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028-450-030
9 (�� I MCD . 1- riii NOTES 1 • RESIDENTIAL 1028-450-030 ��- 03-0345 , PERMIT NO. _ GARCIA, JORGE _ 782 SWEDES FLAT, OROVILLE 1 NEW MH PERM FND EX SITE THE HCD FORM 433A FOR THIS MHCANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S)• ` { INSPECTOR TO VERIFY SERIAL & LABEL #'S. i SPECIAL CONDITIONS ;- CHECKED BY SRA LOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPE VEF OFFICE COPY 1 Address USI Su! GAS Meter By p,�= ELECTRI Meter By Da ay Lli 4 L JOB FINALED (Date) Signature ��P1 J=qK 0 = Not OK = NetReadyai,ie MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect - 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3: Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector . 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Electric f Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) nninn Rnni d,- Line ,9e,ETe_yU;iC fy; MH Test 5eVater; MH Test W -Water and Sewer Connected 8. Gas and Electricity Tagged its ense Decals 1 erify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card -B-1 CA( �UGuo MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn:; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric f 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh . `j 10. Roof; Shthg-Roofing i 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels J Date Card B-1_ Date Card B-1 ( Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool -Lighting;..15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval ( 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Ij 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 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 t 5. Stemwalls, Main; Steel-Blockouts-Wrapped I 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors I 7. Slab, Steel -Wrapped • . 8. Piers -Fireplace Ftq.-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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 4 Date Card B-1 Date Card B-1 t Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection •'; 20. Shower Pan; Test, First Floor -Tub Access r'• 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) 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 t 5. Stemwalls, Main; Steel-Blockouts-Wrapped I 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors I 7. Slab, Steel -Wrapped • . 8. Piers -Fireplace Ftq.-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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 4 Date Card B-1 Date Card B-1 t Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection •'; 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date • Card B-1 Date Card B-1 Date Card B-1 4 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water , 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. ' 34. Clothes Closet Light -Shower Light -Spa Light t 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) a 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs i 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) . 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings i 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa f 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter - 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location ' 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive O Yes D No/Walks O Yes 0 No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90.'Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J COUNTY OF BUTTE BUILDING DIVISION , DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive •.Oroville, CA • (530) 538-7541 CORRECTION NOTICE a? - 63 c(s. OWNER PERMIT NO. 1 -y A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is 1 completed. If you have any questions pertaining to this matter, or need additional explanation, I please contact this office immediately. / •r i y Date �v T REV 10/92 _ f COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES. 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530),538-7541 CORRECTION NOTICE �£ OWWR c PERMIT NO. li A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 4— > 4P—e Q' r t� -� /V" r. �F 3 '.r Date Inspector Z:61 REV ! //'1— REV 1042 '4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev.12/9f) IAPPLICATION AND PERMIT ' ASSESSOR PARCEL NUMBER 028-450-030 ZONING A BUILDING PERMIT OWNER GARCTA JORGE MARTHA TELEPHONE 1743-9371o SQ. FT. OCC. BUILDING VALUATION R 41,472-00 OWNERS MAILING ADDRESS 5900 c rn T F .a ." IF 1219590 _4RXS1TTT CONTRACTORS NAME F.R E CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 41 472.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 362.50/2 $ 181.2 5 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 9-3-00 BUILDINGADDRESS 7/32 STIEDES FLAT '?.,D.nnR17TTT7 Energy Plan Checking Fee $ PERMIT FEE S L LOT NO. 1 SUBDIVISIONS NAME PM 141'),_ Z 7 q- 1 %_ qO PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE 39. 17AC SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15-0015 00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 1E'.I k41H PERK. FIND. E-A. SITF Describe Work: L F FIRE SP,,�T cf'[,''' ,(� REQUIRED E1_O0D=Xr1 025G ST) A Gas piping system 1 - 5 outlets 15.00.5. 0 Building sewer 15.00 5 Mobile Home I s I G w @20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service EoOAOR LESS 23.002 3. 00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,ic and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION eby affirm under penalty of perjury that I am exempt from the Contractors License kLaw for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. C3 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �' ���— Date '�—d; ature of Ap cant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is requiredfor exca ions o 5'0"deep and demolitio r construction of structures over 3 st '00Receipt No. l Main Service 2ooA TO 46.00so CCU000A NEW CONST. DWFlUNG OCCUP. SO OR ADDNS. ( a ACC. BLD.. 3.5QFT: .0,.T muLTI.OUTLtTT. @7,50 PowER APPARATus 8 SINGLE OtlfL _ CIR. 20 @ 1.00 Ex. Occu OUTLET OR FIXTURES SAL @ .50 FIXED APPLNS. OR 5.00 Ex. Occup. ouTlFrs RESID. EA Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pi'' TNSPECTION PERMIT FEE $ AQ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. Tv TOTAL FEE $ 332.2 5 HAZ.FES IMP FLOOD CDF PARCEL PD HD ISS This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated for whic fees have been By Date PERMIT EXPIRES ON I xft-) provisions to do work paid. a WHITE-D.D.S.-YD. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN OD -APPLICANT E.H. USE ONLY Act Plan Attached € ar Plan Atuchad • Sana to B.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance JOf �cAculci •S&yTdzo f k± Eck _ O 28, ' SG —0�?G Owner Location AP# . Plan Approved for: Sewage Disposal Water Supply: Public Private Well V Clearance for ✓dwelling. Other. 12 i2 I ki �2 EL02V -- Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date 1 • COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 - �j •P�E%RM�IT APPLICATION DATA SHEET �OWNER: C�/ L (/� ASSE ` 0 PARCEL NUMBER Z� 41-j t/ D bNAProposed Building Use: 6T4 4 ter Technician: Date: Items required in order to apply for permit. All boxes MUST be checked OR marked NA in order to apply. I/1 Plot plans(Tr 4 sets, signedly the preparer of the plans. ❑ 2. Complete pians, 3 or 4 sets, signed by the preparer of the plans. V 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance das gn and supporting documentation in dupli te. &00 116. Manufactured home :i -0ata sheets and installation instruction ( arriage line informationr Plan, (D) Tie down or foundation plans, all Mu -plicate. a 3 •D 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate................................A ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ - 1 f. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form .............................. . ...............r4.., ............................. _ ❑ 13. Other v tt 'ning items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 1 . ees\as shown on the attached Schedule of Fees Due Sheet ....................................... ., 5. Statement of Intent for Non -heated and A/C Buildings ................................. ...... . Sanitation and plot plan approval from the Environmental Health Department in 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parkigg: _ ,.,_. (C) Parcel Check: . ❑ 20: Contact Land Development about ❑ Improv'%nents, ❑ Drainage ............................... i(23.'�Contractor's 1ncroachment Per t for drive a fro the I bli W rks e ft. (construction approval prior to occupancy). 2re-Inspection for required ................ license information. 4%mber, Name Style, lassification)...................... 24. Worker's Compensation Carrier and Policy Number ..............:.............................. /25. Owner -Builder Verification (E]Given to owner, ❑ Mailed to owner) ..................... r 126. Letter of Signature authorization .................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. lklanufactured home utility clearance ................................................. n.,...y� _ expired permits........ tle/Statement of Facts, and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: 1. Index permit application for the above ite r 2. Additional items required Contractor, designerwner was advised cf t by Contractor, designer, er,,pw,as advised of the a o e da by ❑ Plans reviewed by: 1`'.''" - Date: D Structural reviewed by: Date: Note transfer by: Date: ]bode, ❑ mail-, � ounter, by hone, ❑ mail, ❑ counter, by Plans approved by: Structural approved by: Yellow: Building Division y Plan Check Letter _Date: 2d D 3 _Date: Date: Date: 10 COUNTY OF BUTTE DEPARTMENT OV DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE SO—PROWNER A.144 v � LSO— PROPOS . ED OPOSED BUILDING USt&) DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. Additional Fees Due ................. $ Revised Plan Checking Fee .... . 