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028-300-048
028 -SCO-014a -]Kenneth E. Knapp y� 7� . 1200' off W/S L orte R. ,a4 mid. IS. of Oro Bangor Hwy., Bangor fperm*1#1676B,E(util.,MH) ELECC:ASSUPPTURE REQ.�y� O COMPACTION TEST REQ. �}n 28-30-5< ys contr:Ernie's MH Transport, Marysville Permit #3585-76MHI 1/� Issued - ; 0 t 28-30-X 48 SYRIL GROSSE 9391 LaPorte Rd, Bangor 80 Contr:..Mobile Home.Center (O PErmit#3940-87MHI(existing site) Issued Permit#2299-89B(new covere eck/ ) A028-300-048, 92-232 `GROSSE, ;Cyril+' 9391 La_Porte Rd,:Bn or i" complete,89-22 ' 028-300-048:' 92;y2324B' GROSSE, ,Cyril +`-9391 La Porte -Rd Bangor open,�'de'ck%mh 028-300-048 94-0318B ,GROSSE,"CYRIL " :.:> `�Ui'' CONT: SIERRA MOBILE SERVICE ``-5589-LAPORTE-RD. ,..OROVILLE PERM FND.,UNDER EXIST MOBILEHOME, FO2-300-048 PERMIT#98-22AG CYGRO 'LIVING TRUST • � 5589 ,LaPo'rte Rd., Bangor'*, Ag Ex Permit-Stg Mower & Feed R - ---••� CIT Q- NBUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT / III I � MM / Agricultural building is defined as follows: Agricultural building is a structure designed and'constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural 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. ag 3 ®` © tf Cd ZONING 14 OWNER LLroV N l r� S PHONE NO. 6 -7 9 OWNER'S ADDRESS -Po t5o `f9-7 6AY al- L'c_ RS 117 LOCATION OF BUILDING n B 55 V7 �� Rt T c� f e- USE OF BUILDING p 4,,J -cam d- -e -e- eSIZE SIZEOF STRUCTURE X �� _ �n SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME v STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING < i FLOOR TYPE P1 15,1 ESTI- ATED COST OF CONSTRUCTION $ 3o0 o AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT 55 �� 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. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, ' I tact the Building Division and obtain any necessary permits, inspections, and approvals to comply withie req i ements jA effect at that time and before occupancy. Date Q Permit Fee - $60.00 Receipt No. :),31 W 7 0 Signature of The above described Iding is exempt from a building Dermit Fl-OGW I PAR L P. RO()GiNG I ISS_ UF. Manager Buildin iv By �w� Date 3 -�2 • `� White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant �.�..y.-.>;,y�.�t.r.�"'vti 3"^', i�i�{_�•^K.i"«�,:�,i'"'14`,Ai•..tl"+fl..�"-*1"M'.'�(,,rl•.ti,�•-.......-1 ?'<µ,.�r+.-mmr.. -. •..�r�--n.+�'V'•.+r�-r. ���-.. f+it✓.w..ti-.� .. ..-. . COUNTY OF BUTTE DEPAI-TIMET OF DEVELOPMENT SERVICES - BUILDING DIVISION' 7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 - TELEPHONE (916) 538-7541 ; =_ PERMITAPPLICATIONDATA SHEET F�. 4' OWNER: ro ,ru ASSESSOR PARCEL NUMBER: Proposed Buil Use: Aa -=E&L, D«_" ;,43uilding Inspector: Date: .3u % - 9 At time of permit applica 'on, I wfis ad ' ed the following data must be submitted prior to permit processing and/or issuance: --- ;,' Date Received By M All items have been submitted.---------------------------------------------------------------------------- --- - 02. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 116. Energy Design Compliance and supporting documentation. ,,,?E]7. Statement of Intent for Non -Heated and A/C Buildings. ---- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- E1.1 2. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------ ------------- ❑ 14. Sanitation and plot plan approval Health Department. Ell 5. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9 Encroachment Permit for driveway (construction approval prior to occupancy). 4 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------=------------- ❑ 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 0 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------- ------ 1129. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check�to H.C.D $ 030. Other: 7 When you issue the permit, process as follows PfMail to owner, ❑Mail to contractor. 11 Telephone and hold for pickup at office. 11 eliver with inspector. Applit -. �`I Date: g ' �^ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ lution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: (Date) 1. Index permit application for the above items numbered: ❑ Plan"Check List 2. Additional items required: Contractor, designer, owner, was advised`of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. S80 LATE. ma 94-10454 94-0104541' Rec- Fee AM MFEX RECORDED MAIL TO: I Total Recorded I BUILDING DIVISION Official Records I County of I 7 COUNTY CENTER DRIVE Butte I OROVILLE CA 95965 Candace J. Grubbs I Recorder I 11:34am 8 -Mar -94 I COMS SPACE ABOVE TKS L11E FOR RECORDER NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM .00 .00 XX 2 ILY Recording of this document at the request of the locai 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 instoilction of the Unit described hereon, upon the real property described with certainty below, as of the date of rr_:.-ding- When recorded, this document shall be indexed by the county recorder to the named owner of the real property and snail be deemed to give constructive notice as to its contents to all per- sons thereafter dealing with the real property. CYRIL AND CYNTHIA GROSSE REAL PROPERTY OWNER/LESSOR P 0 BOX 487 MAILING ADDRESS BANGOR, BUTTE, CA 95914 CITY COUNTY STATE ZIP 5589 LAPORTE ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT BANGOR, BUTTE, CA 95914 CITY COUNTY STATE ZIP SAME UNIT OWNER (If also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT,ad CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER _DRIVE_ . AAIUNG ADDRESS OROVILLE, BUTTE, CA 95965 CIT! COUNTY STATE. ZIP 94-0318 (916) 538-7541 I N TELEPHONE NUMBER 3/7/94 SIGNkTqRE OF LOCAL AGENCY OFFICIAL DATE NONE DEAL=R NAME (If not a dealer sale, write ":LONE") DEALER LIC=NSZ NO. UNIT DESCRIPTION KAUFMAN AND BROAD 1988 --- MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 88321546A,B,C 34'X60' PFS167701/167700/167699 SERIAL NUMBE(S) LENGTH X WIDTH INSIGNIA./LABEL NUMBERS) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED LEGAL'DESCRIPTION. JEht Or „: ' HCD FORM 433.(A) 4/86 7 ov W MAR 01 '94 17:35 BUTTER •BUTTES SAVINGSq ,1, _ ( O t P. 7/12 Order No. 5-165230 . SCHEDULE C The land, referred. to herein is described as folloirs: A11:that.certain"real properly situate n the' County of Butt6,'State.•.of.,. CaIiiornia, described as follows: PARCEL I: Parcel 1, as shown on that certain Map entitled, Parcel Map, being a portion of the Southea5t quarter of Section 28, and the Southwest.quarter of,Section 27,:Township 18 North, Range 5 East,, M.D.S. & M.,;which said:#Map . was tecorded `in the Office 'of the. Recorder of, the _County •of Butte, :Stater`of. California, June 15, 1973, in Book.46 of Maps, at pages 34 AP No:. -028.300-035 ,..- PARCEL IA: An easement for road and,public utilities over -the Northeasterly 60 feet of Parcel 2 as shown on that certain Parcel Map recorded in the.office,o£•the Recorder of the County of Butte, State of California, -on June 15, 1973 in Book.46 of Maps, at pages 34 and 35. PARCEL 1I: Parcel One,.as shown onthat certain,Parcel Map recorded in.the office of the Recorder of the County of Butte, State of California, on February.28, 1992 in Book 125 of Maps, at pages -53 and 54. AP No. 028300-048 END OF DOCUMENT V=OK - . , O = Not OK -=Not Applicable Not Ready MOBILE HOMES ' = Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a ' ++ -- 1. -Zoning Requirements -Setbacks -Easements 2: -Soils; Special MWSupport Sketch - 3.' Sewer; Locatlon-Test-Fall-C/O Concrete 4. Water; Location -Teat -Easement Needed. (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / , /"L"ft. / /"Nat. or/ /'L"ft./..7"LPG ' 7. Well Clearance & Disconnect 8. Utility Clearance' Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line ; 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Teat -Crossovers -Breakers -Clearances 5. _Drain; MH Test -Fall -Flex Connector. 6. Water; MH Teat -Regulator -Connector ; 7. Water,and.Sewer, Connected -C/O, to Grade -HD Approval - 8. Gas.and Electricity Tagged 8. Exits; Insp.-Sketch 10. Cert. of.Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing - '5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors , 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings ' Date/Initials 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 Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test • 1. i MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing - '5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors , 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings ' Date/Initials 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 Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK ' •+ 0 = Not OK - = Not Applicable Not Read RESIDENTIAL (Single & Duplex) = Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Z20agaSe(15- -Easements-Flood-Slope 1i9-Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. ils, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clears nce-Material-Su pport- Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulati n Date/Initials 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 -Nati Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 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 ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials 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/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells 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 Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. 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 -W el Is -Cel lingo 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 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 -Mach. Protection 75. Plb., Elec. & Mach. 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 O Yea 80. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ 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. 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 Comments at Find: a ' COUNTY OF BUTTE -DEPARTMENT of DAE&LOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT �� -6-7-15 19 ASSESSOR PARCEL NUMBER 028-300-048 A-5 ZONING BUILDING PERMIT • OWNER CYRIL GROSSE TELEPHONE �7�` 3g SQ. FT. OCC. BUILDING VAL ION 1810 R 97,7 0.00 OWNER'S MAILING ADDRESS PO BOX 306 BANGOR CA 95914 CONTRACTOR'S NAME SIERRA MOBILE SERVICE TELEPHONE 877-8575 CONTRACTOR'S MAILING ADDRESS 8965 IR SKYWAY PARADISE CA 95969 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENOER'S MAILING ADDRESS Permit Fee $ 315.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 204.90 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5589 LAPORTE ROAD PERMIT FEE $ 540.15 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome PX Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20'00 TYPE OF WORK New ❑ Addition 1:1Remodel ❑ Utilities 1:1Installation El Other 9[X Describework: INSTALLING PERIMETER FOUNDATION UNDER PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 EXISTING MOBILEHOME Main service ( 00AORLESS 1 23.00 Main Service ( 200A TO IOOOA 1 46.00 "SAME LOCATION" NEW OR C NS.T. ( D BELLING OCC P I 3.5C F°' NEW CONST.MULTI-OUTLET .NON-RESID. ( BRANCH CIRCUITS 1 @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Co a and m li a se is in full force an effect. ��gg,J� License No. O S'CClassification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS 1 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 1 @ 100 B20 . FIXED AP PNS. OR EX. Occup. (OUTLETS (RESID.) EA. I 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): ❑ Timis permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I 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 S 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 a granting of this permit. X &W-- Date Signature of Applicant - ❑ Owner Contractor ❑ 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 $ GCC CONST. TYPE TOTAL FEE $ 540.15 HAZ• I D. FEES I IMP I FLOOD I CDF PARCELPD HD Issu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date SIWHITE-D.D.S.-B.D. PERMIT EXPIRES ON 31 l etel Receipt 156111 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT jL COUNTYOF BUTTE - DEPARTMENTQF IJOtC`OPMENTSERVICES -BUILDING DIVISION t •-� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET 0 OWNER A. P. No. ,.28-200 -0 - � Proposed Building b se iY/>, Building Inspector Date Z 17 0 Y - I At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ........................................ . 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees......................... 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department. ........ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . est 20. Pre -inspection for to Buil D O" 1BQ r required. .. to Bu;ia;�y i��eaor (Date 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 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 . ...................................... Pla " check liaL d2 ,•...� 33. ) lore L Wh du issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 827_BsZsand hold for pickup at 40 za- p office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Z - Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health ept. Fire Dept. Other---------\ Date By The following data must be submitte prior to per i �sce: Cir i em not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter b _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail unt y _ Date Plans checked by Date Plans approved by Da Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works AM WHEM RECORDED MAL TO: MIE BUILDING DIVISION 7 COUNTY CENTER DRIVE � OROVILLE CA 95965 LTE I.ZP 0454 94-010454 94-010454: Red Fee 00 1 ,Total .00 Recorded I. Official Recorde I. , County 'of I Butte. 