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028-460-017
Richard Strelsky '4{00-017}� cot—# S/S Swedes Flat Rd.,app.3/10 mi.W.of Stony Oaks�Rd. lot 4 Bangor Area - Permit ��363/+-81P4(util. ELEC . 0 - o -91 �o0 2oU GASto--3o-&1 sOA%& " L1> SUPPORT 'STRUCTUREE�"/P 5a Sin COMPACTION TEST .000A all 4. 2 8 Contr: S & H Mobile Home Ser Permit 3958481MHI I,sue s - d �/ 1 028-460-017 02-3 INALED MAGNUSON, CRAIG & PA R 50 STONEY OAKS, BANGOR EX MH PERM FND EX SITE ' 028-460-017 MAGNUSON, CRAIG 02-3113 50 STONEY OAKS, BANGOR CABANA & OPEN DECK 028-460-017 BP040691 MITCHELL, FRANCIS & A A 50 STONEY OAKS BLV R CONT: STRANG ELEC ELE SER CHANGE 2 !1y all u a 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.net%dds PERMIT NO. BP040691 ' 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: 03/12/2004 APN: 028-460-017-000 the Business and Professions Code, and my license is in full force and effect. 5'"� 3 ' License Class: =- "> License Number;¢ - Site Address: 50 STONEY OAKS BLVD BAN Date: :2 Contractor. —� Map Index: Description: REPLACE EX ELEC PANEL OWNER -BUILDER DECLARATION / mpt I hereby affirm under penalty of perjury that I am ex from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a MITCHELL FRANCIS A & ANGELA Owner: "M"; permit to construct, alter, improve, demolish, or repair any structure, prior , .... � to itsrequires the applicant for such permit to file �a ,issuance-,;also signed stateinent thaffie or she is licensed: pursuant to the grovislogs of,. Section "' ' ' """ "' ' X50' STONEY`OAKS BLVD the' Contractor's State, License Law (Chapter 9 corrimencih6'with ti 7000). of Division 3 of,thb'Business and Professions Code) or that he or,.; ...,;.,: .. . , , ' BANGOR, CA ;. she is' exempt therefrom and the basis for the ,alleged, exemption., Any. _,.::,.:. 95944497 : - ... ... , . ,..::: .. :. 16 1' violation oE-Section"7031.5 by any appli&it for a permit sutijecis tt%:; f applicant tQe- cryil penalty of not more than five hundred dollars ($500)) } I ❑ I, "as•owner of -the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions a s .,, ,_„__- , _ ,,,,,•;, - ,,.__,,,,•,,, „_, _ Code: The. Contractors '.State -License Law doesno(appiy to an owner,of. pr'operfy who builds or improves thereon, ,and: who does Applicant: MITCHELL FRANCIS A &ANGELA M such work hire elf or herself or through his or.hei r own employees, provided that such improvements are not intended or offered for sale:, 'If`however;'the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving'that he or she..did not build of impro4e.for.the. purpose of sale.). I,,, as_,,o,Wper„ of,.the„,property,,...am„excl4sjvely-„contracting, Aft., licensed contractor$ to:0onstructahe,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, :.,. ., .,, ,and who -contracts for such projects. with' a. contracto-As). licensed ;.W,pursuant.to /Fie Contractors' State License Law.).: Contractor: STRANG ELECTRIC. ❑,::.,-1 am Exempt under Article 3 of the Business and Professions Code 250 CANYON •HIGHLANDS'.DR ' Dater” owner.'' OROV.ILLE, CA 95966 :... 530- -4214 533 :.:.' WORKERS•'.,COMPENSA.TION DECLARATION: ,_:..:,..... hhereby;affirm.uride� penaltyof:perjuryone of the following declarations; ., i .. ❑ - 1' have and, will. maintain a certificate of consent to self sure for License #: 455231 wo'rkers'.compensation,, as provided for by Section 3700 of. the Labor.Code,�.for,-.the performance of the work which this permit is"" sued. ❑`” I';haVe'and:will':maintain`”workers''.compensatiori.:insuYarice,"as required by:Section, 3700: the Labor Code, for the performance of Architect: the work for. which this., permit is'issued. My workers' wriipensation Engineer: insurance carrier and policy. number are: I Carrier.' .. • . _ .. .. .,. ,. ' Policy #:•• Total Square Ft: 0 S F -,. I certify that in the,.performance. of the;.work-for which this.permd:'is issued..-J;s.haII..nott employ -,any, person in any .manner.,so,, as:to Valuation: $0.00 i become.subject.to the workers'•,compensation laws of::California, . Census Code: i .;agree:q.that-Jfirl• should. -become- subject: to .:the.. workers' : ;.and compensatiore:provisions:of Secfion:3700 of the Labor Code. I shall forthwith com ay with those provisions. i.. Date: Applicant. VIIARNING ` Failure' toYsec r workers' compensation` coverage is unlawful;" and 'shalt;subjecti an employer to criminal penalties -and one hundred".."'thousand "dollars- ($100;000);'- in addition. 46 the cost • of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees :CONSTRUCTION :LENDING AGENCY : c`1:• '. Y This permit r hereb ssued under the applicable provisions of the Butte County Code and/or Res no work indi ed a ove for which fees have been paid. i I herebyaffirrmthat'there'is a construction lending agency for the P performance of.the work for which'this permit Is issued (Sec 3097 Civ.) By; Date: a Name:.. .. D PERMIT EXPIR ON: Address' Date l] ' ;I?ie�eby ceriifyatiat_the.use;of,this f�cilityshall'comply;willi:Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling arld;use of hazardli materials. . ❑ Notification'iri accordance with Section 19827:5 of Califomia' Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached.arrf copies of fhe:raquired`E.P.A: notification'forms. I hereby certify. that I have read.this application; that the above informationris correct, and that I ant 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 itis unlawful to alter the substance of any official form or document of Butte County. I hereby `authonie representatives of Butte Cou�nty-t-o�enter upon the above mentioned property for inspection purposes: Pnn(Name/y..�.."•'✓�'% " ' Signature: cK J.M.. .. .. .. , Owner,. ❑ 'Contractor : ❑ Agent for Owner ❑ Agent for Contractor y :A I - L OFFICE COPY Address ' GAS Meter By Date ELECTRIC Meter By Dak ' 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.netWds PERMIT NO. BP040691 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: 03/12/2004 APN: 028-460-017-000 the Business and Professions Code, and my license is in full force and effect. License Class: C ~/ O License Numbep-4-0 _5 2 3 Site Address: 50 STONEY OAKS BLVD BAN Date: 'Z Contractor: Map Index: OWNER -BUILDER DECLARATION % I hereby affirm under penalty of perjury that I am a inpt from the escrp Description: REPLACE EX ELEC PANEL 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: MITCHELL FRANCIS A & ANGELA7M-'—'—-- to its issuance; also requires the applicant for such permit to file, a• ; t : '•-,a-}+„+SV , i ;'� !;,?;;j; E fy{`#, _. signed ttAtnennf thatt,g or she is licensed. pursuant to,the provisions of. the'Contractor's State -License Law(Chapter9"commencing'Hidh'Sectidn s . + c, YP e :n r • «^. e �, �• t `" 1.-'50: STONEY OAKS BLVD s 7000) -of Division 3of,tlie''Business and Professions Code) or that he,or".; ;� ,;,, ~ ;- F:; ;BANGOR, CA she is exempt tj eiefrom and the basis for the alleged, exemption„ Any violating of Section 703,1.5 by any applicant for a permit subfeots tt% ,, 95914'=9716 ; applicaQt tQ,. civil: penalty of not more than five hundred dollars ($500)) `� _>,_, - :.r,Y•°� ii:.t1G�'', , ❑ r, as,owger�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 "Codefie:Contractors State=License Law doesnQt apply to an" l owner of property who builds or improves thereon, and -who does Applicant: MITCHELL FRANCIS A & ANGELA M such work tiimself or,herself or through his or,her,ownernployees, provided that such improvements' are not intended or'offered,for sale.` lf`however'the building o� irnprovements'are`sold within one 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.). prop@rty,_ am„excltrsively coatrcting, with,;, licensed contractors to cons►ruptftproject (Sec. 7044, Business ( ,,,;;Sand ,Professions" Code. ,.The Contractors' State License Law. does not apply to. an owner _of property, who builds orimproves thereon, Who contracts,.for such projects, with a' wntractor.(s) licensed „ r, pursuant to the Contractors State License Contractor: STRANG ELECTRIC h>, r 'SF `- � 'i=:.'.,...:t - C 11I I -. } ; P ?•, + : r~+ t i1•f i :.�\. ❑ ,y t am Exempt under Article 3 of the Business and Professions Code , r • • f i jP f �.•--7q r• CANYON HIGHLANDS. Date Owner. i+..250 %t tirrtL OROVILLE, CA 95966 s.. , ;,, c ,.:.5' ;r�r<,t,v1 3"0=533-4214 WORKERSa COMPENSA.TIONDECLARATION r ; r ,: • , - . herebyaffrrn.un_derpenaltyof•perjury one 'ofthe following declarations:'• ( ❑ .I'll a and will maintain a certificate of consent to self=insure for workers ,compensation,,,as provided for, by, Section .3700 of. the License #: 455231 Labo%Code,,.for..I a performance of the work.for which this permit is issued. _ ❑'"" I';haVe 'and1 Wlll maihta16 rkers', compensation, insurance,'.as., """' "" ”" '""" "" '"" """""""" """`""."' "' ""' " "" .`"'" "•"""•"" ' ^^'., ...,.„ . _." wr required.by;Section 3700. the Labor_Coder:for the•performance of Architect: 1hg work for. which this permit is issued. My workers compensation ' insurance carrier and policy nuinber are: Engineer: Carrier.', Policy #:�' ` � • • _ Total Square Ft: 0 S. F. (,certify that in the_perf, ormance, of.the,work for which -this permit -is issued;;:I;.shaltinoliemploy; any: person. in' any•manner- so;as -to Valuation: $0.00 bec6me;st�btect,to•the.wpikers;;c6mpensati6n laws of:;California, _S Census Code: ! ;agree;; that if: t' should ; become subjectto ; the, workers' , sand compensation lirowsions of Section3700 of the Labor Code• I shall i ithwth those provisions. foiI com ly wi - "t It • , Date z Applicants.. c.rl. f: l �a•' :N'.