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028-460-007
C HAZARDOUS ELECTRIC8AL 0 7 3/10/98 t SUBS ANDA OUSING 41x0 -067 20OROVILLE J�& PEGGY QUALLS 4h0- 007 20'.5 Map e Lane, Oroville [GI q 6 O-- DO� Permit#32,E(util, MH)� ELEC . 0 - GAS L jj SUPPORT STRUCTU E REQ AID y; OMPACTION TEST RE i J. nylc� 28=17-48 la �3/ ► Permit#327 -88MH 1 < 1 Issued.7-17-4 + il, - 48-0 8 7 " 3232-89P, E(MH) QUALLS, W. & Peggy 205' Maple ne, • Or:oville Contr: MH E1e ric; _. (_rn til_. MH) ELEC: �® �O.v' D -e 41 GAS3- SUPPORT S CTURE REQ, Q COMPACTION TEST REQ. ContR : Mob .e 28-�$ 46D -t707 PErmit#�� Hume Center � 89i�dII Issue 028-1� gig PERMIT#98-0650 TYLER, Kimberly 205 Maple Ln., Oroville Rettig Ele Ser & Reblock MH 028460-007 04-1895 FARRIS, LEONE MAPLE LN, BANGOR ; FI A Cont: UNDERWOOD'S COM± O MH ON PERM FND 0p1 1� 1s C HAZARDOUS ELECTRIC8AL 0 7 3/10/98 t SUBS ANDA OUSING 41x0 -067 20OROVILLE J�& PEGGY QUALLS 4h0- 007 20'.5 Map e Lane, Oroville [GI q 6 O-- DO� Permit#32,E(util, MH)� ELEC . 0 - GAS L jj SUPPORT STRUCTU E REQ AID y; OMPACTION TEST RE i J. nylc� 28=17-48 la �3/ ► Permit#327 -88MH 1 < 1 Issued.7-17-4 + il, - 48-0 8 7 " 3232-89P, E(MH) QUALLS, W. & Peggy 205' Maple ne, • Or:oville Contr: MH E1e ric; _. (_rn til_. MH) ELEC: �® �O.v' D -e 41 GAS3- SUPPORT S CTURE REQ, Q COMPACTION TEST REQ. ContR : Mob .e 28-�$ 46D -t707 PErmit#�� Hume Center � 89i�dII Issue 028-1� gig PERMIT#98-0650 TYLER, Kimberly 205 Maple Ln., Oroville Rettig Ele Ser & Reblock MH 028460-007 04-1895 FARRIS, LEONE MAPLE LN, BANGOR ; FI A Cont: UNDERWOOD'S COM± O MH ON PERM FND 0p1 . 9 a NOTES RESIDENTIAL V -O-1895 PERMIT N0. —0 007 __ 1 FARRIS, LEONE j ' A61kMH��ON LE LN, BANGOR UNDERWOOD'S COMP PERM FND THE HCD FORM 433A FOR THIS MH CANNOT 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. SPECIAL CONDITIONS CHECKED BY t __ SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. ,t SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY k Address f GAS Meter By Dat@ ELECT Meter By Date JOB FINALED (Date) { Signature Zee< BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP041895 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/28/2004 APN• 028-460-007-000 ' the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 205 MAPLE LN BAN Date: Contractor: Map Index: Description: NEW MH PERM FND EX SITE(1152) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: LEONE FARRIS 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 Contractor's State License Law (Chapter 9 commencing with Section 205 MAPLE LN 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: CHRISTINE COCORNELISON pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 205 MAPLE LN provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one OROVILLE, CA 95966 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve foi the. purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. UNDERWOOD'S.COMPLETE MOBILE HOME and who contracts for such projects with a contractor(s) licensed SERVICE pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 448 COLUSA PLACE � WOODLAND, CA 95695 Date: V Owner: (530) 662-5269 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: License #• 815522 ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: , Policy#: Total Square Ft: 1152 S.F. Valuation: $74,880.00 I certify that in the performance of the work for which this permit is Census Code: issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith complywith those provisions. Date: Applicant: i WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and•one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit i y i ed under the applicable provisions of the Birtte County Coda anrUor I hereby affirm that there is 3 construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolu'; ns d c indicat above for which fees have been paid. < �] • fJ -� Name: BY (D'ate: / Address: PERMIT EXPIRES COv . Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. r ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any offiUlform or ddocum Gt of Butte Coun . I hereby authorize representatives of Butte County toe ter upon the above mentioned property for inspection purpos s.Ys orw Print Name: � V' Signature: ;' I;U/� —� Date: ❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor 4 J - OK 0 = NotUK . = NotReadyable, -' MOBILE HOMES Date MOBILE OME UTILITIES (Plans) OK except #'s 1. Hing Requirements -Setbacks -Easements 2. i �Special MH Support Sketch 3. e , ocation-Test-Fall-C/O-Concrete 4. a ocation-Test-Easement Needed (Sketch) 5. iectricit ; Location-Clearances-Grnd-/ /Amp -Concrete ^� 4; 6. 7. 8. ocation-Test-Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG Well Clearance & Disconnect Utility Clearance 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Date 9. Card B-1 Date Card B-1 Date 10. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Ext.; Steps -Doors -Landings 1. Zoning Requirements -Setbacks -Easements Braced Wall Panels 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Card B-1 Date Card B-1 4. Electricity; MH Test -Crossovers -Breakers -Clearances Card B-1 Date Card B-1 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 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 Date 9. Card B-1 Date Card B-1 Date 10. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Light Niche 1. Zoning Requirements -Setbacks -Easements Enclosure; Fencing -Alarms 2. Fooj cx , Size -Spacing -Marriage Line Date ticking Card B-1 Date Card B-1 4. ; MH Test -Demand -Valve Card B-1 Date Card B-1 electricity; MH Test Water; MH Test L-Wa-Ter and Sewer Connected s nd Electricity Tagged xits 19 619@ wa.QacaLs, 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 3 - 9� 7 J'-- 6&Z�e� `7/7 16/1 r 1 0 1 7v7-/7_'? -' MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, 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-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 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 Date FRAMING (Continued) Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. 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 57. Siding -Nailing Veneer Date 58. Card B-1 Date Card B-1 Date 59. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Shear Walls; Nailing -Bolts 24. Fixture & Transformer Clearance -Ins. Protection Brace Interior/Exterior Wall Panels 25. Elec. Receptacles Spacing -Lights & Switches at Doors 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 Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 64. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At 65. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 66. 32. Service -Riser Conductors & Ground Main Disconnect 67. 33. Equip. Clearances Panels-Motors-Mech. Equip. 68. 34. Clothes Closet Light -Shower Light -Spa Light 69. 35. Smoke Detector 70. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. 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 79. Card B-1 Date Card B-1 Date 80. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Guard Rails & Deck Construction -Post Caps 41. Sills Proper Materials & Anchors Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Clearance Looked under Floor ❑ Yes 43. Bearing Walls over Girders & Floor Nailing Following Instld./Drive O Yes ❑ No/Walks O Yes ❑ No/Planters ❑ Yes 0 No 44. Draft Stop in Walls (rat proof) Stucco Brown -Finish 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs A.C. Unit Disconnect, Electrical -Plumbing 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. 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 ❑ No/Walks O Yes ❑ No/Planters ❑ 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netWils PERMIT NO. BP041895 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/28/2004 APN' 028-460-007-000 the Business and Professions Code, and my license is in full force and ' effect. License Class: License Number: Site Address: 205 MAPLE LN BAN Date: Contractor: Map Index: Description: NEW MH PERM FND EX SITE(1152) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that,I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner' LEONE FARRIS 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 Contractor's State License Law (Chapter 9 commencing with Section 205 MAPLE LN 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: CHRISTINE COCORNELISON pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 205 MAPLE LN provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one OROVILLE, CA 95966 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. UNDERWOOD'S COMPLETE MOBILE HOME and who contracts for such projects with a contractor(s) licensed SERVICE pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 448 COLUSA PLACE 1, OL WOODLAND, CA 95695 Date: owner: (530) 662-5269 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 815522 ❑ 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. O I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 1152 S.F. Policy#: Valuation: $74,880.00 I certify that in the performance of the work for which this permit is Census issued. I shall not employ any person in any manner so as to Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith complywith those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is, 1 73 _-7 y / %O� Lf unlawful, and shall subject an employer to criminal penalties and one O 1 `� [ hundred thousand dollars ($100,000), in addition to the cost of compensation, damages s provided for in Section 3706 of the Labor code, interest, and attorney's fees. J�r,�u V �V h.J�'�I ()- 7 } CONSTRUCTION LENDING AGENCY This permit 1 y i ed under the applicable provisions of the Butte County Coda and/or I hereby affirm that there is a construction lending agency for the . _ Resolu ns c indicat above for which fees have been paid. �] performance of the work for which this permit is issued (Sec 3097 Civ.) -� Name: By: jDlate: / v Address: PERMIT EXPIRES Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any offuci I form ordo um t of Butte Coun I hereby authorize representatives of Butte County to ter upon the above mentioned property for inspection purpos Print Name:: S oSignature: ")— v Date: 1a 13 Owner ❑ Contractor Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLIC TION uAA4 n-2�-1 -76�G � OWNER Name ' b ar V)5 Address a1j m City 0 O\(I I YC_, State Zip 59(pLo Phone63D-UD q p (dip Fax E-mail CONTRACTOR Name LL.alOwG12w6oD5 ivL' �-{. (/� Address City State Zip Phone Fax E-mail s Lic. # 155-04 CIC APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT IGNATURE X c&2� For office use only: Zoning JQ,� I Flood Zone SL SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP,o4- / BIN # D scri 7r o e o 0 S .-Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: I •Z}'( ' Amount 54 q .470 Bldg l t-47---- 152 . Q a come Receipt #: Sheriff �-;zj ri' SMIP Date:( Other !o• ZS •O4' %02.'BB Total OCATION e AP# Property Addre / o� Cross Stree &7M71,, WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address D scri 7r o e o 0 S .-Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: I •Z}'( ' Amount 54 q .470 Bldg l t-47---- 152 . Q a come Receipt #: Sheriff �-;zj ri' SMIP Date:( Other !o• ZS •O4' %02.'BB Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for, a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. - ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ ' 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered.Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2.. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. � 2 Engineered truss details and layouts (if required) (NO FABS!