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) �q Residential ...................... x $360.00 = $:5� �� V� Units Commercial (sq. ft.) ............... - x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units . Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK I $89.00 (paid at Building Division) /W I 4 8. TENDER FEES (Battalion # ) $200;00 (p d at Building Division) �a 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE ,—' - KO �3 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6100) r1 School District BUTTE COUNTY SCHOOLS IMPACT (One form per I A.P. Number Oona — 4!So — Property Owner /. Property Location/Address o f Subdivision f Residential Development ©� No of Living Mobile Home Units p Installation Commercial/I ndukrial Ij New _ Addition Department Representative CERTIFICATION FORM ng) lBuildin Department No. V CityCounty i P ` r� Lot No. .................................................................................................................. 's Sq. Footage Addition/ *Supplemental to (Group R) Conversion Permit # *(No foundation inspection): ......................................................................... . Sq. Footage Plans reviewed by School Ulstrict District Identification No. --7 �School District certifies that (Including Exterior Roofed Areas) Date r (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) r has complied with the requirements of Resolution No. representing square feet. School District Representative Paid by Check k Remarks: Q / —U -:)- —/ 0 by payment of $ AB 2926 $ FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the data fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.As (10/98)dmm O.B.- I 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 0, NO ❑ 2. 1 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: - CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: �--. SOCIAL SECURITY NUMBER: DATE:_ ,�2 ,>3 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: R % { I I O.B.-l• r An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the. proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +rely,Vi ira,C.B.O. uilding Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code, OVER PRE -INSPECTION REPORT .�f • • . ,iii • _ i CONTRACTOR DATE TO INSPECTOR. Q• NE AS BUILDIM INSPECTOR'S REPORT Banding Description: ResidentiaW Currently Occupied- Abandoned/Vacant DATE: 0-a, A.P. #- DO,K-430- ZONING: Electric: Yes < NO Electric currently On OffA.1—Z Condition of Electric Gas:. Natural Propaae None Currently On Off Obvious Problems: Sanitation: Plumbing Woridn Well Working Potable Water Obvious SewageProblems rd Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector: Date Sketch buildings on reverse and indicate location on proper, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Count Center Drive • O ' 'll y rove e, California 95965 • Telephone (530) 538-7541 P RMIT N( rRev. V2/96) APPLICATION AND PERMIT ' h:^>ESSORPARCEL NUMBER��N^ •/` =DING 5 BUILDING PERMIT owNEr�/ S . C- B I Q)NG/MUNrlON CONTRACTORS MA01NO ADDRESS CONSTRUCTION LENDER - LENDERS MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS .w7 LOTNO. I SUBDIVISION'S NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other r•Ire lace LICENSE NO. Total Valuation 3 --4 Ll Flirt Fee E Permit Fee S Plan Checking -Fee S Energy Plan Checking Fee S *PERMIT FEE PAlb SRI . . SHERIFF OTHER ' AAbVNT RECMVFb NEW. ,;Ar NVIYIM 4 " TO N " INTO CONIFVM 20.00 740 G ' PERMIT FEE 1 ti =^ MECHANICAL PERMIT I Fling Fee I20.00 I Hood I I 6.501 PERMIT FEt I S Mobile Home Installation Fee S Energy Inspection Fee I $ Occ CONST' TYPE TOTAL FEE $ 3 NAZ. I D. FEES I IMP I FLOOD I COF I PARCEL I PO I HD i SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . 5 PERMIT FEE $ 53 PLUMBING PERMIT Fling Fee 20.00 Each Trap7.00 23.00 Solar or heat pump water heater 23.00 Water piping t 5.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00' Mobile Home I S I G I w 1 920.001 ' PERMIT FEE 1 ti =^ MECHANICAL PERMIT I Fling Fee I20.00 I Hood I I 6.501 PERMIT FEt I S Mobile Home Installation Fee S Energy Inspection Fee I $ Occ CONST' TYPE TOTAL FEE $ 3 NAZ. I D. FEES I IMP I FLOOD I COF I PARCEL I PO I HD i SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 Main Service 000Y OR LESS 200A OR LESS 23.00 Main Service 200A TO 1000A - 46.001 NEW CONST. OR ADONS. 8 ACC. DYl�3J.INCa 199OCC.UP. SD3.5CFT,. N CONS NON.RESID. MULTI -OUTLET BRANCH CIRCUITS @7.50 POWER APPARATUS d SINGLE OUTLET CIR. _ Ex. Occup. OUTLET OR FixTUREs 20 0 1.. BAL Q .SO Ex. OCCU FIX D APPLNS. OR OUTLETS ESID. EA I 5.00 Temporary Service 1 23.00 Mobile Home Facilities 1 20.00, ' PERMIT FEE 1 ti =^ MECHANICAL PERMIT I Fling Fee I20.00 I Hood I I 6.501 PERMIT FEt I S Mobile Home Installation Fee S Energy Inspection Fee I $ Occ CONST' TYPE TOTAL FEE $ 3 NAZ. I D. FEES I IMP I FLOOD I COF I PARCEL I PO I HD i SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . 1. Owner's Name: QCAC-4'�- 2. Assessor's Parcel Number: Doig q5o - 6,3o 3. Installer's Name: --CCZ QE (L i 4. Is the site currently under permit? Yes[No[ ] Permit No. 5. Is the site an existing site? Yes 10 No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the lmobilehome? ob Amperes. 7. What is the mobilehome site circuit breaker rating?Amperes. 8. What is the electrical rating of the mobilehome site? )OC) Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is the rating? 2,00 Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ke None[ ] 12. Size of 4as pipe at the mobilehome site from the meter or tank: 3 inches. 13. ' What is the gas pipe length from the meter or tank to the mobilehome? 26(ft.). 14. What is the mobilehome gas demand? .B.T.U. * *(This information is not required if the pipe length is less, than'6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 4 . .tai•',• � r I Mobilehome Manufacturer: /����On� Manufacture Year: ` If other th gle wide, furnish Setup Model Number: ,3 3�o- Z- cw©ccl Width:sin(ft.) Length: -3,?' ft.) Tagalong or Expando Size — (ft.) x (R.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grad'] Other: SUPPORTS: Concrete block[ Other- Provide ther Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 i Line 2 Line 2 Main Beam Line2............................................................................................ 2 Line 1 Lice 3 Line 2 ................................................................................................ Main Beams ....................................................... Line2 Line I ............................................. i theS Tag or Triple e 4 ine 1 Line 1 Piers: Size minimum: Spacing maximum: From ends -maximum: Line 2 Piers: Size minimum: Z x 361 Spacing maximum: p ` From ends -maximum. /Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [)z ] x [2-4 ]. Each side of openings with width over: Line 4 Piers: Size minimum: x Spacing maximum: ` From ends -maximum ` roo bca.", S"P��'�♦/l �� - OVER MJKD�MG DrPARTMEM APPROVED It I ?15-7- Mobilehome Manufacturer: IOAI��60d Manufacture Year:_S� If other th single wide, furnish Setup Model Number: 3 3c2c;L'OL Width: ft.) Length: 3a (ft.) Tagalong or Expando Size On all mobilehomes manufactured after October 17, 1973, furnish is installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade Other: SUPPORTS: Concrete blocky Other n Provide Tie Down Specifications for all Mobileholines: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line I Line 2 Lips Main Beams Line 2 2 Line 1 U=3 I Line 2 ................................................................................................ Main Beams Line 2 Line I ............................................. 5 Tag or Triple e 4 ................................................. I Line I r'. Line I Piers: Size minimum- r 1 x r 1. Spacing maximum: From ends-maximum:1 Line I Openings Size minimum: X Each side of openings with width over: I I Line 2 Piers: Line 4 Piers: Size minimum: x 1W I Size minimum: X Spacing maximum: Spacing maximum: From ends -maximum. From ends -maximum] Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum. - Location (from front) - d qX j- gae-k .. OVER I 91 1. Owner's Name: Q6—AO—AX:'L- 2. Assessor's Parcel Number: 0020 -�� -� 3. Installer's Name: ,C)CZ Q 2 i 4. Is the site currently under permit? Yes[ No[ No[ ] Permit No. 5. Is the site an existing site? Yes[ No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? /a6 Amperes. 7. What is the mobilehome site circuit breaker rating? /6 O Amperes. 8. What is the electrical rating of the mobilehome site? 106 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is the rating? 2-00 'Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ke None[ ] 12. Size of gAs pipe at the mobilehome site from the meter or tom: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 26(ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION 8.5 May 1995 a r4Q� _ K -DIA; �d Racwt � �j "�igST.4Q i.. i v t.Vq K� Cfi ZZ too, &mom rT M APPROVED ®� Butte COLInty H lth le Signature 2"x 2"x 3/16" STEEL ANGLE 3/8" CAD PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. .