{�-1':i"::.I _..h r .S rc .�-Y a: � r -r:V�� WARNING �' Failures'to'4 sec r workers ' compensation coverage is unlawful, and shall subject'an employer to criminal penalties and one � ; - k „.._ ,..,....,».,. ,..".... # hundred`"thousand'`dollar5 •($100;000);', in addition.ito..the•.'cost'.of compensation damages as provided for in Section 3706 of the Labor code; interestand attorney's fees IN / 0. yc t,-:ZONSTRUCTION LENDING AGENCY:. ^('. n, ' ' This permit i hereb ssued under the applicable provisions of the Butte County Code and/or I hereby affirm that there -ii a construction lending agency for the performance of the for Res ton ��orkn ' =veforhich fees have been paid. �- work which this permit is issued (Sec 3097 Civ) • I Name: By: Date: PERMIT EXPIR Address:` ON: Date ❑ I I Fie"reby c'erfify that the use ofthis -facility comply with"Secforis'25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous j.matenals.;•, 4 f �, a ,, ,r+ t r . •,, r ❑ , 'Notification in accordahce witFi'Section 19827:5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O r Attached are copies of the required EJ A."notification forms. I heirebycertify 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 r all county and state laws'relating io building'construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County." thereby ! F authonze representatives of Butte County to enter upon the above mentioned property for inspection purposes: PnwtNanle iy'(r`Signature. f 1 i �//ZT•/U F '. Date 7'� r !. _ .� ) ❑ -Contractorf It, ❑ Agent for Owner EI Agent Agent for Contractor+ 4)a aulvM iN.+.+w,1J:M, Il ,in c.ni•.ru w_ . a. ... ... , ,rm ww..-vw,+en.a�� OBUTTE COUNTY 1 DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. �p DATE: APN'� 940 O ` 7 — U d v ` ZONING: NEAREST CROSS STREET: TRACT/LOT#: SITE ADDRESS: �0 OA 9 CITY, ZIP: ��77 OWNER NAME: _ r,/ kNl / -r-c PHONE - HONE:r,/k STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: APPLICANT NAME: f PHONE.- HONE:STREET STREETADDRESS: FAX: CITY, ZIP: E -MAIL - CONTRACTOR NAME: PHONE: STREET ADDRESS: �1 FAXq CITY, ZIP: E-MAIL' LICENSE NUMBER: .ems v` 3 LICE SE PE: ARCHITECT/ENGINEER NAME: PHONE STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: ez—tee_9.- d zvci A 4 r✓s~r /l lVc c cl ❑ 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 fees will be required. 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. For office use only: Notes: Application Received by: Date: Receipt number:' Amount Received:�� B. C. Buildina Permit 01-23-04 no 2 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive • Oroville, California 95965 •..Telephone (530) 538-75 aZ-�E�C 0• (Rev. 12/96) APPLICATION AND PERMIT 6 ASSESSOR PARCEL NUMBER 028-460-017 ZONING BUI ING PERMIT OWNER TELEPHONE i SO. FT. OCC. BUILDING VALUATION 0 open 1680.00 . OWNERS MAILING ADDRIE1 50 SMNEY OAKS BANC-OR CA 959i4l 187 R3 10,098-00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER JFFireplace LENDER'S MAILING ADDRESS Total Valuation $ 11 778.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 135.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 88.00 BUILDING ADDRESS Energy Plan Checking Fee $ 23.00 PERMIT FEE $260.00 LAT NO. SUBDN510NSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0.— Describe Work: CABANA R, OPEN T)E{'K Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service z.*osno'LEss 23.00 LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: [>> " 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. W-17as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ItY�ertify 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,. 1 shall forthwith comply with those provisions.This X ��-- Date '— ^— Z—� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TO tOooA 46.00 NEW CONST. DWEWNG 00CUP. SO W UP. OR ADDNS. ( a ACC. ea oso S. 3.5QFT: �NEµRO�IDT. MULTI-OBRANCH UTLETW. @7,50 POWELER APPARATUS b SI OUTLET CIR. IN. OUTLET OR FDTTUREs Ex. Occup. BOL @ I:w FlXED AF(I - OR 5.00 Ex. Occu . ounErs RESID. Ea Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Filing Fee 20.00 Heating OT Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $46. CC occ CONST. TYPE TOT L FEE $ 390 0 HAZ IMP C F P Po SSUE permit is here y issued under of the B tte County ode and/or indic e o for , ich fees have , � By EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (I (Ditgol Receipt No.PERMIT WHITE-D.D.S.•B. D. LANA -AS S PINK-INSPECT.GOLDEN APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Centt;r Drive • Oroville, California 95965 • Telephone (530) 538-754 IF;e�.l2i9e� APPLICATION AND PERMIT _-� IP MIT NO. ASSES:-OR ZONINGARCEL NUMBER Y%l' 20NO a ___ \(fv ( BUILDINGPERMIT OWNE i I TELEPHONE n SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNO ADORES$( a .� -� 1 / _ _ _ j�jf1�S NAME ,^ OUTLET OR F°rTURES TELEPHONE '`— Fireplace FIxED APPLNS. OR t-1 J CONTRACTOR'S MAILING ADDRESS C011STRUCTION LENDER LENDERS MNUNO ADDRESS —Temporary Service Total Valuation Is Mobile Home Facilities 20.00 : -' ARCHITECT OR ENGINEERLICENSE _ 23.00 Z NO. Filing Fee Permit Fee —V� $ $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS BUILCiI:G ADORE SS Plan Checking Fee $�' Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Each Trap Fling Fee 7.00 20.00 USEOFSTRUCTURE rSF C1 Duplex ❑ Mobilehome ther Solar or heat um water heater Water 23.00 -' SPECIPf pipin pip g Each gas water heater or vent 15.00 15.00 TYPE OF WORK Vew ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Gas piping system 1 - 5 outlets T —15.00--* Building sewer (1 15.00 Describe Work: _ Mobile Home IS GW 920.00 C�— PERMIT FEE S ELECTRICAL PERMIT Filing Fee! 20.00 Main Service°00v oR LEss 20OA oR LEss 23.00; Main Service 200A TO 100 -OA I 46.00 i NEW CONST. INCP. OR ADDNS. DWELL ( a ACC.G eOCLDs.U O i 3.5CF7.S1 NEW CONS . MULTI -OUTLET NON -R10. IRCVITS @7.SO *PERMIT FEE PA2b SPA • • SHERIFF OTHER AAkbVNT RECEII/ED �ri► Ex. Occup. OUTLET OR F°rTURES 20 I.00 I Ex. OCCU FIxED APPLNS. OR BAL 50 ouTLETs RES10. EA I 5.00 —Temporary Service 23.0011 Mobile Home Facilities 20.00 : Misc. Wiring _ 23.00 Z PERMIT FEE $ L{ MECHANICAL PERMIT Filing Fee 1 20.00_ Heating Cooling_ Hood I 6.50 11 Ventilation I PERMIT FEE 1 $ Mobile Home Installation Fee $ Energy Inspection Fee $ Dcc CONST. TYPE TOTAL FEE $ HA2. I Do�m 1 -IM -P- FLOOD ss- LE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date Receipt No. WHITE-D.D.S.-8.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT EXPIRES ON COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET tA1V1 � -- fi�rr^ 4// ,,1 ..._ OWNER: A N S � ASSESSOR PARCEL NUMBER C &— �o �' " Q' Proposed Building Use: �� �'f' 4"' - Counter Technician:�Z 11 Date: ' 1:7 t Items equired in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. Plot plans, 3 or 4 sets, signed�y the preparer of the plans. 2 Complete plans, 3 or 4 sets, signed by the preparer of the plans. . Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b the he en ineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ Plot plan and business license approval from the City of Biggs .................................... Letter of intent for non-residential buildings..............................:.......................:.. Detached Accessory Building Fotrh filled out by the owner ..................................... . Hazardous Material Form............................................................................... Other Re 'nin items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Fee as s own on the attached Schedule of Fees Due Sheet .......................... `G ............-- i1 jog.tement of Intent for Non -heated and A/C Buildings..................................plot plan approval from the Environmental Health De rtnt in 117f Chico Plumbing permit ..............................:.......... . rnia Department of Forestry plan approval lil paid. Sent_ by� .................... approval for (A) Use: (B)Parking: (C) Pa el Check: ct Land Development about ❑ Improvements, ❑ Drainage ............................... 021. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre-j1pdrpection for required ................ ❑ 23. C tractor's license information. (Number, Name Style, Classification) ...................... ❑ 2 orker's Compensation Carrier and Policy Number ..............:......................'°...... ner-Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: 01-1�- 9, Date: � � 6% 1. Index permit application for the above -items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cfthe above data by ❑ ho e, ❑mail, ❑ co ter, by Date: _ Contractor, designer, owner, was advised of the abo e data by phone; - ❑ mail, ❑ counter by Date: Plans reviewed by: Date: 2 ! Z— Plans approved by: Date: Structural reviewed by: Date: I Structural approved by: Date: Note transfer by: Date: Yellnw' Ruildino nivicinn ("`- .r '1. � r^,.. ya -... .. � �� i5 �9 � . �..✓�-.- . '�..-+.�-'s f .. r NL- � '+T-�f'.."v+...h'i1. r� �-._vY`- ..� � . �t-..�_/.. ti �vn r ,U -s...+...�... � ``r+`'^ V E.H. USE ONLY Piot Plan Attechod Root Plan Attached Sant to G.