1 Candace J.`Grubbe I 5 Recorder '11:34am 8 -Mar -94 A COMS XX 2 IBOVE T,11W, FOR RECORDER, ME OKY. NOTICE OF MANUFAC-URED HOME, (MOBILT-HOME); OR COMMERCIAL- COACH, INSTALLATION ON A FOUNDATION SYST=M Recording of this document of the request of the lacai agency indicated is in accordance with California Hedll':: 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."Ohis document shall be indexed by the county recorder to the named owner of the real property and shail be deemed to give constructive notice as to its contents to oll per- sons.thereafter dealing with the real property. CYRIL AND CYNTHIA GROSSE BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY tSSUING PERMIT and CERTIFICATE OF OCCUPANCY P 0 BOX 487 7 COUNTY CENTER DRIVE M,AMING ADDRESS AMUNG. Au0wES5 BANGOR, BUTTE, CA 95914 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 5589 LAPORTE ROAD 94-0318 (916) 538-7541 INSTALLATION MAIUNG ADDRESS, IF DIFFERENT 1 N TELEPHONE NUMBER BANGOR, BUTTE, CA 95914 fes_ 3/7/94 CITY COUNTY STATE ZIP SIGNkTqRE OF LOCAL AGc'NCY OFFICIAL DATE SAME NONE UNIT OWNER (If also property owner, write 'SAM_") DEALER SAME (If not a dealer sale, write "`LONE-) MAILING ADDRESS DEALER LICZNSZ S0. C__TY COUNTY STATE ZIP UNIT DESCRIPTION KAUFMAN AND BROAD 1988 --- MANUFACTURER'S NAME DATE Of MANUFACTURE MODEL NAME/NUMBER 88321546A,B,C 34'X60' PFS167701/167700/167699 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A . P • #028-300-048 SEE ATTACHED LEGAL DESCRIPTION. JErt 0f '• 1: HCO FORM 433.(A) 4/96 Q Iry W.I. Jar 11 JJ JV 1 1 "IN '. LV 1" 1 LJ Jr•ly it 1VJ.1.l�/� � /. 0; .•� /. 1 • 1•iL - ' • ill ' ' - Order No. 5-1.65230 .. SCHEDULE C The `hand.: •referred 'to herein 'is described as Rill -`" follows-.: h4:•. AJ:'1�':'that. certain `real property situate• 'in the .County. of Butte, State ofm�- ` California,• described. as . follows: . PARCEL 1: .. ' Parcel 1, as shown on that certain Map entitled, Parcel Map,, being a portion of. the' Southeast. quarter of Section 28, and. the Southwest quarter. ' of ..Section 27; : Township 18' North, Range 5 East,_ M. D. 8..: & M'.',,: -which said:,i4iap was. -reaa=ded ' in -the Office of the. Recorder of.the :.County 'of Butte; : Statee`of . Cali�forhia, June 15, 1973, in Book . 46 of. Maps; at =pages 34':;:and 35..• •.028-300-035 • , PARCEL ` IA Ari easement.four road and public utilities over;the'Northeasterly.60 feet of Parcel 2 as shown on that certain Parcel Map recorded -in the.office,of•the Recorddt.of the County of Butte, State of California,'on June 15;.1973 in Sook.46 of.Maps, at pages 34 and 35 PARCEL XI: Parcel One, as shown on that certain.,Parcel Map recorded in.the office of the Recorder of the County of Butte, State of California, on February.28, 1992.in Book 125 of Maps, at pages 53 and 54: AP No. 028-.300-048 a,. r_ �' � 's :c �.Ss.-, 'a.i • .. , ;. si?� � '-a,r ♦ s::.�. d -+'v. :;.-. 'n u' k'�rc�4o.�"iF�`r��?�:ti���i;�;�''S''��%x�,,'y'�','��e"'°",-.,1��+'i`�h.�y�� ,��'Ry�.�>riti,.. .,,;_ �i ��s�-..tu^..� .�.:..:___�5: �',� ,.-n�-,.a'S v`�v.,�. .r 1,, .•r.. �.�t...a....e _�__....._.� r�3a.. ,..e. a .u.« ..:• Address or location of Lepel Description . of Real Pioperty C ' AT CCU C B 11 ' 5589 LAPORTE'RD., BANGOR A.P. #028-300-048 RMIT NO. 94=03`18 SEE.ATTYHED LEGAL DESCRIPTION. �. A E:Mobilehome/Manufactured Home Commercial Coach. has been affixed to the real.property described above by installation on a foundation system pursuant to Health and Safety Code'Section 18551. CYRIL AND CYNTHIA GROSSE Owner's name: Owner's address: P 0 -BOX 487, -BANGOR, CA 95914 INSIGNIA OR HUD NUMBER: PFS167701/16700/167699 88321546A,B,C. SERIAL NUMBER OR V.I:N. MANUr CT -. NAME KAUF. N- AND .BROAD 1988 YEAR OF MANUFACTUREa 3/7/94 (916) 538-754.1 I00M.W r*a.•� I "Co 413C fJ/eol rfAr�--Ovrr, 4wv�.�►wMM. Mum---0Iro� ri. E MAR 01 '94 17:29 SUTTER BUTTES SAVINGS P.2i12 SLITTER 113LJTTES SAVYNCCS BANK,-F.S.B. March 1, 1994 Butte County Building Department Attn: Ann Dear Ann, This letter;is in response: to your department requesting a letter from Sutter Buttes Savings, Bank-, stating that we require a permanent foundation be constructed for Mr. and Mrs. Cyril S. Grosse Sr. who'sproperty. address is 5589 La Porte Rd., Bangor, Ca. 95914 and APN#'s are 028•-300-035 and 028-30Q-.,048, -Their recorded deed of trust is attached."" Aso. we are requiring a permanent. -foundation' be.constructed for Mr. and' Mrs. Victor a. Gipson, who's property address is"60 Gipson Rd., Bangor, Ca. 95914. Their APN# is 028-250-019 and the certified copy of; deed. of trust is attached. If you have any questions please contact meat 673-7283 ext. 25. Sincerely Lana McBride AVP, Loan Manager 700 Plumas Street + Yuba City; CA 95991 (916) 673-:7283 , , (916)-673.66S8;FAX . A11w..r� r t1AR 01 '94 17._*:30 SUTTER BUTTES SAVINGS v ` BIDWELL TITLE & ESCROW 'RECORDATION REQUESTED BY:'? SUfTER BUTTES SAVINGS BANK, F.S.B. 700 PLUMAS STREET P 0 BOX 1760 YUBA CiTY, CA 96992 ; WHEN RECORDED MAIL TO: . SUTTER BUTTES SAVINGS BANK, F.S,B. 700 PLUMAS STREET POGO T' 0 6 3 5 4' P.3/12 r 94. 06354 I2Rec Fee 4.00 1 Check 24.00 x 1780 Recorded 1 YUBA CITY, CA 95992 Official' R'e0ords I SEND TAX NOTICES TO: County of t Butte 1 Candace J. Grubbs 1 Recorder I ESCROW 15069 --JB ` 8: 00am 10--Feb-94 I BW"TC JR 7 . APN 028-300-035, 028-300-048 [Space Above This Line For Recording Data] DEED 4F rRUST THIS DEED 01= TRUST, ("Security Instrument") Is made on February 2, 1994. The trustor Is CYRIL S. GROSSE, SR. and CYNTHIA E. GROSSE, VESTED AS FOLLOWS: Cyril S. Grosse, Sr. and Cynthia E. Grosse, Husband and Wife as to Parcel 1; and Cyril S. Grosse Sr. and Cynthia E. Grosse, husband and wife as Joint tenants as to Parcel 11 ("Borrower"). The trustee Is SUTTER BUTTES SAVINGS BANK, F.S.B. ("trustee")• The beneficiary Is SUTTER BUTTES SAVINGS BANK, F.S.B., which Is Organized and existing under.lhe laws.of the State of California, and whose address [s loo PLUMAS STREET, P 0 BOX 1760, YUBA CITY, CA 95992 ("Lender"), Borrower owes Lender the principal sum of Ninety Five Thousand & 00/loo Dollars (U.S. $95,000.00). This debt is evidenced by Borrower's -note dated the same date as this Security Instrument ("Note', which provides for monthly payments, with the full debt, if not paid earlier, due and payable on March 1, 2024. This Security Instrument secures to Lander: (a) the repayment of the debt evidenced by the Note, with interest, and all renewals, extensions and modifications of the Note; (b) the payment of all other sums, with interest, advanced under paragraph 7 to protect the security of this Security instrument; and (c) the Performance of Borrower's covenants and agreements under this Security Instrument and the Note. For this purpose, Borrower irrevocably grants and wing described property located In Butte County, California: conveys to Trustee, In trust, with power of sale, the follo SEL LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HERE=OF which has the address of 5589 La Porte Road, Bangor, California 95914 ("Property Address"); TOGETHER WITH all the improvements now or hereafter erected on'the property,,and all easements, appurtenances, and fixtures now or hereafter it part of the property. Al replacements and additions shall also be covered by this Security instrument. All of.the foregoing Is referred to in this Security Instrument as the "Property." BOHHOWER COVENANTS that Borrower Is lawfully selsed of the estaiite hereby conveyed and has the d4ht to grant and convey the Property and that the Properly is unencumbered, except for encumbrances of record. Borrower warrants and will defend generally the title to the Property against all claims and demands, subject to any encumbrances of record. THIS SECURITY INSTRUMENT,combines uniform covenants for national, use and non-uniform covenants with limited variations by jurisdiction to constitute a uniform security Instrument covering real property. UNIFOfiM COVENANTS. Borrower and Lender covenant and agree as follows: 1, Payment of Principal and Interest; Prepayment and Late Charges. Borrower shall promptly pay when due the principal of and interest on the debt evidenced by the Note and any prepayment and late charges due under the Note, . , 2. Funds for Taxes and Insurance"' Subject to applicable law or to a written waiver by Lender, Borrower shall pay to Lender on the'day monthly Payments are due under the Note, unlit the Note is paid In full, a sum ("Funds") for (a) yearly taxes and assessments which may attain priority over this Security. Instrument as a lien on the Property:' (b) yearly leasehold payments or ground rents on the Property, if any; (c) yearly hazard or property Insurance'premlums; (d) yearly flood insurance premiums, if any,' (e),yeady mortgage Insurance premiums, if any; and (0 any sums payable by Borrower to lender, iri accordance with the provisions of paragraph $, in lieu of the payment of mortgage insurance premiums. These items are called "Escrow Items." Lender may, at any time, collect and hold Funds In an amount not to exceed the maximum amount a lender for a federally related mortgage loan may require for Borrower's escrow account under the federal Real Estate Settlement Procedures Act of 1974 as amended from time to time, 12 U,S.C. Section 2601 at seq. ("RESPA"), unless another law that applies to the Funds sets a lesser amount. if so, Lender may, at any time, collect and hold Funds In an amount not to exceed.the lesser amount. Lender may estimate the amount of Funds due on the basis of current data and reasonable estimates of expenditures of future Escrow items or otherwise In accordance with applicable law. The Funds shall be held in an institution whose deposits are Insured by a federal agency, instrumentality, or entity (including Lender, if Lender is such an Institution) or in any Federal Home Loan Bank. tender shall apply, the Funds to pay the Escrow items. tender may not charge Borrower for holding and applying the Funds, annually analyzing the escrow account, or verifying the Escrow items, unless Lenderpays Borrower intent on the Funds and applicable law permits Lender to make such a charge.. However, Lender may require Borrower to -pay a one-time charge for an Independent real estate tax reporting service used by Lender In connection with this loan, unless applicable law• provides otherwise. Unless an agreement Is made or applicable law requires Interest to be paid, Lender shall not be required to pay Borrower any Interest or earnings on the Funds. Borrower and Lender may agree in writing, however, that interest shall be paid on the Funds. Lender shall give to Borrower, wifhout charge, an annual accounting of the. Funds, showing credits and debits to the Funds and l4ei purpose.for,which eacti'debft 16' the Furids was made.'The Funds are pledged aS additional security for all sums secured by this Security Insfrument. *. h , . CALIFORNIA -Single Famlly Fannle Mae/Freddle Mac UNIFORM INSTRUMENT Form 3005 '9190 (Page 1 of 4 Doges) MAR 01 '94 17 31 SUTTER BUTTES SAVINGS '''' ;"'� �J!J µ ?`''t' �' P. 4/12 d- 02-02-7994 FNMA/FHLMC. DEED OF TRUST Page.2 of.4 Loan -No 490192.27 (Continued) P If the Funds held by Lender exceed the amounts permitted to be held by appilcabfe law, Lender shall account to Borrower for the excess Funds in accordance with the requirements of applicable law. If the amount of the Funds held by tender at any time Is not sufficient to pay the Escrow Items when dere, tender may so notity Borrower In writing, and, in such case Borrower shall pay to Lender the amount necessary to makeup the deficiency, Borrower shall make up the deficiency In no more than twelve monthly payments, at Lender's sole discretion. Upon payment In full of ''all sums secured by this Security Instrument, tender shall promptly refund to Borrower any Funds held by Lender. It, under paragraph 21, Lender shall acquire or sell the Property, Lender, prior to the acquisition or sale of the Property, shall apply any Funds held by Lander at the time of acquisition or sale as a credit against the sums secured by this Security Instrument, 3. Appilcpgon of Payments. Unless applicable law provides otherwise, all payments received by Lender under paragraphs 1 and 2 shall be applied: first, to any prepayment charges due under the Note; second, to amounts payable. under paragraph 2; third, to Interest due; fourth, to principal due; and last, to any late charges due under the Note. 4. Charges; Llens. Borrower shall pay all taxes, assessments, charges, fines and Impositions attributable to the Property which may attain priority over this Security Instrument, and leasehold payments or ground rents, It any. Borrower shall pay these obligations In the manner provided In paragraph 2, or if not paid In that manner, Borrower shall pay them on time directly to the person owed payment. Borrower shall promptly furnish to Lender all notices of amounts to be paid under this paragraph. If Borrower makes those payments directly, Borrower shall promptly furnish to Lender receipts evidencing the payments. Borrower shall promptly discharge any lien which has priority over this Security Instrument unless Borrower. (a) agrees In writing to the payment of the obligation