-1 01615 AS SHOW" ON THIS PAGE OF TYPICAL FTd1019AT" PLMIS:.. s 10. THE GUS GUARD TUF-1 SYSTEMS ARE SATE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH or rL00otnc DOES NOT EXCEED THE HEIGHT OF THREE FEET. 16. FOUNDATION BLOCKS 16"z 16'x12' POURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLETS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2'MLN. / 8' MAX. E= 2' MIN. / I V MAX - S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. �.. VARIES 10'-70' (SEE TABLE ON SHEET #3) -- ' �E S S— .❑ ❑ REOUBEAM SUPPORT AS BY MANUFACTURER O Q (TYPICAL) ❑ ❑ ❑ ❑ ❑ ❑-T- ❑ ❑ ❑ ❑ 8'' NOM. �❑ D71 -MOM. ❑ ❑ PADS IN ANY PAIR MAY BE T STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR i'ILN�.AS iCECOMiAENDED BY rla ,,...IE$ OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT, y AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) ti. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED rl novo. THE NUMBER OF TUF-.1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REQUIRE AMMOluL RESTRAINT. • (SEI SHEET 13) • 4�C {1F L��''` 13. ALL 1IiTAL COMPONED.'TS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. WHEN CQNCRETE SLAB IS IN EXISTANCE. PAD IS 1101 REOUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF-t PERMANENT FOUR (4) 1/2'a 3 1/2" EXPANSION ANCHORS: FOUNDATION SYSTEM 15. GUS GUARD TUT -1 FOUNDATION SYSTEM PROVIDES � z ALLOWABLE SNOW LOAD TO I DO PSF WHEN INSTALLED Ai3ESC0-GUS GUARD COMPANY vlITH EXISTING ST<.NDARDS REQUIRED 8Y COACH 5951 FLORLTL-PERKINSROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRANENrT0 CA 95&23 ONE BASIS. PH: (800) 382-8831 o FAX: (916) 383-5207 STATE APPROVAL O � z 1 " Q 0 o doy d Y a O s C < 01 a o WAYNE T. POLVADO, PF -LISTING NO. F942.49 S)WL7 2 os 3 0 w a N CD CD N ' LD' ED 0 1/2"x 3 1/2"1/2"x • EXPANSION ANCHOR ANCHOR80� (4) REQUIRED (4) REQUIRED ai � lti����jl -•l_• ti -,uty1 � d 1r_ - CONCRETE PAD INSTALLATION POURED 1N PLACE 16xt6x12 CONCRETE FOUNDATION INSTALLATION CHASSIS FRAME 1/4' GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UHC-A307 x BOLT WfTH NUTS (4) REQUIRED 1l 1/2- SGT- 40 PIPE RISER WITH 11/2' ADJUSTER HOLES AND 3/8" JHTCK'TOP PLATE 02-. SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCD ASS PAD /503 P4 STEEL FRAME, (4) REQUIRED 3/8- CAD PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTIOW AT 8" O.C. \ (8) REQUIRED 36 htAX IS1Jm-BIDE IlN= _ TO 80T7011 OF PAD 11/2"x 3" C.R. LOCK PIN LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION IFIICTH OF I HOPE 44 TH OF NOPE 26 44 R I B I it 12 b WI 12 1 12 1 12 18 sls'-1' to NJ 20 1 20 24 SE iCIR II1T>Z nunv LEMM OF WIDT""O.K. HOPE 10 1UP TO 44' 6 6n 10 NUftBER OF TUF-1 REQWRED . NUMBER OF TLIF-11 REQUIRED 11/8" BRIDGE PIN Mon- 5J► U WIDE UNITS REQUIRE (4) E -Z TIE PADS. CUS GUARD TUF-1 PIERS ARE r t TO EE PLACED AT APPROXIMATELY EQUAL INTERVALS* A[pIG EACH FRAYS RAIL. — tib. •r. Ir `• �f — 37' 18 1/2' TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO-GUS GUARD COMPANY 5851 fLORIN - PSIS ROAD SACRAM__-W0, CA 95823 PH: (800) 382-8831 FAX; (916) 383-5207 '9 F- Y�u;�:jd�' TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO-GUS GUARD COMPANY 5851 fLORIN - PSIS ROAD SACRAM__-W0, CA 95823 PH: (800) 382-8831 FAX; (916) 383-5207 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHFFT 3 01 3 TATE APPROVAL z Q , 1 y - = Lo c •'J Li L) r� -- aim O z } Q I� ? a y O .-. H WAYNE T. POLVADO, PE -LISTING NO. F94249 SHFFT 3 01 3 CDF,FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the -following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued ,\ maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided -for in these standards, annual maintenance must be provide for by the land owner. • Driveway Standards [�,, 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-rtenant structures which supple- ment the roadway bed cr shoulders) shall, provide unob- structed access to -conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. , 1273.03 Grade. Not to exceed 16 percent.unless paved. 