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ija sas Cha.Cs 0- Own r 01 Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well v Clearance for dwelling. Other. Cg,6, I Ci Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 q� SCHEDULE OF FEES DUE OWNER �'" ` d ✓� A.P. # 62 -Of - 017 O1Ba ILDING USE �^I Z �L DARE EIPT # DATE REC. ILDING PERMIT FEES lance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2 CHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units f Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. c 1--, APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) w � .. - . �. .. . ... - \ ♦ � ! . - -�. • J.w-�R1\e-.' � x.1"4 a ... \ -. .. ..ia' .1 � _..... . - -. a BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School Districtro �i � � 1 � ` (./ 9� w r D � � I � � Building Department No. A.P. Number O 17 'dJurisdiction: City, County Property Owner r a PG +r i G I C- N 5 ,) Property Location/Address Subdivision Lot No. .................................................................................................................. Residential Development ® Sq. Footage Q % No of Living Mobile Home Ad'd'ition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection ................................................................................................................ �. Commercial/Industrial New Add'Rion Building Department V (Floor Plans reviewed by School District District Identification No. VQ 06g, vll f �'�i� chool District certifies that 5D Sq. Footage (Including Exterior Roofed Areas) Date t (Applicant) 6-- q-0-791 IS Address) /1 — (Phone Number) 9591 q has complied with the requirements of Resolution No. represent'ng -1.9-7 square feet. School District Representative Paid by Check # . �M ` Remarks: /(State) Q (Zip Code) by payment of $ AB 2926 S FULL MITI/ ITI ATION $ Date D Waco: .You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the Califomia Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm - CDF FIRE SAFE REQUIREMENTS -4� - ( i 6 2 -- 3 k k3 )'ll A) CLS OAJ AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a.part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. ] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1 1273.02 Surface. All driveway surfaces and structures (bridges, 7 1273.07 culverts and other appurteaant structures which supple- ment the roadway bed er shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. t-0 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. {�] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�9 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. to 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. ] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - ?- , fw� CoA 0 2 - 3113 o. AP # PERMIT # NAME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. �.l 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [3 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 that roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [� 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 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. ,1 1276.02 Disposal of Vegetation and Fuels. Disposal-, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction �r fi_ial inspection of a building permit. Page 2 of 3 9-4( --(7 D )-31 13 WC--,1lt4§0A) AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ 1 If Building Setback is Less Than 15 Feet Choose any 3. of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic.sprinkler system per NFPA 13D -. Glass area not to exceed 10k 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 Signature Page 3 of 3 F ��� r ..� I -,_ K TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.N. USE ONLY Piot Plan Anechod Floor Plan Attached Santo B.D. Owner Location AP# Plan Approved for: Sewage Disposal 4f Water Suppl : `, Public Private Well �"- Clearance for dwelling. Other C� 10(-24�oC Hold final for: Final clearance O.K. for: NOTE: Environmental' Health Spei�-'tal s a�;it� ()� ; � Date 8/96 N 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. CI personally plan to provide the major labo and materials for construction of the proposed propeEprovement : YES[, O[ ]. I HAVE[ G4" HAVE NOT[ ] signed an application for a building permit for the proposed work. I have contracted with . the following person (firm) to provide the proposed construction: n P AD SS: CITY: PHO CONTRACTOR'S LICENSE NO. I plan to rovide portions of this work, but I have hired the following person to coordinate, ervise, and provide the major work: NAME: ADDRESS: PHONE: I will provide some of provide the work indic NAME CITY: CONTRACTOR'S LICENSE NO. work but I have contracted (hired) the following persons to SIGNED: PROPERTY OWNER; RESS PHONE TYPE OF WORK / ' / a SOCIALS CURITY NUMBER: DATE: / O-' NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before . we are permitted to issue the permit. OVER 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 party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 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. 0 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. 0 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 "'ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincarel , Micha4l C. Vieira, C.B.O.. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER TABLE _OF -CONTENTS TOC Project Title.......... CRAIG & PAT ON Date..11/05/02 19:49:24 Project Address........ 50 STONEY OAK ******* --------------------- BANGOR, CA. 959.14 *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-MAGNILSO Wth-CTZ11S92 Program -TOC User#-MP2246 User -Barry Rubanoff Run-MAGNILSO ------------------------------------------------------------------------------- TABLE OF CONTENTS ----------------- Report Page FORM CF -1R................. 1 FORM MF -1R ................ 4 FORM C -2R ................. 7 HVAC SIZING ............... 10. CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R ----------------------------------------------- Project Title.......... CRAIG & PAT MAGNILSON Date..11/05/02 19:49:24 Project Address........ 50 STONEY OAK ******* --------------------- BANGOR, CA. 95914 *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone:.......... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. ------------------------------------------------- MICROPAS6 v6.01 File-MAGNILSO Wth-CTZ11S92 Program -FORM CF -1R 11 User#-MP2246 User -Barry Rubanoff Run-MAGNILSO ------------------------------------------------------------------------------- GENERAL INFORMATION ------------------- Conditioned Floor Area..... 187 sf Building Type .............. Single Family Detached Construction Type ......... Addition Alone Building Front Orientation. Front Facing 45 deg (NE) Number of Dwelling Units... 0.11 Number of Stories.......... 1 Floor Construction Type.... Raised Floor Glazing Percentage......... 13.9 0 of floor area Average Glazing U -factor... 0.5 Btu/hr-sf.-F Average Glazing SHGC....... 0.62 Average Ceiling Height..... 8 ft BUILDING SHELL INSULATION Component Frame ------------------------- Cavity Sheathing Total Assembly Type ----------- Type - -- - - R -value R -value R -value U -factor Location/Comments Wall :- -- Wood -- - - - - - R-13 --- - - - - -- R-0 - - - - - -- R-13 - - - - - -- ------------------ - - - - - - 0.088 Roof Wood R-19 R-0 R-19 0.050 Attic Floor Wood R,-19 R-0 R-19 0.036 Door n/a R-0 R-n/a R-0 0.330 ENTRY DOOR, TO DECK FENESTRATION Over - Area U- Exterior hang/ Orientation --------------------- (sf) Factor SHGC Shading Fins Location/Comments Wind Front (NE) ' 12.0 ------ 0.500 ------ 0.610 -------- Standard ----- Yes -------------------------- VINYL/Slider/SC=0.88 Wind Front (NE) 12.0 0.500 0.610 Standard Yes VINYL/Slider/SC=0.88 Wind Left (SE) 2.0 0.500 0.680 Standard None Vinyl/Fixed/SC=0.88 t CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R -------------------------------------------- Project Title.......... CRAIG & PAT MAGNILSON• Date..11/05/02 19:49:24 -------------------------------------------- I MICROPAS6 v6.01 File-MAGNILSO Wth-CTZ11S92 Program -FORM CF -1R I User#-MP2246 User -Barry Rubanoff Run-MAGNILSO ------------------------------------------------------------------------------- Equipment Type Furnace NoCooling HVAC SYSTEMS Thermostat Type Setback Setback SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building does not have a cooling system installed. REMARKS 9 4 Refrigerant Tested ACOA Minimum Charge and Duct Duct Duct Manual Efficiency Airflow Location R -value Leakage D 0.650 AFUE n/a None R-n/a n/a n/a 10.00 SEER No None R-n/a n/a n/a Thermostat Type Setback Setback SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building does not have a cooling system installed. REMARKS 9 4 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF-1R ------------- ------------------------------------------------=-- Project Title.......... CRAIG & PAT MAGNILSON• Date..11/05/02 19:49:24 -------------------- MICROPAS6 v6.01 File-MAGNILSO Wth-CTZ11S92 Program -FORM CF -1R User#-MP2246 User -Barry Rubanoff Run-MAGNILSO ------------------------------------------------------------------------------- COMPLIANCE STATEMENT -------------------- This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. 7 DESIGNER or OWNER Name.... CRAIG & PAT MAGNILSON Name.... Company. M/ UILDER Company. Address. Address. Phone... 