secured by the lien In a manner acceptable to Lender; (b) contests in good faith the lien by, or defends against enforcement of the lien in, legal proceedings which in the Lenders opinion operate to prevent the enforcement of the lien; or (c) secures from the holder of the* lien an agreement satisfactory to Lender subordinating the lien to this Security Instrument. It Lender determines that any part of the Property is subject to alien which may attain priority over this Security instrument, Lender may give Borrower a notice Identifying the lien. Borrower shall satisfy the lien or take one or more of the actions set forth above within 10 days of the giving of notice. S. Hazard or Property Insurance. Borrower shall keep the Improvements now existing or hereafter erected on the Property Insured against loss by fire, hazards included within the term "extended coverage" and any other hazards, including floods or flooding, for which Lender requires insurance. This Insurance shall be maintained in the amounts and for the periods that Lender requires. The insurance carrier providing the Insurance shall be chosen by Borrower subject to Lender's approval which shall not be unreasonably withheld. if Borrower fails to maintain coverage described abov% Lender may, at Lender's option, obtain coverage to protect Lender's rights In the Property In accordance with paragraph 7. All Insurance policies and renewals shall be acceptable to Lender and shall Include a standard mortgage clause. Lender shall have the right to hold the policies and renewals. If Lander requires, Borrower shall promptly give to Lender all receipts of paid premiums and renewal notices. In the event of toss, Borrower shall give prompt notice to the insurance carrier and Lender. Lender may make proof of loss if not made promptly by Borrower. Unless Lender and Borrower otherwise agree In writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, It the restoration or repair Is economically feasible and Lender's security Is not lessened. If the restoration or repair Is not economically feasible or Lender's security would be lessened, the Insurance proceeds shall be applied to the sums secured by this Security Instrument, whether or not then due, with any excess paid to Borrower. If Borrower abandons the Property, or does not answer within 30 days a notice from Lender that the insurance carrier has offered to settle a claim, then Lender may collect the insurance proceeds. Lender may use the proceeds to repair or restore the Property or to pay sums secured by this Security Instrument, whether or not then due. The 30 -day period will begin when the notice Is given. Unless Lender and Borrower otherwise agree in writing, any application of proceeds to principal shalt not extend or postpone the due date of the monthly payments referred to in paragraphs t and 2 or change the amount of the payments. If under paragraph 21 the Property is acquired by Lender, Borrower's right to any insurance policies and proceeds resulting from damage to the Property prior to the acquisition shall pass to Lender to the extent of the sums secured by this Security instrument immediately prior to the acquisition. 6. Occupancy; Preservation, Maintenance and Protection of the Property; Borrower's Loan Appllcatlon; Leaseholds. Borrower shall occupy, establish, and use the Property as Borrower's principal residence within sixty days after the execution of this Security Instrument and shall continue to occupy the Property as Borrower's principal residence for at least one year after the date of occupancy, unless Lender otherwise agrees In writing, which consent shalt not be unreasonably withheld, or unless extenuating circumstances exist which are beyond Borrower's control. Borrower shall not destroy, damage or impair the Property, allow the Property to deteriorate, or commit waste on the Property, Borrower shall be in default If any forfeiture action or proceeding, whether civil or criminal. Is begun that In Lender's good faith judgment could result In forfeiture of the Property or otherwise materially Impair the lien created by this Security instrument or Lender's security interest. Borrower may cure such a default and reinstate, as provided In paragraph 18, by causing the action or proceeding to be dismissed with a ruling that, In Lender's good faith determination. precludes tprteiture of the Borrower's Interest in the Property or other material Impairment of the lien created by this Security instrument• or tenders security ,interest. Borrower shall also be in default it Borrower, during the loan application process, gave materially false or Inaccurate information er statements to Lender (or failed to provide Lender with any material Information) In connection with the loan evidenced by the Note, Including, but not limited to, representations concerning Borrower's occupancy of the Property as a principal residence. it this Security Instrument is on a leasehold, Borrower shall: . comply with all the provisions of the lease. it Borrower acquires fee title to the Property, the leasehold and the tee title shall not merge unless Lender agrees to the merger in writing. 7. Protection of Lender's Rights In the Property. It Borrower fails to perform the covenants and agreements contained in lots Security Instrument, or there is a legal proceeding that may significantly affect Lender's rights in the Property (such as a proceeding In bankruptcy, probate, for condemnation or forfeiture or to enforce laws or regulations), then Lender may do and pay for'whatever Is necessary to protect the value of the 'Property and Lender's rights In the Property. Lender's actions may Include paying any sums secured by a lien which has priority over this Security Instrument, appearing in court, paying reasonable attorneys' fees and entering on the Property to make repairs. Although Lender may take action under this paragraph 7, Lender does not have to do so. Any amounts disbursed by Lender under this paragraph 7 shall become additional debt of Borrower secured by this Security Instrument. Unless Borrower and Lender agree to other terms of payment, these amounts shall bear interest from the date of disbursement at the Note rate and shall be payable, with Interest, upon notice from Lender to Borrower requesting payment. S. Mortgage lnsurance. If Lender required mortgage Insurance as a condition of making the loan secured by this Security Instrument, Borrower shall pay the premiums required to maintain the mortgage insurance In effect. It, for any reason, the mortgage ImUrence coverage required by Lender lapses or ceases to be In effect, Borrower shall pay the premiums required to obtain coverage substantially equivalent. to the mortgage insurance Previously in effect, at a cost substantially equivalent to the cost to Borrower of the mortgage Insurance previously In effect, from an alternate mortgage . Insurer approved by Lender. It substantially equivalent rrortsge Insurence coverage I; net ava!lable, Porrmvcr &hall p2y to Lcndcrcer t mort`t a sura equal to one -twelfth of the yearly mortgage insurance premium being paid 'by Borrower when the Insurance coverage lapsed or ceased to be in effect. Lender will accept, use and retain these payments as a loss reserve in Ifeu.of mortgage Insurance. Loss reserve payments may no longer be required, at the option of Lender, If mortgage insurance coverage (in the amount and for the period that Lender requires) provided by an insurer approved by Lender again becomes available and Is obtained. Borrower shall pay the premiums required to maintain mortgage Insurance In effect, or to provide a loss reserve, until the requirement for mortgage insurance ends in accordance with any -written agreement between Borrower and Lender or applicable law. e. Inspection. Lender or Its agent may make reasonable entries upon and inspections of the Property. Lender shall give Borrower notice at the time of or prior to an Inspection specifying reasonable cause for the inspection. 10. Condemnation. The proceeds of any award or claim for damages, direct or consequential, in connection with any condemnation or other taking of any part of the Property, or for conveyance in lieu of condemnation, are hereby assigned and shall be paid to Lender.' ' In the event of a total taking. of the Property, the proceeds shall be applied to the sums secured by this Security Instrument, whether or not then due, with any excess paid to Borrower. In the event of a partial taking of the Property in which the fair market value of the Property Immediately before the taking is equal to or greater than the amount of the sums secured by this Security Instrument immediately before the taking, unless Borrower and Lander otherwise agree In writing, the sums secured by this Security Instrument shall be reduced by the amount of the proceeds mullipfied by the following fraction. (a) the total amount of the sums secured immediately before the taking, divided by (b) the fair market value of the Property Immediately before the taking. Any balance shall be paid to Borrower. In the event of a partial taking of the Property in which the fair market value of • . ' 4 . .', " ,., - I , ,,, ;i. ,1,:'I, '11 1 ,. ,. r T Z)i%•.r'}4 `e.� � \ �! r` h#1 4.A V•�* ri :�..IL. 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Lt,1� � t. ,• +� ..� ••in , + , 4 i + MAR 01 '94 1735 BUTTER BUTTES SAVINGS ,� t� — O 3 4P. 5/12 y�1' 02-02-1994 FNMA/FHLMC DEED OF TRUST Page 3 of 4 Loan No 49019227 4(Continued) 4' Alis Property Immediately before the taking is low than the amount of the sums secured Immediately before the taking, unless Borrower and Lender otherwise agree In writing or unless applicable law otherwise provides; the proceeds shall be applied to the sums secured by this Security Instrument whether or not the sums are then due, .,..: ........ It the Property Is abandoned by Borrower,• or if, after notice by Lerider-to Borrower that the condemnor'offers to make an award or settle a'claim for damages, Borrower falls to respond to Lender within, 30 days atter thb"date' the notice *Is given, Lender Is authorized to collect and apply the Proceeds, at its option, either to restoration or repair of the Property'or t6 the sums secured by this Security Instrument, whether or not thbn due. Unless Lender and Borrower otherwise agree in writing, any application of proceeds to principal shall not extend or postpone the due date of the monthly payments referred to in paragraphs 1 and 2 or change the amount of such payments. 11. Borrower Not Released; Forbearance 8y Lender Not a Waiver. Extension of the time for payment or modification of amortization of the sums secured by this Security Instrument granted by Lender to any successor In interest of Borrower shall not operate to release the liability of the '. original Borrower or Borrower's successors In interest. Lender shall not be required to commence proceedings against any successor in Interest or refuse to extend time for payment or otherwise modify amortization of the sums secured by this Security instrument by reason of any demand made by -the original Borrower or Borrower's successors In Interest, Any forbearance by Lender in exercising any right or remedy shall not be, a waiver of or preclude the exercise of any right or remedy. 12. Successors and. Assigns Hound; Joint and Several Liability; Co-signers. The covenants and agreements of this Security Instrument shall bind and benefit the successors and assigns of Lender and Borrower, subject to the provisions of paragraph 17. Borrowers covenants and agreements shall be joint and several. Any Borrower who co-sidns this Security instrument but does not execute the Note. (a) is co-signing this Security Instrument only to mortgage, grant and convey that Borrower's interest'in• the Property under the terms of this Security Instrument; (b) Is not personally obligated .to pay the sums secured by this Security Instrument; and (c) agrees that Lender and any other borrower may agree to extend, modify, forbear or make any accommodations with regard to the terms of this Security instrument or the Note without that Borrower's consent, 13. Loan Charges. If the loan secured by this Security Instrument is subject to a law which sets maximum loan charges, and that law Is finally interpreted so that the interest or other loan charges collected or to be collected in connection with the loan exceed the permitted limits, then: (a) any such loan charge shall be reduced by the amount necessary to reduce the charge to the permitted limit; and (b) any sums already collected from Borrower which exceeded permitted limits will be refunded to Borrower. Lender may choose to make this refund by reducing the principal owed under the Note or by making a direct payment to Borrower. If a refund reduces principal, the reduction will be treated as a partial prepayment wilhout'any prepayment charge under the Note. 14: Not1Cez. Any notice to Borrower provided for in this Security instrument shall be given by delivering it or by mailing It by first class mall unless applicable law requires use of another method. The notice shall beldlrected to the Property Address or any other address Borrower designates by notice •to Lender. Any notice to Lender shall be given by first class mail to Lenders address stated herein or any other address Lender designates by notice to Borrower. Any notice provided for in this Security Instrument shall be deemed to have been given to Borrower or Lender when given as provided in this paragraph, 15. Governing Law; Severability. This Security Instrument shall be governed by federal law and the law of the jurisdiction in which the Property Is located. In the event that any provision or clause of this Security Instrument or the Note conflicts with applicable law, such conflict shall not affect other provisions of this Security Instrument or the Note which can be given effect without the conflicting provision. To this end the provlsions`of this Security instrument and the Nate are declared to be severable. 