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 r' COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES' BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER 1221 5 PROPROSED BUILDING USE JcW M ►-{ r—x S 1-7-E 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ -- Revised Plan Checking Fee.... $ 2. CHOOL DISTRICT FEES 4002,E11 v t' -i -E t'"rt' I G rF (paid at School District Office) (form available after Plan Check) /��)3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ -3� O • _ L91 I 116111 Commercial (sq. ftg.). X $0.03 = $ A.P. # 020.46,0• ap7 DATE d- • _-J S • .04— RECEIPT 4 RECEIPT # DATE REC. 3q.r1g. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ _ # Units Amt. Commercial (Sq.. Ftg.).... X = $ Sq. Fig. Amt. 5.' RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES ^a $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE � M C� (o 689:09$aid at Building Division) `-0to,55q Zg 04- 151• $ 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ • Sq. Ftg. Amt. l0.OTHER S-41 a :* %. 4440 V Q 1 M n&A 1 r012! hI G E 1--0 x;-,, t U A_ At time of permit application, I was advised the ove fees are required toe paid prior to issuance of the permit. These fees maybe changed d g the plan ecickng proce s.� APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 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 -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) `�' = " ,,., �. - 'yz.. •�+ • - » - i` . R - r,�,ct•5�.xM;ni`+r-i... t yi'4,�s.�.#�sf�ty"y,� `.�` ..^•� •T r-: �-• B po41$� 5 - `� Q UNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 P RMIT APP7ASSEPOR ATION DATA SHEET �� O •r �h OWNER: r PARCEL NUMBER 1 ' Prop ed Building Usb!� = t required in order to apply'fo 1. Site plans, 3;or 4 sets, O 2. Complete plans, 3 or'4 ❑ 3. Engineered plans, 3 ory ❑ 4. Engineered truss detail: ❑ 5.. Letter from Engineer or Cad- 6. Energy compliance des 7. Statement of Intent for I 8. Manufactured home 4r j 1110 r/ rft A-Letmter Technician: Date: a7permiV)Ml;bozes MUST be checked OR marked NA in order to apply. t h� ti �;rir lned, by,the preparer of the plans. :tsrsignet;l by the preparer'of the plans. i3q, sets, with wet signature on plans AND 2 sets of stamped and.siglae c cu ti ns. -7'� and layouts in duplicat`ev� No faxes! rchitect for truss design review. `•� 'kand su orting docum in duplicate. e on -Reside tial Bu dings. ) i 1 ata sh a 'd installa • n inst rriage line info;+(C) dor PIS wn or fnd plans all i ,�° -- duplicate.. �L.i Metal bldgs: (A) Metal Bldg lens, B Fn d plans and calcs In triplicate, (C) Elevaipliloor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate r+y) 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings - , ❑ 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico Z/Oroville, as applicable. 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt ofthefollowing items.) �J /1..........,Utura) Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... ^rP ❑ 20. Erosion Control Plan Required........................................................................ •;r 21. Fees as shown on the attached Schedule of Fees Due Sheet ....................... . ,.� ••-�^�-�'""""�"` """"" • .❑ 22. City/of Chico Plumbing permit ...................................... ............................... , 23. California Department of Forestry plan approval aaid. Sent by: 4 24: Planning approval (A) Use:(B)Parking: (C) Parcel Check:_ _(- ❑ 25. Contact Land Develo ment about _ Im rovements, _ Draina e + 1 t-_ P� P 9 ......................... ' 26. NPDES Form'........:...................................................P............................. ❑l 27. Encroachment Per t for d i wa om u I' Wo s e t .......................... 28. Pre Inspection for required....... ❑ 29. Contractor's license information. (Nu ber, Name Style, Classification) ................... 30. Worker's Compensation Carrier and Policy Number .....................................:.... 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... p/v 32: Letter of Signature authorization ........................ .............. :............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits.......................................................... ❑ 36. 0eed Restrictio.......................... ❑ t Deed nTitle/Statement of Facts, tter from Legal Owne , heck to H.C.D. $ ❑ 3. Cher: ❑ 39. Other:. When issued Telephone and hold foricku r+ l< been infor ed of thea ve items and a uirements for taining a building perm Applicant: 1. Index permit application for the abo a items numbered: 2. Additional items required x C trac , designer, owner, was advised of,the above data by phone, ❑ mail, ❑ counl designer, ownw, was advised of the a v ata by lone, ❑ mail, 4;(c66nl 4 a ans reviewed by: Date: ' Plans approved by: Structural reviewed by:' -Date: Structural approved by: Note transfer by: Dale: :Yellow: Building Division Date: Plan Check Letter It -it/ l� nate• / • O / .4. Date : f! • / U 7 Date: 0 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance n E.H. USE ONLY Biot Plea Atbehad _=_ 1 Plaoa Plea Attadfad 3oert to B.D. / Owner Location o - o 0 7 Plan Approved for: Sewage Disposal ./AP# Water Supply: Public Private Well Clearance for ✓ dwelling. Other C19 C/ Hold final for: Final clearance O.K. for: NOTE: Environmental Health 11 5t " i 9 Date i • TR R o5 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District 09-07)Qif)V r LL 1— 4 G W Building Department No. P 4,4" 1,9416 A.P. Number- �^'� (o0. 6 C.ipurisdiction: City County Property Owner k 12 a I S Property Location/Address HAPLe L-1-4 Subdivision Lot No. i� Residential Development No of Living Mobile Home Units Installation Commercial/Industrial Q Q New Addition .......................... _.................................. :........... ........................... Sq. Footage ((5 '�— Addition/ 'Supplemental to (Group R) Conversion 'Permit # *(No foundation inspection) '• .................................................................... ...................._...� Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) D'istrict'Identification No. l) F50 l ®2 4 Or n V, /WyA ) PA School District certifies that LY% -4L, (Street (City) has complied with the requirements of Resolution No. representing J� square feet. _ c V. r\ /1 District Represen�6ti e Paid by Check X � Remarks: CA Farr') 5 Sq. Footage (Including Exterior Roofed Areas) �,•2a oq- Date (Applicant) (Phone Number) q5--1 6 /P (State) j (Zip Code) /f —�/ J I )s . �! D by payment of $ pS50 D' / U f 2926 = LL MRIGATION $ -712912!t Date NoBee: You may protest the Imposition of the fans IdsntlfNd above by submitting a written protestto the District, In compliance with Govemmant Code Section 66020(a), within 90 days from the date fess are paid. Failure to submit a timely written protest will'prohlb@ you from chal"Ing the Imposition of the fens In any court aetlon. K, subsequent to the School District Rnpresnntatlw signing this Butte County Schools Impact Fee Certiflatlon Form, the School District Is nodflsd by the appllcabN Local Planning Agency that this Fleet Is being rsvlew*d under the Callfomla Environmental Quality Act (CEM). this pro)eet may be subod to additional school fees to fully ~a. Its Impact on the school dlstActle schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/03)dmm SITE PLAN REVIEW APPLICATION Date:zL2_ AP# a2-s-qgc)-007 Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: , 3 y Owners Name: f Owners Address: Telephone No.: ` �-?r`� =• � � Situs Address: 2v5 wit /�LL/L Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition obile Home MLCCAI_P"� esidential Accessory Penmane cond Dwelling. H e ( 'tMi Temporary Mravelrailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel 1 4: Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief Explanation (if necessary): &t6Vi M Pia✓ ._ DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Sit Plan Stamp d Approved By Date ZIOD Page 1 of 5 'fCf£S ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: 0h U07 G I o2,5 JD_Index Date: coli - 20 - 2ex� ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: AA — 1, Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Sideto r Side Street Rear CU i Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 f` Applicable'Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other -------------------------------------- Subdivision Map Special Fees Amount Formula ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ®� G�9L ,p �" ct c,t0E-AitO ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements --------------------------------------------------------- -------------------------------------------------------------------- Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. Page 4of5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarryAlhilding Permit Site Plan Reviewl.doc Page 5 of 5 . EPPRTMEVT �! 0 o o c o a 0 0 �oUNI AVeL,C WO��9 Department Public Works • .�����a�� �_1 ump, utrecror LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Construction Storm Water Permit and Storm Water Pollution Plan (SWPPP) Acknowledgement rLESS THAN 9 ACREI Project Description: Phase 11 Prevention Project Location and/or Parcel Number:�n r] C) —4 Leo � / By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 •¢•rR 'i+"?':'>tgx'.'. •►!""b�'.•`!1•'+°"`J ;r�*- dal -r airs'`•" ::z. - _ - '+• ' - .� •i • - "i. - �' ,-�-T- �: = Jam__ - • - •- �+_ t -= �Ie_°�= 19_ i I _ ov_r¢ca_wl— DK � ®61111 AW � ��fi11fJ� 7: i. . ' • 54 fi 1►� ��"X1FL MAY 2 1 2004 © © _�_ — ar1ulY - �J 7 Couniy Center u Drive i —�_ —1-I �=n==.jOr®vibe f�� 1 9 APPROVED tte Coun viro n�entel ealth Date Z 1ZLA, 9 4-1 19 r7RI9 LOAM - I zoo 1 s-� 1 4ib" I I e`Gfe n 2 Z3 i`t E;+ N kbr' t� 3 117 14! A I V_ 4 1 19 4' n'tFl O r-eaEPAL AfftffA R 17 JIT -341I d_� ZAP 11l)USINE QltiS: rsion CM 7 119 1 IT --v1 1 L�13115 19• = I 1 JUN 25 1986 (1? 914- 19'4' Ii;�I ci _ WINDOW/DOOR SCHEDULE 'ocscmpl,Cm I-A2vFlflI Nn( 92E I D�olt<N iGKIViM' '.. C� r„IF .. . LEGEND: ® ..... nsrw,eurlwa r..na FL-_n90OD -4LoogLAJJP, -17 '• SiiT 1 { 14•If(�'stsr�cr oll ?trs Sv.a,.mDlmaemcD I -n --Ys a ,FLOOR PLAN' V. 5L1P=L' 1. (0l ^J 1 ? • Y7G' EU,L1K 1— t — 0- •' s Swlrw • - •. ,o lv OF 1 - zJ'. 9a-r�.o• { sa•suw_e 1�. ? f 1 1 - '- ..-'=%'x'19=d BOX -St�� � • allMr iR!rn� •� lIR SI7.lf Z 40aY P• 1 { {.T IZD1 1 1 1 nn.rwm EOI.J ._ °--' %•rap i16UDP2 IIU9l5.te1 1 1 1 1 m stwmace`.'.,. 0 Pa. LL ,.. �•aEp017 541,ItJL?L1Joc7p-' F1Ev °L •Y�' i N.=+ IDF 11 .1 7.9 I 1 1 t3 S..DlleDerarrol ID -IF 1,7_4 ' ZI(s••-a•Y �• I I.D. 5+�atY lad./J1i. 51 1 -' ❑ cv...Dwr.vrl 1 '(] DDDw eE1t.*aumouupl .ac�nEruw .n CM -Lc SULE a.r-1.w I• _ - 1 � . ._-..- �.. _- - y -.. __ - -`-_--::):,^._�" -- :5.:_A'_•=� �..r-`..'L4�.r: � ..-cr _t ��r.4)..+i - _ _ - _ -+ -i ".3 •.=' � ---- _�`�: NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ' LEONE FARRIS REAL PROPERTY OWNER/LESSOR 969S7 TH ST. 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS KERMAN FRESNO CA 95630 RECORDING REQUESTED A 2004-0056659 205 MAPLE LN. Recorded I REC FEE 10.00 BUILD G PERMIT N4 TELEPHONE NUMBER Official I CONFORM 1.00 CITY COUNTY STATE yyRecords CountOf DENISE BARNETT UNIT OWNER (if also property owner, write "SAME") I 15 WALNUT LN. CANDACE J. GRUBBS I - , Recorder I AND WHEN RECORDED MAIL TO: ROSEMARY DICKSON Assistant I I Myles 03:06PM 14 -Sep -2004 I Page 1 of 2 BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ' LEONE FARRIS REAL PROPERTY OWNER/LESSOR 969S7 TH ST. 