1-530-679-0789 License. Signed.. (date) ENFORCEMENT AGENCY Name.... o Title... Agency.. Phone... Signed.. ` (date) Phone... DOCUMENTATION AUTHOR Barry Rubanoff Barry Rubanoff P.O. Box 1123 Berry Creek, CA 95916 530-589-4102 Signed. . /' S -� (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R --------------------------------=------------------------- Project Title.......... CRAIG & PAT MAGNILSON Date..11/05/02 19:49:24 Project Address........ 50 STONEY OAK ******* --------------------- BANGOR, CA. 95914 *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field -Check/ -Date -- Climate Zone........... it ----- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-MAGNILSO Wth-CTZ11S92 Program -FORM MF -1R User4-MP2246 User -Barry Rubanoff Run-MAGNILSO - ------------.------------------------------------------------------------------ Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES -------------------------- *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturers labeled R -Value. *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply. to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors. 150(1): Slab edge insulation - water absorption rate no greater than 0.3W, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets Commission quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door Design- er bP-,- Enforce- ment MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF-1R ----------------------------- Project Title.......... CRAIG & PAT MAGNILSON• Date..il/05/02 19:49:24 ---------------- ------------------------------------ I MICROPAS6 v6.01 File-MAGNILSO Wth-CTZ11S92 Program-FORM MF-1R I User#-MP2246 User -Barry Rubanoff Run-MAGNILSO ------------------------------------------------------------------------------- b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. b`"-_ I SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES -------------------------------------------------------------- Design- Enforce- er ment 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACOA. 150(i): Setback thermostat on all applicable heating and/or cooling systems. 150(j): Pipe and Tank insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system piping below 55 degrees insulated. 6. Piping insulated between heating source and indirect hot water tank. R *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and in- sulated, to meet the requirements of the 1998 CMC sectons 601, 603, and 604, and standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181A, .or UL181B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber addhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 6 MF-1R -------------------------------------------- Project Title.......... CRAIG & PAT MAGNILSON- Date..11,/05/02 19:49:24 ------------------------------------------------ I MICROPAS6 v6.01 File-MAGNILSO Wth-CTZ11S92 Program-FORM MF-1R User#-MP2246 User -Barry Rubanoff Run-MAGNILSO ------------------------------------------------------------------------------- resistance heating and no pilot light. 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non-electrical cooking appliances with pilot < 150 Btu/hr). lbiLz LIGHTING MEASURES ----------------- 150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. 150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in Sec. 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. Design- Enforce- er ment COMPUTER METHOD SUMMARY Page 7 C -2R Project Title.......... CRAIG & PAT MAGNILSON Date..11/05/02 19:49.24 Project Address........ 50 STONEY OAK ******* --------------------- BANGOR, CA. 95914 *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-41Q2 Field Check/ Date -- Climate Zone........... 11 ---------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-MAGNILSO Wth-CTZ11S92 Program -FORM C-2R ----------------User#-MP2246 User -Barry Rubanoff Run-MAGNILSO ------------------------=----------------------------------- MICROPAS6 ENERGY USE SUMMARY = Energy Use Standard Proposed Compliance = _ (kBtu/sf-yr) _----------------------- Design ---------- Design Margin = = Space Heating.......... 22.31 ---------- 22.85 ---------- - -0.54 = = Space Cooling.......... 16.54 15.68 0.86 = = Total 38.85 38.53 0.32 = _ *** Water Heating not calculated GENERAL INFORMATION ------------------- Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height...... 187 sf Single Family Detached Addition Alone Front Facing 45 deg (NE) 0.11 1 ReducedYear Raised Floor 1 1495 df 0 sf 13.9 % of floor area 0.5 Btu/hr-sf-F 0.62 8 ft COMPUTER METHOD SUMMARY Page 8 C -2R Project Title.......... CRAIG & PAT MAGNILSON' Date..11/05/02 19:49:24 I MICROPAS6 ------------------------------------------ v6.01 File-MAGNILSO Wth-CTZ11S92 Program -FORM C -2R ------------------------------------------------------------------------------- User#-MP2246 User -Barry Rubanoff Run-MAGNILSO I BUILDING ZONE INFORMATION ------------------------- Floor # of Vent Vent Air Area Volume Dwell Cond- Thermostat Height Area Leakage Zone Type -------------- (sf) (cf) Units itioned Type (ft) (sf) Credit ------------ ------------ HOUSE ----------- ----- -------- --------- Residence 187 1495 0.11 Yes Setback 2.0 Standard No OPAQUE SURFACES --------------- Area U- Insul Act Solar Form 3 Location/ Surface -------------- (sf) factor R-val Azm Tilt Gains Reference Comments ------ HOUSE - New ----- ----- --- ---- ----------------- ---------------- 1 Wall 128 0.088 13 45 90 Yes W.13.2X4.16 2 Wall 58 0.088 13 135 90 Yes W.13.2X4.16 3 Wall 59 0.088 13 315 90 Yes W.13.2X4.16 4 Roof 187 0.050 19 45 19 Yes R.19.2X6.24 Attic 5 Floor 187 0.036-19 n/a 0 No FC.19.2X6.24 6 Door 19 0.330 0 135 90 Yes None ENTRY DOOR 7 Door 20 0.330 0 315 90 Yes None TO DECK FENESTRATION SURFACES --------------------- Exterior Area U- Act Shade Orientation ------------------ (sf) factor SHGC Azm Tilt Type Location/Comments ----- ----- HOUSE - New ----- --- ------------ ------------------------ 1 Wind Front (NE) 12.0 0.500 0.610 45 90 Standard VINYL/Slider/SC=0.88 2 Wind Front (NE) 12.0 0.500 0.610 45 90 Standard VINYL/Slider/SC=0.88 3 Wind Left (SE) 2.0 0.500 0.680 135 90 Standard Vinyl/Fixed/SC=0.88 OVERHANGS AND SIDE FINS ----------------------- ---Window-- ------Overhang----- ---Left Fin---. ---Right Fin -- Area Left Rght Surface ----------- ----- (sf) Wdth Hgth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght ----- HOUSE - New ----- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- 1 Window 12.0 4.0 3.0 1.5 0 n/a n/a n/a n/a n/a n/a n/a n/a 2 Window 12.0 4.0 3.0 1.5 0 n/a n/a n/a n/a n/a n/a n/a n/a COMPUTER METHOD SUMMARY Page 9 C -2R Project Title.......... CRAIG & PAT MAGNILSON' Date..11 05 02 19:49:24 ---------------------------------------------------- MICROPAS6 v6.01 File-MAGNILSO Wth-CTZ11S92 Program -FORM C -2R I User#-MP2246 User -Barry Rubanoff Run-MAGNILSO ----------------------------------------------------------------=-------------- HVAC SYSTEMS SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building does not have a cooling system installed. REMARKS Refrigerant Tested ACCA System Minimum Charge and Duct Duct Duct Manual Duct Type ------------- Efficiency Airflow Location ----------- R -value Leakage D Eff HOUSE -------------------- ------- --------- -------- ---- Furnace 0.650 AFUE 'n/a None R-n/a n/a n/a 1.000 NoCooling 10.00 SEER No None R-n/a n/a n/a 1.000 SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building does not have a cooling system installed. REMARKS HVAC SIZING Page 10 HVAC -- --- ------------------ Project Title.......... CRAIG a PAT MAGNILSON Date..11/05/02 19:49:24 Project Address........ 50 STONEY OAK ******* --------------------- BANGOR, CA. 95914 *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. - ------------------------------------------- MICROPAS6 v6.01 File-MAGNILSO Wth-CTZ11S92' Program -HVAC SIZING User#-MP2246 User -Barry Rubanoff Run-MAGNILSO ------------------------------------------------------------------------------- GENERAL INFORMATION Floor Area ................. 187 sf Volume....... 1495 cf Front Orientation ........... Front Facing 45 deg (NE) Sizing Location............ OROVILLE RS Latitude ................... 39.5 degrees Winter Outside Design...... 30 F Winter Inside Design....... 70 F Summer Outside Design...... 104 F Summer Inside Design....... 78 F Summer Range ............... 37 F Interior Shading Used...... Yes Exterior Shading Used...... No Overhang Shading Used...... Yes Latent Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. .Heating Cooling Description --------------------------------- (Btuh) (Btuh) Opaque Conduction and Solar...... ----------- 2030 ----------- 1272 Glazing Conduction ................ 520 338 Glazing Solar .................... n/a 887 Infiltration ..................... 850 349 Internal Gain .................... n/a 231 Ducts ............................ 0 0 Sensible Load .................... 3400 3077 Latent Load ...................... n/a 615 Minimum Total Load ----------- 3400 ----------- 3693 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. NOTES RESIDENTIAL PERMIT N0. 