(8) REQUIRED 1/4" STAND BASE DETAIL • "A" CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH m 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE o 02" SCH 40 PIPE STAND WITH TWO 01/2- ADJUSTER HOLES ABESCO ABS PAD #503 c STEEL FRAME ... to. go ABESCO ABS PAD #503 36" MAX TO BOTTOM OF PAD 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN hk,'- . "*-� COACH "C" FRAME 2" CHANNEL 1 /4"x 1-1 /4'�- TEK STS (2) REQUIRED 1/4" GRIPPER - BASE 1/2" A307 BOLT - (2) REQUIRED 3/8"x 6"x 6" - STEEL PLATE 1/2" A307 BOLT - (2) REQUIRED Fes-- 10.00 F 0 0 10.00O o 09/16 HOLE (TYP) STAND BASE TOP VIEW E w 9l 37" TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 1/4" GRIPPER PLATE 6 b COACH "J" FRAME 1/4"x 1-1 /4" TEK STS (4) REQUIRED 1/4" GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED C -BEAM J -BEAM ATTACHMENT ATTACHMENT DIA. HOLE (8) PLACES j� 30" -I STEEL FRAME TOP VIEW STATE APPROVAL N o� _yam z y z oe U a o w 3 Uci O Pi r z 3 e o. U O o y O E zo 001 5 o z da p�rq� �z¢ 0E• a Oma WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 1 of 3 e c ? GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE #15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS". 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4% OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORIZONTAL VERTICAL GUS GUARD TUF-1 2200# 6000# GUS GUARD MGP PAD 2200# 6000# GUS GUARD E -Z TIE PAD 2200# 6000# 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT,. MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-i UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED" THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. s (SEE SHEET #3) • 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT 71 16. FOUNDATION BLOCKS 16"x 16"02" POURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2'MIN. / 8' MAX. E= 2' MIN.-/ 11' MAX. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) E -S S S E u u u ❑ ❑ u RIDGE BEAM SUPPORT AS IJ REQUIRED BY MANUFACTURER El E] (TYPICAL) a ❑ ❑ E] O E-1- E3 ❑❑❑❑ N 8' NOM. A 2 2' NOM. ❑ ❑ PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF - 1 PERMANENT FOUR (4) 1/2"x 3 1/2" EXPANSION ANCHORS. FOUNDATION SYSTEM 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED A$ESCO-GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PERKINS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95823 ONE BASIS. /. --\ " ,, ... WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 of 3 0 STATE APPROVAL IJ O z N A 2 0 ��3b � a c 0 tz3 0 ¢¢ O 1-� z ai c �" h 5c w. N C z a WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 of 3 0 •. . A. 1/2"x 3 1/2" 1/2"x 8" LONG 3/4(4)IREQUIRED LG.� EXPANSION ANCHOR ANCHOR BOLT 3/8" CAD PLATED BOLT, NUT & WASHER (4) REQUIRED (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. \ (8) REQUIRED Wi CONCRETE PAD INSTALLATION 1 CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE o 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 STEEL FRAME 1 -1 POURED IN PLACE 16x16x12 CONCRETE FOUNDATION INSTALLATION �1 1 1 1 1-► -� 1 1 ► - 1 -11 1 `� LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION 36" MAX MULTI-�E UNITS SINGLE HIDE UNITS 110- TO BOTTOM LENGTH OF WIDTH OF HOME OF PAD HOME 24 26 28 44 UP TO 44' 8 8 8 12 44'-1' to 66' 12 12 12 18 8 8 20 20 20 24 LENGTH OF HOME 10 WIDTH OF HOME 12 14 16 TO 44' 6 6 6 6 IUP 44'-1' to 66' 8 8 8 8 66'-1' fo 80 10 10 10 10 01/2"x 3" C.R. 66'-f' fo 80 LOCK PIN WITH NUMBER OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED 01/8" BRIDGE ' PIN NOTE* SINGLE WIDE UNITS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL TUF-1 PERMANENT FOUNDATION SYSTEM STATE APPROVAL a 0 Z `J Z � y zz o Q W U 0 2� o ao w x U ' U p ti O b 0 w F o G j a ti x 0 > F ; 9. 0 M ro P�-, 1 y 6- 30 1,Y). GENERAL Coil,10ITIONS: _7-I4E5E- MOTE5 APPLY To 511EETS S, !.o 7 - ALL AAZEAS PAVI/VG A SLOPE OF 30% OR t5ZEA7-Eg2 ARE DESIGNATED AS "A/O.OEV2L0P- "'et'l 7' ZONE. " 57-R-CTURC-5, DUMP/�/G, F/LL MATE2/�4L, YEGET-ATI oN REMOVAL AN0/OR EXCAYA]-/OAJ SHALL Nor BE ALLOWED W/TN/N TSE "Vo pEVELOPME/VT ZOIVC-" UNLESS AA/ E�2o5/oN coNT,2oL PLAN/ PRSPAA'ED BY A REGI57WRED CIVIL E/Vf�I/VL=ER oR OTj4ER2 QUALIr-ICO PRO- SY TSE OSPAP-T'ME TI of P%uBLIcOW QK5' scALE: /"= SOO OF AL OPRI ATE 80AO SAFETY -5GMS,/ N LUDNq -F WE Top �NS�c� CoNSTRuCT/ON, W5TALLAT/o/V OR DEVELOPMENT OF ST,¢G/CTURE5 OR FAC/L/T/C--S ON T/4E PAQCELS/Lo TS SiFALL COMPLY W/TN THE LATEST =ALIF0RhJ1A 1 ilZa SAFE .2EcaU - LATIONS ``PU6LIG gESOLIRCE5 CoOE .4290) AA/D ALL OTl4ER AP. - -- - LE STATE AND Col-jtjTY CODES, 6,0o/NANCE5 ANO 95GULATI t4 MGN EPERM/T5T TNG- T/ME OF APPL/CAT/O�l 9UIL0/NG IDENT/FICAT/On! AtJDIOR ADoleC5SES SHALL BE- INSTALL60 //J CoNFoIZMANcE WIT/-/ PUBLIC RESOu�QGES coOC- 4290 ANO SHALL BE POSTED AT THE OF 8U/LO/NG conl57-�eucTic�n/ ANO MA/NTA//VEO CoN- T/NUOUSLY TNE2EAFTER.• TD ENSu�2E• THE IvfANoATEO F/�2E CLCARANG� E57".48- 4.I5/-4ED /N T�lE COUNTY, A BU/LO//�1G SETBACK L/NE OF 30 FT. /5 REQUIR60 ALONG ALL S/06 ANo REAi2 YA/Z O PRO PE.2 TY BOU�/DA2/ES. • F/,e E SU PPQ E SS/ON SPR /NK L E.2 SYS TEAW 5 Sf-/A L L BE //NJ - STALLED /N ALL NEW 9 5/DEI\JTIAL. STRUCTL/RL-S //`/ ACCoRDA.NCE W/ TN TNG NAT/O/VAL- P'/A-FE P,eo TScT/o N ASSoCI.e-NTIOt,! STANOA2U5 FO•e T/ -/E /NSTALLRT/oma/ Off' 3P,Q/NKL62 S) -67-6M5 /N ONE ANO 7 -WO FAM/L.Y L�W6LL//JAS ANO MOaiLE J40AIES1 NEPA STANO/aQ0 /30, L/�/LE55 A P,QESSUR/ZED COMMU/`// TY WATER SYS TE/�� K// T/-� "YOQANiS THAT MEET �•/2E OEP.oRT/SEN r SPEC/F/CA 770.41./5, SERVES Ts -/E PA2CEL 5. 06VEL0RMC-/VT OF T -A -165E MAY REQU/RE PAY- MENT /NTo Tl-/ WAnER TENOEz FUND• B. A 06 VELOPMEA/T /MPACT FE, F-oR Ef-/E2/FF-•S FAC/L/T/ES 5�1QLL B& PA/o P1�2SuA.VT ro TSE P.eOV/S/O�/S OF C14APTE� 3 AQT/CLig SI OF- T/ -/E BUTTE COUNTY C-OOEs PR/O� To /45LIA/.ICE O� BU/LO/NG PERM/TS• THE SEE A/1i10UNT WILL EA5oE•oo� c/AT o/va2 CAL BU ALO �GAPE�2M�T BUTTE COMW /yo TE ; GENE,2A L co/�o/ T/oN5 Co�/T�> r�� , �� .� �,��! � t�► O N SHEET % � AmP � ��' .TED "All SME NT " d GEMERQAL C0-#,/O/7`/ON5 CoNT1NUG0 Ts-1E5E NorS5 APPLY To SHEETS .3, Co AMD 7- 9. A DEVELOPMENT IMPACT FEE F=Cf SCAiOOL FAC/[.! -/-/ES SHALL 6E RA/LD PRIOR 7-0 /55uANCE OF Bu/LO/NG PE,eM/TS• 7-,04E F=EE AMOLJA/T WILL /3E DETERM/NEO .4/JO CALCIJ- - LUTED AS of TiaE OATS OF APDL/C,4T/oN TATE BUILDING /o. TNE.eE /5 ,Vo EVlOENGE 7WA T OOME S T/ C )V/ATER /S A VAIL.A.BLE Fo.2 /!. No WATER WELL MQ Y BL- L O Cd TEO fit//T,L,/!N /OO' OF A SEWAGE O/SPOSAL L.EACNF/,EGO. /Z. W/Tf-!/,/ DES/GN<i TE0 SEW,4GE O/SP05.4G AZEA5, r1WG SEPTIC s)'57 -EM SMALL 6E- Z - EL C) -CA TEO W,44G.eE A T LEA S67 TA✓G eZ) FEE 7- 401'r of SOIL /5 P.eE SEAIT -'5,1 7,C- SSE C/F/C Soil VE,ei�lc,4 Tio/J MAY $E ofEQu/,PEo SYSTEM P6.PMiT Im SGA ALL STRHAN S p�1ERHAPB(� SHALL BE cLEAR OF ALL EASEMENTS. A SET BACK OF 4.5 1✓'J FT. FRcM" THE SI'D AND, 1=1'OPf THE, REAR PROPEFiTy LINES A r: C r HE ROAD CENTERLINE SKAC —j, , E qTRUQTURE•S AND EQulpmrz � COR A-2 ter. RAVI OVa""ANGs , .f. 0 tA ► .. ' .:H! .y . ::�'_ • w it - v ri W" 1>.l, : ._ .•..: ': I .{ .'vet;; _... +i!✓:• v;r .'i�-J!�. It � `•' ��: y:=. ,: u�� - _ - _ r::r<-`.�_. �_�., - •: .... _ ��.. - .��•��: - M, Bio oar �.�:: .R C 1 r PLANNING DIVISION- BUILDING PLAN APPROVAL Use: o• 1< Date:2' Li D r Parking: Landscaping: Other - , r L r NOTE: SeetM attached Rasid n Ia! Qonstru� 'F'2,gUII`emeats tr BUTTE COUNTY gUILENNG n;: f t A.PPROSD 1 A 7S Z- swe6es 4�;� ozov `l tt e Ap-to '3-450-030 Lo ��• I' -!'� � j'Sr..{QPM J\�\� .. �!�: .r:. •� .. F, ti'r'ISs �r i ,1 P. � - •f�. 't�11 1 � ' r gjg C 1 r PLANNING DIVISION- BUILDING PLAN APPROVAL Use: o• 1< Date:2' Li D r Parking: Landscaping: Other - , r L r NOTE: SeetM attached Rasid n Ia! Qonstru� 'F'2,gUII`emeats tr BUTTE COUNTY gUILENNG n;: f t A.PPROSD 1 A 7S Z- swe6es 4�;� ozov `l tt e Ap-to '3-450-030 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 CORY. of Document Recorded 11 -Jul -2003 2003-0045546 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has. issued a certificate of occupancy for installation of the unit described hereon, upon the ieal.property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JORGE L. GARCIA AND MARTHA GARCIA 7 COUNTY CENTER DRIVE REAL PROPERTY OWNEWLESSOR MAILNG ADDRESS 5900 RIVERSIDE DR. # C OROVILLE BUTTE CA MAILING ADDRESS CITY COUNTY STATE MARYSVILLE YUBA CA 95901 CITY COUNTY STATE ZIP 782 SWEDES FLAT RD. — 7-- 6-1 INSTALLATION MAILING ADDRESS, IF DIFFERENT DATE OROVILLE BUTTE CA 95965 CITY COUNTY STATE. ZIP SAME UNIT OWNER (if also property owner, write 'SAME') SAME MAILING ADDRESS CITY COUNTY STATE 23P UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILNG ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-0345 530 538-7541 BUILDr PERMIT NO. TELEPHONE NUMBER c — 7-- 6-1 SIG AlGRE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE No. FLEETWOOD HOMES CAL 1984 SANDALWOOD / 3322L MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAULNUMBER CAFL2A/BE03084972 32' X 24' CAL274660/1 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL_ PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 028-450-030 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. a ksx.. _: .Ni _ .a�!eYMn?. s>{...... .lAy.. �. '.. -- C. i!'.fK ... aB l .� �n9..:n. .°:6 i *k ! .w`:tH��. � 1 4�?•?3+� BUILDING PERMIT NUMBER: 03-0345 r _ Address or location of unit: 782 SWEDES FLAT ROAD, OROVILLE, CA 95965 ' Legal Description of Real Property: AP # 028-450-030` SEE ATTACHED *° (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: JORGE L. GARCIA AND MARTHA GARCIA Owner's address: 5900 RIVERSIDE DR. # C., MARYSVILLE CA 95901 INSIGNIA OR HUD NUMBER: CAL2704660/1 SERIAL NUMBER OR V.I.N.: CAFL 2A/B 03084972 MANUFACTURER'S NAME: FLEETWOOD HOMES CAL YEAR: 1984 -OFFICIAL APPROVING INSTALLATION: DATE: 7-'7- 0 PRONE: (530) 538-7541 H.C.D. 513C ORDER NO. BU -186413-3 DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I • V -t - PARCEL 19, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 17, 1999, IN BOOK 148 OF MAPS, AT PAGE(S) 30, 31, 32, 33, 34, 35, 36 AND 37. CERTIFICATE OF CORRECTION RECORDED MAY 4, 2000, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2000-16285. APN 028-450-030-000 PARCEL II• AN EASEMENT FOR ROAD AND PUBLIC UTILITIES OVER PARCELS 1 THRU 21, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 17, 1999, IN BOOK 148 OF MAPS, AT PAGE(S) 30, 31, 32, 33, 34, 35, 36 AND 37. CERTIFICATE OF CORRECTION RECORDED MAY 4, 2000, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2000-16285. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMM -UNITY DEVELOPMENT Addressee BROOKE MEADOW COMMUNITY C/O OFFICE 3950 MACK RD SACRAMENTO, CA 95823 -0 d, Registered BROOKE MEADOWC/O OFFICE: 3950 MAC RD SACRAMENTO, CA- 95823 p - g! 4Z, Situs'Adde'ess T 3950 MACK RD SP 17 SACRAMENTO, CA 5 Q 1: JI osu 45 ant 4 1 4� , �7 _4 X, -v P7 I% 3)V IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. CERTIFICATE OF TITLE Manufactured 1-lorne Decal No: LAE8633 Manufacturer ID/Name Trade Name Model DOM j DFS RY Exp. Date i 90005 FLEETWOOD HOMES CAL! SANDALWOOD :3322L 01/25/84 05/22/84 Serial Number Labeltinsignia Number Weight Length Width SPC SCC Exempt Use j Type CAFL2AE03084972 CAL274660 10,900 32' 12' 34 SFD LPT CAFL2BE03084972 i CAL274661 ts'duLl iU, 12' Issued Total Fees Paid Aug 20, 1998 $10.00 Addressee BROOKE MEADOW COMMUNITY C/O OFFICE 3950 MACK RD SACRAMENTO, CA 95823 -0 d, Registered BROOKE MEADOWC/O OFFICE: 3950 MAC RD SACRAMENTO, CA- 95823 p - g! 4Z, Situs'Adde'ess T 3950 MACK RD SP 17 SACRAMENTO, CA 5 Q 1: JI osu 45 ant 4 1 4� , �7 _4 X, -v P7 I% 3)V IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDSoc� REGISTRATION AND TITLING PROGRAM ' BILL OF SALE SECTION 1. DESCRIPTION OF UNIT This unit is a (check one): 0 Manufactured HomatMobilehome ❑ Commercial Coach ❑ Floating Home ❑ Truck Camper The Decal (License) Ngs) of the unit is: L R G & 6 -?-, 3 The Trade Name of the unit is: h b W 4 The serial No.(s) of the unit is: e p L a 3c7 �`� y 7 �— e SECTION II. STATEMENT OF FACTS For the sum of L� r`� h v'5/ dollars( !4003 o } and/or other valuable consideration in the amount of , the receipt of which is hereby acknowledged, Uwe did sell, transfer and deliver to AWO on the day of Ati'X ,45.2 0 �, my/our right title and interest in and to the above-described unit SECTION Ill. SELLER'S CERTIFICATION UWe certify under penalty of perjury under the laws of the State of California that the following is true and correct: (1) Uwe are the lawful owner(s) of the unit, and (2) Uwe have the right to sell it, and (3) Uwe guarantee and will defend the title to the unit against the claims and demands of any and all persons arising prior to this date and (4) the unit is free of all liens and encumbrances, except for the lienholder shown below*, whose lien presently exists and has not been paid. Executed on S / O Z at y�l�i2�►+-�,..Qe C� (Date) (CIW (Sbo)� Signature of Seller ��'F�t`-" h Date 3 y� Signature of Seller Date SECTION IV. LIENHOLDER'S INFORMATION The space *Uenholder Street Address or P.O. Box HM476.117,27) City' State Zp Code . STATE OF CALIFORNIA ari-1AINN1%BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS, REGISTRATION AND TITLING PROGRAM STATEMENT OF FACTS - SMOKE DETECTOR SECTION I: INSTRUCTIONS The California Health and Safety Code requires that all used manufactured homes and used mobilehomes be equipped with a smoke detectorwhich is in proper working order on the date of sale. Upon transfer of title, Sections 11,111 and IV of this form must be completed and submitted to the Department of Housing and Community Development along with the appropriate titling documents. This certification must be provided to the Department of Housing and Community Development each time title to the manufactured home or mobilehome is transferred as a result of a sale. SECTION 11. DESCRIPTION OF UNIT The Decal (License). No.(s) of the unit is: L A6 - The GThe Trade Name of the unit is: 13P �h vs, wa�� The Serial No.(s) of the unit is: C AF O -1A6 3 O 9V G 2( 0 ty L ae> G 30 SECTION III. DECLARATION OF SMOKE DETECTOR I/We the undersigned hereby state that the manufactured home or mobiilehomp described above is equipped with a smoke detector which is in proper working order as of O `1-- (MonbVDay/Year) SECTION IV. CERTIFICATION . I/We certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on Z V/ O at 9A 0t.•a %t.c.,V1& " 1 Date) (City) (State) Signature Address C k S&W Address or P.O. Box HW 476 6A (7187) ;� C41-0ems: Z- 7 City state zip MAILING ADDRESS STREET CITY ST. ZIP ADD JL ❑ CERTIFICATION The applicant and dealer signing below state to the best of their knowledge and belief that all statements made in this application are true and correct. The dealer further certifies that the unit -is in compliance with all provisions of the Health and Safety Code and the department regulations adopted pu to the Heal ah-d.Safet�Code. , -\ r i' DATE STAMP AREA Dealer SIGNATURE OF REGISTERED OWNER(S) Name ' : r ; _'; f <-i. , : ,_�- By -y G. j ,r SIGNATURE OF,,A51T 1ORRFD AGENT b L Address / ' f . , ., 'i f , r • 1 -= Dealer No. // - Salesperson's , , Salesperson's No. ; 0 S.JOSSOS-7y AiunO,)Name (Print) i COPY 1—DEPARTMENT COPY COPY 3—ASSESSOR COPY0 5 3 9.6 X94553-818omouADCAMO' TOSP f'l7DY )—r i 1.TnMFR COPY COPY 4-800K COPY N9 m o(d(e ul i.allwrl'Id jf d J Department of Housing and Community Development C1 DEPARTMENT -USE ONLYDivision USE CODE of Codes and Standards �',•f•I OI h4j ORIG. SALES PRICE ORIG. COST CODE J Manufactured Housing Section 1! DECAL N0. COLLECTION REPORT NO. - . �� - MFQ. — LPT Type ` _ 1 119,r I � �. Z MOUCODE DEALER REPORT OF SALE "-7 PEN 1 conTROL no. - RECEIPT NO. '� NEW MOBILEHOME RECEIPT DATE (� LTTRAN EXT IMCO SITUS cc PEN 2 TRF REGISTERED OWNER(S) LASS (PRINT TRUE NAMES) 'Fnd r7 r . / �� `!`(2)�1�`J CURRENT MAILING ADDRESS NEW (FUTURE) MAILING f _ �T AQDRESS %� '. <._1'f. e T i./ ,,AA%N ADDRESS':* �' ; OF UNIT ` i, f i)c � A 1; 7 . yf}^ - =STREET IOR SITE) 1qtF n . _ . j _ cc cc c NAME OF MANUFACTURER ^I MANUFACTURER ID NUMBER NUFACTURER TRADE NAME MANUFACTURER MODEL NAME OR NUMBER REPO RREG RSF PLT SIT . DATE OF MANUFACTURE CALIF. DF,ALER. LICENSE' NUMBER DATE OF TRANSFER TO pEALER FOUNDATION TYPE DATE FIRST SOLD NEW - �C ASF TOTAL UNIT (I-6) MANUFACTURER SERIAL NUMBER(S) HUD LABEL NO. OR HCD INSIGNIA NO. LENGTH MADTH WEIGHT (INCHES)NCNES UND .]/ MAILING ADDRESS STREET CITY ST. ZIP ADD JL ❑ CERTIFICATION The applicant and dealer signing below state to the best of their knowledge and belief that all statements made in this application are true and correct. The dealer further certifies that the unit -is in compliance with all provisions of the Health and Safety Code and the department regulations adopted pu to the Heal ah-d.Safet�Code. , -\ r i' DATE STAMP AREA Dealer SIGNATURE OF REGISTERED OWNER(S) Name ' : r ; _'; f <-i. , : ,_�- By -y G. j ,r SIGNATURE OF,,A51T 1ORRFD AGENT b L Address / ' f . , ., 'i f , r • 1 -= Dealer No. // - Salesperson's , , Salesperson's No. ; 0 S.JOSSOS-7y AiunO,)Name (Print) i COPY 1—DEPARTMENT COPY COPY 3—ASSESSOR COPY0 5 3 9.6 X94553-818omouADCAMO' TOSP f'l7DY )—r i 1.TnMFR COPY COPY 4-800K COPY N9 m ADD'- USE CODE TAX TYPE ORIG. SALES PRICE ORIG. COST CODE J RF UNITS - . �� - MFQ. — LPT ` _ 1 119,r I � �. Z - ` .- ILT PEN 1 - RECEIPT NO. '� RECEIPT DATE (� CLERK PEN 2 TRF REGISTERED OWNER(S) LASS (PRINT TRUE NAMES) 'Fnd r7 r . / �� `!`(2)�1�`J CURRENT MAILING ADDRESS NEW (FUTURE) MAILING f _ �T AQDRESS %� '. <._1'f. e T i./ ,,AA%N ADDRESS':* �' ; OF UNIT ` i, f i)c � A 1; 7 . yf}^ - =STREET IOR SITE) 1qtF n . _ . j / /FIRST 3\�N' MIDDLE C F //� f-y� - A/ t •r!J� .r/�'� ''�.� ;� ` • ,j /�, / rf ,/ clrT couNn / 6T. / iP-� fj;'�' / /, t r C %� :► /� )} V CITY COUNTY �sr� �P �f f _j / CITY COUNTY ST. ZIP cc cc c DUPT DUPR SUBD SUBS REPO RREG RSF PLT SIT . uTP RT LEGAL OWNER (PRINT TRUE NAME) MAILING ADDRESS ✓ 41a -Broadway, Chico, Ca. 9592' - STREET CITY ST. ZIP - �C ASF TOTAL FIRST JUNIOR LIENHOLDER (PRINT TRUE NAME) / MAILING ADDRESS STREET CITY ST. ZIP SECOND JUNIOR LIENHOLDER _— (PRINT TRUE NAME)cc MAILING ADDRESS STREET CITY ST. ZIP ADD JL ❑ CERTIFICATION The applicant and dealer signing below state to the best of their knowledge and belief that all statements made in this application are true and correct. The dealer further certifies that the unit -is in compliance with all provisions of the Health and Safety Code and the department regulations adopted pu to the Heal ah-d.Safet�Code. , -\ r i' DATE STAMP AREA Dealer SIGNATURE OF REGISTERED OWNER(S) Name ' : r ; _'; f <-i. , : ,_�- By -y G. j ,r SIGNATURE OF,,A51T 1ORRFD AGENT b L Address / ' f . , ., 'i f , r • 1 -= Dealer No. // - Salesperson's , , Salesperson's No. ; 0 S.JOSSOS-7y AiunO,)Name (Print) i COPY 1—DEPARTMENT COPY COPY 3—ASSESSOR COPY0 5 3 9.6 X94553-818omouADCAMO' TOSP f'l7DY )—r i 1.TnMFR COPY COPY 4-800K COPY N9 m r Z, . RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: JORGE AND MARTHA GARCIA 541:N. SHASTA AVENUE STOCKTON, CA 95205 ORO -C lilIIIIIII�IIIIiltllll��Ifil(III« 2��2.