1273.04 :Driveway Radius l�] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius • 2 feet to those from 100 -200 -feet. 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. NNIL 1273.05 Turnarounds. If required, will have a minimum turning radius of.40 feet from the center of the road. 1273.05 Turnouts. 'Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 6 1270.10 Width. All driveways shall 1provide.a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. 4 , Page 1 of • 3 a ( G� 21 g3 L�JuiiN AP # PERMIT # NAME [ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [1 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in.length and 4 shall be within 50 feet of the building. 127.3.11 Gates [ 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�l 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. All parcels l acre and larger shall provide a mini- mum 30 foot setback -for buildings and -accessory buildings from ul]• property lines and/or the center of the road. [ 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of _road construction �r fi:ial inspection of a building permit. Page 2 of 3 c2 7— # PERMIT #. E Other Requirements ] If Building Setback is 15 to 30 -Feet: Class A or B roof Enclosed eaves' If Building Setback -is --Less Than*' 15 . Feet Choose any 3:"of the following: -Metal or no doors onside toward property line with insuffi- cient setback Class,A or B roof with enclosed eaves Interior. automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback ' Siding from the following list: Stucco,- 3 coat ` Hardi-Board.or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date _ Signature' . . Page 3 of 3 r t + C. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 01 -Oct -2002 2002-0051403 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MICHAEL L. BALDWIN AND BLY M. BALDWIN REAL PROPERTY OWNERILESSOR PO BOX 596 MAILING ADDRESS PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP 405 DACK CT. INSTALLATION MAMING ADDRESS, IF DIFFERENT PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE HOMETTE MAILING ADDRESS DATE OF MANUFACTURE OROVILLE, BUTTE, CA 95965 03750738A/BM CITY COUNTY STATE ZIP 02-1943 (530)538-7541 B ING PERMIT NjC',_ TELEPHONE NUMBER 1-Z-9-30-02 0 IAL SIGNATURE OF LOCAL A ffly DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. SKYLINE 1979 HOMETTE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 03750738A/BM 56 X 24 CAL151182/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 027-330-001 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. N-' f .x„ �� i � �'+^�� � '� *�-"-- "'"_ •��.,� - T:.�,.r,-...,.t-+,t x+.;P= � a -„�j'•.-.•.y-+.;L±^.x..s 3:+—��r,�.g�`=Y+... �.a��..`�• ,F• a� i ii .+ Y r4 a�+. i pa tSTEM} ? ° fir �y i i v �. r� i ',�`�t U, � � � a.'+ .,. V.,y V •!� 'h ra » ep �' rr� � ;,. .-.5..7 r I •;tt-fi s n"'tt 7 -R ry 'v r. � �'f�:. y �a r: �a� �, ° � a '' Kt� .a. ;a �i�-*- •,,..--.«.i�., ;i� �' '+�' i °' � t� n n* '^" i�r� TV` _t Vµ+.r � ne w.r y ¢ ry �r; A._ �..,,_�4.._,.�.��c•�#rM..,�,�c«xF..+�S�;,.t.,E,.�,�`,a. �w�`,,.Ez,o� �' �9 ,FF ��.'�., .3.:.��,...�, rwi�' +�.k ^� �..,.�.��n.n*a,. <. BUILDING PERMIT NUMBER: 02-1943 Address or location of unit: 405 DACK CT., PALERMO, CA. 95968 Legal Description of Real Property: A.P.