16. Borrower's Copy. Borrower shall be given one conformed copy of the Note and of this Security Instrument. / 17, Transfer of the Property or a Beneflclai interest In Borrower. If ail or any pert of the Property or any Interest in It Is sold or transferred (or If a beneficial Interest In Borrower is sold or transferred and Borrower is not a natural person) whhout Lender's prior written consent, Lender may; at its option, require immediate payment in full of all sums secured by this Security instrument. However, this option shall not be'eXercised by Lender If exercise is prohibited by federal law as of the date of this Security Instrument. If Lender exercises this option, Lender shall give Borrower notice of acceleration. The notice shall provide a period of not less than 30 days from I date the notice Is delivered or malted within which Borrower must'pay all sums secured by this Security instrument.. If Borrower fails to pay these sums prior to the expiration of this period, Lender may Invoke any remedies permitted by this Security Instrument without further notice or demand on Borrower. 1s. Sorrower's Right to Reinstate. If Borrower meets certain conditions,' Borrower shall have the right to have enforcement of this' Security Instrument discontinued at any time prior to the eariler of: (a) 5 days (or such other period as applicable taw may specify for reinstatement) before sale of the Property pursuant to any power of sale contained In this Security Instrument; or (b) entry of a judgment enforcing this Security Instrument. Those conditions are that Borrower: (a) pays Lender all sums which then would be due under this Security'instrument and the Note as if no acceleration had occurred; (b) cures any default of any other covenants or agreements; (c) pays all expenses Incurred In enforcing this Security Instrument, Including, but not limited to, reasonable attorneys' fees; and (d) takes such action as Lender may reasonably require to assure that the lien of this Security instrument, Lender's rights in the Property and Borrower's obligation to pay thesums secured by this Security Instrument shall continue unchanged. Upon reinstatement by Borrower, this Security Instrument and the obligations secured hereby shall remain fully effective as If no acceleration had occurred. However, this right to reinstate shall not apply in the case of acceleration under paragraph 17. 19. Sale of Note; Change of Loan Servicer, The Note or a partial interest in the Note (together with this Security instrument) may be sold one or more times without prior notice to Borrower. A sale may result in a change In the entity (known as the "Loan Servicer") that collects monthly payments due under the Note and this Security Instrument. There also may be one or, more changes of the Loan Servicer unrelated to a sale of the Note. If there is a change of the Loan Servicer, Borrower will be given written notice of the change In accordance with paragraph'14 above and applicable law. The notice will state the name and address of the new Loan Servicer and the address to which payments should be made. The notice will also contain any other Information required by applicable law. 20. Hazardous Substances. Borrower shall not cause or permit the presence, use, disposal, storage, or release of any Hazardous Substances on or In the Property. Borrower shall not do, nor allow anyone also to do, anything affecting the Properiy that is In violation of any Environmental Law. The preceding two sentences shall not apply to the'presence, use, or storage on the Property of small quantliles of Hazardous Substances that are generally recognized to be appropriate to normal residential uses and to maintenance of the Property.' Borrower shall promptly give Lender written notice of any Investigation, claim, demand, lawsuit or Other action by any governmental or regulatory agency pr'private party'Involving the Property and any Hazardous Substance or Environmental Law of which Borrower has actual knowledge. If Borrower learns, or Is notified by any governmental or regulatory authority,: that'any removal or Other remediation of any Hazardous Substance affecting 'the Property Is necessary; Borrower shall promptly take all necessary remedial aellons In accordance'wlth Environmental Law. As' used in this'paragraph 20, "Hazardous Substances"'are those substances defined as toxic or hazardous substances by Environdientaf Law 'and the following substances::. gasaline,'kerosene, other flammable or toxic petroleum 'produots,' toxic'pesticldes and herbicides, volatile solvents, 'materials containing asbestos or formaldehyde, and radioactive materials. As used In this paragraph 20, 'Environmental Law" means federal laws and laws of the jurisdiction where the Property is located that relate to health,safety or environmental protectlon. NON-UNIFORM COVENANTS. Borrower and Lander further covenant and agree as follows:. 21. Acceleration; Remedies. Lender snail give notice to Borrower prior to acceleration following. Borrower's breach of any covenant or agreement In this Security Instrument. (but rot prior to acceleration under paragraph 17 unless applicable law provides otherwise). The notice strati specify: (a) the default; (b) the action required to care the default; (c) a date, not less than 30 days from the date the notice Is given to Borrower, by which the default must be cured; and (d) that failure to cure the default on or before the date stxclfled In the notice may result In acceleration of the sums secured by this Security Instrument and sale of the Property. The notice shall further Inform Borrower of the right to reinstate atter acceleration and the right to bring a court action to assert the non-existence of a default or any other defense of Borrower to acceleration and sate, 11 -the default Is not cured on or before the date specified In the notice, Lender at Its option may require Immediate Payment ter foil. of all sums secured. by this Security Instrument without further -demand and may Invoice the power of sale and any other remedies permitted.by•appllcable law.:;�Lender.shall be entltled.to collect all expenses Incurred In pursuingthe. remedies provided In this paragraph 21, including; but not 1lmited.to, reasonable atiomeys'.fees and costs of title evidence;, mbne,f MR wmmaG MC6,ganef Od! oioto4 YINAO'nml b=M cmfta cit tO tnucmn ell n"If =1 align !d eo+ wct,3d YJtlh:mrnI VbW.' 1 0 i"v4ml Y^► v:S eWt +fid bewoea trhuc Buil. df ,beNQA id tient} t -miq M) U.?r ,ft trial stdre-qqu c; cru to Undnw oI rets ex, - to gab n*,dt tui mw of ten to t .nr m4,4 a dt u m .bwft n r w%n Qi $silo jonniabrioo ed? .t i if tm'mnofl of 1mbnel Yd =on rsfa ,tt +.c ,rj mnog Yd b:nobnaft al YhK3"R CAI if L,ft itlggg tine t=ro*' Of bexltofflua cl ubfcd; .nevie 6 eco g sot -(,Ab"'ctrl tet eyab dE W-11W vbns_J of b".act-jt Of ZLrl t7Noro8 .` t"c-r b tot '.tub mttt WA zo't Icdw• fltrft rdanT YH}L�2 6i Yd betuow enwo or() of n Yt*q;-fi( Arlt to decay io no rY,,,i of till:3 ,np(tgo ch 1042 -3014 odt to 4144 cub ck%oQogq>d bridw tarn kglonN of 4 to nntiaol`ggo Yna,gnt'n v of sign etcvvW o it;,noe bns Cbns.3 a nti txp .tincM4q ri= to Muofm edi cgnt1h to S brut t r"QML'sr:q nt at belOw drtc :til to ha m!-4rrta to nalwAlbom v fr4mvn , lot emd'em to nollnew ..Mvbvj a lel trbr,:.f its tvOl :,dips ;bcass!nf� to-4 +r� albs Jr cliff to ti .: o 9'I of Olay go fon Porta:>.Swotto9, to fass-_3td td io ;towe Yne of r maj yd betrmr tn_..tt+-f Ylrwxw e:dt Yd t.mwa tm:ra uti r.= Mt ni mtto;iat►a Yns tariia@s e8r+ 14 eanEmmoo Qt boilupm od fon tie a -4bno t ,t gni n! mcmoo� e'tervmmEl ta3,:rattaf� tin nbam brrmeb "a to n*ftm Yd tnomuifanl,'Ylfi 00 tifil Yd batVa's2 emu3 Vii to rich 11WID Yt+ om eaiwr;Mfa n inmVQ tot CMof CW* ' v to mtri A od fah We Y" •tc tdgh Yrre,grila10Wo ni Vbnaf Yd ctonsigadrat YnA .t-,t,tnl 00"r O ip tzm'-38 iWtha eN .Yt_`mcn to frtch Ynr2.10 C:013W aif tib<fwq �tiadti4brrW� til Yfbufta, t" to sinceneorga efngntx+aa orl'f .gtestgt ;YS�JtdsL uuy sru tn'r=!, ;breiipF] tit+ ^, Milt M=Mba Sttroll efir8r}OM C%eworo8. :Cr .(ie}ntgatnq to `anoWWq rtif of tos(duo ,tawo=S bn8 lebno.! to bnc trrU20ooctt; rrDt filoned bi; hntd r.at' g'2-4o at {fl) totoV( edt t'ttio'>� ton t9ob fud ipemtnw Y4.tjoo' eW snbia-oo oft w,,uo*o8 YnA .ltstore2 bn info( ed'Ut:'. ton 21 d ;;tn Tet; txnl yfit m*Po M-10 8t�rt91 yNganf ad), w f_e-atnl ttiriwor08 ladf ysvno0 Me Jns1g ,rQR9 tom Of XMO in&av�mf Yttiwa ,bas ofs Yam;. tswi��tot3'iarifD yna' tui�ebna!=tsN tnga td) bntj .nemuiftnl vi;ws^.8 df Yri ba*aa 2rnuP brit YsrZ Ot bites ►do �lnznoo a�urotto8 J�asFaffltc►oto rxit �a Morritrrttrtf Ytiwoe� licit to aftt>;f osft of b�Gt ttf;�v �;.^p3abornrr�ox�s Yno as:crri io h .Y3iborir vitsri� k1t: f�'t! bna ,tf➢gtcrlo r:tDoi sriittfti>cssn +ct:3t:r{niriw wni a pf t�°,.{dtn�t�nartivt*wnt d+l;tgx2 x='df td botuaaa neot��i tl ,cc�ad:� rnoJ .t;f Yns (a zt df,itt!m!S betlyitt9q vnt b6eW � blit rI tw nO =noo N betwilOo od of -Q bc�m:'1 reg AD neat,*rtlo ID Ifni CAI fang 03 bc'stgveir,1 t»od t>Fot as Ybtt nils"arnut Yne (d) bag ;flrirr! befAm*q .Crit o) eget do cdl eoirtrt of +nix xn fruomr ON Xd b mon. to �.tfn �^ mot aw:! r.bnu a ttq*1tg 0 gnbubm Yd bnifYrlr tIrf1 OARM of erootta Yam rbmt! : wom9 of itbnwiet ad 6;w zf!md bcttt�rn5q WOMM 0:Zw %rA"atm8 }(tta futf�li'w inc;tntq t�q a Pa b �mr1.11fw siottaatbsii art! ,loglonhs; taotlb� bstu2�7 sr ►' .teHrotto9 of tnvm1ra41«3r� a BtiWi�t�Yd to ofoiA Crif .nfo�! c if wb:w cg> qa tn" ,ggtg 11m ►1$a'i Yd fi'* tela Yd w 1t gri*)l9b Yd m Mp ed We Ift0w*of OhU*28 ell r-f tat bebtvoyq r_woxaH Of WOO NTA A** -iV Yd CWXV `b r,' ror'a8 xtalbbra > o Yns q bzOibDA Yting019 Of of bObw-t 1cd i:Ltu oa%afi MM .+m .'^ *Mals to Gal r-*Pm nr..t c': igcA Yd ajIAnQ.b'zbn6. embbai ruito Wo to 111el3tb botafa taatbbn e`isbfW of twit 1� Yd MAQ od "LR8 Of e'.'tt(+t(AA -10hMJ Of Sp`l:'.rt as mri* ir_ft m;ba8J io piYME! 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E3Sr, m4 M" at • "., ,.-, } + � ,:+Dsnd9!vn otf� io c�a 13fW f'avr:trkii:i c� ,F..� tot bcil;...f3 fort lstJ,t}s�bi�!s:tf t^>it.�.?s�=� a+S sem ,..�..,,,+ ►,� �, . 4-1 U b J t 4 P.6/12 -MAP. 01 194 1734 BUTTER BUTTES SAVINGS ,,. ,Y� � f 02-02,1994 FNIIAA'/FML"MCr0EED-OF�`,TRUST ,.. Pt ge4 of a Loan}Na.40019227 (CAltUnued) ' ' it lender Invokes the power of We, Lender shall execute or cause Trustee to execute a written notice of the occurrence of an event of default and of Lender's election to cause the property to be sold. Trustee shall cause this notice to be recorded In each courtly In which any part Of the property is located. Lender of Trpeteg eta 1 small copies of the notice as pres«iftd by applicable IaK+ to borrower and to 1hC Other persona prescribed by applicable law. Trustee. shall give publlcnoticp of sale to the persons and In the manner prescribed by applicable law. After the time required by applicable law, Trustee, wrlhout'demand on BSrrower, shall sett the Property At public auction to the highest bidder At the ,time and place and under the terms designated In the notice of sate.. In'one or more parcels and In any order` Trustee determines. Trustee may postpone safe of. all or any parcel of the Property .by public announcement at the time and place of any prevlously. scheduled sale. Lender or its designee may purchase the Property at any sate. Trustee shalt deliver to tha purchaser Trustee's deed conveying the Property without any covenant or warranty, expressed or implied.. The recitals In the Trustee's deed strap be prima facto evidence of the truth of the statements made therein. Trustee shalt apply the proceeds of the sale In the following order; (a) to all expenses of the sale, Including, but not limited to, reasonable Trustee's and attorneys' fees; (*)'To all gums secured by ihts Security Instrument; and (c) any excess to the'person or persons legally entitled to It. 22. Reconveyance: Upon payment of, all sums secured by this Security -Instrument, Lender shall request Trustee to reconvoy the Property and shall surrender this Security Instrument and all notes evidencing debt secured by this Security Instrument to Trustee, Trustee shall reconvey the Property without warranty and without charge to the person or persons legally entitled to It. Such person or.persons shall pay any recordation costs. 23. Substitute Trustee. Lender, at its option, may from time to time appoint a. successor trustee to any Trustee, appointed hereunder by an Instrument executed and, acknowledged by Lender and recorded In the office of the Recorder of the county In which the Property is located. The instrument shall contain the name of the original Lender, Trustee and Borrower, the book and page where this Security Instrument Is recorded and the name and address of the successor trustee. Without conveyance of the Property, the successor trustee shall succeed to all the title, powers and duties conferred upon the Trustee herein and by applicable law. This procedure for substitution of trustee shall govern to the excluslon of all other provisions for substitution. 