—�0�31L41 Recorded Official Records County Of BUTTE i �ANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:OOAM 06--Apr-20@1 Above This Line for Recorder's Use Only REC FEE 10.00 TAX 22.00 Fay Page 1 of 2 A.P.N.: 02845.0-030 Order No.: 1W.13M. A..M-3/080--0 Escrow No.: 186413MA IA GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $22.00 I,] computedon full value of property conveyed, or computed on full value less value of liens or encumbrances remaining at time of sale, X unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, PAMELA J. PEACE, a Married Woman as her Sole and Separate Property hereby GRANT(S) to JORGE L. GARCIA and MARTHA GARCIA, Husband and Wife as Joint Tenants the following described property in the unincorporated area of the, County of Butte State of California; SEE ATTR D LEGAL DESCRIPTION J. Document c-�ad'a STATE O )SS COUNTY OF (,( 70(_ ) On _�YL7/01 before me,�1j� f U �, k&A71incill, notary public personally appeared Pamela J. Peace personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. �\ Signa �� �J This area for official notarial seal. t ...................................... �...�............................................ JODY L. HOSTERMAN a ? Notary Public - State of Nevada e Appointment Recorded in Washoe County '• No: 01-66588.2. Expires January 9, 2005 ...............................................................................................: Mail Tax Statements to: SAME AS ABOVE or Address Nofed')lelow ORDER NO. BU -186413-3 DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I • ,t - PARCEL 19, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 17, 1999, IN BOOK 148 OF MAPS, AT PAGE(S) 30, 31, 32, 33, 34, 35, 36 AND 37. CERTIFICATE OF CORRECTION RECORDED MAY 4, 2000, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2000-16285. APN 028-450-030-000 PARCEL II• AN EASEMENT FOR ROAD AND PUBLIC UTILITIES OVER PARCELS 1 THRU 21, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 17, 1999, IN BOOK 148 OF MAPS, AT PAGE(S) 30, 31, 32, 33, 34, 35, 36 AND 37. CERTIFICATE OF CORRECTION RECORDED MAY 4, 2000, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2000-16285. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. t uS u -• y k u; y A k',ii°K: �i c+ ep�a t +ia•.asn.,r"•'. �, ra,•t,� '� '•ry ,c* '�`.,.� -ty :,,.,� ra=w �„ ��'• ._,4 44 q�Ma '2•'�� � j �.� � ' � � �#:` "fin„ i� .. 9e4-r� � • � a � , M y fit( � .�. �: � �� ''�'. a�� y��. �'•a'� + ti "'- `�� N 4 � " �... P. NOTES RESIDENTIAL 028 450-003003-0940' , PERMIT NO. _j G11111, JORGE 782 SWEDES FLAT, OROVILLE -Cont: BINIONS FIRE Y i FIRE SPRINKLERS SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Jt" 7 OB FINALED (Date) Signature F� CHECKED BY J=OK 0 = Not OK . = Not Readyable' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location=Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6: Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with C Date Card B-1 Date " Card B-1 Date Card B-1 Date Card B-1 f - MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 81. Guard Rails & Deck Construction -Post Caps Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 91. Corrections from Previous Inspections Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Date 26. Size Boxes & No. of Conductors Stapled Date 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Comments at Final: 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes 0 No/Walks 0 Yes O No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 1• ,a / CORRECTION NOTIM aSVS� PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. v: ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, Califoroia 95965 • Telephone (530) 538-75 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-450-030 ZONING BUILDING PERMIT OWNER 209-473-1528 TELEPHONE SO. Fr, OCC. BUILDING VALUATION OWNER'S ES 5900 Riverside Dr #c Marysville CA 95901 768 1.60 1228.80 CONTRACTOR'S NAME Binions Fire Protection 877-1367 TELEPHONE CONTRACTORS MAILING ADDRESS 940 Easy Street Paradise CA 95969 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $1228.8 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 31.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $2-3-00 BUILDINGADDRESS 782 �wL-di-s__Elat Road �rmzillp CA$ Energy Plan Checking Fee $ PERMIT FEE $ AAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping "' 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Fire Sprinklers for 03-0345 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 � • PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 26.00 Main Service aoov OR LEss 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license is in full f rce and effect. [gyp License Class Lic. No. 2!J8�7 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. , Business and Professions Code for this reason ` Z;gr WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO uooA 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( & ACC. BLAS. 3.50FT. NEW CONST. MULTI -OUTLET NON REBID. @7.50 POWER APPARATUS SSINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BA0 p I.00 Ex. Occup. R .°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section of the Labor de, shall forthwith comply with those provisions. — _ ure of Applicant - ❑ Owner Contracto g nHA permit is required for excavations over 5'0 eep and demolition or construction ea tures over 3 stories in heig X. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74.06. HAZ. I D. FEES IMP FLAOD CDF PARCEL PD HD SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated for which -fees have been paid. B Datel-1-7 EXPIRES ON 4q: 04— Dete Receipt No.1725 CapPERMIT WHITE-D.D.S.-B.D. CANARY ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT W COUNTY OF BUTTE -DEPARTMENT OF DEVEL'OPMENT.SERVICES-BUILDING DIVISION 7 County Center Drive, Oroville; CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:,(/� ASSESSOR PARCEL NU Proposed Building Use: Counter Technici : v ` Date: ✓ Items required in order to a y for a permit. All boxes MUST be checke R marked NA in order to apply. ❑ L. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. �VComplete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ' ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b the he en ig neer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings........ ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form.........................................:..................................... — ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 144 Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15: Statement of Intent for Non -heated and A/C Buildings ............................................. �� d•,r�i.r,f�j J6., Sanitation and plot plan approval from the Environmental Health Department in c";n 17J City of Chico Plumbing permit .............................. r ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ ,24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑Grant Deed s❑�M.H Tale/Stat ent of Facts, 1�Letter. froIM Lygal Owner, ❑ Check to H.C.D. $ When issued Tel gone Y-- hold for pickup. I have been in ed of the above items and requirements for obtaininga build'ng permi . Q G;� ` Applicant: � Date: ` 1. Index pepbit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: _ Note transfer by: Date: Vollnvr R71Ifni 9 Plan Check Letter phone, ❑'mail, ❑ counter, by Date: phone, ❑ mail, ❑ counter, by Date: Plans approved by: Date:. _Structural approved by. Date: State of Califomia Business,•Transportatlon and Housing Agency -wa Lys DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT g z "l i E �• Division of Codes and Standards ; F APPLICATION FOR Alfera o ❑ Addition or Conversion, ` ❑ - Alternate�.Approval ❑ Technical Services, (SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATION) CONTRACTOR/OWNER BUILDER DECLARATIONS A Not required for Special Purpose Commercial Coaches or Recreational Vehicles i 1. LICENSED CONTRACTORS DECLARATION . I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and y license is in full force and effect. License Class Lic. No. ^ e Date O 'Contractor/f✓/©a#-t/y �;�+tuifFpate �, �Q 2. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the. Contractors License Law for the following reason (Sec. 7031.:5), Business and Professions Code: Any city, or county which requires a permit to construct; alter, improve, demolish• or repair any structure, prior to its issuance, also requires the applicant for such permit to, file a signed statement that he or she is licensed pursuant To the provisions of the Contractors License Low, (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the bosistor the alleged exemption. Any violation of Section 7031.5 by,any applicant for STATE OF CALIFORNIA Department of Houoing 8 Community Development Division of Codes and Standards 8 •�FINALINSPECT_ION CERTIFICATIO�I, 3Y: J�/ 7aNRT1j't DATE: tli�fl LABOR DATA: AREA: C1 North. ❑ South County No: FCA/ACT CODE 6-/ d L TR MILES TIME: INSP/ACT SECTION 1 - UNIT INFORMATION I/We Are requesfing services.for the following unit(s): (Check Appropriate. Box) Manufactured Home/Mobilehome LI Manufactured Home/Mobilehome_ Component Structure - ❑' Commorciol Coach (Occupancy Group 1 ❑ Special;Purpost Commercid ouch Decal or Ucense 'No Serial Number s) , f Manufacturer Name/�s,�li, ,� /B�� --, Model Name �•- / (�E'� M 3/HUD Lobel w mber s IN 2 - OWNER/ APPUCANT!INFORMATION -7 4" i ❑ Insignia Inspection COL NO. 4 FEEREC'D DATE AA NO. 9 � RT TO RTB f I Year of Manufacture 119 .:' r it INSPECTlot., DATA: /a a Priv-de Proporty ❑ MH PAPIK P SECTION 3 - CONTRACTOR ARCHITECT OR ENGINEER FORMATION i Z HOMEIUNIT_L -- FLOORS Contractor's Name % 1'• r % Z.// 9 • r 4lir': ;�--. , `� /+ Address V:OLATiON:v:,TA: TCTALCORRECTIONS: - - +_ ArchBeci/Engineer'Nome b9r S � i/ e' a, Ucense No. 1,. /C ee Y 7 S F E to P G/O NP -- -- j Address' ��j.,r.•.�i urt�t��,-;.:'. FEE COL.LEC'i1,C,Y i.:40 OTHL'R INFORMATION: / rCflON 4 DESCRIPTION OF WORK/ACTIVITY AND VALUATION FEES: $ f C1111 DATE �/ scribe the "proposed work/activity In deta8. Attach additional pages If necessary. Where structural alterations ITF_MS !SS'UED. HCD 59 ❑ ras ❑ Elodric ❑ tt.l.h. j. orodditions are proposed complete plans,.specificofions, details, and calculations are required to be attached ATTACHMENT a: ❑ redo -.