# 027-330-001 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: MICHAEL AND BLY BALDWIN Owner's address: PO BOX 596, PALERMO, CA. 95968 INSIGNIA OR HUD NUMBER: CAL 151182/3 SERIAL NUMBER OR V.I.N.: 03750738A/BM MANUFACTURER'S NAME: SKYLINE YEAR: 1979 OFFICIAL APPROVING INSTALLATIO 4, DATE: 9-30-02 PHONE: (530) 538-7541 H.C.D. 513C LEGAL DESCRIPTION A.P. # 027-330-001 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: LOT 1, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ORO HILLS RANCH 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) 36 AND 37. PARCEL II: ANON -EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC- UTILITY PURPOSES OVER DACK COURT AND DACK WAY, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ORO HILLS RANCH 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(S) 36 AND 37. PARCEL III: A 60 FOOT WIDE EASEMENT FOR ROAD AND,PUBLIC UTILITY PURPOSES, ON,- OVER N,OVER AND UNDER A STRIP OF .LAND, THE CENTERLINE OF WHICH IS MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF SECTION -23, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M.; THENCE.SOUTH 63 DEGREES 15' 23" EAST, 419.40 FEET TOA TANGENT CURVE CONCAVE NORTHERLY HAVING A RADIUS OF 150 FEET, A CENTRAL ANGLE OF 52 DEGREES 30' 26", AND ARC -LENGTH OF 137.46 FEET; THENCE NORTH 64 DEGREES - 14' 11" EAST, 249.28 FEET TO THE CENTER OF A 50 FOOT RADIUS CUL-DE-SAC; THENCE NORTH 75 DEGREES h'3811 EAST, 523.62 FEET TO THE END OF THE HEREIN DESCRIBED CENTERLINE. _ STATE OF CALIFORNIA ' BUSINESS, TRANSPORTATION AND HOUSING AGENCY ,OUT" DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ' DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM STATEMENT OF FACTS This unit is a: lJ Mobilehome E Commercial Coach 0 Floating Home Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) 1 rs l .18'3 � �`l \; v� Orn- e_ C� �`l�i o—1 3 � i% ►nom a 81'� CR I/We, the undersigned, hereby state: - — We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they, may suffer resulting from registration of the above-described unit in .California, or from issuance of a California certificate of title covering the same. I/We. certify under penalty of pedury.that the foregoing is, true, and correct. Executed - (i�' - - State) Address�'l� City State \.C�� T-Trn 476.6 (RFV 9/91) DEPARTMENT USE ONLY NEW DECAL # OLD DECAL # STATE OF CALIFORNIABU51NESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING P90GRAM APPLICATION FOR DUPLICATE CERTIFICATE OF TITLE �0v5}NG 9'iQ 0 ;T11 . to Z 0 . 3 " U.;3 Qk ADD UNITS USE CODE EXPIRATION DATE TAX TYPE I UKI ILT EXT LPT I PPT RECEIPT NUMBERS) RECEIPT DATES) DEPARTMENT USE ONLY REGISTERED Last First OWNER(S) [Print True 1 Name(s)] 2. MAILING ADDRESS Street �� 'ti(� S' OF UNIT N ADDRESS Street , ^ _ S'C1"1 C. LEGAL OWNER V 1 (print true name)- ' MAILING ADDRESS Street APPLICATION FOR TRANSFER BY NEW OWNERS )/We reauest that the new Certificate of Tltle and Registration Card to be iswed as follows: REGISTERED Last OWNER(S) ` [Print true name(s)] 2 Ltyt n 3. If applicable, check one of the following: TENCOM OR UTRS MAILING ADDRESS treet i rJ FUTURE MAILING erect ADDRESS y S 9 I e/ LOCATION ADDRESS Street OF UNIT LEGAL OWNER (print true name) N applicable. check one of the followinst: ❑ TENCOM OR r�5 MAILING ADDRESS Street FIRST JUNIOR UENHOLDER (print true name) - First t LUi I rlut.c s.v✓c1 PPF IC CLERK'S INITIALS 5 LE DATE RF / G RT Middle. MRF 1(`�O PEN f PEN2 TRF TOD• .......