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS KERMAN FRESNO CA 95630 CITY COUNTY STATE ZIP 205 MAPLE LN. 04-1 95 530 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILD G PERMIT N4 TELEPHONE NUMBER BANGOR BUTTE CA. 95914 CITY COUNTY STATE ZIP DENISE BARNETT UNIT OWNER (if also property owner, write "SAME") 15 WALNUT LN. MAILING ADDRESS - , BEALE AFB BUTTE CA. _ 95903 CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE 3482A MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY ' . COUNTY STATE -ZIP 04-1 95 530 538-7541 BUILD G PERMIT N4 TELEPHONE NUMBER SteK.4T'IREOF'OCAL7,GE',tCYOFFICIA'LDATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FLEETWOOD HOMES 1987 3482A MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER. CAFLSW2A/BH101707727 48'X 24' RAD371310/1 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPER'T'Y LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 028-460-007 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. I S ., Order No. 408161 EXHIBIT "ONE." Parcel l: The North one half of the Northeast quarter of the Northwest quarter of Section 2, Township 18 North, Range 5 East, M. 0. S. & M. Parcel ll: A right of way for road and public utility purposes over a strip of land 60 feet in width lying Northerly and Westerly of the following described line: Commencing at the Northwest corner of the Northwest quarter of said Section 2; thence South 00 45' 51 " East, along the East line of said Northwest quarter of the Northwest quarter of Section 2, a distance of 339.79 feet to the true point of beginning of the herein described line; thence from said true point of beginning, East, a distance cf 150.00 feet; thence North 25 ° East, a distance of 310 feet; thence North, a distance of 95. feet, more .or less, to the North line of said Section 2; thence Easterly along the. North line of Section 2, a distance of 520 feet; thence North 400 East,a distance of 770 feet, more or less, to a point on the West line of the Southwest one quarter of Section 35, Township 19 North, Range 5 East, M. 0. B. & M.: thence North 1 ° 3' 49" West, along the West line of said Southwest one quarter of the Southeast one quarter of Section 35, a distance of 720.0 feet to the Northwest corner of said Southwdst one quarter of the Southeast one quarter of Section 35; thence South 891 59' 55" East, along the North line of said Southwest one quarter of the Southeast one quarter of Section 35, a distance of 500 feet; thence North 6311 East, a distance of 520 feet, more or less to the centerline of Wurleton-Swedes Flat Road and the end of the herein . described line. Assessor's Parcel No: 028-460-007 OA j 28-17-48 ) QUALLS, T.W. & Peggy 205 Maple Lane, Oroville Contr: MH Electric PEI (util, MH) 9/Q PERMIT-EXPIREs- O ASSESSOR, PARCEL LOCATION r r ,4 Temp, Power Pole Called PG&E r 1� Temp. Elec. Service - Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature _ MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS . — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 -PERMIT NO. Address or location of mobilehotme �� lam` l �1 p a b� A t- , Owner's name Owner's address U S /Vl —: v1 c� Insignia or hud number f�"�_ a�� �•, Q , KManufacturer's name K -A \ 1'Y� Serial number of V.J.N. Year of manufacture (Official Installation) (Date) i IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION r ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. 4..,.+.�.+.-_.-.`•ti•�.�„-�i-iy'1.y..r.,-IwJF..!N•..-�"."^�s`t--rM�lr'Yr�.-�+5-r+�iG.r'...�v+� �-�.� _., ','.�.°..�.'��--.�..v1rR-. 1tr COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ` 7 County Center Drive, Oroville — Phone: 538-7541 ' 747 Elliott Road, Paradise— Phone: 872-6307 , CORRECTION NOTICE 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. Inspector V1AM Date — .k COUNTY OF BUTTE x' DEPARTMENT OF PUBLIC WORKS �. 196 Memorial Way, Chico — Phone: 891-2751 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 r rr CORRECTION NOTICE 15 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. b' r Inspector. Date_ - =' OK .. 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES 1 MISCELLANEOUS - Date MOjRfE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Z22irig Requirements -Setbacks -Easements: 1. Zoning Requirements -Setbacks -Easements L211oils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel IV-13�:Xy 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails r; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing EI tricity; Location -Clearances -Gr .- mp-Concrete Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ P'L"ft./ P'LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Dat Card -131 Date 10. Roof; Shthg-Roofing Card -B1 Dateand-B1 Date 11. Ext.; Steps -Doors -Landings Date 2MOKLEHOME IN TALLATION (Plans) OK except #'s 4oning Requirements -Setbacks -Easements Card -131 Date Card -131 Date F otings; Size -Spacing -Marriage Line ( Card -131 Date Card -131 Date oas; MH Test -Demand -Valve -Connector ctricity; MH Test -Crossover -Brea Clearances Date POOLS (Plans) OK except #'s in; MH Test -Fall -Flex Connecto 1 1. Setbacks -Easements ` ter; MH Test -Regulator -Connector j 2. Soils; Compaction -Structure Stability ater and Sewer Connected -C/O to Grade -HD Approval 1 3. Pool Structure; Steel -Connections -Thickness - Men -Lining 8. s and Electricity TaggedDead �xili; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed ' 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -B1 Date /g. and -B1 Date 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panel boards -Ins. to Main in Conduit Card -81 Date)4Card-B1 Date 9. Health Department Approval - 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B1 Date Card -131 Date Card -131 Date 3iI-,C -7� = UK 0 = NotOK RESIDENTIAL (Single and Duplex) - - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 113. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -B1 Date Card -81 Date Date . PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R,V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic 13 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl,-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/0 to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Comments at Final: (NOTE- An entry must be made each time you visit iob site) - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, talifnC 95955 - Telephone: 916/538-7541 APPLICATION AND PERMIT 3P9M1T N ASSESSOR PARCEL NUMBER a _ N ZONI BUILDING PERMIT owN /�� S TELEPHONE SQ. FT. OCC. BUILDINrVJAI UATION OWNE 'S MAI LI G A RESS Gats— %� ZO R CONTRACT R'S NA Q r TELEPHO CONTR CTOR'S AILING ADDRESS W Fireplace CONSrTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING DDREPermit YVIZ 1000— fee $ PLUMBING PERMIT Filing Fee 10.00 _ Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF S UCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00e TYPE OF WORK New ❑ Addition Remode�l�,N❑,, UtilitiesInstallation Other E] Describe work: e"c t�� 1 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BDOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW er penalty of perjury (check one): I dec;�`lamlicensed under provisions of Chapt. 9, Div. 3 of the Business and Professio Code and _ license is in full force a , of ect. l — License No.FIXED Classification ❑ I, as the owner, or my employees with wages as their sol compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d OR ADDNS. ( ACC. BLDGS. , /z¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 5AL20 SOS eAL030 EX. Occup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under pen .lty of perjury (check one): ❑ Th rmit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation. permit Fee $ LfS��/ 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 h authorize representatives of the County of Butte to enter upon the abo menti ned property for inspection purposes. I also agree to save, ind nify a keep harmless the County of Butte against all IiabiII gm cos , and expenses which may in any way accrue again said unt I ons uence of the granting of this permit. X� 1� �. Date Signature of Applicant — Owner Contractoy2 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. 1.0 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE A TOTAL FEE $ HAZ cuA PARK FL PAR PD HD I This permit is hereby issued under sions of the Butte County. Code and/or work indicated abov f r which fees I EC F PUBLIC BY PERMIT EXPIRES Date the applicable pr resolutions to do have been paid. WORKS 7 Date / 9 Receipt No. C f`� U , m) WHITE-D.P.W.. TELLOW-ASSESSOR. PINI( -INSPECT . GOLDENROD -APPLICANT Lo COUNTY OF BUTTE - DEPARTMENI,,qFVyRt�BLIC''�ORKS - BUILDING DIVISION Q., 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATAIHEET Permit No. -7- OWNER 0 A_ A. P. No. Proposed Building Use Bui -I.d i ng Inspector is Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: All items . have 'been submitted . .................................... DATE RECEIVED APPROVED 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ..................... 4 .................. _,12. Park fees paid ................................... .......... 7"�' 13. 0 12 School District fees paid. %=W17 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use:—(B) Parking: . ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-inspec. request to Building Inspector (Date) —21. Contractor's license information (No., Name Style, Classification) . . . 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................. 26. 27. =When o issue the permit, process as follows: — Mail to owner. —Mail to contractor. elephone—,533-"02 and hold for pickup at nr Q office. —Deliver w/inspector) Other / 7 Applicant Copy of plans sent — Health Dept., —Fire Dept., — OTFe—r—Date - �7 The following data must be submitted prior to permit issuanc m 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---jnai I —counter by—.date Contractor, designer, owner, was advised of above required data by—phone —mai I —counter by— date Plans checked by Date Plans approved by—_6�C&— Date ZO J- -Sets of plans on hold in File cabinet _AP folder Copy—DPW U COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 0, 7 County Center Drive - Oroville, Laliftjrni& 95995 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASS ESSQ{24i R NUM F� ZONINy, BUILDING PERMIT OWNER/p)L�v[^J TELEPHONE S0. FT. OCC, BUILDING VA O OWNE 'S MAI LeG ADDRiEsq U (/•�� CO TRAq TOR'S E ELEPHONE 589- s33 CONTRACTOR'S MAILING AD RESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ^^ a O� W Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeD, Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer#Pdt:)5.00 Mobile Home 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation[] Other ❑ Describework: _ %S00 VIMA-s. /tSLQ..cw.[itJYv.o vf, TVLAVLX ! S-A'kV, (&yy%_r (IV_13 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1°G0V OR LE o AMP ORSLESS 10.00 /0-00 Main service EA. ADD'L too AMP 2.50 19 IS 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 1, as the owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) (S ElI, ors. 7044)owner, am exclusively contracting with licensed contract- ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.� OR ADDNS. ACC. BLDGS. , /z ¢sq ft NEW CONSTR. RANCHUTLET NO ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. EX. OCcup�OUTLETS OR FIXTURES 20030¢ eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate ,of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agre to save, indemnify and keep harmless the County of Butte against all liabili es, judgme expenses which may in any way accrue against id ounty i conseq enc of the granting of this r it. 17 X Date Signa re of Applicant — Own Contractor ❑ Agent An 0 HA permit is ryu' ed for excava ions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz CUA PARK SCHL � FLD PA PD HD Issu This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PE IT EXPIRES Date—L the applicable provi- resolutions to do have been paid. WORKS Date / —✓�— ! 