-.,n Celt ❑ 'Other • i to this form. Provide the make and model of any appliance to be installed and provide complete electrical calculations for any electrical aitemahons`oi• oddltions: ' I PERMIT NC: FILE CLO,I©�- �I /✓ f ;moi WorKers-corrtpensanon'Iaws-orcamomla,,-arla'agree TnarltTSnoUla-t)eCome subject to w rkers' compensafion provisions of.Section 3700 of the abor Code, I shall forthwith com�p�lyjwr�Ij�,Those provisions. Applicant,/ y ts" r✓ Date S 31 Indicate the Total Cost of the Work to be Performedy WARNING, FAILURE TO SECURE WORKERS' COMPENSATION CAVE EIS, . UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND SECTION 5 - SIGNATURE AND CERTIFICATION CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN, - -•ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN I/We hereby'make appiicahon for the services designated above. If applying for replacement of a lost insignia ECTI N 3706 0E THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. or label for the unit described in Rem number t above, ]/we certify that there have been no alternation, ;' CONSTRUCTION LENDING AGENCY additions, or modifications t'o:the•unR:which would affect compliance with California or federal law or the rules hereby affirm under penalty of perjury that there is a construction. lending and regulations of the Department. (Where alterations or modifications have been made. an inspection must ncy for the performance of.the work for which_this permit is issued be obtained.) i(, '.3097, Civ. C.). der's Name ° Signature Date aJendefs Address DEPARTMENT USE ONLY r -APPROVED CONDITIONS (see reverse side) ❑ DISAPPROVED (see reverse side) S''CERTIFICATION T / �I certify that I have read this application and state that the above t 1irIformofion is correct I agree to comply with all city and county ordinances YI 46-tolaws relating to building construction. -.and autWrVd ' �e�rEisen9a6 tives of this county to enter upon the above-mentioned property ^� ' fdf Ins##pp °p on purposes. SignoQVof.DeparimeR$ presentative Date -. __. ><'. r; Signature of Applicant or Agent -- 7 ' HCD 415 Side I (Rev 05/99) DISTRIBUTION:YELLOW -DEPARTMENT, WHITE -AREA OFFICE, PINK - OWNER/APPLICANT INSTRUCTIONS: Insignia Inspection: Complete Sections 1, 2, 3, 4, 5 and Contractor/Owner Builder Declarations. Submit the application and the required fees to one of the appropriate Area Office listed below. Upon return receipt of your processed application (White Copy), contact the designated Area Office to schedule the inspection date. Alteration, Addition or Conversion: Complete Sections 1, 2, 3, 4, 5, and Contractor/Owner Builder Declarations. Submit the completed oppliccW6n and required fees to the appropriate Area Office listed below. Upon return receipt of your processed application (White Copy), contact the designated Area Office to schedule the inspection date. Technical Services: Complete Sections 1, 2, 3, and 5. Submit the completed application and required fees to the appropriate Area Office listed below. Upon return receipt of your processed application (White Copy), contact the designated Area Office to schedule an appointment for services. Southern Area Office Northern Area Office 3737 Main Street, Suite 400 8911 Folsom Boulevard Riverside, CA 92501 Sacramento, CA 95826 (909) 782-4420 (916) 255-2501 Alternate Approval: Complete Sections 1, 2, 3, 4, and 5. Submit the completed application and required fees to: Department of Housing and Community Development, Manufactured Housing Section, P.O. Box 31, Sacramento, CA 95812-0031. If you have any questions you may contact the Department at (916) 445-3338. - .th9dr. SECTION 1 - UNIT INFORMATION: Check one box to indicate the type of unit for which you are requesting services. If Commercial Coach, also indicate the Occupancy Group Code (i.e. B2, E2, Al, etc.) in the space provided. Enter the unit serial number(s). The ser4al number(s) can be located on the Manufacturer's Certificate of Origin, the Certificate of Title, registration documents or on the front cross member of the unit. Enter the year the unit was manufactured. Enter the manufacturer's name and/or trade name. This information can be obtained from the Manufacturer's Certificate of Origin, the Certificate of Title, registration documents or may be designated on the outside of the unit itself. Enter the decal or license number. This number is located on the license plate issued by DMV or the decal issued by the Department of Housing. Enter the California Insignia Number(s) or HUD Label Number(s) that were issued for this unit, if known. SECTION 2 - OWNER/APPLICANT INFORMATION: Enter the owner's name(s) and address of the unit. If the address for the owner is different than the location of the unit, provide that information is the "Location Address" area. If the applicant is other than the owner, enter the name, address and telephone number of the applicant. The Department will contact or correspond with the party that is entered as the applicant. If the applicant is the same as the owner, the applicant information is not required to be completed: SECTION 3 - CONTRACTOR, ARCHITECT OR ENGINEER INFORMATION: If the services are being performed by a contractor, enter the contractor's name and address. Also enter the contractor's license expiration date. If requested services involve an Architect or Engineer, enter the architect or engineer's name, address and license number. SECTION 4 - DESCRIPTION OF WORK/ACTIVITY AND VALUATION: Provide a description of the work to be performed (i.e., installing a new roof, installing new windows, etc.) Enter the total cost of the work to be performed (total contact price). SECTION 5 - SIGNATURE AND CERTIFICATION: The signature of the applicant is required along with the date the form is signed. If the application is for a replacement insignia or HUD label, the signature must be of the owner of the unit. CONTRACTOR/OWNER BUILDER DECLARATIONS Contractor: Contractors proposing construction are required by state law to provide the following information: Item 1 - Licensed Contractor Declaration: Enter the contractor's license class, license number, license expiration date and the contractor's signature and date. Item 3 - Workers' Compensation Declaration: Place a check mark next to the declaration regarding the workers' compensation coverage that applies to the contractor. If the second declaration is marked, the contractor must also provide the carrier's name and policy number. This item must be signed by the contractor and dated. Item 4 - Construction Lending Agency: If there is a construction lending agency for the performance of the work for the service being requested, enter the name and address of the lending agency. If there is no lending agency involved, enter the word "none". Item 5 - Certification: The certification must be signed and dated by the contractor or and agent on behalf of the contractor. Owner Builder: If the work or activity as described on the application, is being completed by the owner, the owner must complete the following items: Item 2 - Owner -Builder Declaration: Place a check mark next to the declaration which is applicable. If the third declaration is marked, enter the section number from the Business and Profession Code which provides the exemption and the reason for the exemption. The owner must *' also sign and date this section. - Item 5 - Certification: The certification must be signed and dated by the owner. DEPARTMENT USE ONLY APPROVAL OF THIS APPLICATION IS CONDITIONED TO COMPLIANCE WITH REGULATIONS OF THE DEPARTMENT: Any approval issued by the '' Department pursuant to this application is conditioned upon the applicant's compliance with the applicable provisions of the Califomia 4 Administrative Code, Title 25, Chapter 3, and the Business and Professions Code as it relates to contracting.° HCD 415, Side 2 (Rev 05/99) { f I PERMIT N0. f 444-85P,E(MH) PERMIT EXPIRES h OWNER HUBERT MILLS CONTR. Iowner ASSESSOR PARCEL 28-32-3 r LOCATION S/S Swedes:Flat Rd, 6/10 mi E Gorman Ranch Rd. Oroville G ' Temp. Ca Temp. Elec. Service 11 Called PG&E_ Temp. Gas Service _ 1 Called PG&E JOB FINALE[ Signature J = 6K 0 Not OK = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBI OME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's Zoni equirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—.Easements oils ecial MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors ew , Locati —Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater• cation—Test—Easement Needed, (Sketch) 4. Wood Awn.; Posts— Beams—RItrs.—Con nec.—Shthg.—Rfg.—Bracing e i ; Location—Clearances-Grnd.—/Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures a ovation—Test—Wrap:/ /"L"ft./ P'Nat.or , "L" ft. LPG 1 6. Carports; Windows—Doors tility Clearance 7. Elec. 30 To BI ate ,0' Card -BI Date ;Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHPIY6 INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date POOLS (Plans) OK except p's 1 Jzorg Requirements—Setbacks—Easements 1, Setbacks—Easements F otings; Size—Spacing—Marriage Line j 2. Soils; Compaction—Structure Stability '. Ga H Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining z. I ricity; MH Test—Crossovers—Breakers—Clearances I 4, Elec.; Receptacles and Lighting; Distances—GFI Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI Z� ACater Test—Regulator—Connector I 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. a and Sewer Connected—C/O to Grade—HD Approval (' 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater _gga nd Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit zits; Insp.