�.. DUPT DUPR SUED Middle CONF L • REPO RREG RSF PLT 5!T UTPERT ASF CCP MAILING ADDRESS Street ADD JR/LN ❑ NOTE. MUST S1Gl, a AFIrATIR ATE LINES r. RON THE REVOKE EVERSE SIDE O THIS FORM. a coapx0. To rowLrTE A TRANSFER Of OWNERSHIP, BOTH THE OLD AND NtYf OWNERS TOTAL A CA. I =V nvnn 4 MFG 10 it ::�C'-,220 Tra a Name --t, - Model Name or 0 C CX-')("' Name of M SF -y Li vj Da of Ma ufacture { dd 0 \ -l� Calif. Dealer License p C](JCr7 Dace of Transfer to peeler from MFG LJL IL7 Exemption CJG'0 Date First Sold New q -'VA l DECAULICENSE p MANUFACTURER SERIAL NUMBER(S) HUD LABEL OR MCD INSIGNIA 0 LENGTH (inches) WIDTH (inches) WEIGht (pounds) DATE FIRST SOLD (if different than above) LAW 3� 5.o. -73g Av- ( G. L i s h 1 `� `� 7 c, o-1 aL4 - q ADD UNITS USE CODE EXPIRATION DATE TAX TYPE I UKI ILT EXT LPT I PPT RECEIPT NUMBERS) RECEIPT DATES) DEPARTMENT USE ONLY REGISTERED Last First OWNER(S) [Print True 1 Name(s)] 2. MAILING ADDRESS Street �� 'ti(� S' OF UNIT N ADDRESS Street , ^ _ S'C1"1 C. LEGAL OWNER V 1 (print true name)- ' MAILING ADDRESS Street APPLICATION FOR TRANSFER BY NEW OWNERS )/We reauest that the new Certificate of Tltle and Registration Card to be iswed as follows: REGISTERED Last OWNER(S) ` [Print true name(s)] 2 Ltyt n 3. If applicable, check one of the following: TENCOM OR UTRS MAILING ADDRESS treet i rJ FUTURE MAILING erect ADDRESS y S 9 I e/ LOCATION ADDRESS Street OF UNIT LEGAL OWNER (print true name) N applicable. check one of the followinst: ❑ TENCOM OR r�5 MAILING ADDRESS Street FIRST JUNIOR UENHOLDER (print true name) - First t LUi I rlut.c s.v✓c1 PPF IC CLERK'S INITIALS 5 LE DATE RF / G RT Middle. MRF 1(`�O PEN f PEN2 TRF TOD• .......�.. DUPT DUPR SUED Middle CONF L • REPO RREG RSF PLT 5!T UTPERT ASF CCP MAILING ADDRESS Street ADD JR/LN ❑ NOTE. MUST S1Gl, a AFIrATIR ATE LINES r. RON THE REVOKE EVERSE SIDE O THIS FORM. a coapx0. To rowLrTE A TRANSFER Of OWNERSHIP, BOTH THE OLD AND NtYf OWNERS TOTAL A CA. I =V nvnn 4 TRADE NAME SERIAL NUMBER(s) -11 n I DECAL (LICENSE) NUMBERS) ��_ ��r� C(P� o% L PcLJ X045 ' 7 SECTION i. CERTIFICATION OF MISSING TITLE was: s lost or stolen the Department, enter the The original NCD Certificate of Title a after receiving it from a party other that OMV Ownership Certificate (pink stip) .� Lost, ❑ Stolen. If the title party's name here: tilated or illegi an title checkedrby heregal Ownto er theeof Record (lienholder), or if none, illegible, ❑ Mutilated. A mu must be 0 t4o . Received from the Department. This box ca Y the Registered Owner of record. It of perjury under the laws of the State of California ion a e true and correct. there are no ns against this unit other t thatcertify under penalty P lice that those shown on this application and the statements made on this app t/We agree to indemnify and save harmless the Director of the Department of Housing and Community Development for any toss suffered resulting from the issuance of said duplicate Certificate of Title. Executed on 2 -JH -<&— at Signatu (city) Printed Name of Person Completing Ceftification �...� �- �.�r►rrseulo A►lh/AQ IhITCQCI'T (state) br-L 1 IUPl ll. tiE:LCAJG yr v v i......+..... ....�. --- -- - - -- --- RELEASE DATE 1 aF TERED owN RELEASE GATE B.tE 0► RE OWNER — — - — C. RELEASE OF REGISTERED OWNER RELEASE DATE T a RELEASE OF LEGAL OWNER (UENHOLDER) RELEASE DATE B. RETENTION OF LEGAL OWNER DATE C. ASSIGNMENT OF LEGAL OWNER DATE JCL..1IU14 M. Lit 3 A. NAME OF DEALER OF ACQUIRED UNIT DEALER NUMBER B. RELEASE OF DEALER RELEASE DATE SECTION IV. NEW REGISTERED OWNER SIGNATURES) If this transfer is the result of 4 A. NEw REGISTERED ! TU a sale, the sale price and sale MtP mutt hp PntPrpd hPlnw. B. NEW RE TERED OWNER SIGNATURE PIJRCNASE PRICE Qom"1 © O�� C. NEW REGATE& OWNER SIGNATURE PURCHASE DATE /L . _ _ I HCD 480.4 Side 2 (REV 02/01) t ' STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY GRAY DAVIS, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DvsING q4 Division oECodes and Standards , \ �le `Jp(3 I " 123 Title Search 3G�.,0 DEQ' Date Printed : 04/12/2002 Decal #: LAW3049 Use Code: SFD Manufacturer: SKYLINE Original Price Code:. AEP Tradename: HOMETTE Rating Year: Model: Tax Type: LPT Manufactured Date: 00/00/1979 Last ILT Amount: Registration Exp: Date ILT Fee Paid: First Sold On: 00/00/1979 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width 03750738AM CAL151182 56 12' 03750738BM CAL151183 56' 12' Record Conditions: Voluntary Conversion to LPT , Registered Owner: C'LEROY MYERS 3205 LOCKSLEY CT MODESTO, CA 95350 Last Title Date: 03/19/2001 Last Reg Card: 03/19/2001. Sale/Transfer Info: Price $15,000.00 Transferred on 02/07/2001' Situs Address: 2625 99 W CORNING, CA 96021 Situs County: TEHAMA Inactive Decal/DMV: DMV SP3631, DECAL AAX8781 *** END OF TITLE SEARCH *** . t V� Preferred Lnd Tithe Order No. Escrow, No.V- 1154 2 c, - J Loan' No. A..P.N.027-330-001 WHEN RECORDED MAIL TO: .Michael L.' Baldwin. B1y M. Baldwin 921 Tower Place Santa Cruz, CA 95062 U 4 - I Z 4 U b 94-022406,' Rec "Fee I DOC Recorded I Check Official Records I County of I Butte Candace J. Grubbs I Recorder I '. 8:00am 25 -May -94 1 PTC 9. 00 12.65 21.65 MD 2 MAIL TAX STATEMENTS TO: D_ OdUYENTARY TRANSFER TAX 1�6 5.:.».._..w...�»..»»».. same as above Corrlputed on the eoneWpstlon or value of property conveyed: OR ,25... Calnputed on the considers! on or value lea liens or encumbrance remaining at time of INC The Undersigned.Grantor Declares Signature of owlerent or Agent dea►rnlning tax = Rlnn Name GRANT D-EED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Larry D. Schuppan and Vickie N. Schuppan, Husband and wife hereby GRANT(S) to Michael L. Baldwin, and Bly M. Baldwin, husband and wife, as .:Joint Tenants 'W the real property in the City of Unincorporated County of Butte State of. California,. described as . PARCEL I: Lot 1, as shown on that certain Map entitled, "ORO HILLS RANCH 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) 36 and 37. PARCEL II: A non-exclusive easement for road and public utility purposes'over Dack Court.: and Dack Way, as shown on that certain Map entitled, "ORO HILLS. RANCH SUBDIVISION",' which.map was recorded in the office of the.Recorder of.the, County of Butte, State of California, on June 7, 1985, in 96ok.100 of Maps, at Page(s) 36 and 37 _EXCEPTING THEREFROM all that portion lying within the bounds of Parcel I, described herein. 'PARCEL III: (Continued) Dated May 16, 1994 STATE OF CALIFORNIA COUNTY OF before me, peri;pdii; n0iS C& personally known to me (or proved to the 'of satisfactory evidence) to be the person(s) whose names) la/are subscribed to the within Instrument and acknowledged to me that hel/sheNhey executed the same In IiWherRheir auth alpacity(ks), and that by his/herhheir signature(s) on the the peso (a), or the entity -upon behalf of which the on (s) acted, executed the Instrument 1MTNESS my h d do a J Signature c _nay. Commit ITAIs Form 3195 MAIL TAX STATEMENTS AS DIRECTED ABOVE OFFICIAL SEAL 9640W , C. WILLIAMS . X ARY PUBLIC - CALtFOIRNIA,A. COUNTY OF. BUTTE Expires' 4anuary 30, 1096 Pr9: P l!! 4Pt 1:131: E>iE:I:1.EtW'y'.�:•tII Ja:.,:.i for official notarial seal) COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: BLY BALDWIN ADDRESS: P.O. BOX 596 CITY £r STATE: PALERMO CA 95968 DATE OF CLAIM: 8-21-02 IMPORTANT.- SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERV/CES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY To AVOID DELAY) AMOUNT OVERCHARGED. AP # 027-330-001 BP # 02-1943 RECEIPT # 360571 & 360996, DATED 7-19-02 & 8-19-02, OWNER: BLY BALDWIN.) TOTAL AMOUNT PAID $870. 25 TOTAL AMOUNT TO BE RETAINED .$859. 00 TOTAL AMOUNT TO BE REFUNDED $ 11. 