0 Receipt No—1126 96 Q 2, S6 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK-INSPEC OR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT, ,.0,FjaQUj3LIC WORKS - BUILDING DIVISION DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... -M12. jo YO School District fees paid ................. 13. Sanitation approval from O V u Health Department ... 14. City of Chico plumbing permit .......... .............. . 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required .... Pre-Inspec. request to Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. s � When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 513-2098 and hold for pickup at lr _office. Deliver w/inspector. Other> Applicant ti►lr �'Y1���1 �M 'l� 9 /1� Date tL,, Copy of plans sent Health Dept., Fire Dept., Other- v Date The following data must be submitted prior to permit issuance: (Circ) n 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---naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by `�' Date Sets of plans on hold in File cabinet AP folder i. Copy—DPW TO Buildinv Department rr FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Locati n AP#. Plan Approved for: Sewage Disposal __ C Bold final for: Final clearance O.R. ford: 3 Clearance for b Broom mobile home. Other NOTE * * * Sanitarian Water Supply. Water Supply Water Supply L 7 County Center Drive - Uroviife, California 05U65 - Telepnone: 916. _3b-754; APPLICATION AND PERMIT ASSESS71INI� RCI UM C 4 z�":'"`Iij _ r BUILDING PERMIT OWNER U' �RC53,3 'S TELEPHONE 3 ,7calk SQ. FT. OCC. BUILDING VALUATION OWNE MAIL,r�y�G ADDR S .�i , b X CONTRACTOR'S t ZJELEPHONE CONTRACTOR'S MAILING AO RESS , � /► � J 3,k n �� Q� Fireplace CONSTRUCTION LENDER UNKNOWN rt Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS a O CLQ !1'1 Permit fee s �' PLUMBING PERMIT Filing Fee 10.00 Jru ' Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomel, Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewerAN Mobile Home "V1110.00eal 5.00 TYPE OF WORK Nlt.Q _� New❑ Addition[]Remodel[]Utilities g InstallationC Other[] Lig Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 1 Main service 500V OR LESS-. 100 AMP OR LESS 10.00 ry I U • cc) Main service EA. AOD'L 100 AMP 2.50 19.5-0 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- ` sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ❑ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.5i\ OR AODNS. ACC. BLDGS. /z¢sgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES e20 A 030 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 IL Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agre to save, indemnify and keep harmless the County of Butte against all liabilities., judgme ar expenses which may in any way accrue against jid ounty i conseq encs of the granting of this it. C. X n Date Signa re of Applicant —f Own I Contractor ❑ Agent An 0 HA permit is required For excavations over 5'0'• deep and demolition or construct- ion oFIstructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz CLIA PARK scHL FAD PAR Po HD ssuE This permit is nereby issued unser sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. LIS, S/0 Z. J d- WHITE-D.P.W.. YELLOW -ASSESSOR, PINK-INSPEC OR. GOLDENROD -APPLICANT AP# OWNER (A) PERMIT 4_3 — MH UT IL. CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other. Load Type Pipe Size Length YESI NO YES NO S// / �� . °� � :`� — � �'- � .� �., � . t .moi _ ...:J-' u, .., •J �_ • ; , , j ¢�4ials W mhvp %cm Be In nizec, Good Practicf3s Ctr$d Accord(mice with ROcog �j . , 10- fjc, speefie8 use in the of a qualily prescrrue- 1 —e, h'C'j, Uriiforrn B.1i'aing, Plum3ing- & M . .01 caa" OW i.� National A sped on fl�e in!,, rit all times end it is untavdUl +C Glfc-rations on Sam WWWUI -Yriften permissi©n from the Departme.0 Of FAdAk Word, ID A setback of 01 -ft. from thi ------------roerty lines and a setback 50ft. from the road - FOR MOBILES r hall be clea of terline s structures or equipment excePI dor a 2 ft. overhang- 0-40"A IQ- C1tCO& fro CO rgot A1915 ID 0"' ^v SM IJ 1 ' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. In'staller's Nar 3. Is the site currently under permit? (If yes, furnish permit number Yes E No 71 Is the site an existing site? Yes (If yes, furnish two plot plans.) _) OR No 4. Will the, mobilehome be located at least 5 ft. away from septic. ank and leach fields and clear of all setbacks and easements? Yes No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- /or, Amps 6. What is the mobilehome site service rating? ------------- o' co Amps 7. What is the.mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes F No (If yes, identify the load and size: (Load) _(Amps) 9. What is the mobilehome site gas pipe size? -------------- 10. What is the type of gas service? ------------------- Natural a LPG 11. What is'the gas pipe length from meter or tank to the % mobilehome?---------------------------------------------�Z/o (ft.) * 12. What is the mobilehome gas demand? ----------------------,: BTU) :1 *(This information not required if pipe length less than natural gas or less than 50 ft. on LPG.)'00 P MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. // furnish Setup Model No. Width- (ft.) Box Length 5-J (ft.) Tagalong or Expando Size Year �1p "'e--ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade.2. Other (specify) SUPPORTS (check one)F/1. Concrete ,block' 2. Other (specify) Pier Footing Sizes and Locations.`. SINGLE -WIDE MULTI -WIDE Main Beams Li«e 2 _ _ — _— — — Main Beams — Tag or Triple Line 1 Piers: Size -Min. ------------ 'k Spacing -Max. - s. -r From Ends -Max. ------- Line 2 Piers: Size -Min .----------- Spacing-Max.---------in From Ends -Max.------- Line 3 Roof Loads: Size -Min.----------- - ,x „ „x „ „x „ ,x H Location (From Front) _ Line 4 Piers: Size -Min .--------- Spacing -Max.--------- From Ends -Max.------- , Line 5 Roof Loads: Size -Min.------------ Location4(Prom Front) {gine 1 Openings: Size -Min. ------------------ „x Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min------------------- „x u Spacing -Max---------------- From Ends -Max .------------- Size -Min ------------------- „x n Spacing -Max.--------------- From Ends -Max -------------- '- .9 P o ` BUTTE, COUNTY SCHOOLS -DEVELOPMENT FEE CERTIFICATION FORM i .(One Form per Building) . A. P. Number a.01 O Building Department No. School District O VO Cit County, y y3F Jurisdiction Property Owner sk rtQ Q n. 'j` ( - P 4�A---" o u lu (� Project Location/Address o� 1!hl rJ � e JnV t R M Subdivision Lot Number ` Residential Development: O Sq. Footage # of Living MHI (Addition (Group R) Units Commercial/Industrial: a q• g S Footage , New Addition (Including Exterior Roofed Areas) ( )aaA,_0_U.A &kky'_' r, , t, - R ri Building Department Representative Date ******************************************************************* (Floor Plans reviewed•by School District Personnel) District Id No. �_qv e4 '1e School District certifies that ri,, Ups, 0'. Id Y "0' ew-114 (Applicant Namme)V (Phone Number) + (Stree't Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. AL9'7-/Q_ Q_ by the payment of $�representing 4/9 square feet. School D st-tict Representative Date - PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: .. ►.P A 11. -e ot�-Y U white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) r • :99 �,(MH) PERMIT NO. PERMIT EXPIRES OWNER J.WA P GGY QUALLS CONTR. owner ASSESSOR PARCEL 28-17-48 LOCATION 205 Maple Lane, Orov`ille P Temp. Power F Called PGS J Temp. Elec. Se Called PGS Temp. Gas Ser Called PG JOB FINALED Signature = OK 0 = Not OK • = Not Readyable MOBILE HOMES Date MOWLE HOME UTILITIES (Plans) OK except #'s V. Zoning Requirements -Setbacks -Easements Soils; Special MH.Support-Sketch wer, Location -Test -Fall -C/O -Concrete WTVAlar, Location -Test -Easement Needed (Sketcf�j' Electricity; Location-Clearances-Grnd a,D Ar ;p -Concrete la �2 6 as; Location -Test -Wrap: / /"L"ft. I / /"Nat. or "L"ft./ ✓/"LPG . Utility Clearance Card -B1 Date / Z/ rd -B1 Date Card -B1 Date /Z and -B1 Date Date BI EHOME INSTALLATION* (Plans) OK except #'s L , oning Requirements -Setbacks -Easements' ootings; Size-Spacin-Marria a Line Gas; MH Test -De d -V a -Con roetTor lec 'city; MH Test -Crossovers -Breakers -Clearances _ t ra[n; MH Test -Fall -Flex Connector ,r; MH Test -Regulator -Connector .r and Sewer Connected -C/O to Grade -HD Approval and Electricitv Taaaed Exits; Insp.-Sketch Cert. of Occupanc Card -B1 Date rd -B1 Date Card -B1 Date/—/:Z_and-B1 Date 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- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date =OK 0 = NotOK RESIDENTIAL (Single and Duplex) - = Noj Applicable Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. De; 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material -Sup prt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -131 Date Card -81 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -81 Date Card -131 Date Card -131 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -81 Date Card -81 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73, A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 911. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -81 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 r PERMIT N0. Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNE lR �� PERMIT N0. 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. Inspector Date Ic� —/:D —9k . COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 ' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 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. as Inspector Date /a — / off. — ZC F .COUNTY OF BUTTE ; DF P8%TMENT OF PUBLIC WORKS • �f' . T 196Win6 ial Way, Chico — Phone: 891-2751 7 County CAter Drive, Orovi Ile — Phone: 538-7541 `± 74T1'11 iota Road, Paradise — Phone: 872-6 07 r CORRECTION NOTICE 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. 22 �ffi f� ..�. n _ P \J Inspector Date 1 T a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. r) ASSESSOR PARCEL NUMBE�Rf Q %ONING BUILDING PERM q I T OWf\� I,. e cL 90 v E W ELE HONE L Q �/ Z 557 SQ. FT. OCC. BUILDING VALUATION O NER'S MAILING A 0 136y 1,3Z raAir4u,, 3 CONTRACTOR'S NAME TELEPHONE wie r CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ 0"0 Energy Plan Checking Fee n ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 5,0-0 PLUMBING PERMIT Filing Fee 10.00 rna "e Each Trap 2,00 0,,0 V t/�•� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome�ther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S W 0.00 ea ,0-0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesInstallation❑ Other ❑ Describe work: Permit Fee $41-b 0-10 Contractor ELECTRICAL PERMIT Filing Fee 10.00 � ce 00V OR LESS Main service 100 AMP OR LESS 1 � 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): F -1I 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 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a OR ADDNS. ACC. BLDGS. ,/s¢SQft NEW CONSTR MULTI—OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS d (SINGLE OUTLET CIR. i Ex, Occup(OUTLETS OR FIXTURES 20e30t eAL030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S0 -a Misc. Wiring 9 15.00 Permit Fee $ .S a WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Penult Fee $ Contractor. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agr a to save, indemnify and keep harmless the County of Butte against all liabi 'ties, judgm t expenses which may in any way accrue again siaid ounty i conse enc of the granting of this permit. Date Signor re of Applicant — Own ❑ Contractor ❑ Agent An OSHA permit is requir for excavations over 5'0" deep and demolition or construct- Iof structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE 9 a oceuP. coN ST.TrPc JSCII00LJFU300J0ARCE;LJ PD [7rSSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC � BY `� PERM EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. _ a �O o l 2 WHIT E-O.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT i�.,,�,,;_"` • '`iY ,. � , « ;:x., .n-:�sr'�-.r^'...i'?1�tg-f`'�1+:'��"'�,`;t#i.-i�_`+Y'•��'�"r�i',.y:�r.�''i<.rwy\%''-�L.:�r.:., .,«� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION - --�" j 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 / �t!5 V PERMIT APPILICATION DATA SHEET Permit No. v OWNER V eA ,A../�P. No. Proposed Building Use Building Inspector /�-'� Date 10-5^ S� At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. -- -98. Fees of $ 9. Letter of signature authorization.. . . . . . . Sanitation approval from �l'D U I.�''e- Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _ Q. Owner -Builder Verification (Given to owner0, Mail to owner �� // — 7� _15. Improvements may be required. . . . . . . . , . , , F 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to .a' (Date) 17. Pre -Inspection for Required. Building Inspector _ . Recorded copy of Agricultural Acknowledgment Statement. , //- ?' - w- R_6-,_ Ski l9. Driveway Permit. L f 20. Plot plan approval from city of Engineered trusses in duplicate (required prior to plan ch �2 ` LL When you issue the pert , process as fol lows: Mai I to owner, Mai I to contractor. , Telephone and hold for pickup at—off ice, Deliver w/inspector. Other tv � Jam e � �f-- aoo��/e � rov%!I Applicant �� i QA ate I J a Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior tabermit ' su nc : (Ct'rclp new item not checked above). 1. Index permit for above items No. 2. Additional items required: !! J Contractor, designer, owner, was advised of above required data by—phone i _counter by date Contractor, designer, owner, was advised of above required data by_phone_mall_!counter by date Plans checked by Date Plans approved by A� S Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 ' OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1 1. I personally plan to provide the major labor and materia s for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit I for the proposed wo k. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I.will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Ov, Property.Owner. a,ra� Social Securit NumWr Date la 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. We -/>- �t V I L 'fitu"r 88-038080 ; Rec Fee 7.00 to land or. included within an area zoned i,o`DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT �G Recorded ; FOR RESIDENTIAL -DEVELOPMENT Official Records Section 20-8.1 of. the Bu,Lte County. Code ' ; requires Lhi.s acknowledgement be recorded' but not lim:i.Led to herbicides, pesticides, prior. to .issuance of a building permit. Recorder The property described herein is adjacent 88-038080 ; Rec Fee 7.00 to land or. included within an area zoned Cash 7.00 foragr:i.cultural purposes, and residents Recorded ; of this property may be subject to incon- Official Records ; veniences or discomfort arising • from the County of ; use of agricultural chemicals, .including, Butte ���� ����ca� but not lim:i.Led to herbicides, pesticides, Candace J. Grubbs ; and ferL:i.l.i zers; and from the pursuit Recorder ; of a gr.icultural operations including,12:54 pm 8 -Nov -88 ; BG 2 but noL limited to cultivation, plowing, - spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, -and' odor. Butte County has esLabl.ished igriruI Lural zones which have as a priority use for productive agr:icu.l.Lural. purposes, ajid residc•nl:; wi.Lhin sai-d zones and ori adjacent property should be prepared to, accept stick i n� onvc u i r n, r or d:i.sconform from normal, necessary farm operations. All that. real property situate in the County of Butte, fol. lows : State of: Cal. forni�r, described' „s � •. _.. _ Date: November 3, 1988 PRO •RTY OWNERS: 4eg y.j u s , SLate of California) On this the 3rd day of November , 19 88 before m(•, ) SS.' the undersigned Notary Public, personally appeared County of Fresno ) PeI.:Qua11s--------------------------------------------- --------------------------------- OFFICIAL SEAL ® Personally known to me'. 0 Proved to me on the b.is i s LIZBEiH l BLACK satisfactory evidence. m NOTARY PUOLIC • CALIFORNIA to be the personW whose name FRESNO COUNTY MY comm. expires sGr'0, 1991 subscribed to the within instrument and acknowledged Lhot _ she executed the same for the purposes therein contained. LN WITNI?tiff WHEREOF, I hereunto set my -hand and off.i.c:i.a.l. seal. Present A.P. zbeth L.�ky �Pul)l�i(: e . . For value received GRANTs...... to PETER JMIES GARRIDO, a single man J. W.: QUALI,S and PEGGY I. •QUALLS, h-LdUat7d and wife as JOINT TENANTS all that real property situate in the County of Butte 40 PAID CF,r •,o� St of G F.l.f r "'='�r; Or , State of California, described as follows: The North one half of the North one half of the Northeast quarter of the Northwest quarter'of Section 2, Township 18 North, Range 5 East, M.D.B.& M. TOGETHER WITH and reserving'therefrom a right of way for road and public utility purposes over a strip of land 60 feet in.width, lying Northerly and Westerly of the following described line: COMMENCING at the Northeast corner of the Northwest quarter of the North- west quarter of said Section 2; thence Sou'th•00 45' 51" East, along the Cast line of said Northwest quarter.of the Northwest quarter of Section 21 a.distance of 339.79 feet to the true point of beg36ning of the herein described lino; thence from said true point of beginning, East, a distance of 150.00 feet; thence North 250 East, a distance of 310 feet; thence North, a distance of 95 feet, more or less, to the North line of said Section 2; thence Easterly along the North line of Section 2, a distance of 520 feet; thence North 400.'East, a distance of 770 feet, more or less, to a point on the West line of.the Southwest one quarter of th6 Southeast one quarter of Section 35, Township 19 North, Range 5 East, M.D.B.& M.; thence North 10 3' 49" West, along the West line of said Southwest one quarter'of the South- east one quarter of Section 35, a distance oe'720.00 feet to"the Northwest corner of said southwest one quarter of tNe Southeast one quarter of Section 35; thence South 89 59' 55" East, along the North line of said Southwest one quarter of the 9OUtheast one quarter of Section 35, a distance of 500 feet; thence North 63 East a distance of,520 feet, more or less, to the centerline of Hurleton-Swedes Flat Road -and the end of the herein described line. +.AP No. 028-17-0-048-0 Dated ..........hlovennbex..28..................... 19.84.... Pe Le /'aiies Garrido STATE OF CALIFORNIA I?IXON.............. ceunry or ..........SOLEINO November 30, 1984 "" �^ --. before me, the undersigned, a Notary Public in — ----- --- - - _— and for said County)Ll��tState 11 J p�S nGAgfa8red ,r Do OFFICIAL SEAL —jj--- — 11—M- - 1C.1_._ --- — Y� personally known to JEANINE R. DAVIS me, U proved to me o- the basis of setisfector eyldence, to be the person. o� NOTARY PUEILIC • CALIFORNIA PRINCIPAL OFI-IGE IN whose name -„ 15...... s bscribed to the within �nftrument, and acknowledged - SOLANO COUNTY tq me }het. _.. he. axe uteri the some. My Commission Expires Odd,!), ^). 1!?RCi — - - -- ; �►�..-•s.r�v-�.-o-�"..-.•w- a -d• -C ,( , / - � 1 . ... ... .. .. ... .1:' ........ ..I .. � �.. ... Notory Public Northwestern Title Company of Butte C:ou FNU CjF DO ::,�, AP # OWNER Vis `/ 's - PERMIT PERMIT % — 9 d MH UT IL. CLEARANCE DATE INSPECTOR G ELECTRIC GAS Support Struc. Compaction Test Re . vice :e OtherPipe Load Type Size YES NO YES NO , MA L -?9 3/� -Len'jzth d 1p COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS T 7 County Center Drive - Oroville, California 95965 - Telephone: 916/536-754 V� APPLICATION AND -PERMIT / O ASSESSOR PARCEL NUMBER /7— ZONING BUILDING PERMIT O NER ,e d K' % TELEPHONE 63 -1112 SQ. FT. OCC. BUILDING VALUATION OWt�LQER'S MAILING -�ODRE�S D%OVII /) l CONTRACTOR'S NA4E 6 WN2 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee ,$' 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ O.►O Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ &---o PLUMBING PERMIT FilingFee 10.00 Each Trap 2,00 Oro .L Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomee�Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work:d? T 1011Y S6 / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 /vow `9 't' Main service 100 AMP ORSLESS 10.00 Main service EA. ADO'L too AMP 2.50 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 as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.0 OR ADONS. ACC. BLDGS. , ftq ft NEW CONSTR MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu o p UTLETS OR FIXTURES 20e500 eALO 30 FIXED APLNS. Ex. Occup. OUTLETS P(RESID.)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 againstoCCUP. all Iia as, jud m , costs, and expenses which may in any way accrue ag i /saililin in consequence of the granting of t permit. X- r Date Sign tore of Applican Owner❑ Contractor ❑ Agenr� An SHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 0,0--v CONST.TYPe SCHOOL FLOOD PARCEL PD No s u This permit is hereby issued under sions of the Butte County Code and/or work indicated a ova f r which 1 PUBLI By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. -WORKS Date Receipt No. • A411? 1 ` WHITE-D.P.W., YELLOW-ASSE330111. PINK-INSPC CTOR. GOLDENROD -APPLICANT -r'M^' � ... � .. � a.yr 'testi. � t• N��W►T �i+�' , �-! 1 4�" tv 9 �r ,,;..r,..",.� .r.�,r .(I 'ti•+r- P� ,.ff.; aiyi�d ^t.�' • +n... Y , +.q. , , 4 :•4tiq .J 'i ' 'iI'i. � r'rM .��".. 7 V41. . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING�DIVISION II / I , � 7 COUNTY CENTER DRIVE -, OROVILL,E, CALOjORNIA 36965 - TELEPHONE: 916/538-754` PERMIT APPLICATION DATA SHEET ' • Permit No. OWNER -_\6MeS E�iAt c�L,, -e T:- A. P. No. 29^ 1-7- Y� Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items. have been submitted. . , . . . . , . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. - School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , 9. Letter of signature authorization. . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12, Certificate of Workmen's Compensation Insurance. . . . . . f 13. Contractor's License Information (no., name style, classif.) 1'4, Owner -Builder Verification (Given to owner0, Mail to owner 15. Improvements may be required. Mobi lehome Installation Data. 17. Pre -Inspection for Required. e-Inspec. requst t eF ��, Date) PrBuilding Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19, Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses'in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other_)VAiZ z o J,9M,-5 + A-,, , Oro V,( k1 Applicant ;-r Date v I Y ' Copy of plans sent Health Dept., Fire Dept., Other Date The following -data must be submitted prior to permit issuance: (Circle new item not checked above), 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owne'r;,was advised of above required data by_phone---jnail—counter by date Contractor, designer, owner, was advised of above required data by—phone _maII_counter y date Plans checked by Date Plans approved by-.