—Sketch ert. of Occu aggy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test y i Card B-I Dat Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 3f�m(s�— ,fie � i7_3 � �-3 J = OK 0 = Not OK ' = Noady cable * Nott Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. O.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings J Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps 26. 27. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75, 76. 77. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. 38. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng.-Rfn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE ". )A,\\-5 4Iys - g.s OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. T Inspector Date _ MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF, BUTTE DEPARTMENT OF PUBLIC WORKS —. 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA'— 534-4541 PERMIT NO. Address or location of mobilehome 'S/5 JGt�c�cfPs �:� L� 0 Y� i Owner's name c1 U� /D Owner's address --C r) 7 �U A\/ op—s Insignia or hud number 7 D )Q Manufacturer's name Kau vy� A -N <. V) --ba Serial number of V.I.N. 11 AA RYear of manufacture t (OfficialyApproving Installation) Date IF TF{d MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SY:S-TEM. _a 5138 White - Owner, Yellow - Installer, Pi r✓k -D.P.W. 11 CIOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 S APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ 119 _A0owN�g ZONI G BUILDING PERMIT TELEPHONE ((``�O N SQ. FT. OCC. BUILDING VALUATIO OWNER'S MAILI ADDRE S ao v e CONT CTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST,�%CTION LENDER "' 0 K UNKNOWN Total Valuation $ Filing Fee $ -t0 00 - LENDER'S MAILING ADDRESS Permit Fee $ ARCHITE T OR ENGINEER LICENSE NO. Plan Checking Fee $ / Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 41 Q BUILDING ADDRESS a PLUMBING PERMIT FiIIng Fee 10.00 4 r Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME RCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [:1Duplex❑ Mobilehomex Other SPECIFY Building sewerS__70_,0( 5.00 Mobile Home f0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities M Installation❑ Other ❑ Describe work: — Permit Fee $ 'YO,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 �Q D� D�Main service EA. ADD -L 100 AMP 2.50 .1,S() NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sgft CONTRA TOIP.S LICENSE LAW ,T I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification © I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason - NEW CONSTF MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & NON -R ESID. %SINGLE OUTLET CIR. Ex. Occu 200s0C p�o TS OR FIXTURES BAL030 FIXED APPLNS, OR ` FIXED Ex. OCCUp- OUTLETS (RESIO.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 _,Q Misc. Wiring 15.00 Permit Fee $ ,S Contractor MECHANICAL PERMIT FiIIng Fee 10.00 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. 1 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequencg of he granting of this permit. X e!, �a�11/ �! Date Signature of Applicant — Owner F1 Contractor ❑ Agent KI An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE V1 $ OCCUP. GROUP I TYPE OF CONST. PARCE PD ND ISSUE,., This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R O UBLIC (° BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. 3a �_ s WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Galifornil 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PAR EL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. DCC. BUILDING VALUATIO OWNER'S MAILING ADORES f CONTRA TO 'S NAM HONE r CONTRACT R'S MAI LI G ESS J Fireplace CONSTRUCTION LENDER UNK,� Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 710 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ / BUILDING A DRESS PLUMBING PERMIT Filing Fee 10.00 ro " I Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: 0Ir 1�f�L�-�S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR OR L 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST./ DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. I 2/20sq ft CONTRACTORS LICENSE LAW I declar der 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 Wrce pd effect. QQ C_ License No.���T�� 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 CONSTR. MULTI -CUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. 20050m Ex. Occup(OIXED-A OR FIXTURES BAL@30 FIXED APP LRS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 authorize representatives of the County of Butte to enter upon the abo entioned property for inspection purposes. I alTo save, in emnify nd keep harmless the County of Butte against a j ents, c s, and expenses which may in any way accrgaii equence of the granting of this permit. Date � Signature of Applicant — Owner❑ Contract Agent An OSHA permit is required for excavations ove 5'0" dee a d I' or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ r, 00 TOTAL PERMIT FEE 1 �� OCCUP. GROUP TYPE OF CONST. PARCEL PD HD issuE his permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI TORO UBLIC „- By - PERMIT EXPIRES Datela the applicable provi- resolutions to do fees have been paid. WORKS A�7 Receipt No. /v ` � WHITE-D.P.W., YELLOW -ASSESSOR, PINK 4 O DEN O PL -I AP # _ OWNER PERMIT 47q MH UT IL . CLEARA CE DATE c� INSPECTOR ELECTRIC GAS. Support Struc. Compaction Test Re . Service Size Other, Load Type Pipe Size Length YES NO YES NO J/ y 13 446-A ULS, This set of Elans an . d specifico-nons NM tj� kept on the io at all times and it is unjqw%j *q, snake any changes or alterof ions on some withgut written permission from the Department of PubRe Wor6, iCounty of Butte. j —Worl"Cnsh'P ShQU a' UV :NdTE-.�A,11 I d Practices and lith' Re�ogni7ed with -fled use in the dor he Spec' of !a quality pre,cr, M chanical, COd6s and Un`fortn l3bildi:ng, :Plurbi69 & e thi N6tio0*a1Elec�rica*1Code. Utility connections.sha,ll be within 4 ft. of'the:mobilqiome, either diroctly behind or within the rear ' ;half of ithe roadside (left) of th'S Ei.horile. mobil 600 SQ. FT. MINIMUM FOR MOBILES A setback of 5 ft. from the property lines and a setback of 50ft. from the road ce'nterlin;e shall be clear of I structures or equipment except for a.2 ft. e6ve overhang. 067 sa, . . . llazez 7/X BUTTE COON TV BUILDING DEPARTMENT 0 V D 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: /)2/19/ T 3. Is the site currently under permit? Yes / / No _1 ( If yes, furnish permit number ) OR ' i Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.)- 4. Will the mobilehome be located at least 5 £t. away fr septic tank and leach fields and clear of all setbacks and easements? Yes / No ( If no, clarify ) ,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.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED' 5. What is the mobilehome electrical rating? ----------------------- P�� Amps 6. What is the mobilehome site service rating? --------------------- Amps. 7.. What is the mobilehome site circuit breaker rating? -------------• ©G Amps 8. Is there any other electric load.-to.be*served by the mobilehome siteservice? ------- -------- ----------------- -------------------- Yes No. (If ,yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------- -------------- ��� �� (in•) 10. What is the type of gas service? ---=---:________ ------- Natural %—% LPG 777 11. What is the gas pipe length from meter or tank to the mobilehome? c;/0 (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.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED' t MOBILEHOME SUPPORT DATA �J If other than single wide, O Mobilehome Mfr. �U furnish Setup Model No. G �Q Year A7/� Fidth(ft.) Box Lengt(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) 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). All center supports measured from front of mobilehome unless otherwise specified. \ ,, Footings (check one) . Single _ ; 1. Wood either pressure treated or foundation grade. Gc G x�a , '2Other' . Oth(specify) (ft.)(in:) (in.) (in.) 0 Center support Center support locations* footing sizes Supporte.(check one) (in.) . 1: Concrete block. /3 ��� �y x�a •2. Other. (specify) (ft.)(in.) (in.) (in.) *--Tagalong or Expando,' show support details. (f (in.) (in.) (in.) xT -- Typical Support (in. (in.) Footing Size x3o (ft.)(in.) (in.)- (in.)>�,� -- Max. Pier Spacing LX / '0 r. -- Max. Overhang ) ( .) •) (in.n.) (ft.)(in..) *If center piers are other than drawn above, draw in -locations. spacing, and dimensions. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT I ", ._ i._.._._.__'__._ _ 3t%.,,+ tr �°c�s,�r�TY •• cru:.:;: FOR RESIDENTIAL DEVELOPMENT -CORDS FIEOtrk.STE-. Section 26-8.1 of the Butte County Code requires this acknowledgement FEB 322 be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included CLERK nK L J within an area zoned for agricultural purposes, and residents of thisS,5— SO 3� FCS property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals,, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: r. The West 1/2 of Section 3 in Township 18 North, Range 5 East, M.D.B. & M. Date: Feb. 20, 1985 PROPERTY OWNERS: 0 NOT COMPARED WITH OPKIIINA) DOCIIMENT r State of Ca. ) - On this the 20 day of Feb. , 19 85 , before ) SS. me, the undersigned Notary Public, personally appeared County of Butte ) • . i. OFFICIAL SEAL ANGELA D. HENDERSHOT ,. NOTARY PUBLIC CALIFORNIA c":"•,�` I PRINCIPAL OFFICE IN BUTTE COUNTY MY COMMISSION EXPIRES SEPT. 7, 1986 �{ HUBERT L. MILLS -------------------------------- Personally known to me. LIXProved to me on the basis of satisfactory evidence. to be the person(s) whose fiame(s) subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A. P. No. Qp�,--jQ 1,. !