028-460-017 02-3071 j MAGNUSON, CRAIG Est PATRICIA 50�STONEY OAKS, BANGOR EX MH PERM FND EX SITE 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 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date Signature V = OK 0 = Not OK - = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. oning Requirements -Setbacks -Easements ootin s; Size -Spacing -Marriage Line Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures �, ,WTest-Demand-Valve-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 1 '.its; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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- RNrs.-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 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit .9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready ELECTRICAL (Permit) OK except #'s RESIDENTIAL (; Date 24. Underfloor (Plans) OK except #'s 25. 1. Zoning -Setbacks -Easements -Flood -Slope Romex Installed Close to Edge of Studs & C.J. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 28. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 31. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Equip. Clearances Panels-Motors-Mech. Equip. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 34. 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 Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Card B-1 12. Electric Underground Card B-1 Date 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. 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 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes 0 No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 Date Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 Date Draft Stop in Walls (rat proof) MECHANICAL (Permit) OK except #'s Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. 35. A.C. Ducts Insulation & Support 50. 36. Vent Fan, Exhaust above insulation 51. Garage Fire Protection Framing 37. Condensate Drain & Overflow, Size & Grade Property Line Firewall & Openings 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Date 58. Card B-1 Date Card B-1 Date Shear Walls; Nailing -Bolts Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive ] Yes ] No/Walks ] Yes ] No/Planters ] Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive • Oroville, California 95965 • Telephone '(530) 538-75 o (Rev.12/96) N APPLICATION AND PERMIT ASSESSORPARCEL NUMBER ZONING BUI LNG PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 90 STOM OAKS BOGORY CA 95914 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 70 0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 509/2 $ 254.50 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 50 STONEY—OAKS, RANGOIR — Energy Plan Checking Fee $ Pre—Inspection $ PERMIT FEE $297.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: E:)7 MH PERM FM EX iTTF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.0019-00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Filing Fee 20.00 eoov 0 LEss Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION ffirm under penalty of perjury that I am exempt from the Contractors License Law fe following reason: I here�Iasowner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certity 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 wor compensation provisions of section 3700 of the Labor Code, I shall f wit co ply with thos provisions. - -- X - Q Date S -0— Si a of Applicant - ❑ Own r ontractor ❑ Agent HA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To 1000A 46.00 NEW CONST. DW EWNO UP. OR ADDNS. ( a ACc. Bins. SO 3.5QFT; NON.RESID. MULTI -OUTLET @7,50 OWER APPARATUS 8 PSINGLE OUn-ET CIR. Ex. Occup. BAIL o 1.000 OUTLET OR FIXTURES FlXEO APPLNS. OR S.00 EX. Occu . OUTLETS RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ coNsr. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the of the Butte County d�nd/or indi above for w ch fees have By PERMIT EXPIRES ON L� applicable provisions Resolutions to do work been paid. �r D to '( SA l of Receipt No. WHITE-D.D.S.• .D. CA S OR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY QF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 'M 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: OrnP.-,a+fIl°I(L�AAhL)_ASSI~SSOR,PARCELNUMBER p_9�4 Proposed Building Use& m �'}(_d�--C Counter Technician: Date: �%" ' r �l J Z Items required in order to apply for a�permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans"AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! 0 5. Energy compliance design and supporting documentation in duplicate. 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. .,(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 1.9. Planning approval for (A) Use: I (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ _ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... _ P4. Worker's Compensation Carrier and Policy Number ..............:.............................. _ 2 . Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... _ 6. Letter of Signature authorization.................................................................... _ ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance................................................................ _ ❑ 29. E�isting violati�on�and/or expired permits.........................................�..ii.J�.......... UJ _ 30. �7 Grant Peed YM. . T'tle/Stateme of Facts;JBLetter from Legal Owner,.&Check to H.C.D. $ 31. Other: _ IF issued Telep one - ) _C(dj q MA n (SSG)')and hold for pickup. I have been informed of the above items and requiremebts for obtaining a building permit. Applicant: `-� ./2 `l'�Date: \\ ` (V-1 - 01- 1. 1- 1. Index permit application above ite s u bered: Plan Check Letter 2. Additional items require Contractor, designer, own , w advised the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner was advised of a e d to by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: /L )j, Date: �� /L OZ Plans approved by: Date: L Z Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellowy Buildine Division 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. ClI personally plan to provide the major laborad materials for construction of the proposed prope improvement : YES[ NO[ J. 2. I HAVE[vf HAVENOT['] signed an application for a building permit for the O proposed work. I have contracted with . the following person (firm) to provide the proposed 4 ADD SS: CITY: PHONE: _CONTRACTOR'S LICENSE NO. I plan to pro 'de portions of this work, but I have hired the following person . to coordinate, supe 'se, and provide the major work: NAME: ADDRESS: PHONE: I will provide some of the provide the work indicated: NAME SIGNED: PROPERTY CITY: CONTRACTOR'S LICENSE NO. but I have contracted (hired) the following persons to PHONE TYPE OF WORK SOCIAL SECURITY NUMBER: DATE:4 �--- NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before . we are permitted to issue the permit. 1J_ ; •O.B.-1 t }Y ................................ .........:.....:.:...... ...........::.v :v::::.� ::• :v::::•:::::::::}}:?^:?•}:f:t?:.?4}}:C:??:�:C:???•ii}:?•i:?•}i}}: `T}}:•}:•}}:•: �:•}:•}:tr::•:{�:•}:v:?•:{.}}}•.:}:•}:•:4Y•}}}: .t °1Vi• . v:•':o' ....:...................................... ..:.................................::::::..........14 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 party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 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. 0 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. 0 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 "'ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in vour 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. Snca/ reiv / �� .L- Michail C. Vieiia, C.B.O.. . Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER PRE -INSPECTION REPORT OWNER LOCATION: CONTRACTOR:_&& Lo r DATE: A.P. #- ZONING: PRE-INSPETION FOR: CJ V,,, f C 1 `Ind I LE ( rr I J- V 1(,1 C -' L U I -M DATE TO INSPECTOR: // S GZ PERMIT HISTORY:( ) NONE ( ) AS FOLLOWS: BUELDING INSPECTOR'S REPORT Building DewHptlon: CommerciaVUsage: Residential/0 of Units: Currently Occupied Abandoned/Vacant Electric: YNo Electric cutrently On Off Condition of Electric Gas: Natural Propane_None Currently On Off Obvious Problems: �(S (Q/Q-q y .;L Q Q erQ .Y Sanitation: ' Plumbing Working Well Working Potable Water Obvious SewageProblems ACTION ACTION RECOMMENDED: ISSUE: HOLD FOR In,pecto "r - Date- �1 Sketch buildings on reverse and indicate location on prop ert. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538.754 PERMIT N �Rev. 12/98i APPLICATION AND PERMIT 1� ' AZSESSORPARCEL NUMBERr, 17 ZONING BUILDING PERMIT OWNER CV - C(It 1� ,�'1�1-6'Z T LFrHONE SO, �. OCC. BUILDING VALUATION _ J _ OWNERS MAN ADO S � �},. I ( CONTRACTOR'S NAME TELEPHONETELEPHONEjo lion RACTOMS MAILINGArESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS .ARCHITECT Fre lace Total Valuatlon $ "" OR ENGINEER LICENSE NO. Filing Fee 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee 56 q,`�2_-- $ Plan Checking Fee BUaDWO ADDRE S ( Energy Plan Checking Fee $ S 17 PERMIT FEE '156 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 1 5.00 a •-) TYPE OF WORK New ❑ Addition ❑ Remodel ❑Utilroes ❑ Installation ❑ Other ❑ (fix v/6�% / r�(��n� �}(� Describe Work: Each as water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 ,!S Building sewer 15.00 fs,00 Mobile Home S G W @20.00 PERMIT FEE S C-0 ELECTRICAL PERMIT j Fling Fee, 20.00 Main Service OOOY OR LESS 2o.A OR LESS 1 23.00 . �~ *PERAUT FEE PAU> � ��% . �/1 SM SHOUFF OTM u TOMPUT 3:1IIIM comnim Main Service 200A TO 1000A 46.001 NEW CONST. DWSLUNG OCCUP. S0. OR ADDNS. 