24: Request for Notices. Borrower requests that copies of the notices of default and sale be sent to B Address: orrower's address which Is the Property. 25. Statement of Obligation Fee. Lender may collect a fee not to exceed. the maximum amount permitted by law for furnishing the statement of obligation as providad by Section 2943 of the Civil Code of California. 28- Riders to this Security Instrument. If one or; more riders are executed by Borrower and recorded together with this Security Instrument, the covenants and agreements of each such rlder' shall be Incorporated Into and shall amend and supplement the covenants and agreements of this Security Instrument as If the dder(s) were a part of this Security Instrument. (Check applicable box(es)) © Adjustable Rate Rider Q Condominium Alder Q 1-4 Family Rider t. n Graduated Payment Rider Q Planned Unit Development Rider Q Biweekly Payment Rider aBalloon Rider Q gate Improvement Rider 0 Second Home fader Q Others) (specify] BY SIGNING BELOW, Borrower accepts and agrees to the terms and covenants contained in this Security Instrument and In any dder(s) executed by Borrower and. recorded with It. Witnesses; t . (seal) CYRIL S. GROSSE. SR,-aorrower �� /tel /lL�f A1Q� . i;: il.. ;.; ... e,.l: • (Seal) CYNTHIA E. GROSSE-Borrower i CERTIFICATE 'OF ACKNOWLEDGMENT STATE OF CALIFORNIA ) 88 -COUNTY OF.- - -YUBA t On FEBRUARY 4, 1994 � before me, JANET BRAMMER personally appeared CYRIL S. GROSSE, SR.; and CYNTHIA E. GROSSE, personally known tome (or proved,to me on the basis of satisfactory evidence) to be the persons) whose name(s) Is/are subscribed to the, within instrument and acknowledged to me that he/she/they executed the same In hls/her/their authorized capacity(les), and that by hls/hadtheir slgnature(s) on the instrument the person(s), or the entity Upon behalf of which the person(s) acted, executed the Instrument. WITNESS my hand and official seal. • 1. , Signature i JANET BRAtV MER I COMM. 11999425 • � NOTARY PUBLIC -cAuFarwm I MY Comm. Zion COUNTY � is. 1W 1 (Seat) PERMIT NO. '1A4(1-R7MHT(axi .ti ng� PERMIT EXPIRES � 2 OWNER CYRTT. aRng4F CONTR. Mobile Home Center ASSESSOR PARCEL 28- _ 0— 3Zi `4A LOCATION 9391 TT aPorte ltd, Rnnaor i OFFICE COPY Address GAS Meter By Date_ Temp. Powo ELECTR9' Meter By Date Called Temp. Elec. S Called PG Temp. Gas Se Called PG ' JOB FINALEC Signature =OK = Not'OK = Not AAepapayable MOBILE HOMES Y. MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Up 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -131 Date 10. Roof; Shthg-Roofing Card -Bt Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date M004CEHOME INSTALLATION Plans OK except #'s 41"ZoKi'ng Requirements-Setbacks,Easements Card -131 Date Card -B1 Date ,pdf[pgs;; Size -Spacing -Marriage Line Card -61 Date Card -B1 Date ; MH Test -Demand -Valve -Connector tricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s in H Test -Fall -Flex Connector 1. Setbacks -Easements VVaffovMH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability to nd Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining nd Electricity Tagged ts; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel board s -Ins. to Main in Conduit Card -61 Date/,,- and -81 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date = OK 0 = Not OK_ NotA icable RESIDENTIAL and Duplex) ,(Single Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material=Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) Okexcept #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - 20. Test Tub & Shower, 2nd Floor -Tub Access In Garage; Above Floor -Ducts -Mach. Protection 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -B1 Date 66. Stairs & Rails Card -131 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72• A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Su Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. or Cu or AlA 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al. 76. Insulation -Foam -Looked in Attic ❑ Yes Insulated Neutral Yes No 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth 31. Equip. Clearances Panels-Motors-Mech. Equip. Clearance Looked under Floor ❑Yes 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -61 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -61 Date Card -131 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/0 to Grade -HD Approval Card -81 Date Card -131 Date 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except.#'s Card -131 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -131 Date Card -131 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address or location of mobi lehome Owner's name Owner's address Insignia or hud number _ Manufacturer's name Serial number of V.I.N. PERMIT N0. y, (Official Approving Installation Year of manufacture r IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCfppTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. N 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2753 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 ' CORRECTION NOTICE 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. - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0 d 1,2 �.0 dr� I ASSESSOR PA C NUMBER M c�G .. 3 ZONIN BUILDING PERMIT OWNER TEL P ONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAXLING ADDRESS �C NTRAC TOR E TELEPHONE � `/� e— CONTRACT -S MAILING7,RESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ .(10 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 3 Penalty $ BUILDING ADDRESS Permit fee $ ,r v PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME RCEL 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❑ MobilehomeOther Building sewer 5.00 SPECIFY Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation Other ❑ Permit Fee $ Describe work: Ej, 17—:C— _ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.ed` OR ADONS. ACC. BLDGS. / 2/2ltsgft I declare under penalty of perjury (check.one): NEW CONSTR. MULTI -OUTLET 2,50 ea I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CIRC ITS POWER APPARATUS 61 and Professions Code and my license is in full f rce and effect. / �_ SINGLE OUTLET CIR. / EX, DCCUp(O 20050e � License No. (a �Q� Classification �' OR FIXTURES eAL030 ❑ I, as the owner, or my employees with wages as their sole compen- FIXED A R EX. Occup. OUTLETS (RESID )EA.1 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ 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 JaI 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 ❑ 1 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 Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such 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 $ 46, no is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot„' Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ U I also agree to save, indemnify and keep harmless the County of Butte against occu P, CONST*TYPEJ PLD PARCEL PD 133UE And expenses which may in any y accrue all liabi ' gments, c�q_ue , '71 agai s ount in o of the granting of this permit. This permit is hereby issued under the applicable provi- Date a 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 '0” deep and demolition or co struct- DIRECT R OF PUBLIC WORKS ion of structures over 3 stories in height. Receipt 40 -�v _ 0 d /5 D By Date d'1� No. WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD PLI(AQL." P P MIT EXPIRES Date Z—� i� � ;�.,. ?'�'t _ t +.. rt -1.., .�_, .��G � ..,'rr.•. 1+_�' 7 „!. .y_ :+�, f� r� ti� � ,.' t � � _ , rr. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLt�,CALAFO jNIA 95965 - TELEPHONE: 916/538-7541 !T r PERMIT APPLICATION DATA SHEET' ` Permit No. c OWNER X A. P. No. n2 3 Proposed Building Use ii/ t Building Inspector Date /—,7-'7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED All items have bee s bmitted. . . . . . . . . . . . Plot plans iduplic tie 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9. Letter of signature authorization. . . . . . . . . . . __0 -�<10. Sanitation approval from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) —14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _._.._._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . . Pre-Inspec.request to 17. Pre -Inspection for ..__. _ _ _ .._ __ _ Required, Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of_ .� 21. — — 22. _ When, you issue the permit, process as follows: Mail to owner, Mail to contractor - Te I e phone53 ontractor_TeIephoneS33"yd� and hold for pickup at_+V.� office, Deliver w/inspector. Other ., Applicants !`' _ Date Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above iten 2. Additional items required: (Date) Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised c? above required data by—phone —ma il—counter by date Plans checked by Date /�/� Plans approved by—Date —Sets as_ Sets of plans on hold in File cabinet AP folder "• f J SCK Copy—DPW f�<CJ TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner 0ationn ' AP# v, '- Plan Approved for: Sewage Disposal Water Supply - Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for 9 bedroom mobile home. Other anitarian Date this tet of plans and specifications .M�1 Kept an the job of sl CO Y DE A OF PUBLIC WORKS make toy chasoes or all Count en ems' e, Oroville, CA 1i ilon permisson from the Depsrtme-neo 1t-7541 Weds. Cauntv of go"*. MOBIL}\EHOME INSTALLATION SHEET 12 J11121, 11 1. Owner's Name: 2. Installer's Name: MOBILE HONE CENTER, INC. 3. Is the site currently under permit? Yes 1-1 No (If yes, furnish permit r).umber ) OR Is the site an existing site? Yes No D NOTE:—All Materials & Workmanship Shall Be in Accord "-p Oth, t :-�x sig �to',cp�tb 'rp,> i� 9s)and of a duality prescribed 'c;r t`," Si:��;ciffe� cs�e ill the 4. U$ t c�mjhjl$rl't�it gbte Moc(=;,d:ahC s0nd ft. away from septic tank and leach ilw lOioaal Electrical Code. fields and clear of all setbacks and easements? Yes [��No (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- ,je) Amps 8. Is there any other electric load to be served by the mobilehome site service? ------------ -------------------- Yes I I No (If yes identify the load and size: (Load) ,2-6 _(Amps) 9. What is the mobilehome site gas pipe size? -------------- �/ '7� (in.) 10. What is the type of gas service? ------------------- Natural 11. What is the gas pipe length from meter or tank to the mobilehome?=---------------------=---------------------- 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or.l'ess than 50 ft. on LPG:) MOBILEROME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No.� Year. Width Jjj (ft.) Box Length dO(ft.) Tagalong or Expando Size�ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's'instaliation manual and structural setup sheets (if not on file with the County of Butte). FOC)TINGS (check one . Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 1. Concrete block. El 2. Other (specify) Pier Footing Sizes and Locations SINCLE-WIDE MULTI -WIDE (dye 1 F Line 1 �--Z-�- —— — — Line 2 Main Beams - - — i nc 2 — — — — — — — — — — — - Lin 'oe Line Linn I •► fir • — — —. — —. Main Beams — — — —.I ._ I_ Z.C. Line 2 Tag or Triple L- —' — — — — — — — — — — �— Line 4 Line 1 Line. J Piers: Size -Min. ------------ Spacing -Max. --------- Fran Ends -Max. ------- t•luo 2 Pieta: Size -Min .------------ / x Spacing -Max. --------- f'62 From t•'.nds-Max.------- Line 3 W of loads: Size. -Min. ------------ location (From Front) Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only) Siz,.•-Min------------- r k Size -Min.----------- -- - -- x Spa. Jug -Max.--------- Spacing -Max.--------------- From Enda-Max.------- , „ From Ends -Max.------------- '_ Line 5 Hoof Loads: Line 1 Openings: Size -Min. ------------------ Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------------ x Spacing -Max•--------------- From Ends -Max.--------- _ Size-MJu.------------ 1 Kation (From Front) Fin 1-11 , , n,_ rj E !4A A PROVE y I - T, . NOTE:—All Materials & Workmanship Shall Be 7-,,- � Accordance whii Recognizes! Good Practices c of a quai;'y prescribed for the Specified use in /-y nrfar._1,-._.B�uU in , Plumbing & Mechanical Codes c n� National�Tec rr �_� ^_ UST bit 0f tans and specification nl WiO 4 'GAPOP TE, , 0h §@ n �aat all times and it is ! wc�haui �p Ofl ahangos or alterations on SO 9A,j 4. Dl� �, � ®n ®rmission from the Dep_ lWork% C' M Utility cont 4 ftof the ctly be half �s�-'r,P�crpZ 1 iteT afrom the rbileho cv, o{ 5 n0. d a $oback rop�rt�, i:;hc s �e Coad of 5pit. fro h`ki be clear °t ceps centerlines ' siPm ent ex StCUcae t\lres °, eco'°�@r;'ana/ for a avJeaf��� S '6� ItG §QQ SQ. FT. MINIMU FOR MOBILES f )ns eithin ilehom eier or wit 14 trear oil, e BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,,CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? No ©� _ (If yes, furnish permit number _ OR Is the site an existing site? Yes No F (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic. t and leach fields and clear of all setbacks and easements? Yes No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- fOO. Amps 6. What is the mobilehome site service rating? -------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- / O U Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes D'No ' I (If yes, identify the load and size: (Load) cFO (Amps) 9. What is the mobilehome site gas pipe -size? -------------- 3A� (in.) YP g ?