�►'p�" �� ��..'ut�' ."�. �'�-:`��''�:�i##y>.."�i.��s�.t..�,yS,F,�..,�N+%�r�''.rti'J�r�l�.<:-ir�r•, f£..::�y�Fix;�ilq?;+7'�'G�,.9k�.�+1�:.,�y�'?'���� .�,—z:..- �5 71— COUNTY D1 7COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 95965 - Telephone: 919/538-7541 APPLICATION AND PERMIT PERMIT NO. "27%:Z` ASSESS R PARCEL. NUMBER 028-320-003 Y NIN A 5 ' BUILDING PERMIT OWNER DUTCH RAVINE SPORTSMANS CL;U13 TELEPHONE 589-3317 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 153 SWISS LAND OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 8FLAT ROAD OROVILLE 95966 Permit tee $ 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 WEI''L 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 ❑ Remodel ❑ Utilities [� Installation❑ Other ❑ Describe work: REPLACE MAIN SERVICE _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 0ORLESS 2 2000AAOR LESS 18.50 18• 50 Main service 200A TO 1o00A1 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. . License No. Classification TVI, 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 AODNS. / ( ACC. BLDGS. DWELLING OCCUPM 3.6Q sq.ft. NEW CONSTRMULTI-OUTLET @ 5 00 NON•RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES A. 76 FIXED APPLNS. OR Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g PRE INSP 20.00 Permit Fee $ • Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate eCooling f Consent to Self -Insure. L/J ' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 1 15.00 Heating 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 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 �inncconsequence of -the gra ting of this permit. _X �:-��\12- Date Signature of Applicant �Ow/ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct_ ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 53• SQ HAz I DFEES I IMP I FLOOD I CDF I PARCEL I PD I HD ISS This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indica ed bove�?for which fees have been paid. D��R OF PUBLIC WORKS zC— By .✓ Date PERMIT EXPIRES Date Receipt No. 122508 WHITE-D.P.W.. YELLOW-ASSr.9SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95985 - Tolephone. 918:'539.7541 Z , Z�7 APPLICATION AND PERMIT 4s- -ASSESSOR PARCEL NUMBER 028-320-003 ZONING A 5 BUILDING PERMIT OWNER DUTCH RAVINE SPORTSMANS CLUB TELEPHONE 589-3317 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 153 SWISS LAND OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS SWEDES FLAT ROAD OROVILLE 95966 Permit fee $ 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 Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF ❑ Duplex❑ Mobilehome❑ Other WELL Mobile Home S I G I W @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities A Installation❑ Other ❑ Permit Fee $ Describe work: —REPLACE MAIN SERVICE _ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR 200A OR LESS 18.50 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑I am licensed under p prOVISIOnS of Cha t. 9, Div. 3 of the BUSIneSS and Professions Code and my license Is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- NEW CONST. DWELLING OCCUP.&) 3.64 sq.ft. OR ADDNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS Q SINGLE OUTLET CIR. Ex. OCCU 20 76 p OUTLETS OR FIXTURES FIXED APPLNS. OR Ex. Occup. OUTLETS IRESI D.I EA.) I 3.00 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) Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin 9 PRE. INSP '15.00 20.00 ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ 53.50 — WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate I Consent to Self -Insure. Cooling g �J ' shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject I to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 ?, the gra ting of this permit. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 53.50 HAz 1 0FEES IMP FLOOD I COFPARCEL PD 1) ISS 1 1. Date This permit is hereby issued under the applicable provi- Signature of Applicant — er ctor El Agent 0 An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. sions of the Butte County Code and/or resolutions to do work indi dao or which fees have been paid. D R OF PUBLIC WORKS Receipt No._]229OF3 Zp---� Date By L PERMIT EXPIRES Date � � to — `�,3 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT _..,_ 2- L A N D LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE i OROVILLE. CALIFORNIA 95965 Telephone: (916) 538-7541 r RONALD D. McELROY Deputy Director 7 e 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 ZONING s BUILDING PERMIT OWNER TE tff EPHONE rNsClf,6 -�3 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD ESS - s J _5 6616 CONTRRACTOR;$ry AME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee E$ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Q 78.2 -5we eS A f A Permit fee $ PLUMBING PERMIT Filing Fee 15.00 ! t Each Trap 1 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 Building sewer 15.00 SF ❑ Duplex❑ Mobilehome❑ Other Mobile Home S FIG 7WT @ 15.00 SPECIFY TYPE OF WORKk New F-1Addition emodel Utilities InstallationC Other ❑ Permit Fee $ Describe work: lfe&t�e MAI?y Croh6-e Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS j$,50 O Main service 200ATO1000Ar 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. License No. Classification NEW CONST. ( DWELLING OCCUPM OR AODNS. 1 ACC. BLDGS. / NEW CON5TR ULTI.OUTLET NO N.REBID BRANCH CIRC ITS /POWER APPARATUS &) (POWER OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 3.64sq.ft. @ 5.00 20 76d ❑ I, as the owner, or my employees with wages as their sole compen- FIXED APLNS Ex. Occup. OUTLETS PRESID IREA.) I 3.00 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) Temporary service Mobile Home Facilities Misc. Wiring 15.00 15.00 15.00 O- v ❑ 1 am exempt under Sec. , Business and Professions Code 7 — .Z for this reason Permit Fee $ o — WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 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 9 ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 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. 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. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ r/ HAz I DFEESIMP FLOOD I CDF I PARCEL I PD HD ISSUE X Date This permit is hereby issued under the applicable provi- Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ sions of the Butte County Code and resolutions to do An OSHA permit is required for excavations over 5'0" deep and demolition or construct- Ion of structures over 3 stories in height. work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Receipt No. lZ��i �8 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT By PERMIT EXPIRES Date Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER b4A f14611 0/ S UG P. No.C28:.3Z�_ Proposed Building UseNAIAI C6VU1L6 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. 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 caics, 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 (cons uction a rov I required_ prior to occupancy). 20. Pre et -inspection for"('d fit_ y I �to�G1fi011� required. .. o`B�ildi�gi�speaor (Dale) 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 -1 4k"j-dse. C(Cr, - ..k s-� ........................... ............ 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When ou issue the r i oc ss as follows: M��'lI ��e�- Mail to contractor. Telephon - and hold for pickup at (J office. Deliver with inspector. Other Parcel Creation Acreage Applicant-��-� ate �2 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Departme-nt of Public Works 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 atyouur earliest opportunity to avoid unnecessary delay in processing and issuing jb ur-building. permit . No building permit will be issued until this verification is -received.''. 1. 2. 3 4. 5. I personally plan .to provide the major labor and materials for construction of the proposed property improvement (yes or no).,/ZJL <- I I (have/have not) signed an application for a building permit for the proposed work. I have contracted.with the following person -(firm) to provide.the proposed construction: Name Address City Phone Contractors License No. I plan to provide portions of this work, but I have hired the foilowing person to coordinate, supervise, and provide the major work: Name Address- City Phone : Contractors .License No: 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: wnerSProperty Owner— Social ocial Security Number - --,- 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. PRE -INSPECTION ' OWNER: U���1 �(/<N� DATE . LOCATION: %A.P. # y 28- _346 —oc�13. CONTRACTOR: �W �(/ �o�/ ZONING PRE -INSPECTION FOR: �G(%i�� Gt/Ati�' {�6we,� �G4 �/�, 1-12 Z V DATE TO INSPECTOR 6!�/ ------------------------------------------ ------------,,)------------------ PERMIT HISTORY: NONE AS FOLLOWS: ���/- VV11f-(es 14A)►� lb AF6 TYPE OF OCCUPANCY j�aN� /� �� ���Sc�f✓ FIELD - INFORMATION BUILDING USAGE: TENNANT: 11-1111T [� OCCUPIED Q HAS ELECTRIC Q HAS GAS [� HAS SANITATION FACILITIES Q HEATED -COOLED [j PERSON CONTACTED U ( A-' OTHER COMMENTS: aJ 10— �z I� n , Z -n r 6 yil 4- /V c lv ® /V ACTION ECOMMENDED: ISSUE HOLD FOR OTHER: IA 'Mr 4f r, t FC CL_ a :7T ce.57- SA' 41 in 44 "4 ' oli . .': tk iD qv 'Z' IX .3s -TA. it_ all V -;T v Off" 44-1 - kr Ati 7;;LF-n- 4' ': .47. Ar r.r OD 0 k' Ct oll IQ c :41 lot,; At� iR -b- r IL Ira lz ell Ink. 10" -44 01,