- Date 2 7 0 t, Sets of plans on hold in File cabinet AP folder L , Copy—DPW COUNTY OF BUTTE - Departatdnt df Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and mate ials for construction of the proposed property improvement (yes or no) 2. -I (have/have not) JILsigned an application for a building permit for the proposed w k. M I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I.will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner 4M M. Social Security uMm�bper ►^ 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. 41 riN — -� -cr?-ell-taraaes-an:d If unlcAwIt:�l f* ) � �h ges or alterations on sam® moi# X44 • ii�#Fom-the�ep�rfinat a PTTM I yj . -•-�—g-s-ire w • and' ctc of ft. from • � _ ,,-��r-#ha---�-�'"ba . act Qa tt rty lines en a �, Pro rn the road ` �eah+�- ,�nlerline shall be clew e dpjdures ,eZ3nq. 4- • 500 SQ. IMUM . -(N Uxil.i - connections shall be v�rithln 4 ft. of a mobilehome, either dtrectlq-b h -Ind- . r_wathin the Fear half ofthe adside (left) of the ) � 1� � flx� � 1�r �J iit•� ��i�LF�{�IfuYl a °.�hN.{z l� d'.� � ' 'fig. '� i r J ' k `a4 ni r> - f 1 1 l 13 fl(•! N• r.it _ ,},• y) ic ' t r a r Lr ••ry .. - �. Yi! ♦ : �Y •'; r r ) - �� .. �y1 '^fir {fy�• '��S 008 �,�YltrVla f�Er�,p'I;t. r., I,� ;�:y� it --- t \1. « ) �ii 4 ' so's � ` 1 sa•�e. �1 r t t � ��. rpt$? C ja 1 t t 4 J r tit 1 � sE MOBILERGME SUPPORT DATA If bt'her-than single 'wide, Q. Mobilehome Mfr. t'l , i�s Year' f�inj Setup Model No. (ft.) Box Length(ft.) t.. X --ft. 7 Tagalong or Expando Size t Width On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood-pressur,e treated or foundation grade. 7 2. other (specify).. SUPPORTS (check one) 1. , Condrete block.2. other (specify) I Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams 2 TAne L Lin. Main Beams Line Line I i;,l ee Tag or Triple Line 1 Piers:Line I Openings: Size -Min. ------------ Size -Min.------------------ Spacing -Max. r Each Side of Openings With Width Over --------- From Ends-MaX'-,--7Z--- Line 2 Piers: Size -Min -------------xe SSpacing-Max."---------- — From Ends -Max.------- _ , Line nds-Max-------- Line 3 Roof Le -ads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------------ 'k Spacing-Max ize-Min------------------- Spacing-Max ---------------- From Ends -Max -------------- .1 Line 4 Piers: Size -Min.------------ , „ .Spacing-Max ize-Min------------- .Spacing-Max---------- Fiom Enda-Max.------- line 5 Roof Loads, Size -Min. ------------ "x "x " location ize-Min------------- location (From Front) e 5 Piers: (Under Bearing Walls Only Size -Min. ------------------ "x Spacing-Max ize-Min------------------- Spacing-Max--------------;_ From Ends -Max.------------- - " ,<N nds-Max-------------- ,<N �, r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: - 2. Installer's Name: ()0_4^f= JQ-4^f= 3. Is the site currently under permit? Yes W No /Et.T (If yes, furnish permit number � % T ) OR Is the site an existing site? Yes F] No /K (If yes, furnish two plot plans.) ` 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach 1 fields and clear of_all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- 10CD Amps 6. What is the mobilehome site service rating? -------------- ( Amps 7. What is the mobilehome site circuit breaker rating? -"--- Amps 8. Is there any other electric load to be served by the I mobilehome site service? -------------------------------- Yes No u (If yes, identify the load and size:(Load) (Amps). - 9. What is the mobilehome site gas pipe size? ---------- 7 'T (in.) 10. What is the type of gas service ------------------- N a LPG 1XI 11. What is the gas pipe length from meter or tank to the ' mobilehome?------------------------------------------ -- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft.,on LPG.) 0 y ht ..Y. s 3: 9sio—W for Sr i'a1 �:�r"'s► r^F ; • 1 �� ry t�i� Zit r' �:,A ►.:5. �� �a�P.• �t� LLJL Ek .: i:' ,� ,,, TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 210 owner location AP # ` Driveway permit A6e noeAel si ature has. been issued for the above property. ��/ /40 -5--,99 5-- ,99 date TO Building Department FROM: Environmental'Health SUBJECT: Sanitation Clearance Tj I -e r— CL 0) e Owner ljocation AP# Plan Approved for: Sewage Disposal _ Water Supply od/ Hold final for: Water Supply Final clearance O.R. for: Clearance for _� bedroo mobile home. Other NOTE * * * .Water Supply Sanitarian �, T Date TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 0- D lj�� Owner Location AP# Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Final clearance O.K. for: Clearance for _ bedroom mobil home. Other Water Supply Water Supply NOTE *** r.' Sanitarian ate 028-170-048PERMIT#98-0650• TYLER, Kimberly�l 205 Maple Ln.,FOroville Retag Ele Ser leblock MH `44h l f , s• OFFICE COPY, Address GAS Meter By ELECTRI Dat Meter By � f '• Te. � Da e . I rf f , s• OFFICE COPY, Address GAS Meter By ELECTRI Dat Meter By � f '• Te. � Da e . I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT or/ �%_ _ — ASSESSOR PARCEL NUMBER 028-017-048 - ZONING BUIL61NG PERMIT OWNER TYLER, KIPMERLY TELEPHONE SQ. FT. OCC. BUILDING VALUATION Soo OWNER'S MAILING ADDRESS 6850 IRWIN AMUS, OROVILLE 95966 CONTRACTOR'S NAME OWNER TE 5P34-5114 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ 5 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 15 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 705 "t LE I ANE, OROVILIE Energy Plan Checking Fee $ $ PERMIT FEE $ 5J.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling 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: SERVICE RETAG MID REBLOCKS I*1 Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service %.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, and my license is in full force and effect.P License Class LIc. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, ill do the work, and the structure is not intended or offered for sale. ❑ 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 Main Service TO 46.00so WEE200A CCU000A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 6 ACC. BLDS. 3.50 FT, NEW CONST. MULTI.OUTLET NON-RESID. I @7.50 OWER APPARATUs d SINGLE OUTLET CI R. 20 @ 100 Ex. OCCU OUTLET OR FOCTURES B . Ex. Occup. ourLEET°S pEs,D,LISIS °Esw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation 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 ose_provisions. I �_ r 1 A_ _qb� X ,l 7 OA a I Date Sinature of Applicant - Owner , t;bntractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction res over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 98.00 HAZ. I D. FEES IMP I FLOOD I COF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutionsid to do work indicated above for which fees have been aid. s -/ BYE- '1��,�.�.h Date PERMIT EXPIRES OND.S.•B.D. Date tReceipto. '' 1;� " ~CANARY•ASSESSOR PINK -INSPECTOR GOLDENROD COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 ` - 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE PERMIT NO A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact thisoffice immediately. . REV 10/92 . J 1. ?�P: O D � , .c- D � j� yi h �' �a • p � � c � .r ti-.. ,x � n rte.. •�/.. ljqe �^ y; 1�4�F.'fc f rid. .,., t,t• .. 4 �� `:. ,_�a s.i �5(t; µd _ y� '� — ' _ — '•� �t �� L .L � `a j sad .Ya -. __:...4�� 4. MM OIW N. .: N`, 'ate any 409.' li 409.' � �; �a; r: ;i: 'E . �[ 4 iv , 7 ISI.3e� '...�..Ak �rti ,� '--'L i ' Iia b J! 9NS SSO Ar- fr. z ,�t J '� i : _ � y i ��'!"�.Q C- 1 Ffi,E:�,� tern �,u� ['fj � �� t(Ag�'Yi�"vj.� •.. v -_ r: ~. -. `` .� - =- / 7� � I i V%s 1 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIV;ION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1 ERMIT No. (Rev.12/96) APPLICATION ASID PERMIT ASSESSOR PARCEL NUMBER 028-017-048 , ZONING BUILDING PERMIT OWNER TYLER, KIMBERLY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6850 IRWIN AVENUE, OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE ' 534-5114 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 205 MAPLE LANE, OROVILLEgy Ener Plan Checking Fee $ g PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heatpump 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: SERVICE RETAG AND REBLOCKS 1,U1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo.A OR LESS 23.00 23 00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.Pow License Class Llc. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, ill do the work, and the structure is not intended or offered for sale. ❑ 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 Main Service TO 46.00So CCU000A WEE200A NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. SO 3.5Q�' rNio RES DTCONS AULTI.OUTl IRCUI g7.50 ER APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 2110 1.00 sr,L @ .50 Ex. Occup. oinLEEDrs ESIU.OE RA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation 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 orkers' comp ens atio provisions of section 3700 of the Labor Code, I shall forthwith complwi o isions. Date Si nature4ofpp nt - Owner ontractor ❑An OSHA permiuire for excava Ions over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 98.00 HAZ. 0. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. te PERMIT EXPIRES ON I Date Receipt No. C2 A,4 el WHITE-D.D.S.-B.D. ANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 propertyim rovement : YES &- NO 0 2. I HAVE HAVE NOT 0 signed an application for a building permit for the proposed W6& 3. I have contracted with the following person (firm) to provide the proposed construction:..._:: r - NAME, _ .. ADDRESS: 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: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to prpvide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PRO SOCIAL SECURITY DATE: `"I - 1 `-f -" NOTE: -Thu Owner -Builder Verification is required by Section 19 3I-aWZQ832-o7Me_ California Health and Safety Code. This verification must be -completed wtd returned to our office before we are permitted to issue the permit. i OWNER BUILDER INFORMATION I Dear Property Owner: 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 parry 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 5300 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 ne signed by property owners u 'not required to be they are performing their own work personally. Information about licensed contrac9rs 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. NOTE. rrely, 611-1 Mic el C. Vi ira, C.B.O. M ger, Building Inspection This Owner-Burlder.Information is required by Section 198.0 of the California Health and Safety Code - OVER March 10, 1998 Bill Evans Pacific Gas and Electric 2226 Veatch Street Oroville, CA 95965 Re: Hazar_dous_Electrical Conditions 205 Maple , OrovilleD AP # 028-170-048 Dear Mr, Evans, BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965.3397 TELEPHONE: (916) 538-7541 FAX: (916) 533-2140 This department received a complaint alleging health and safety hazards at the above noted living unit. On March 5, 1998 an inspection was conducted. The owner (James Tyler) and tenants are not currently occupying the structure. The home, and/or other structures at the site have numerous electrical hazards including but not limited to open conductors and conductor splices, unprotected conductors, and lack of proper grounding and bonding: As the Building Official for Butte County, I am requesting that electric service not be reconnected until an authorization from this Division is granted to do so. This letter shall also serve as notice to the property owner and tenants that electric service will be disconnected on Tuesday, March 10,1998 Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira at the number above. cerely, Mi hael C. ieira Manager, Building Inspection AZARDOUS ELECTRICAL"748 /10/98 2 SUBS ANDA 8-1-7 p_p7�g OUSING Oho , 00 7 '05 OROVILLE � 28- J.W:--& PEGGY QUALLS 4(00--007 205 Maple Lane, Oroville Permit#3271-F,S'P,E(util, MH)'' EL GAS SUPPORT STRUCTU E RE :� (' COMPACTION PEST RE.Q ozdl J �ylcr , •= r 28-17-48 r='X Xj3 Permit#3272=88MH , Issued j — 17-qq �-'"I `\28 8 7 3232-89P,E(MH) QUALLS;--T.W. & Peggy 205 Maple"Lane, Oroville Contr: MH Electric (util, MH) GAS ��� y'✓ ,t t ,G' SUPPORT STRUCTURE REQ • tip, • %' � ;���--�' COMPACTION TEST REQ i ContR: Mob. ie Hn 28- 460-1007 PErmit#331"5-89i�IHIme Center Issued PERMIT#98-0650 TYLER, Kimberly 205 Maple Ln., Oroville Retag Ele Ser & Reblock MH 7 028-460-007 04-1895 FARRIS, LEONE n MAPLE LN, BANGOR Cont: UNDERWOOD'S COMP • MH ON PERM FND w s 6 11 y � •1 y ,ll •04/30/2004 15:05 5306340873 1 RS DOL PAGE 02 � � 1mG�.