25 TOTAL $11125 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true an as stated. ' Dated this day of �i 20-0,at C) n�% U�,�� — , Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles pe bove hav Budget Appropriation [ I or Specific Board Approval ( ] (Check one) for the same. Dated this 26 th day of August 20 OZ at OROVILLE , Calif. eeartmel n p ormed or delivered and that t Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 for $11.25 PAYABLE FROM c0 Dept. Code Exp. Code PAYABLE FROM De t Code Ex . Code PAYABLE FROM Struction permits DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: Receipt Information: d �3 Number: S, (LO 'S- Date: I " �`Z 1 01— �2 Issued To: Amount: .,120� 6 O�;fio, g1� 9 p Fees Retained: Processing Fee: Bldg Filing Fee: Plbg Filing Fee- Elec Filing Fee- Mech Filing Fee: Energy P/C Fee: Plan Check Fee: Inspection Fee-. SRA Fee: Total Amount Retained TOTAL REFUND DUE CLAIMANT'S NAME MAILING ADDRESS ASSESSOR PARCEL #: REFUND CLAIM APPLICATION RECEIPT NUMBER(Sy 3 O 2 �� 3 h0 Request a refund of fees, paid on the above receipt number(s) for the following reasons: �\1P2 nJ�a. a Please refugd any applicable fees in the following categories: (Check those. categories whichYpu wish to have refunded.) (r Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees r:Di'soosition of Plans: _ f� ( ) ' Plans returned tome at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATURE DATE _ 1—O"1 PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. I i� _, .., „ ,, '.rhN � +;-q.: , {.,r T : L'4'{./+Y t it � �„ . • r•,; : ..-�.,��--•'s, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS' 7 County Center Drive - OroGllle. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. X91r, rt. I ASSESSOR PAIRCEL NUMBER 27-33-1-'' ZONING AS ' _ BUILDING PERMIT OWNER .� Larry Schuppan - f TELEPHONE 892--7235 S0. FT. OCC. BUILDING VALUATION - OWNER'S MAILING ADORE ss .DORESS - -t,- 5823 5985 Ehrhardt Ave., Sacramento 9 - CONTRACTOR'SNAMETELEPHONE Unknown CONTRACTOR'S MAILING ADDRESS Fireplace CONSNTRUCTION LENDER one UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee .$ Energy ecg Ener Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS it Penalty $ BUILDING ADDRESS" Dack Ct., Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other electric SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesKN Installation❑ Other ❑ Describe work: elee for future dev Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service aooV OR LESS 100 AMP OR LESS 10.00 10 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.m OR ACDNS. (ACC. BLDGS. ,/zQsgft NEW MULTI -OUTLET NON.RESIESIDD. BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20®50t eAL030 FIXED PR Ex. Occup. OUTLETS 1RESID.IEAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 re—ins ection 1 1 115.00 Permit Fee $ 52.50 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 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 a ree to save, indemnif and keepharmless the Count of Butte a ainst g y y g all liabilities, jud men s, costs, and expenses which may in any way accrue again t said Cou in on equence of the granting of this permit. w Z�_C�/ X Date �G 1 (Si tura of pplicant — Owner Contractor E]Agent ❑ (A7 OSHA permit is required for excavations 9v 5'0" eep and demolition or construct- ion of structures o e ,, s oriel in hei t. Mobile Home Installation Fee T $ Energy Inspection Fee $ occ CONST TYPE - 52.50 TOTAL FEE $ HAL. I CUA I PARK SCHL I FL D CDF PAR PD I HD• ISSU This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work icated above for which fees have been aid. p DI OR OF Pl1Bt:IC WORKS B Date t �h� /9 PERMIT EXPIRES Date 4 t Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT v COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 959$.5 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 27-33-1 ZONING A5 BUILDING PERMIT OWNER;,, Larry