------- ----- — 10. What is the type of as service. -- --- Natural F-1 LPG '?j 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. fWhat is the mobilehome gas demand? ---------------------- (BTU) � *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) ��2 MOBILEHOME SUPPORT DATA If,othex than single wide, rMobilehome Mfr. furnish Setup Model No. Year Width oZ y (ft.) Box Length_�(ft.) Tagalong or Expando Size -' ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural.setup sheets (if not on file with the County of Butte). . FOOTINGS (check one)® 1. Wood -pressure treated or foundation grade. ❑ 2. Other (specify) SUPPORTS (check one)1. Concrete block. 2. Other (specify) ,{ ,. Pier•Footing Sizes and Locations_', SINGLE -WIDE MULTI -WIDE Main Beams Main Beams — — — — — — — — — — — —FLine 4 Tag or Triple — — - — — — — — tine Line 1 Line 1 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max. ------ „ From Ends -Max._-`---- Line 2 Piers: Size -Min .------------ Spacing -Max---------- �- n From Ends -Max.------ - (� Line 3 Roof Loads: Size -Min ------------- Location (From Front) Line 1 Openings: Size -Min. ------------------ Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall ^Only) Size -Min------------------- „x if Spacing -Max .--------------- From Ends -Max .------------- 3401y,x_36„ ,-x ,k el Line 4 Piers: Lf Size -Min .------------ Spacing -Max.--------- From Ends -Max.------- , Line 5 Roof Loads: F Size -Min------------- „x „ „x „ LA n „x nl Is i E Location (From Front)I (Under Bearing Size -Min ------------------- 'k " Spacing -Max.--------------- r- n From Ends -Max.------------- �- �r, 1 1 a pp a� MCW1 J a K. z J 7 •f C) .� HUN r .�t• 1 .c W Y W W Y W OCF ik W �J •• ZN W J M .( Ia"N .►2-f �.•(C V O •i' WF ZO 0.� Z W H� �� OpC �p (� Vv I O a pp pp a K. z J 7 •f C) .� pp C• O 1 .c W Y W W Q . w 5 �p M ! O O pp pp K. z � 7 •f C) .� pp C• O W Y W Q V M �p O O pp pp z N •f C) .� pp C• O ° * L1t .,,MH 2654-76P,E PERMIT NO. PERMIT EXPIRES�� „r OWNER Kenneth E. Knapp CONTR.- owner LOCATION (A.P. 28-30-34� /,P) ) 1200'off WIS LaPorte Rd.,app.4 mi.S. of Oro Bangor Hwy, Bangor ge f Temp. Power Pole Called PG&E Temp. Elea Seiv. Called PG&E Temp. Gas Serv. Called Pf,&fs ° j JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT. OP PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Sl— Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Carport Footings Prov. for physically haridica ed Conformance of ex. structure Appliances Gas PI In &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footinq ELECTRICAL Relnf. Steel I Final I Fixtures I d / Mesh MECHANICAL Grd. Fault Pro!- Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent / Door Closer Final Final DATE REMARKS OR CORRECTIONS 61 � --� Kr v 0� f (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome located* h required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) ; YesNo 3. Are footings and supports properly sized, spaced, and braced a r approved plans? (Note. possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If mor `than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B: Test - Does water piping withstand working pressure or.50 lbs, air test? Yes 77''No C. Bac - coach is not to California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes /I No B. Does it have minimum 4per foot slope and is it properly supported? YesX No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes Nov D. California approved, does station have required trap and vent? Yes No _ 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mob 4 ehome gas line inlet without reductions other than the mobilehome connector. Yes-, No B. Test OK as per following procedure? YesNo 1. Open all appliance connector valves. 2.. Shut off appliance burner and pilot Valves. 3. Air test with manometer to 10"-14" water column, or test xdith slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are 411 appliance vents properly installed? Yes No. c MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome located* h required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) ; YesNo 3. Are footings and supports properly sized, spaced, and braced a r approved plans? (Note. possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If mor `than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B: Test - Does water piping withstand working pressure or.50 lbs, air test? Yes 77''No C. Bac - coach is not to California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes /I No B. Does it have minimum 4per foot slope and is it properly supported? YesX No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes Nov D. California approved, does station have required trap and vent? Yes No _ 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mob 4 ehome gas line inlet without reductions other than the mobilehome connector. Yes-, No B. Test OK as per following procedure? YesNo 1. Open all appliance connector valves. 2.. Shut off appliance burner and pilot Valves. 3. Air test with manometer to 10"-14" water column, or test xdith slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are 411 appliance vents properly installed? Yes No. t � ` 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum o 00 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Ye S -)( No C. Is power supply cord or feeder assembly properly fused? Yes\ No D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome. at the pe estal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected, 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test. instrument to the mobilehome grounding conductor and apply the other lead to each m.obileliome supply conductor, including neutral. 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line),• including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder. assembly conductors. shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved fof energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle (� Length `� Width aZ Vehicle Serial No. � 7 State Identification NOA ,,v OZ.S^ !—H Additional. Information or Comments: M I NOTE:—All Mc'+terirrls & Workmanship Shall Be in Accordance with RPCmoni7ed Good Practices an^ of a qunlity nresc4--d for the Specified use in the Uniform Buildinq, Plumbinq & Machanical Codes and the National Electrical Code. LA I l i ty connect ns shall bk.. This set of plans-azd=speei#je&t*0"s MUST be located within 4 ft. utside the rear sept on the job at all times and it is unlawful to third section of t mobile home make any changes or alterations on same without on the left (road) s' a of the mobile written permisson from the Department of Public, home.— Works, County of Butte. Them Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of Ap road, oermittinq C maximum of a 2 ft. eave nvPrHrnn. Septic system and location to be as per Butte County Health Dept. Re- quirements. -� �0 M1H A permit will be required for installation of the mobilehorr BUTTE COUN-1 Y dU.ILDING DEPARTMEN APP�OVEf1 f o° `i ��6 Aeft, ,vtT0 E• rf�ivp f' P I COUNTY OF BUTTE — DtPARI MENT OF PUBLIC WORKS rt 7 County Center Drive � -, brQville, California 95965 Telephone: 534-4541 / 7�) APPLICATION AND PERMIT & authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 24Date Signature of Permitee or Age Receipt No. ,�4d2- oe White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORK,S BY a Date ,.e' ,�'Z- c/J"� JWUdinq permit expires Date/�� z g BUILDIM3Z *7 OwnereAo'N e -AJ A P P SQ. FT. OCC. BUILDING VALUATION Mailing Address A,,)`330 siAj rL&comer Adm C�v�'N C3vG , ti �y Telephone No. -Goys Fireplace Contractor Total Valuation Mailing Address ,� Permit Fee Plan Checki ng Fee &/or Penalty Telephone No. Permit Fee Building Address /2,06"�F"� Lt/ S OF .L�!%°o�% PLUMBING No. @ FEE PERMIT FILING FEE $3.00 340 I Mit ®F YOVrUe Each Trap 1.50 It .Pt N 6®r to 73 Repair drainage or vent piping 1.50 Water piping 1%-0 /8.00 Each gas water heater or vent 1.50 o A. P. No. O r3 © -.36 ��,- Gas piping system 1 - 5 outlets 1� , 0 Each additional outlet 30 Fres S raQ jpn Fire Dept. Fire Zone {J se Permit Building sewer 61@0 p EQA Parking Plans Parcel Declaration parce a 60' R/W P Im prove ents Lawn sprinkler system 2.00 Bldg. Plans Recdppro yPermit Parcel Approval Plans val Fee $ ,3.3=00 $ .33 TC NEW ❑ ADDITION ❑ UTILITIES � OTHER ELECTRICAL No. @ FEE❑ PERMIT FILING FEE $3.00 3.vo Main service io°o AMP ORV OR LESS5.00 5,1100 Main service EA. AOD•L too AMP 2.50 p Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service °o0EAMP oR LESS 25.00 Main service EA. ADD'L too AMP 1.00 Tr- roo r h91 NEW CONST. OR ADDNS. ( ACCLBLDGDWELING OCCUP. &) 22sgft NEW CONSTR. (MULTI -OUTLET NON-RESID. l BRANCH CIRCUITS) 2.50ea NEW CONSTR.(POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Nitl%Br r P. , 0.0 Ex. Occup(OUTLETS OR FIXTURES)f+25¢ BAL@1 Ex. Occu FIXED APPLNS. OR P.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , 40 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $5_7 Fb authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 24Date Signature of Permitee or Age Receipt No. ,�4d2- oe White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORK,S BY a Date ,.e' ,�'Z- c/J"� JWUdinq permit expires Date/�� z g V ' » COUNTY OF BUTTE — `DE?'ARTMENT OF PUBLIC WORKS 7 County Center Drive --- Ur6ville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT r koptjert%BUILDING Owner(� L, N ti pr nisj SQ. FT. OCC. BUILDING VALUATION Mailing Address (=� (� ow -11Z V - o P j,,� T I� one No. Fireplace "-` S �(1`� Contractor �-MI Total Valuation Mailing Address _ _ �V �� - Permit Fee Plan Checking Fee&/or Penalty i' 1 C r` (� r-' Telephone o� / Permit Fee jj Building Address00+ O W a j- PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 �0 ' oiQr} Vi Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. -- Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sa+ai-tat+ee Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im r p ovementts Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel oval Plan proval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 S% �� ( � � � Main service 1 OR LE ;0000 AMP ORSLESS 5.00 Main service EA. ADD•L too AMP 2.50 OVER Main service 1100 AMP oR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home �-- Others ❑ Main service EA. ADD'L too AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS. OCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS 2.50ea NEW CONST. POWER APPARATUS & NON- R RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: `Z_ pn � � � A0 X� L/.-� / , � Ex. Occup(OUTLETS OR FIXTURES)50 @250 BAL01 Ex. OCCU FIXED APPLNS. OR LETS (RESID,) EA) 2.00 y cervi Temporary service 10.00 Mobile Home Facilities 15.00 C/ �p License No. ��! j 7/ � Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee .. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby. 0�0 TOTAL PERMIT FEE •vY'v.....^.v,��...a ulG VVull y VI {JV IIG lv 611161 uPVII UIC above-mentioned property for inspection purposes. X Date C-,2 Si nature of Perrm�itee or Agent Receipt No.1V0�/ � _ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF Pk1$LIC WORKS BY Date? / 3 - 7 ilding permit expires Date l 7 — -7 ;7 ' MOBILEHOMg SUTFORT DATA Mobilehome Mfr. 1 0 � Setup Model No. Year Width _ 2AI 1(f t.) Length _ (ft.) -Expando'Size t.Y-�ft. (Draw support details below) . On all mo�lehomes manufactured after October 7, 1973, furnish manufacturer's installation manual a structural setup sheets (if. not .on .file with the County of Butte). X� , S 1 Cent r Sup ort Loc• tions l=t.) Uin.) ft,(in.) IN A' tie—, XI I X'.} Id Center Support Footing Sizes (in.) �.. X! in: in. r �...... .... . .(in.) (in:) ..... ...... (in.) (in.) In].) ;V )PC.) P � ),)- *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check.one) 1. Wood either / pressure treated or fdn.`grade.:' Tj 2..Concrete pad. 3. -Other, -specify Supports (check one) 1. Concrete block 2. Concrete piers Steel piers ).2 Other, specify ;1 Typical Support Footing Size ' Max. Pier. Spacing Max. Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED ynooe U -17 Ar - BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Z-31,- Z,D. rA A).Yi In A// 2. Installer's name: ,- P.1 7,624 N,rI 3. Is the site currently under permit? Yes 1X7 No (If yes, furnish permit number 7 ) OR Is the site an existing.site? Yes / / No W17 8. Is there any other electric load to be served by the mobilehome - site service? --------------------------------------------------- Yes No (If yes, identify the load and size: Me (Load) 0 (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes 77= No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- ./fes Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Ar" Amps 8. Is there any other electric load to be served by the mobilehome - site service? --------------------------------------------------- Yes No (If yes, identify the load and size: Me (Load) 0 (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) - _ g 3-23 PERMIT NO. 2299-89B PERMIT EXPIRES OWNER CYRIL GROSSE i CONTR. owner 4 ASSESSOR PARCEL 28-30-$ 48 LOCATION 9391*LaPorte Rd, Bangor " r k • y' A/c, 777 x _ r Temp. Powp• snip Called f Temp. Elec = Called • Temp. Gas Called JOB FINAL Signatu =OK 0 = Not OK ' = Not Readyable MOBILE HOMES . . MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s , Date DECKS,COVERS,CARPORTS,43ARAGES, (Plans)OK except #'s 1. Zoning Requirements-Setbacks-Easements 1. Zoning Requirements-Setback's-Easements 2. Footings; Soils-Size-Depth-Space g-Connectors-Steel 2. Soils; Special MH Support-Sketch 3. Sewer; Location-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails 4. Water; Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp-Concrete 6. Gas; Location-Test-Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures 6. Carports; Windows-Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh Card-131 Date Card-131 Date 10. Roof; Shthg-Roofing Card-131 Date Card-61 Date 11. Ext.; Steps-Doors-Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements Card-131 Date Card-131 Date 2. Footings; Size-Spacing-Marriage Line Card-61 Date Card-131 Date 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test-Fall-Flex Connector 1. Setbacks-Easements 6. Water; MH Test-Regulator-Connector 2. Soils; Compaction-Structure Stability 7. Water and Sewer Connected-C/O to Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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 Card-B1 Date Card-131 Date Card-131 Date Card-131 Date 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test Card-131 Date Card-131 Date Card-131 Date Card-131 Date F - = UK 0 = NotOK E RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready 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-Steel-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils -Steel-/ .. /" 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 • 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -81 Date Card -61 Date Card -81 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 85. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -131 Date � 67. Stairs &Rails ' Card -B1 Date Card -81 Date 68. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 69. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-, In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76• Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector Si. Stucco; Brown -Finish Card -131 Date Card -81 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date 92• Roofing Certificate Card -B1 Date Card -B1 Date Card -131 Date Card -61 Date Date FRAMING (Plans) OK except #'s Card -81 Date Card -B1 Date 39. Sills, Proper Material & Anchors Card -B1 Date Card -131 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit iob site) lr—M.rc'4vi•Ajit+t'lrir"^'J4'yy,r.",.+.'s+""Ykr»'ff+.ra+-i-}'�C^"''4i :+5:j, .. ,:'a ... •. .� . . 7s: t COUNTY OF BUTTE TDOARTMENT OF PUBLIC WORKS- > 1469 Humboldt Road, Chico, CA - (916) 891-2751 7�6unty Center Drive, Oroville; CA - (416) 538-7541' 747 Elliott Road, Paradise, CA - (916) 872-6307 t CORRECTION NOTICE, f -) .2 z 2`7- 9 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 completed. If you have any questions pertaining to this matter, or need additional explanation, 4 lease contact this office immediately. �2 AO -L-15 f /moi ,rte T, o • n i 42 dddb Date a Z Inspector _Zd- REV�11191 / COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 6/ 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 completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Vv,-ol, PrZ4W7- H I -S F,eP�oedo cJa�c rc kIle 000 IA/SPEc.7701v s d4 I- Fo c Fi�i� 1145 PArC71-0A) Lc/! TXrO) /o DAYS 04 nc�,R/is W/LC, 64- TL1RN'6D Ove T -O C4 ©E EA116 2CIO —"EWr Fnz— Po Ss I&_F COcs,C� 14CIF740d 0 Date^�� _ 9 ;I— Inspector REV 11/91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER I 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR P RCEL N MB �- ZO ING BUILDING PERMIT :• OWNER T L HONE Q rS0P1)5�--� SO. FT. OCC. BUILDING VALUATION OWNER' MAILING ADDRESS I,✓ So� _ ^ /�� '33R I ` CO T O . NA E TELEPHONE CON ACTOR (LING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN �y Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $6—)-715 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAR EL MAP Water piping •5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SFS] Duplex[-] Mobilehome� Other Building sewer 5.00 LT SPECIFY Mobile Home S FG W 10.100eaT TYPE OF WORK New Additions Remodel❑ UtilitiesInstallation❑ Other ❑ Permit Fee $ Describe work: Cal>Cze) tuck Contractor /Qj SGS%EQ ,�FG� ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.y OR A.D.S. , /Z0sgft I declare under penalty of perjury (check one): ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.RE910 .BRA CH CIRCUITS POWER APPARATUS &I and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR. / License No. Classification Ex. Occup(OUTLETS OR FIXTURES 200SOe If AL030 1, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ the Mobile Home Facilities 15.00 as owner, am exclusively contracting with licensed contract- (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 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 g 1 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. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ , to building construction, and hereby authorize representatives of the Countyot Butte to enterthe above-mentioned property for inspection purposes. TOTAL PERMIT FEE I also agree t save, ' nify and keep harmless the County of Butte against OcCUP. CONST.TYPC PD ND 139 IK - all liabilitie ents costs, and expenses which ma in any way accrue against sequence of the granting of thi per it. g' ISCHOOL17PARCC-Li This permit is hereby issued under the applicable provi- D e sions of the Butte County Code and/or resolutions to do Signa re Applicant — Owner ❑ Contractor ❑ nt ❑ work indicated above for which fees have been paid. An 0 permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. Receipt NO.. By Date�Z_ r y WHITE-D.P.W.. TEL90R. PINK -INSPECTOR. GOLDENROD -APPLICANT PE EXPIRES Date Co 'ffi0 a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT -APPLICATION DATA SHEET Permit No. Zvi Proposed Building Use t?s:21 lc,r" K Building .z Inspector DatV7 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non ; '6ted and AC Buildings .............. 7. Engineered truss details and,layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions ......... r� .'........................................... 9. Fees of $ N j .......................... 10. Chico Urban Area fees paid /-C _ _ :.. !.. ` ... . 11. Park fees paid ..............: �` °,y ;, e i !`.C.,{- 12. School.District fees paid ................. 13. Sanitation approval from144-4 9 -r --Health Department .. . 14. City of Chico plumbing permit.........................':f........... . 15:' Plot plan and business license approval from City of ' (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking:'- ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... Prerequest to19. Pre -Inspection for required .,,, •Building inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone A) and hold for pickup at office. Deliver w/inspector Copy of plans sent Health Dept., Fire Dept.,_ Other Date The following data must be submitted prior to permit issuance: (Circle new item not the ked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, %wner,.as advised of above required data by —phone 4 ail_cou —counter b� date y� Contractor, designer, o�v er, was advised of above required data by_phone_mall_counter by date Plans checked by Date Plans approved by�Date Sets of plans on hold in File cabinet AP folder f TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Final clearance O.R. for: Clearance for bedroom mobile home. NOTE * * * Sanitarian Water Supply Wter Supply Other .j - COUNTY OF BUTTE_- Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNEk-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 O the proposed property improvement (yes or no) �iCS /,Z. I (have/have not) --I' PVIa signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: / Property Owner Social Security Number ~ Date U L 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 v' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER . 1 028-300-0 ZING 5 1 BUILDING PERMIT OWNER CYRIL GROSSE TELEPHONE 679-2638 SQ. FT. OCC. BUILDING VALOATIO \\ CONT EST 100.00 OWNER'S MAILING ADDRESS 391 LEPORTE ROAD BANGOR 95914 CONTRACTOR'S OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 100.0 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9391 P RTE ROAD BANGOR 95914 Permit fee $ 50.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New Addition [I Remodel E] Utilities❑ Installation❑ Other❑ Describe work: PERMIT TO COMPLETE WORK STARTED UNDER B.P. # 2299-89 & REVISION TO PLAN Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO100oA) 37.50 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. L' rise 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. OR ADDNS. l ( DWELLING OCCUPACC. BLDGS. .�\ 3.6asq.ft. NEW CONSTFL MULTI -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 ( POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES 20 76 FIXED APLNS. Ex. Occup. OU LETS PRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. all 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 15.00 Heating Cooling g 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to sa , indemnify and keep harmless the County of Butte against all liabilities, ju gme sts, and expenses which may in any way accrue against said . cons quence of the granting of this permit. Date=�� signatu a of Applicant — Owner Contractor ❑ Agent ❑ An OSH ermit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 50.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or ve for which fees O PUBLIC work in4EXPI. B PE MITDate applicable provi- resolutions to do have been paid. WORKS Date (�— Receipt No. 117257 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 7•r} -r. .rww+..,fi-+f` r n...r �w..'r'ti,:...y. •'c',.7=7 'J\I`" v'"*.;t^:i-�''-'1�� t..�y „Tt� �'*ir'„. -r _.17n1 moo^.- rM iey 1 • � l� i CWT-( OF BUTTE - DEPARTMENT OF PUBLIC WORKS- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIIL�4E CALIFORNIA 95965 - TELEPHONE (916) 538-7541 z PERMIT APPLICATION DATA•SHEET • OWNER P. No. V0 - d-�25 Proposed Building UseP/ eWA� N Xet/iSi Building Inspector Date % Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ..................... . Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . Hazardous Material Form . ........................................... . Energy Design Compliance and supporting documentation . ................. . Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof$ .......................................... Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............. City of Chico plumbing permit . ........................................ . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy) Pre -Inspection request - Pre -inspection for required. .. to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . ............... Certificate of Workmans Compensation Insurance . ......................... . Owner -Builder Verification (Given to owner , Mail to owner _) ............ Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ............................... ........ . Mobilehome utility clearance . .......................................... Documentation of legal access . ........................................ Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............... . Existing violations/expired permits . ....................................... Plan check list . ..................................................... When u issue the permit, roc ss as follows: Mail to-�o ner. Mail to contractor. Telephone (079-2 and hold for pickup at ?ee�1 Deliver with inspector. Other Parcel Creation Acreage App Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail o n r by_ Date Plans checked by Date Plays approved by Dat rte% _ Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 4.21?:::s3QQ�-Q3� ZONIA -.S— BUILDING PERMIT OWNER TELEPHONE _ SO. FT. OCC. BUILDING VALUATION 61-,OSse QM- OWNER'S MAI I G A SS I. orfie 1 6-j4 0/59 /4� CONTRACOT NpME� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ �JIr.UJ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ; 0-ct-2 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 93 11 LA c 40 6 6 C Permit fee Q ©r PLUMBING PERMIT Filing Fee I 15.00 9 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ MObilehome❑ Other Building sewer 15.00 SPECIFY Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Additionp Remodel❑ Utilities ❑ Installation[] Other Permit Fee $ c Describe work: .� o % Contractor ZZ`jg— ELECTRICAL PERMIT Filing Fee 15.00 Q/ /` ,,b . / /} 600V OR LESS Main service 200A OR LESS 18.50 vv J Jr , 1 Main service 20GATO 1000AI 37.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUP.SI) 3.64 sq.ft. I declare under penalty of perjury (check one): DR ACDNS. ACC. BLDGS. NEW CONSTR. @ 5.00 ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business RESID, RANC.UTLET NO N.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE and Professions Code and my license is in full force and effect. OUTLET CIR. License No. Classification Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d ❑ t, as the owner, or my employees with wages as their sole compen- FIXED Ex. Occup. OUTLETS ((RESIO 1REA.