� � Y1C Q•r✓� , c Cin kl- -70 U : March 16, 1998 J.W. & Peggy Qualls James Tyler and Kimberly Tyler 6850 Irwin Avenue Oroville, CA 95966 utte co, LAND OF NATURAL WEALTH AND BEAUTY DIRECTOR'S OFFICE DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 RE: Substandard Housing 205 Maple, Oroville, CA -AP4028-170-048 Dear Mr. & Mrs. Qualls and Mr. Tyler and Ms. Tyler: This department has received a complaint alleging health and/or safety hazards at the above -referenced property. Butte County Assessor's records indicate that you own or control the property. On March 5, 1998•, an inspection was made regarding the complaint and the following conditions were observed which are in violation of the California Health and Safety Code, Section 17920.3 (a) 5,11; (b) 1; (d); (g) 1,2; which pose health and safety hazards to the occupants and render the dwelling substandard. This letter is your thirty (30) day warning letter to correct or abate the following violations: 1. No running water to mobilehome 2. Roof leaks. 3. Mobilehome is slipping off of support blocks. 4. Exposed electrical wiring. 5. Deteriorated and crumbling ceiling panels. It is the County's goal to obtain voluntary compliance with the California Health and Safety Code. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement. A re -inspection will be made to determine compliance. If voluntary compliance with this notice is not accomplished by correction of the above -referenced violations, enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. 4 a1 J.W. & Peggy Qualls James Tyler and Kimberly Tyler March 16, 1998 Page 2 Upon conviction and per Section 41-7 of the Butte County Code, violators may be fined and a Notice of Violation may be recorded which include a description of the ,action necessary to correct the violation. To comply with the California Health and Safety Code, Section 17920.3 (a) 5,11; (b) 1; (d); (g) 1;2; you must obtain all required permits for repairs from the Butte County Department of Development Services, Building Division, 7 County Center Drive, Oroville, California. You have thirty (30) days to voluntary comply with the above -referenced directions. Should you have any questions concerning this matter, please contact me at 538-7601 Monday through Thursday, 8:00 a.m. to 4:00 p.m. Sincerely, Scot Johnson Code Enforcement Officer SJ:jb cc: Lorrie Watson, 453 Apple Lane, Paradise, CA State of California, Department of Housing, Attn: Ken Shyrock Department of Development Services, Building Division Code Enforcement Building Permit Number: Owner Name: Rr-ri 5 Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. ` 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. I ti Page 2of 2 Building Permit Number: Owner Name: F6, r 6 S Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Me� ��_ �`'-` Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of & feet from the side and '?'D feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. I j 7l 0 0 N4 i cr mr� sed, COUN e WILDING DEPARTME4t,. PR0V. 7 1. Owner s Name: 2. Assessor's Parcel Number:_) 3. Installer's Name: R( M.H.I.-. 70�d'.,, . ew-w,'� 4. Is the site currently under permit? Yes[ ] No[ J 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? )� o® Amperes: 7. What is the mobilehome site circuit breaker rating? 'X00 Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[ . No[ ] If it is, what is the rating? 9.p ® Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[4 No[ J If yes, please identify the load and size: a) The mobile home site: rr Load- G. t l/ Amperes- b) The main service: `{ `Load- Amperes - 4 1' 11. Type of gas service at mobilehome site: Natural[ ] PropaneNone[ J 12. Size of gas pipe at the mobilehome site from the meter or tank:. - inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? '2 5 (ft.). 14. What is the mobilehome gas demand? A) _ 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). R THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION l!'R���T EDITION WITH OOF UMC AND UPC' May 1995 8.5' Mobilehome Manufacturer:L�� Manufacture Year: F7 If other that single wide, futup Model Number: _ 3 Width: (ft.) Length: ' (ft.) Tagalong or Expando Size On all mobilehomes manufactured after October- 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation gradeDQ Other: SUPPORTS: Concrete block[ Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location MUTI-WIDE Line 1 Line 2 ................................................................................................ Line2 ........................................ Main Bea............................................ Line 1 ..... . . ............ ................. Main Beam ............................................................................................. ............................................... ---Line 5 Tag or Triple e4 ' el Line 1 Piers: Size minimum: r 1 x Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: [ -t :] x Spacing maximum: ` (p ` From ends -maximum. ` (o ` Line 3 Roof Loads: Size minimum Location (from front): ,., Line 5 Roof Loads: Size minimum: wig Location (from front): May 1995 Line 1 Line 2 Ane 2 Line 3 Line 2 Line 2 Line 1 Line 1 Openings Size minimum: x PCI. Each side of openings with width over: I ` 0 Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum ` 8.4 A I A Q. V7— r TRIO LO—ADS 17 F-EMAL -?rjrAC-.URC-. IiDUSINe C()::S,.RLCT,qn r—) SAMY STAr:r—ve Ile, 1 IT 4' JUN -251986 4- if- WlNb0%V/D00R SCHEDULE LEG.ND. c. :?ccs FLEETWOOD FLOOR PLAN* SHT ) OF Ic 0 tJ -sr. aiai 0 x -1 H5, oil. r, I 1 zr Y7&- REV rIM—E=TM %ALEst."I ry..w Ot Cod SA E?A- V51 40, *-rotzzz—� 1.7 I -1J1 t I I CD —1AUSTAC0--I 12017 v -,E ;—;A tL sum MT =OR 0 C.Ra.Ll SCIA. .-7 7" :7 'ABLE yYPERIMETEWPIERING REQUIREMENTS MATING LINE PIERING TABLE 416 71ERS'REaUIRED DOORSIDEVALL" ;,.:JAMEIjSTU DS,, INITIAL POST,' 6ST INTERIOR. 2ND INTERIOR 3RD INTERIOR 4TH INTERIOR 5TH INTERIOR .'REAR WALL;; POST,::' OVEW24"' :.. RIDGE BEAM )1-1 DO 'WID E PIERING WORKSHEET UBLE AT FRONT- POST POST #__0 7Q� PSF ROOF LOAD PLANT__L POST MODEL: - ®r, SEE PERIMETER PIERING I. CESSED',S/WALL-'WHEN REQUIREMENTS TABLE POSTS"' EXCEED; 42 SEE N01#E- I J, CAPACITY- IN LBS'..:. '.." 4 0— IN FLOOR" .4"i SEE MATING LINE PIERING TABLE j S-129 "'1186 FOOTING SIZE Ste 0- FRONT OF SES PERIMETER PIERING REQUIREMENTS TABLE UNIT MANUAL FOR REQUIREMENTS OF MAIN RAIL SUF`P oR -r.' NOTE:SEE PIERING' PLAN DRAWING IN INSTALLATION CAPACITY AND FOOTING SIZE. 'ABLE yYPERIMETEWPIERING REQUIREMENTS MATING LINE PIERING TABLE 416 71ERS'REaUIRED DOORSIDEVALL" ;,.:JAMEIjSTU DS,, INITIAL POST,' 6ST INTERIOR. 2ND INTERIOR 3RD INTERIOR 4TH INTERIOR 5TH INTERIOR .'REAR WALL;; POST,::' OVEW24"' :.. RIDGE BEAM POST LOCATIONS AT FRONT- POST POST POST POST ,,iPOST' ®r, PIER LOAD . I. CESSED',S/WALL-'WHEN POSTS"' EXCEED; 42 I J, CAPACITY- IN LBS'..:. '.." 4 xr IN FLOOR" MINIMUM" S-129 "'1186 FOOTING SIZE Ste LB .4' '1000PSF Soil bearing value* If Soil conditions differ see ihe plering plan drawing';;; basad on'i, N -Footing sizes r%A ant iol fnr ;�Pthnci of 'ABLE yYPERIMETEWPIERING REQUIREMENTS ROADSIDE WALL* 416 71ERS'REaUIRED DOORSIDEVALL" ;,.:JAMEIjSTU DS,, !V .:.DOOR,OPENINGS'r'. Oil OVEW24"' :.. MASORY' FACED V FIREPLACES: IN -f "."a 'r'OVERHANG -OF FLOOR :fPOR CH-'FOSTSA'j`RE- '.'0^ CESSED',S/WALL-'WHEN POSTS"' EXCEED; 42 HEAVY-"APPLIAN(;ES`,'-:- 'OVERHANG.;'.-", xr IN FLOOR" t01 DIMENSIONS. ARE -FROM! FRONT- OF UNIT. S-129 "'1186 'ABLE ROADSIDE WALL* 416 r -A Oil V 2'a 2's 3/16--\L:t;jS/8' CAO PIAWD DOLT. Mur a WASHER STEEL A/MxE COUNTER OWED MUSH WITH 80710M AT r ex. (8) raqu CEO 1j4- STAIM BASE . ,-- AYESC0 ASS PAD /SOS DETAIL "A" CHASSIS I RULE 1/4' GRIPPER RATE - �r (2) KQUIKI 1/4' 6Drt'PER BASE T%1-13UNC-A307 x 4' Bou WTH NIRS (4) REQUIRED 01 I/2' SCH 40 PPE RISER VAN. 01/Y ACUUSnR HOLES AMC 31C THt= TOP PLATE 02' 431 40 PIPE STAND NIIH TWO 01/2' AD°RUS-ER HOBS ABISCC ABS PAD /303 — Sf=EI FRAME SEE DETAIL "A" COACH •c' FRAIE 2• CHANIIIEL� F 1/4' (WPM 1/•":t-1/4'- PLATE KK SIS (2) REOULln 1 /4� GIUPPER 1(2' EGU DOLT-� / / (2) REOUMIW J/ 3/8'3 6'Y 6• STEEL PLATE 1/Y W7 BOLT (2) RSOUN" ATTACNMENt W'UAX 10.0 TC DOTTOM ' OF PAO 01/2'x 3" C.R. LOCK PIN NTH fT/e' MIDGE II FM lava tvN 09/16 SOLE (TTP) � _�E TOP VIEW G3 coAc34 '.r FRAW TEK STS (4) REQUIRED 1/4' GRIPPER BASO 112' A30 DOLT ;4) REQLMED .E_ BEAM ATTACI�EyNT -0 L Elk HOLE (e) PLACES I I STEEL FRAME TOP MIEN '? ST l son mmm1 wr o�Isf.owaao■vRRdo �. ,�. �.wIIrIItrII�IIr FOUNDATION SYSIL som - _ All 1900" 18(WARDMeANY H s S861 FIAMM - PERKM ROAD t * SACRAMIID CA "In L' r PM: 800) 382-8831 WAYNE T. POLVADO, PE- LISTING NO. F94?.49 SWET t oR 3 FAX: �R R 6) 383-5207 GrERAL NQ %VS GUARD ?UP -1 1. yQA LIVE LOAD - 30 UL FLOOR LIVE LOAD - 4O PSF wm LOAD - 00 W41 El WAME -C' SEISMIC Z01M: '4' * SNOW LOAD 100 PSF (SEE NOTE 019) i A 71015 5 FUMMLF1fEL TIM S� MD >D15 REWAM TO P-1 CO D Oil 3. CHASSIS BEAM SUPP0MS SWL E IACATED ARO SHED IN THE LOADS AS SwAm IN THE 'MODE IME iM5TOATM N8Mw 06'. 4. IN AREAS WHEZE DIFKKNTLAL SET7lEi1EMT (11.S.) CAM OCIOUR. MA1111iAICTURED NOME SIMAL DE NEADJOSIED WMN 05 r-CCEOS 1/4. OR WHEN IT wuL ADVEIISE1.Y AFFECT MOBILE HOME UNif- S_ CARRY ALL FOOTINGS OM TO FIRM, INDISTW30 SOI.. FOOTHN04 ARE OBIGNED FOR i ,R00 PW TOTAL LOAD SOI. PRESSURE. AMD SHAML BE COMPAIWE iMill9 LOCAL SOIL COMDITI0115. COWACIED SAND MAY SE LOUD Te FIL LOCAL VMS 111110ER PADS. 6, STR TURAL STEEL• FAIIOCATED ACCORM TO AMC 99=AT10N. VELD ACiOORDM 10 An SPECRG110115. OECTMES-370 FUOES-ASTM A36 BOLiS-$AE CR xAYM A449= ATIU ATM 7- TME -WE QM ASSEIMM 21011M 011 FMS PARE SiFAIL K LISTED AND LAM IN 9ML ANO ASSMIES FOR TK 10MOM LOAD'- AI.IAEAw AADS HORIZAM TIL VERTICAL GUS CIIARC TUF-1 - 2700/ 60000 GUS GUARD MGP PAD 2200/ GIDS GUARC E-2 TIE PAD 22000 60000 9. OUR= MffLUMANY MOMU NM 51 E�.AMS�AI � ANNON O ESTIMATOR SE TIOTIEMStIRE m11t 4_ E7O5109 COACHES MAY K KNOFITTED TO RESIST SFISIK fORCES W1 / SM"MQi QZ 6AfAl19 lW-1 VMS AS 3fONN ON ells FADE OF TVC& FOIYRIANOM PLANS. 