8 ACC. BIDS. 3.5¢R. NEW CONS MULTFOIlTLET NON•RESIO. @7,50 POWER APPARATUS 8 SINGLE A=CIR. Ex. Occup. OUTLET OR FOMAES 20 ® 1'00 . BAL 0 .50 FIXED APP Ex. Occup. .—ESIO.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.001 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEtl S Mobile Home Installation Fee S Energy Inspection Fee S OCC CONST. TYPE TOTAL FEE $ S� HA2. D. FEES IMP I FLOOD I CDF I PARCEL I PD I HD i 6SL'E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date ReceiptNo. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD•APPLICANT - . _- Wow 28'1* -I -U — chard Strelsky 4(00-0 t O� S/S S d F1 a t Rd 3/10 mi ' w ^J, Stony OaksRd., lot 4, Bangor Area Permit #3634 P,E(util. ,MH)LQ ELEC . 0 - 0 -8 -00 20 • GAS 0-3o-Fsl 2 34° Lp l�' w c.(�, ©p SUPPORT STRUCTURE . *I � ' -50 `� rl COMPACTION TEST • .. 28- 8 7�, '-ontr: S & H Mobile Home Ser 3958`i81MHI >-8-460-017 M -R i I k m 7lo e , COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 - CORRECTION NOTICE 4 q66 -6 /-7 R RERMfT-NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r r Date Z I ?—'Inspector;/ REV 10/92 e1 2�x 2"x Sjlc'� STEEL ANGLE DETAIL "A" CHASSIS FRAME 1/4' GRIPPER PLATE (2) REQUIRED 114- GRIPPER SASE 1/2-13UNC-A307 x 4 - BOLT WITH NUTS (4) REWIRED of 1/2• SCH 40 PIPE RISER MATH !;H/2• ADJUSTER HOLES AND 3/8• T" TOP PLATE 02- SCH 40 PIPE STAND WFCN TWO 01 /2- AD4US'TER MOBS 14 AB£SW ABS PAD #503 STEEL FRAME SEE DETAIL"A 3jo' CAD Fi1.,CSI Nt- S W'.S4t!R COUNTER BORED FLUSH WITH BOTTOM AT 8. O.C. (a)•REOLNED 1/4' STAND SAV i-- ASESCO ASS PAD #503 36" MAX TO BOTTOM OF PAD 01/2-x 3' C.R. LOCK PM MRTH s1/8- BRIDGE PIN f i . J 37' 18 1/2' ry3ACu -C' FRAME- 2- CHANNEL--. TEK STS (2) REQUIRED 1/4- GRIPPER BASE i /2 • A307 BOLT (2) REOUIREO 3/8'x 6"x 6' STEEL PLATE 1/2' A307 BOLT (2) REOUIRED 1/4- GRIPPER PLATE I-.-10.00 F 0 w 0, 10.00 0 ^ 09/16 Hou (T'!P) STAND BASE TOP VIEW n1., w_o.1' RIB TUF-1 PERMANENT FOUNDATION SYSTEM ABESOPGUS GUARD COMPANY 5851 FLORIN - PE Xft4S ROAD SACRAMENTO, CA 95823 PFI: (800) 382-8831 FAX: (916) 383-5207 BEA�A ATTACHMENT L0 - COACH •J' FRAMEM 1/4x1-1/4' I Lu TEK STS r�f (4) REOUIRED to 0 L 1/4' GRIPPER r BASE A ti/2- A307 BOL (4) RT:OUIRED tic J—QEA1r1 ATTACHMENT 43 . . WAYNE T- POLVADO, PE—LISTING NO. E94249 SHEET I of 3 P b $ 8• 1/2- DIA. HOLE (8) PLACES �----- 30• - �1 STEEL FRAME TOP VIEW STATE APPROVAL---- 4. F -lia 14 1�1 4 PS g1 �_ o�Ln �.,��� ° > 0~' ,�} l �� 0 IIS r X WAYNE T- POLVADO, PE—LISTING NO. E94249 SHEET I of 3 P m OD M r�'• GENERAL 'NOTES. "GUS GUARD - TUF— 4 " ESIGN LOADS ;,-LIVE,, LOAD: 30. LB ' f100AxLIVE LOAD -.LO Psi TYllID LOAD BO ' MPN EXPOSURE a C - �' i iE SN0Y7 LOAD l00 PSiy(SEE NOTE X15) RS "F01111DATt� $K'aDESK71E0 TO BE -.CONSTRUCTED ON FAaILY�LE.'VE�•.St � `MCL ,�NOt:%ISTING"SO���PMs 16. FOUNDATION BLOCKS 16', 16':12 POURED IN PUCE AT GROUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' kAX- E= 2' MIN. / 1.1' MAX_ S= 6 MIN. /16 MAX S= 6' MIN. / 22' MAX. �J1TED AMDSFZED FOR. THE LDADS VARIES iD 70' (SEE TABLE ON SHEET #3) AW1T10IERUCTIONS :C . _ , �y.y;.p ir-�:4.�� i.. 5��1'►. rini�ib .. E S $ __ ITINGS AND SAND SPEC1fWC4T S.- - ElICI UES -370 :PLATES -ASTM 7 � � Q � � � z 1 . S:ioAIBt oIl'ili1S PA(E SHALL BE MED AND RIDGE BEAU SUPPORT AS ASSOCIATES"FOR TME FOLIDI 111CAOADS:: . VEA1`1CAi; 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES 2200;• 6000f D -.TIE PAD';:: 2200/ 6000/ ALIOWABL£ SNOW LOAD TO Too PSF WHEN INSTALLED ABESCO-GUS GUARD COMPANY INSPECiIOft, T1tE ESTM10 S)1ALL ENSURE �FOME 645SIS-KAMS. ARE OF STANDARD SECTION -. Q 'COACHES MAY BE RETROFITTED TO RESIST SEISING FORCES BY 8• NOM.' Ai!lNC ": GUARD. TUF_I UNITS AS SNDW ON THIS PAGE OF TYPICAL 1Q TILE GUARD TUF-1 SYSTEM_ 5 Am SAFE F011 mmALLATWN M FL000 .GUS THE HT .PLAN AW YiF -W DEPTH OF FLOODING DOES NOT EXCEED EIGH _ • :O; TNKE TEET., . mULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED ROTATED 9e DEGREES OR _',AS OFFSET TO DIMER ' SIDE TO - . THE' -MANUFACTURER OR THE ., < SUPPM "q PAD (TVP E; THE NUMBER OF TUF-i UNITS UNDER EACH UNIT IS PROBLEMS ENGINEER TYPICAL THROUGHOUT_ THE SAME=AS SHOWN REQUIRED PER EACH UNIT. 12_ swcu-1w1OE UNITS REQUIRE ADDFTIONAL RESTRAINT. ' (SEE SHEET p) ' 13. All WTAL COMPOMENTS AMD ATTACNIMS qW SNALL BE PROTECTIVE COATED. STATES' APPROVAL ETE SLAB IS IN EXMTANCE PAD IS NOT D Dzn r: z _ \tj.• V`L `. o 14. RREEIN EO MM-- ANCHOR STAND TO CONCRETE SLAB WITH TUF-1 PERMANENT ' ANc►,oRs 7 � � Q � � � z 1 . � RIDGE BEAU SUPPORT AS o . REOUIRED 9Y MANUFACTURER D (TYPICAL) 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES N D 0-f- D .D D r. oM ALIOWABL£ SNOW LOAD TO Too PSF WHEN INSTALLED ABESCO-GUS GUARD COMPANY . Q _... 8• NOM.' �--„ 0_r PADS Gl ANY P- U MAY BE STANDARD M.IL . FOU1'IDATIOH PIERSRECOMMENDED- BY v- PK'SE� • ROTATED 9e DEGREES OR _',AS OFFSET TO DIMER ' SIDE TO - . THE' -MANUFACTURER OR THE ., < SUPPM "q PAD (TVP E; .AyOID CLEARANCE PROBLEMS ENGINEER TYPICAL THROUGHOUT_ STATES' APPROVAL Jf ._ r: z _ \tj.• V`L `. o 14. RREEIN EO MM-- ANCHOR STAND TO CONCRETE SLAB WITH TUF-1 PERMANENT ' ANc►,oRs 7 � � Q � � � z 1 . � FOUR (4) I/z'R 3 I/r ExPAN51oN FOUNDATION SYSTEM o 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES N ALIOWABL£ SNOW LOAD TO Too PSF WHEN INSTALLED ABESCO-GUS GUARD COMPANY Q WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FWRIN - PERKWS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMIETIb CA 95823 ONE BASIS. PH: (800) 382-8831 FAX: (916) 383-5207 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 of 3 I DIA. .: !6- Lr-. 1/2'x 3 1/27 1/2"x 8' LONG (4) REOLNRED EXPANSION ANCHOR ANCHOR BOLT 3/8- CAD PLATED BOLT. NUT & WASHER (4) REOUIRED (4) REOUIRED COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REOUIRED CONCRETE PAD INSTALLATION POURED IN PLACE 16x16x12 CONCRETE FOUNDATION INSTALLATION CHASSIS FRAME 36' MAX. 1/4- GRIPPER PLATE TO BOTTOM (2) REQUIRED OF PAD 1/4- GRIPPER BASE 01/2'x 3- C.R. 1/2-13UNC-A307 LOCK PIN WITH eml WITH NUTS 01/0* BRIDGE (4) REOVWD PIN 01 1/2- SW 40 'PIPE RISER MATH 01/2- ADUUSTER HOLES AND 3/8' THICK TOP PLATE 02- SCH 40 PIPE STAND UNIT" TWO 01/2' APAMER. HOLES A13ESC,0 ABS PAD f503 STEEL rRAME 'joppp ON LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION LENM HOME 21V i vfiDT" or P JW I 2W I 447 I UP - TO 4e a I a Fa 1 12 47-1- to W1 12 1-12 1 12 i W W -t- to W 2D 1 .28 1 20 1 4N E OF, or HOME 10 1 1'r, 16 6. W�lm Was 21L 1p—Mrl".4941 :'NUWWM OF 7t$F-I REOUVRED mamm OF Ttw-l. Kauffj> AM MCLS WW UWM RMUM (4) E -Z TIE PAM UM QWW 7W-1 PIM ARE TO BE PAM AT APPIMMKMELY EWAL INTMMS AWW EWH rRM& N11 - TUF—1 PERMANENT FOUNDATION SYSTEM ABMO-GUS GUARD C0?.&AMY SMI FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 $TATE APPROVAL I NV Z *J A 0 op rw TUF—1 PERMANENT FOUNDATION SYSTEM ABMO-GUS GUARD C0?.&AMY SMI FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 WAYNE T. POLVADO, PE -LISTING NO- F94249 SHEET 3 of 3 $TATE APPROVAL I NV Z *J A 0 4� < g r 0 z g Om C) WAYNE T. POLVADO, PE -LISTING NO- F94249 SHEET 3 of 3 - -" State of California Business, Transportation and Housing Agency �, �$_l Department of Housing and Community Development ✓-d � O Division of Codes and Standards m� T �� ., US APPLICATION FOR: ❑"Alteration/C'onversion❑Approval to Remanufacture ❑ Alternate Approval ❑ Technical Services ❑ Replacement Insignia ❑ Coding Inspection (SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATION) CONTRACTOR/OWNER BUILDER DECLARATIONS Not required for Special Purpose Commercial Coaches or Recreational Vehicles 1. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. Exp. Date Contractor Date 2. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the 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 d6llars($500).): SECTION 1 - UNIT INFORMATION I/We are requesting services for the following unit(s) (Check Appropriate Box) Manufactured Home/Multi-Unit Manufactured Housing Manufactured Home/Multi-Unit Mfg. Hsg. Component Structure Recreational Vehicle Commercial Coach (Occupancy Group I ❑ Special Purpose Commercial Coach r �} Decal or License No. ` Serial Number(s) `- ! \ S r (� • i .. { `. "o'A Manufacturer Name/ a Model Name NO. /- . '_J l3 Lit - COL a.. ;_ 1 r.% ,- FEE RECD I DATE t 'i 0 L - AA NO.� RT TO RT B Year of Manufacturer Insignia/HUb Label Number(s) 6TATE OF CAL!FORN!A ,, ' De(:artYlant of Housing & Cemmunitf D%velopment ��e''{ :CTION 2 - OWNER/APPLICANT INFORMATION Division of Codes and Standards Nner -� ?.. '%•r. %\rrc� : t: Telephone No. ^� t FINAL iNSP CT!ON CERTIFIC ,T!CpJ "� nr9�' (_ _J r — fJr .. tl /1%S /�1dress — 0 v -! --, i \ e V amX a.. Bv.�--- •lDATE: 11�Z (District Heprese:itative) r;D No ) LAi OR DATA.: ARFA: /X Nn:; orth Ci clAh Coty No: I CAlACT CODE L TR NILES TIPAE: INSPlAC7 _ TP.AVI:1. TIME INS"ECTiON DATA: lI5&rivale Prapery NIH PARK h HOMMNIT FLOORS VIO-ATIONDATA: T0'IALCCR2_XTIOVS: ty County Zip c{ cz, !cation of Unit if Different ian Above pplicant ddress ity Zip Telephone No. ECTION 3 - CONTRACTOR, ARCHITECT OR ENGINEER INFORMATION - ontractor's Name S F_ c _ i�'! -- c- — r �/+J -- ^,P _ .ddress -�" -- -- rchitect/Engineer Name FEI COLL'r.CTICN AND 011411--R INFORP,44-rIO14 -FES $ ter tt. ITE A ISSUED, ;ICD 59 L Gi,a 0 PA I.A. .4-1 TACHMENTS. 