� I 3.001. sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, the Mobile Home Facilities 15.00 as owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. IVirin g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 15.00 ❑ 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 6.50 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 pernit 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 S is correct. I agree to comply to all County Ordinances and State Laws relating to building Energy Inspection Fee $ �� construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. DCC CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE $ all liabilities, judgments, costs, and expenses which may in any way accrue HAz DFEES IMP FLOOD CDF PARCEL PD HO ISSUE against said County in consequence of the granting of this permit. I I I X Date This permit is hereby issued under the applicable provi- Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permit is required for excavations over 5'0" deep and demolition or construct- `"fork indicated above for which fees have been paid. ion of structures over 3 stories in height. DIRECTOR OF PUBLIC BY WORKS Date 72, s7 Receipt No. PERMIT EXPIRES Date WHITt-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Centeg'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) 2. I (have/have not) signed -an -a lication fora building permit for the proposed work. 3.-.1 have contracted with the following person' (firm) -'to provide.'the proposed construction: Name Address City Phone Contractors License No: 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name.. Address City Phone Contractors Iicense.: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 Nu e Date Z 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. 4/X TO Buildinc Department FROM: „Ar-;; "Environmental Health �1 SUBJECT: Sanitation Clearance - lk n - OwnerLocation At# G6 Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply ^anal clearance O.K. for:/ Water Supply clearance _ *or other �J SC a ��k-- ` / r2-� ��- Sanitarian 1 75� APPROVE _ Butte County rte= anonamure 0 :N w Tu N ,a . m CCO C E o c o O w h anonamure 0 :N RESIDENTIAL 028-300-048 92-2324B GROSSE, Cyril 9391 La Porte Rd,_ Bangor open deck/mh 0 JOB FINALE Signature I 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 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card -B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 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 (; ' = Date UNDERFLOOR (Plans) OK except ##'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except 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 Ws 22. Fixture & Transformer Clearance -Ins. Protection --------------- ----- ---------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -------------------------- E-lec. Recept-acles 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. -------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI - - - - ---------------- ------------------------ 28. Subfeed Wire Sizer r ga Cu or AI-A.C. Wire Size r / ga. Cu or AI -------------------------------------------- --------------------------------- 29. --------------------------- 29. Range Circ. / i ga. Cu or AI -Oven Circ. / / ga. Cu or At. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------- ------------- 31. -------------------------- 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 4'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 M's 39. Sits. Proper Material & Anchors ------- ------- ---------------------------------------- ---------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound - -- - - -------- ------------------------------------------- 41 Bearing Walls over Girders & Floor Nailing 42.- Draft Stop Walls (rat proof) - ----------------- -------- -------------in----------------------------- ----------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----- ----- --- -- - ------------------ -------------------------------------- 44. Headers & Beam -Size & Bearing I >ingle & Duplex) r ' Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 1 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ---------- --------------------- 53. 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 k's 61. - Ext. Steps -Door & Sidelight Protection -Landings ----------------------- --- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ---------------------------------- - 64. Bedroom Exiting -------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------- ------------- -------- ---------------- 67. Stairs & Rails 68. Fireplace or Stove: Clbarances-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 -Meeh. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------ 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -- -- - - -- - -- ------------- ------------------------ 80. Followinginstld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------------------- 81. -------------81. Stucco Brown -Finish -------------------------------- -- 82. A.C. Unit Disconnect. Electrical, Plumbing --------------------------------- 83. ------------------------------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 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ^kRMIT NO. 7 County Center D.rive- Oroville, California 9965,.- Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028 -300 -flab ZONING A 5 BUILDING PERMIT OWNER CYRIL GROSSE TELEPHONE 679-2638 SO. FT. OCC. BUILDING VALUATION 144 0 1,008 OWNER'S MAILING ADDRESS 9391 LAPORTE RD BANGOR 95914 CONTRACTOR'S NAME 014NER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ q 1,008 Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ 24.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9391 LAPORTE ROAD BANGOR 95914 Permit fee $ 59.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeM Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition Q Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: OPEN DECK _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 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. cense 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 OCCUPM OR ADDNS. ACC. BLDGS. / 3.64 sq.ft. NEW CONSTR. ULTI.OUTLET NON.R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES L. 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 3.00 1. Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate onsent 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 FiIirig Fee 15.00 Heating Cooling g 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enteroupon above-mentioned property for inspection purposes. in I also agree Isa e, fy and keep harmless the County of Butte against all liabilities, ju gme s, csts, and expenses which may in any way accrue against said in con TIquence of the granting of this permit. _ 9 2 Date ~% Signot re of Applicant — Owner Contractor ❑ Agent ❑ An OS ermit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEE $ 59.00 HAz 10rEES I IMP FLOOD CDF -r I PARCEL PD I U This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DI �OO PUBLIC By PER EXPIRES Date _ applicable provi- resolutions to do have been paid. WORKS Date,T— -Q Z ���� Receipt No. 117257 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 'j4-•_tlNw`�z....:}'l�t^....n:jLe.' `.'..'t..�-t.��rR`Y�, r���.`li�r'�` • I'""� , � k' f'�41Y"i �a; �t 'h^�_r1'�,a'i�'�...+" _.,L'1.�r .�'�,iL � ., . � . , �. HT COUNTY OF BUTTE - DEPARTMENT OF PUBL -IC _VVVORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, ,CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPL' KATION., ATA SHEET OWNER . P. No. Proposed Building Use O P� Building Inspector Date Z c1Z.-- At time of permit application, I,was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . ............. I ................ 12. California Department of Forestry plan approval/fees. ....................... . 1 . lood elevation letter (100 year flood California Engineer ................... 4. Sanitation and plot plan approval - �� Health Department. . 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). ..ion .. . Pre-lnspedrequest 20. Pre -inspection for required. .. to Building inspector (Date) 21. Contractor's license information. (No., Name Style,Classification). .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 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 im'. rovements completed and (B) Parcel meets zoning area and frontage requirements ............... 31. Existing violations/expired permits . ........... :......................... 32. Plan check list . ............ ................ 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone ZCMand hold for pickup at QIX _ ofi ' Deliver with inspector. Other Parcel Creation 7 g Z Acreage Applic` n Date Copy of Haz-Mat form sent Health Dept. ' Fire Dept. "Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: ,N Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, ow ised of above required data by _ phone _ mail Cou'' er by Date n ,r, w adv Plans checked by Date /� � Plans approved by /G iZ-7 Date7/ Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS' PERMIT NO. 7 County Center Drive - Oroville, California 95565- Telephone: 916538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER J Dai ,302 - o ZONING BUILDING PERMIT OWNER f2/Llj-RvSsc• � TELEPHONE SQ. FT. OCC, BUILDING VALUATION " OWNE'S MAILING ADDRESS CONTRACTOR'SN ME N.1 TELEPHONE CON RACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is �dQ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 2 - o o , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Zp p v Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS n� ^� Q r�� / G/J penult fee $ PLUMBING PERMIT Filing Fee 15.00 gs Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehometZ_ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 ,�/ TYPE OF WORK New ❑ AdditionlD�L Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 2orATO 1000AI 37.50 - CONTRACTORS LICENSE LAW I declare under penalty of : P Y perjury one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ 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.�` OR ADDNS. ACC. BLOGS. I 3.6asq.ft. NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ( EX. OCCUp\OUTLETS OR FIXTURES A20 76d Ex. Occup. OUTLETS (PR ESID IRE 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ' ❑ The permit is for $100.00 (valuation) or less. ❑ 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 bt:come'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 15.00 Heating Cooling g Hood 6.50 I Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above'information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of,Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - Owner 9 pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ Ste! I HAz DFEES IMP I FLOOD CDF" CI PARCEL I PO I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT � PERMIT EXPIRES Date applicable provi resolutions to do have been paid. WORKS Date �3stories Receipt No. 11 / 72 S WHITE-D.P.W.. YELLOW-ASeEaSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT c 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 opportu.oity to avoid unnecessary de.lay'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 ma' labor and materials for construction of the proposed property -improvement ye or no) YCS 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City -Phone- "Contractors License No-.-- 4. I plan to provide portions of.this work, but I have hired the following person to coordinate, supervise, and provide the major work Name .. Address City "Ph:one . _ - .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 Nu be Date 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. -726-5-1 This set of plans and specifications MUSS' b6 kept on the job at all times and it is unlawful td make any changes or alterations on same with out written permission from the Department of Public Works, County of Butte. �1 r1 Location of structures & equipment shall be as shown & clear of all easements. /�t06,1G NOTE. --All Materials & Workmanship Shall Be In Accordance with Recognized Good Practices and of a qualify prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. '4/;x.56, BUTTE COUNTY 3UIlDIWG DEPARTMENt _ - APPROVED VAR/ES - Y � 36" MIN. - A � o• X o � v c� m mo .N MTYP X m z . D r M -p' .a m -4o . o T; `Q Lie - co 0(117 X5 �� ro I -o-,f '- 3.411 o � y ?///HNJDRAIL HEIGHT 9 m 0 z MAX. It N 6. bX 00 cn r bbd n_��•lll 1 � v�"i Ca O - 3 N - Y � 36" MIN. - A � o• X o � v c� m mo .N MTYP X m z . D r M -p' .a m -4o . o T; `Q Lie - co 0(117 X5 �� ro I -o-,f '- 3.411 o � y ?///HNJDRAIL HEIGHT 9 m 0 z MAX. It N 6. bX 00 cn r bbd n_��•lll 1 � v�"i Ca N A MAX. r3 y p �I N cA O L N = ` �-I m Ln ��I o A II II TI 7C1 a "MIN. STA.(R :--,_ A W I DT14 ; CP ,Jy X COMPLAINANT: ADDRESS: PHONE NUMBER: OTHER COMMENTS• Permi #229.=89B(hew coher' ck/l 028-300-048 ---�92-232 — GROSSE, Cyril aJC,✓, ti.� 7� - 1. •' � ♦ � A �'(r,�Y.� Kenheth E. Knapp. '/ 2,601 6ii t / 9! U o of Oro Bangii 44 'iwy. ; Earigok ;E(iit i0. SUPPO TTRUCTURE REQ, t 10 4.�EO P/1CTION TEST REQ: ash - (A kSlt f" 1' i- IS "Wi � conr:Erne 28-30- qS �. - f F, R I t• Transport; I�aiysv��e ^saNi erm ��3585-7iI '" fsp-gue e, Permi #229.=89B(hew coher' ck/l 028-300-048 ---�92-232 — GROSSE, Cyril aJC,✓, ti.� 7� - 1. •' � ♦ � A �'(r,�Y.� 30 M.D.B.81 -T. 18 N. -R.5 11 NG 28-.:3C 4- 1- 1 .., WAYMV-406t4nf-;500 k shtv� I . BA 24 .0 485 .,17N OF 'T Z7 ..:. O c L rwc-, 2 2'ID ro 6 5 IAC 9.86 AC 0; IN it) C-4 10.00 As 19 39 0 4� SSG. .6. 06 AC 1> (4) io 4 AC 4 VIGO, 110 C 106-74 8.64 AC. oa ru %E0 s-714 CA4 52k� 8!64 125- 54 43 p P.V .)07-23. v CA 3. 82 AL 1004.45 0 C> Z do CL .00ry 34.29AC 19.5.1 AC ir AC C; r [740 A.kssp-.,Jso,-,s Map No. 28'- 30 REVISED= 3-92 -�-cvrty of Butte, Callf.