10. INE GUS GWAD 1UF-1 SYSWN5 ARE SATE FM NSTALLAT10N IN it(= PUN ATLAS mm DEPTU Of iL000NG Dan MOT FXCEIM TIE ww f . OF TIm FEET. 11 _ MULTIPLE UNiT INSTALLATION IS ACCE?TABIf PROVIDED THE NUMBER OF TUF-1 UNITS UNDER EACH UNiT 15 i 1. "llilt-�E-um5rfanw" k- WAMNI 13. All. WK CaHiOUR All Ai IONI s nW 9KL 0E H9RMEC1IE D!m 1t. MINE" CIIMCvM SM IS N EIMAWL PAD IS Moi XCIMN AMa10R STAND 110 COMIM E SLAB UTI1 TUF-1 PE mm (4) 1/Y: 3 1/z" owas10N Malals• FOUNDATI 15. GUS GOARD TW -1 FO'JMUTMW SYSTEM PROVIDES HLOWALE SM LOAD m 160 Psi OU [LTfALLED ABFS4(>►1iU8 [i WITH EXSTNIC STANDARO6 REOVIREO BY COACH Sol PYARD( - MAMUFACTURER OR REPLACE THM ON A ONE TO ONE OASIS.pl! p} 3a'10 16. E OM AF NSTILLM0 iOl9 NIVI ALTEWWE T'0 MDS. AF 6edN10 lElEl 1AllY SINGLE WW COACHES OOH/MULTN'LE COACHES Ex Y MAI_ / Ir MAX— E- 2* s M. t 1' MAX. - Si' MIN. / I a M o. S= 6 UK / 22 MAX. VAIES IIY-7W (SEF TABLE OM SHEET V) S -S =-i — 0 LJ rF40GE 9EAN SUPPORT AS FREQUI a8Y`� iACTU1IE 1 ❑ E I El El El •' NOY. LZ�APSW2 MDM. ANY'PAIQ MAY 8E ROTATED !9 DERWWS Off STANDARD AL PIERS AS RECOMMEWDED BY PVC SERIES OIMET TO OTHER SID£ TO AVC4D CLEANAMCE FFAMLEMS. THE MIAMUFACTURER� LIT�RYP) E16114 R TYPICA STATE APOROVAL MIAT(OlAR,'lI1RHN7i0'Af®l10� RIS w»110As1aa sY�uM[ >RBALTA AM>P LLAT=1'C � iiRli ARiIOYl� 0111Mim 70 couxCn0a11IM0� Arrico�►wti no�a1l[0-AaiusCll�N'� iiwtsiiaa�issQiiolpiri 0/ NrrdC1H1i1ii WAYNE T_ POLVADO. PE—LISTING NO. F94249 SHEET 2 o1 3 314" M. x 18' LAG. 1/1r•K 3 I/2` 1/2'b e' LOM (4) RFouLRED EXPA14SIOM ANCHOR ANCHOR eats 3/8' CAD PLATED BOLT, NUT A wA9*8 RE'O (4) ULIIEO" (4) RmIR=D COUNTER BORED FLU91 MryTH BOTTOM r_ AT r O.C. (i) REatmm . - 'L- _ CCNCRETE PAC INSTALLATON POURED IN PLACE 15x16x12 CONCRETE FOUNDATION NSTAUATM CHASSIS ER41IE 1/4- OWPEA FkATEE (2) CEOIIMil7 -� 1/4- GWPER %%% ---� 1/2-13UNC-A307 x BOLT 11811 NWS • (4) REQUIRED .I 1p- w" 40 PIPE RISER WITH s1/2 AOJUSIER HOU3 A11t 3/6- THM TOP PLATE 02' SCH 40 PIPE STAID WON TWO /1/4' AOJ MER HOLS d ANMD ARS SAD fS03 STUL FRAME - , 36' MAX TO BOTTOM OF 'AD 01 /2-x I' C.R. j LOU PIq MATH � s1/e' sloocE ! FN LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION 111RlS RIIRCIi *KEEN 1� r- up TO s a M -1 L, r 12 1s - M -t b 2M 4 O' -I' ti O NtRillillar ur-I rsmnm KUM= OF 7Uf-1 MMUM !!Q>t': SWU ON uNRIS REOM (a) E-2 7W PAD9. WS OINIp M-1 :mss AM .10 RE PL4CO AT APPSI MiMMY OWK WMVALS ALAMM EASY 1 l 115 RAL E - Z, TIE PAD fA (916) 363-5 WAYNE T. ff. WA PE—LISTING NO. F94249 SHEET 3 01 3 A2 STATE APPROVAL 7TJF MIA"a I F uQAIMINIs1fsm ANa sam ccmnc=w um ARBOlfW ouww T'0 007muff mo ulYm A!'RQ�f /AL 0010 nIff AD1BCR1m GRA!lRdM "M r- —vwmgQc x0-" r awmdtaw %pm ff. WA PE—LISTING NO. F94249 SHEET 3 01 3 A2 ASESCO GUS GUARD SEE CHART lWF-1 PIERS AN EZTE YELLOW 93W - i3 3W SHOW 1Z ttt is I S 46 vr - 2c VT -ALL-- g W—VC - 3W A "J" CfL4NML )TIES "I" BFuW ONT OOS39ty "C" !/1- HOLES CDF FIRE SAFE REQUIREMENTS 028-060-007 BP -04-1896 Fams AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail -ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Drivewav Standards [X] 1273.02 Surface. All driveway surfaces and structures 1273.07 (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] 2. the length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.11 Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. 1 CDF FIRE SAFE REQUIREMENTS 028-060-007 BP -04-1895 Fams AP# PERMIT # NAME Fuel Modification 1276.01 Setback for Structure Defensible Space Pq 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements below. [X] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements [ ] If Building Setback is 15 to 30 Feet: Class A or B roof Enclosed Eaves [ ] If Building Setback is Less Than 15 Feet — Class A or B roof with enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on side toward property line with insufficient setback - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco — 3 coat Hardi-Board or Plank Masonry Masonry Veneer Metal Other Butte county Fire Department approved materials ['l Date Signa 2 FO.UND'ATION •SYSTEM ` CERTIFICATE OF OCCUPANCY ttt t - s✓°�Y,� St ttiWc 'fa;.,t t isY 4. t. / "�F✓ `vV 1 . a F r i c CSS{ i R t Y s �r F (+ i L.�,t i "E t•. r! . p s�.._T �. F 't y, 1 '�.kv. Gt:.. � .y..-ih� ,..e � r��,•+�`.•:i ,a r ..t. BUILDING PERMIT NUMBER: 04-1895 Address or location of unit: 205 MAPLE LN. BANGOR, CA. 95914 Legal Description of Real Property: AP#: 028-460-007 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: LEONE FARRIS Owner's address: 969 S. 7T" ST. KERMAN, CA. 95630 INSIGNIA OR HUD NUMBER: RAD371310/1 SERIAL NUMBER OR V.I.N.: CAFLSWA/BH101707727 MANUFACTURER'S NAME: FLEETWOOD HOMES YEAR: 1.987 OFFICIAL APPROVING INSTALLATIO : 4IM09oc,"i *9 94411 ffd DATE: 80 —(3� PHONE: (530) 538-7541 H.C.D. 513C 0 Is H.C.D. ATTACH CHECK NAIVE: AN: DATE: AA 02/11/2004 15:17 9163239243 HCD PAGE 03/03 STATE OF CALIFORNIA .BUSINESS, 7{RANSPORTAT{ON AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Govornor .�,��.� 51NC DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DlvWon of Codes and 3tnnd�rd9 p O n YL Ti le Search G�� De Date Printed : 02/11./2004 Decal #: LAL6629 Use Code: SFD Manufacturer: 09534 FLEETWOOD HOMES TNC Original Price Code: A1Q Tradename: ' SANDALWOOD Rating Year: Model: 3482A Tax Type: LPT Manufactured Date: 03/02/1987 Last LLT Amount: Registration Exp: Date ILT Fee Paid: First Sold On: 01./05/1988 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width CAFLSW2AH101707727 P-kD371310 48' 1.2' CAFLSW2BH101707721 RAD371311 48' 12 Registered Owner: DENISE BARNETT 1.5 WALNUT LANE BEALE AFB, CA 95903 Last Title Dates 09/27/2000 .Last Reg Card: 09/27/2000 _ Sale/Transfer Info:. Price $20,000.00 Transferred on 09/01/2000 Situs Address: WALNUT LN 15 BEALE AFB, CA 95903 Situs County: YUBA Legal Owner. GREENPOINT CREDIT LLC 12250 KIRKHAM RD STE A POWAY, CA 92064- Lien 2064Lien Perfected On: 09/01/2000 16:55:53 Title Searches: PLACER TITLE CO 1110 CIVIC CENTER DRWE 302 YUBA CITY, CA 95993 Title File Not 1201-12903 *** END OF TITLE SEARCH *** 02/11/2004 15:17 9163239243 HCD PAGE 01/03 ^EB -11-•2004 WED 02:31 PM PLACER TITLE YUBA CITY FAX N0. 530 671 5270 P. 01 �eperap t>es�Exr oesoachr STATE OF CALIPORNM NUSINESB. TpANFORTA110N AND H(WI& NG A43ENCY A,�euC DEPARTMENT OF HQUgRAO AND COMMtjW Y 13EVGLOPMEW DIVISION or CODES AND STANDARDS r,.r.. cock,RE0ISTRA11ON AND T1TUNd PROGRAM rY ACCT. i AA90229 INFOMATION -11?LE SEARC14 REQUEST 9 ON {� REC�tGS INIFORMAiION Name: TIMKF, E?I MY Company Name: pLA= TITLE t3OMANY 1110 CIVIC CENTER BOULEVARD 1302 WEA CITY CA 95993 Address:COYsNb ZIP sewt�der.se er p,a sax 1.201 i� 9 Telephone No.; t UQ) 671=5040 _ File No.: Tray 4 530-671-5270 INS1RuC IONS: It a mumple unn manule6lurpu _ __.._.._, . --_ PLATEs), show the number tar each and the corresponding serial numbers. If reeielered under ONE DECAL. show the decal number once, foilowed by a vertical Me In the decal column to eoreapond with the eertal numbers, Registered Owner Name: .�. . 6Rw2Nt+ AdCI Mee: 1A W(41 ej 07— aa�.r 01y, CA ❑ INFORMAL $29.00 information Indkwbg the eur"ni statue of the Department's record for the Una se of the date the Inouiry is FORM. 535.00 Information Indl= ng the cun,ant status of the Ceparhra"fa record for the unit as of the date the inquiry Is processed, wM follow-up neUees of any d"es to the record within 120 days of the H681 Inquiry, NOTL: Sedlon 1, 'Requester Irforme ten" must be eomplated In full to recalva fallow -up notices, Malt the dt mpleted term and eppmpfiele fee la the dapartrneN. For hhtornradon on establishing a negr sestet ate, carded NCD al (819) 32.3,9243. I ew* valor penalty of per{ury under the &a of the State of CaPwomla that the Infornsdon received will net be used for any unlawful purpose. ExerxiMd an JQ/0 / O q m CI'T'Y law Mal rn�l Signature: TIMM U.—FikOy Neo gn.1 aarh 02/11/2004 15:17 9163239243 HCD PAGE 02/03 ` STATE OF CALIFORNIA-avSINEsS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Govsmor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �p SINO 11 Divlslon of Codas and Standards ��- Registration and Titling. P.O. Sox 1818 1 �� sacremento, CA 99812.1826 p4' rL,TD� • Feb 11, 2004 PLACER TITLE CO 1110 CIVIC CENTER DRIVE 302 YUBA CITY, CA 95993 File #: 1201-12903 Decal #: LAL6829 ID #: CAFLSW2AH101707727 Make: SANDALWOOD y Your title search request for the above described,manufactured home/ commercial modular has been received. The.attached title search reflects the status of this record as of the date of this notice. f RECORDING REQUESTED BY Placer Title Company Escrow Number: 1201-12619 AND WHEN RECORDED MAIL TO LEONE FARRIS 969 S. 7TH STREET KERMAN CA 95630 This is to certify the is a true n correct copy of the r recorded on tinder Recorder's Series In Book Officialecords. PLAC (TLE 0 PANY By: (NAME) T�— 1 } SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED The undersigned grantor(s) declare(s): Documentary transfer tax is $81.95 City Transfer Tax: $0.00 (X) computed on full value of property conveyed, or computed Gn-gull vaiuc less value Cl IIEIS and a♦L time GI Sale. FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, JAMES E. TYLER AND KIMBERLY J. TYLER HUSBAND AND WIFE Hereby GRANT(S) to LEONE FARRIS AN UNMARRIED WOMAN "EXHIBIT ONE ATTACHED HERETO AND Mi ADE A PART HEREOF" Dated: March 10, 2004 n MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE, IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE SAME AS ABOVE Name Street Address City & State o:\SePkg doa (420M) SIGNATURE PAGE FOR GRANT, DEED By: J. STATE OF CALIFORNIA COUNTY OF On 114-16 V before me, AG- 2Sj -bo personally appeared A„�.r► r�5 Tv L c�2 77 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 an 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 WITNES my hand an ial seal. Signature ��”' COMM,#1404574 NQTIM REM fppp Commissi n Expir n Date: Sim MW ,. 4�cRn, �xflpas Xi07 MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE, IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE SAME AS ABOVE Name Street Address City & State OAS e4doc (4n= EXHIBIT "ONE" Parcel I: Order No. 408161 The North one half of the Northeast quarter of the Northwest quarter of Section 2, Township 18 North, Range 5 East, M. 0. B. & M. Parcel I1: A right of way for road and public utility purposes over a strip of land 60 feet in width lying Northerly and Westerly of the following described line: Commencing at the Northwest corner of the Northwest quarter of said Section 2; thence South 01 45' 51" East, along the East line of said Northwest quarter of the Northwest quarter of Section 2, a distance of 339.79 feet to the true point of beginning of the herein described line; thence from said true point of beginning, East, a distance Cf 150.00 feet; thence North 25 ° East, a distance of 310 feet; thence North, a distance of 95 feet, more or less, to the North line of said Section 2; thence Easterly along the. North line of Section 2, a distance of 520 feet; thence North 400 East,. a distance of 770 feet, more or less, to a point on the West line of the Southwest one quarter of Section 35, Township 19 North, Range 5 East, M. 0. B. & M.: thence North 1 ° 3' 49" West, along the West line of said Southwest one quarter of the Southeast one quarter of Section 35, a distance of 720.0 feet to the Northwest corner of said Southwest one quarter of the Southeast one quarter of Section 35; thence South 891 59' 55" East, along the North line of said Southwest one quarter of the Southeast one quarter of Section 35, a distance of,500 feet; thence North 630 East, a distance of 520 feet, more or less to the centerline of Wurleton-Swedes Flat Road and the end of the herein described line. Assessor's Parcel No: 028-460-007 kj- I . SITE PLAN ....................:..._ : ' .. .. 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