0 Tiedown Cert L� Oihar PERMIT NO: �----------- _ IBJ F;LE CL.O;,EU l . issued, I shall not employ any person in any manner so as iu ueUu:i,o subject to workers' compensation laws of California, and agree that if I should become subject to workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Applicant '• ^3":.:o.r.: Date WARNING: ^ .,,;!RTMPEPT�AT�ITfT-- COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 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. 4. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec.3097, Civ. C.). Lender's Name ,ddress ;ECTION 4 - DESCRIPTION OF WORK/ACTIVITY AND VALUATION License No. )ascribe the proposed work/activity in detail. Attach additional pages if necessary. If structural alterations r remanufacturing are proposed, complete plans, specifications, details, and calculations must accompany his form. Check box ❑ if plans accompany this application. Provide the make and model of any appliance o be installed and provide complete electrical calculations for any electrical alterations or additions. � i" �• 1 . �: \�.,i 'L i' f• r i .j^ - �a S,.J �f _ .�.:) i� Indicate the Total Cost of the Work to be Performed $ !'• FICATION I/We hereby make application for the services designated above. If applying for replacement of a lost insignia for the unit described in SECTION 1 above, Uwe certify that there have been no alterations, additions, or modifications to the unit that would affect the unit's compliance with California or federal law or the rules and regulations of the Department. (If alterations, additions, or modifications have been made, a coding inspection must be obtained.) Signature a replacement insignia is Date I certify that I have read this application and state that the above DEPARTMENT USE ONLY information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and O:gppROVED ❑ ❑ Disa CONDITIONS (see reverse side) hereby authorize representatives of this county to enter upon the (% PProved (see reverse side) above-mentioned property for inspection purposes. r':;' Signature of Department Representative Date ignaturd of Appscant or genta� t le GJ/ 6) 00 2- - �!l 5 ..F i �" 3`✓ ; `F$ c�f fxyr e3` r� Z v�'7.• gg CRAIGrS,MAGNUSONDLNaa2�a2o OAKS PATRICfA AtMAGNUS,ON DL�pa�ts5e r� ho ,zSUSTONEYy�� _�_ 'r _pBi4NGOR CA 9591'4*�� ' k� { 7 _(53O)4-67r9-U7S9j r z P, • ��~��" 4,FEy� , . �`' �gr� 4r ar�r ��45. ��� �`�R�,�'s���± .r PA"`Y�TO THE i � ,� $�tisi ,r. �xr � fir.. � y.• , b�.Sar. z, ,r.T 106, MR Ml�-- $ r. � -i � y-i,'t;��i�'�_ ,f" :4 � ^ani St air", K•''K a'•` ,'° .�• " c o pgto � pr�A^' lls r� ..,-FA-? y �' r• •i,�Ca'A- yid`Rf y v C Wee�i rMk- utuat;g FA -3 A. ` a �� t � Y $Y�i yg'e`S� vy s r K z S bx �S OroWile Flnaneiel Center t498 .c, a. 20BlgOio Dam Boulav'an1 Eaffi` 180079&7000x47t�h v�,^ rea r r•.(�f�„Q ` �2?3 �3 f0V1C�A�95869r7 3'kdiYr ; 24 Ha1n er SBNk9,�ytsl�"+�yfl y's �i v� sm IL ..,_ • I e• RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 20 -Nov -2002 2002-0063135 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. CRAIG STEVEN MAGNUSON AND PATRICIA ANN MAGNUSON REAL PROPERTY OWNERIEMSOR 50 STONEY OAKS BLVD MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CPfY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner. write "SAME") SAME MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 02-3071 (530)538-7541 B PEAM[IT NO TELEPHONE NUMBER .11-19-.02 IGN OF LOCAL AG O CIAL DATE NONE DEALER NAME (if not a dealer sale, write'NONE") NONE DEALER LICENSE NO. FESTIVAL HOMES INC. 1980 DEVONSHIRE MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFL2A/B948680982 52 X 24 CAL171886/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUNMER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER A.P. # 028-460-017 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept ,�,'-..,µ.wy c=.;:...r- c` .reg— "c.rm$-r-..F---..,I F r-.-4�••-•v'S'y �.•- n;b'�FOUNDATION E,SYSTE1VI r ' • .� rw.. `Yq'." • �. { ~`* CERTIFICATE "OF OCCUPANCY F ILL.e .i .. _�3�-..'a .,. _ .�. r_41• r........+n—ter �«l.._..,, ry...� Y } BUILDING PERMIT NUMBER: 02-3071 Address or location of unit: 50 STONEY OAKS BLVD., OROVILLE, CA. 95966 Legal Description of Real Property: A.P.# 028-460-017 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: CRAIG STEVEN MAGNUSON AND PATRICIA ANN MAGNUSON Owner's address: 50 STONEY OAKS BLVD., OROVILLE, CA. 95966 INSIGNIA OR HUD NUMBER: CAL171886/7 SERIAL NUMBER OR V.I.N.: CAFL2A/B948680982 MANUFACTURER'S NAME: FESTIVAL HOMES YEAR: 1980 e OFFICIAL APPROVING INSTALLATION• DATE: 11-19-02 PHONE: H.C.D. 513C (530) 538-7541 r Order No. 00193053-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN_THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL A: PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP BEING A PORTION OF THE NORTHEAST QUARTER OF' SOUTHWEST QUARTER. OF SECTION. 2,' TOWNSHIP 18. NORTH, RANGE 5 EAST, M.D.B. & M.,. FILED IN THE OFFICE OF.THE RECORDER OF'THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 21, 1980 IN BOOK 79 OF PARCEL MAPS, AT PAGE 87. AP NO. 028-170-128 PARCEL B: A 60.00 FOOT EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES LOCATED IN SECTION 2, TOWNSHIP 18 NORTH, RANGE 5 EAST, M.D.B. & M., BUTTE COUNTY CALIFORNIA, MORE PARTICULARLY DESCRIBED AS FOLLOWS: A STRIP OF LAND 60.00 FEET IN WIDTH LYING 30.00 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT IN THE CENTERLINE OF SWEDE'S FLAT ROAD (COUNTY ROAD) THAT BEARS SOUTH 30 50' 27" EAST, 688.68 FEET FROM THE CENTER OF SAID SECTION 2; THENCE FROM SAID POINT, THE FOLLOWING COURSES: SOUTH 190 40' 49" EAST, 172.61 FEET; SOUTH 32° 23' 53" WEST, 206.42 FEET; SOUTH 5° 41' 50" EAST, 325.51 FEET AND THE END OF SAID LINE. PARCEL C: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE SOUTHERLY 60 FEET OF PARCELS 2 AND 3 OF PARCEL MAP BEING A PORTION OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 2, TOWNSHIP 18 NORTH, RANGE 5 EAST, M.D.B. & M., FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA ON NOVEMBER 21, 1980 IN BOOK 79 OF PARCEL MAPS, AT PAGE 87. AMERICAN GENERAL FINANCE Re: Craig and Patricia Manguson 50 Stoney Oaks Bangor, Ca. 95914 To whom it may concern, Nov American General Financial Services is the current leinholder in first position for the above named property. Account # 17575926. American General Financial Services sees no reason is prohibiting Mr and Mrs Magnuson from obtaining a permanent foundation on the property. Please allow this to be obtained per their request. Feel free to call me should you need any further assistance. Regards, Niki Maxwell Branch Manager American General Finance, Inc. ' 2260-C Oro Dam Blvd. W • Oroville, CA 95965-9208.530.532.9561 • Fax 530.532.9519 -�" _ IIIIIIIIIIII!lIIIlIIIIIIIIIIIIIIII 2000-0046757 -7 RECORDING REQUESTED BY Bidwell Title &Escrow Company Recorded I REC FEE 10.00Official Records I TAX 53.35 AND WHEN RECORDED MAIL TO CoBnt,EOf "'� Craig Steven Magnuson CANDACE J. GRUBBS I Recorder I Sired 50 Stoney Oaks Blvd. ROSEMARY DICKSON I "ddrers Assistant i Cindy Oroville, Ca. 95966 09:08M04 -Dec -2000 I Page 1 of 2 Cur. sue , Zip Order No 00193053-001 SPACE ABOVE THIS LINE FOR RECORDER'S USE Parcel No. 029-170-129 GRANT DEED fir/ THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersigned Grantor(s) Declares) Documentary Transfer Tax. is $53.25 0 City/Town of 0 computed on full value of interest or property conveyed, or 0 Unincorporated Area 0 full value less value of liens or encumbrances remaining at the time of sale FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Chandra McMinn Lagrone, a Married Woman as Her Sol'and Separate Property hereby GRANT(s) to ! Craig Steven Magnuson and Patricia Ann Magnuson, Husband and Wife as Joint Tenants the following real property in the 0 City of 0 Unincorporated Area County of Butte, State of California: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF Dated: November 29, 2000 Chandra McMinn Lagrone STATE OF CALIFORNIA COUNTY OF Butte } SS: On' jIA�rJe,f I t LUX) , before me, the undersigned, a Notary Public in and for said County and State, personally appeared Chandra McMinn Lagrone Personally known to me (or proved to me on the basis of satisfactory evidence) to be the personts) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature SANDRA D. SCHMELTZ COMM.! 1230377 O VOTARY KWX CALI 0 MIA COUNTY OF 8UTTE Comm Expire 101 29.2003 MAIL TAX STATEMENTS TO: Same as Above v STEOCraa dee DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT o�strtc Givislon of Codes and Standards •� , �• - - C? 88 rnZ w Title Search Date Printed: 09/20/2001 DEv� Decal #: LAC1977 Use Code: SFD Manufacturer: 9534 FESTIVAL HOMES INC Original Price Code: AFM Tradename: DEVONSHIRE Rating Year: Model: 35221?01 Tax Type: LPT Manufactured Date: 01/02/1980 Last ELT Amount: Registration Exp: Date ILT Fee Paid: First Sold On: 10/28/1981 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width CAFL2B948680982 CAL171887 52' 12' CAFL2A948680982 CAL171886 52' 12' Registered Owner: CRAIG STEVEN MAGNUSON PATRICIA ANN MAGNUSON (Joint Tenants with Right of Survivorship) 50 STONEY OAKS BL OROVILLE, CA 95966 Last Title Date: 02/09/2001 Last Reg Card: 02/09/2001 Sale/Transfer Info: Price $24;204.89 Transferred on 12/01/2000. Situs Address: 50 STONEY OAKS BL OROVILLE, CA 95966 Situs County: BUTTE Legal Owner: . MARGARET G STRELSKY 1921 N SHERRY LN #9,4 SANTA ANA, CA 92705,,,- Lien 2705;Lien Perfected On: 01/26j2601 13:12:04 Open Escrow: MID VALLEY =E PO BX 1068 2295 FEATHER RIVER BL OROVILLE, CA 959'6'5'.' Escrow File No: 191204CB Pending Buyer: MAGNUSON Dealer Name: None Reported Escrow Opened On: 09/20/2001 Expires on: 01/18/2002 * * * END OF TITLE SEARCH Temp. Elec. Service Called PG&E / fie,pl As evi?e Called PG&E JOB FINALED (Date) Signature PERMIT NO. 3634-81P,E PERMIT EXPIRES OWNER Richard Strelsky CONTR. owner ASSESSOR PARCEL 28-17-128 LOCATION S/S Swedes Flat Rd.,app.3/10 to w.of Stony oaks Rd., lot 4, Temp. Elec. Service Called PG&E / fie,pl As evi?e Called PG&E JOB FINALED (Date) Signature COUNTY OF BUTTE D,EPAhTfdENY OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE ILDING OR PROPERTY ADDRESS 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 —4z y t COUNTY OF BUTTE �• DFPAAT14ENT°OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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. or Inspector�Z�---00" C_ Date/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number �39for the following location:: U,WneP / ;-41 IcLI -� er's Address Mobilehome Mfg.Model Year 55r� Insignia No. % ' / Serial No. f94'9 1 A `*=? It is hereby certified for occupancy at the above described location and may be occupied. _ Director o/;Public Works? Date 0Z !