Schuppan TELEPHONE - 892-7235 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5985 Ehrhardt Ave., Sacramento 95823 CONTRACTOR'S NAME TELEPHONE Unknown CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN None LENDER'S MAILING ADDRESS Total Valuation Is Filing Fee Permit Fee $ 10.00 $ ARCHITECT OR ENGINEER LICENSE NO. None ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty $ $ $ BUILDING ADDRESS Dack Ct., Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other electric SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitiesfl Installation❑ Other ❑ Describe work: elec for future dev Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6V OR LE 100 AMP ORSLESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW of perjury I declare under penalty p I y (check one): El 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) Xr 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.N) OR ADDNS. ACC. BLDGS. , /20sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e I SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES 2ALO30 eLeao Ex. Occup. OUED P TLETS (RESID,)REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 pre—inspection 15.00 Permit Fee $ 52.5 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, ju ments, costs, and expenses which may in any way accrue t said Cou in on equence of the granting of this permit. Date 2- -7 re of Applicant — Ownerl& Contractor ❑ Agent ❑ 060SHApermit is required for excavations v 5'0" Sep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ acc CONST TYPE TOTAL FEE$ 52.50 HAL CUA, PARK scHL FLD coF PAR PD ) HD. ISSU rhis permit is hereby issued unser the applicable provi- pions of the Butte County -Code and/or resolutions to do Nork indicated above for which fees have been paid. DI R OF P B IC WORKS 3 Date PERMIT EXPIRES Date Receipt No. � 9„m WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT ` �.. COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965= TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET r Permit No. ---..- OWNER �t f y A. P. N.. 2 Proposed Building Use—� Building Inspector Date Y 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 Desiggl�eomplian eend syppgrtin.g documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layou In/duplicate (req ired'p or to plan check) Mobileoome installation data `inc uding manufacturer's installation 704K'/instructions.. !......................... 0. Fees of $� ....................... ��.a2 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 (see City for other requirements) 17. Planning approval for (A) Use: Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 1 .Driveway permit (constrr,y�ti n proval required prior to occupancy) 20. Pre -Inspection for"'""' YZi c-- required Pre Inspe°. request to ,5 —� 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 ................................... t 26. l ;, 27. t �� When you issue theermit=•pcess s follows: Mal" IAO er. Mail to contractor. Telephone and hold for pickup at off Deliver w/inspector. Other Applica t Date 1 / Copy of Haz-Mat form sent Health Dept. l./ 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---- inail_counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date to COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Califo pia 95965 -Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 3 — ZONIN BUILDING PERMIT OWNER n /`2 `/ sG� (/ P��� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING A 0DR E33���� (fejt, CONTSFiAQTOVj.'S N E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r i . Permit fee $ , PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION 4AME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other r_1/ ECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti litieA Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V R ORSLESS 10.00- Q Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON•R 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. El 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.N OR ACDNS. (ACC. BLDGS. , /z¢sgft NEW CONST.ES,., RANCH TLET ESID BRANCH CIRC ITS CIRCUITS) 2,50 ea /POWER APPARATUS &) \SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200SOt eALo30 FIXED APLNS Ex. Occup. OUTLETS P(RESIO IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 (� Permit Fee $ 4 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on'file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'' deep and demolition or construct- ion of structures over Tstories in height. , Mobile Home Installation Fee7FEE$ Energy Inspection Fee occ CONST rTPE TOTAL HA2. CUA PARK scHL FLDAR PD j HD. ISSUE This permit is hereby issued urger 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 By Date PERMIT EXPIRES Date Receipt No. 5�P— 67 WHITE-D.P,W., TCLLOW-ASS[330R. PINK-INSPECTO OLDENROD-APPLICANT PRE -INSPECTION . OWNER: DATE LOCATION: G -�" �� A. P. # CONTRACTOR: ZONING __________ _ PRE -INSPECTION FOR: DATE TO INSPECTOR PERMIT HISTORY:NE AS FOLLOWS: TYPE OF OCCUPANCY! FIELD INFORMATION s , BUILDING USAGE: (� lw �✓ `� TENNANT : OCCUPIED D ` HAS ELECTRIC H:'�S GAS Q HAS SANITATION FACILITIES EIS 17 - Q HEATED -COOLED/" �, �� PERSON CONTACTED_ OTHER COMMENTS: ACTION ECOMMENDED: ISSUE HOLD -,FOR OTHER: BY DATE i 7 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 9 Telephone (530) 538-7541 Pty (Rev. 12/96) APPLICATION AND PERMIT ZONING BUILDING PERMIT ASSESSOR PARCEL NUMBER OWNER 097-310-001 E SO. FT. OCC. BUILDING VALUATION OWNERS WILLING AD S TELEPHONE CONTRACTOR'S NAME CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCWTECT OR ENGINEERS MNUNG ADDRESS BUILDING ADDRESS LOT NO. I SUBONSION'S '-tiSEOFSTRUCTU ISF ❑ Duplex ❑ Mobilehome RI Other SPECIFY TYPE OF WORK New EX Addition ❑ Remodel ❑ U6riti�es ❑ Installation 9 Describe Work: MEN MH PERM F=_ NO ; -_S1 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Uc. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, ill do the work, and the structure is not intended or offered for sale. las owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation one hundred dollars ($100) or less.) CY I certify that in the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X o) Date Sign atur o pplicant - CP515wner ❑ Contractor ❑ Agent An OSHA permit Is requiredfor excavations over 5'0" deep and demolition or construction of structures over 3 stories In height ReceiptNo. 3 WHITE-D.O.S.-B.D. CANARY -ASSESSOR' PINK -INSPECTOR Fireplace Total Val 20.00 Permit Fee Energy Plan Checking Fee $ QQ S � PERMIT FEE S PLUMBING PERMIT Fling Fee 1 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 5. 0 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.0015.00 Mobile Home I S I G I W 1 @20.00 OUTLET OR F9RURES PERMIT FEE _f;9 QQ ELECTRICAL PERMIT 20.00 Main Service eou oR LEss aooAORtESSMain T46. Service — To L—A NEW CONST. OR ADONS. ( DWELLING OCCUP. A ACC. BLDS. 3.5,so. NEW _ ONS . MULTL•Oun.ET 1 Cc�7.5O OUTLET OR F9RURES mL .SpFDD APPLNS. OR OUTLETS ESID.FA 5.00 NEx.Occup. Service 23.00 me Facilities 20.00 Misc. Wiring 23.00 L_— PERMIT FEE I S 43.00 MECHANICAL PERMIT R—rin—g—Fe—e-L 2000. 6.50 PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee L °O° NBT. T1PE TOTAL !JE $S- HAZ. D. FEES IMP 1 OW ICOF IPARCEL POHD SSU This permit is hereby Issued under the applicable provisions of the Butte County Code and/Or Resolutions to o work Indicated above for which fees have been paid. By D e ��vG PERMIT EXPIRES ON e/