`,% - Std% By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow- Installer, Pink - D.P.W. County of Butte DEPARTMENT OF PUBLIC WORKS 695 , Chico — 848 4244, Emi. 7 County Center Dr., Orovllle — 534-4541 Skyway and Elliott Rd., Paradise -97V -34W CORRECTION NOTICE ...............����................................. ��-- Building or Property Address 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. 710 ............................................ ..�-.... '. r .......................................... .... .... " ......... ...... .... ................................................... ........................................................... If ..... ........ ... ....... ... ............ ............... / r a 1" � Date!.....�� � 1 Inspectorr.?� Do Not Remove This Tag (400-4) J = OK 0 = Not OK — = Not Applicable MOBILEHOMES = Not Ready ' n i i MISCELLANEOUS Date MOBILEHOME UTILITIES (PWf<OK except N's 1 Hing Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1, Zoning Requirements—Setbacks—Easements oil ; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors ewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4 ater; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5 ec •city; Location—Clearances—Gr .—/`-0 Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures Location—Test—Wrap:14 L"ft.-t" f"Nat. WW"L"ft./ "LPG 6. Carports; Windows—Doors tility Clearance 7. Elec. Card -BI Dat f Card -BI Date Card -BI Date Card -BI Date Card -BI I Card -BI Date Card -BI Date Card -BI Date ' Date MOBILEMOME INSTALLATION (P s) OK except #'s Date POOLS (Plans) OK except k's 1 ng Requirements—Setbacks—Easements 1. Setbacks—Easements t Fo gs; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3C -<"H Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining: Ele city; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI iK_ra1n; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6 er; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7*1'�`Wper and Sewer Connected—C/0-to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes— Enc losures— Pane Iboards— Ins. to Main in Conduit tits; Insp.—Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test C B -I ate Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK ` 0 = Not OK = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce thi's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts. 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑ Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes E) No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic ' ---- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Comments at Final: _ Card -BI Date Card -BI Date Date FRAMING(Plans) 36. OK except q's Sills; Proper Material & Anchors 37. _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing _ _41. 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions __46. 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. / ~ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45i — c R APPLICATION AND PERMIT ASSESSOR PA CEL NUMBER ��M ZONING e BUILDING PERMIT OW ER /t...�, %��/T� c G/ /2/ / /lR v l� W TELEPHONE SQ. FT. OCC. BUILDING VAL ION OWNER'S MAILING ADDRESS CONT AOR'IVV�LC O�TELEPHONE •�.�O�f� 9NT AG ADES ;5� /'� O O�/� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /V. 040 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUI ING ADDRESS 55 s W ELS PLUMBING PERMIT Filing Fee 10.00 © IGS' F—.Z), Each Trap 2.00 Repair drainage or vent piping 5.00 0,0 ater piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OFSRUCTURE SF ❑ DuplexMobilehome Other ❑ SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utiliqeso In#allation Other ❑ Describe work: 4'tQ/Z �nL 363 9 / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 X Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y) OR ADDNS. ACC. BLDGS. 2¢sgft CONTRACTORS LICENSE LAW I declare u der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessEx. and Professio C e an my license is in full orceGa ® �� effect. License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -(MULTILET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON-RESID.SINGLE OUTLET CIR. OCCUpOUTLETS OR FIXTURES 50 ® 2Da BAL@1 Ex. OCcup.(OUT ETS (RESID ) EA. 2.00 FIXED PR Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S 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 als agree to save, indemnIf and keep harmless the County of Butte against all I bilities, j dg nts, co ts, and expenses which may in any way accrue again t said County cone ence of the granting of thi permit. X Date �� �� �1 ' Signature of Applicant — Owner ❑ ContractorAgent ❑ An OSHA permit is required for excavations over S' eep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ OZ) .50. TOTAL PERMIT FEE $ 0. ISO Occup. GROUP TYPE OF CONST. PARCEL PD HD ISS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE O OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -7-e /'~J Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT NAF 1. Owner's name: 2. Installer's na 1 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes / / No ( If yes, furnish permit number OR ' Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No 74' (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- V Amps 6. What is the mobilehome site service rating? --------------------- -ZOOAmps t 7. What is the mobilehome site circuit breaker rating? ------------- J Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) `� 9. What is the mobilehome site gas pipe size? ----------------------' �.., ✓ 4 (in.) - 1 10. What is the type of gas service? ----------------------------- Natural 77 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) i f MOB ILEHOME SUPPOkT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. � � a 2.,+O Yeor Widt(ft.) Box Length , Qz- (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. • F ti ( h k ) DD (ft.)(in;) Center support locations* &/ [r (f t.) (in.) 3C- —3 (ft.)(in.) -3�1 o (ft.) (in. (in.) (in.) Center support footing sizes (in.) X231 (in.) (in.) �l (in.) (in.) a -1 kfo y Q; x• r -PI (in.)l (in.) oo nes c ec one Single t' 1. Wood either UN -pressure treated or foundation grade. 2. Other. ( specify) 4' I -AIA "D -� -, - S *If center piers are other than drawn above, A,-n�., {T.. 1.,..�t;.,nc nnarina anti dimenGinns_ Support$ (check one) Pq l: Concrete block. -2: Other. (specify) Tagalong or, Expando,' show support details. r__1s.e -- Typical Support .) (in.) Footing Size (ft.)(in.) -- Max. Pier Spacing -- Max. Overhang (ft.)(in.) 2 0 J BUTTE COUNTY BUILDING DEPARTMENT APPROVE® -COUNTY OF BUTTE - D%PARifM5. NT OF,,PUBLAC WORKSPERMIT NO. 959 7 County Center Drive - Oroville, Californil65 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR P�G;,2.NUM N�'� ZONING gU DING PERMIT *w,#, R,/#�' ^ �,//�� /��"I '[/yR�/,L�� TELE HONE SO. FT. OCC -1 BUILDING VAL ATION A 6f Z OWNER'S MAIN ADORESS LA1, 1?5� 540 410, CffAA,fTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEE LICENSE No. Plan Checking Fee $ 10 "06 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ B�'GS�Ii-,LS PLUMBING PERMIT Filing Fee 10.00 /� C r 577 ' ` l L �� ��s �� " Each Trap 2.00 Repair drainage or vent piping 5.00 F.4A1 %Q,e Water piping .OD LOT O. SUBDIVISION NAME PARCEL MAP 79— 7 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets �o) - USE OF STRUCTURE SF [_1 Duplex❑ Mobilehome Other SPECIFY Building sewer dL�© Lawn sprinkler system 5.00 ' TYPE OF WORK New❑ Addition El Remodel❑ Utilities Installation❑ Other❑ Describe work: Permit Fee $ , C) Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 5.00 5,00 Main service EA. ADD'L 100 AMP 2.50 S� NEW CONST. DWELLING OCCUP.m) OR ADDNS. ACC, BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees .with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR -OU LET 2,50 ea NO N.RESID BRANCH CR 1) NEW -CONSTR (POWER APPARATUS 61 RESID. ( SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES B L0; 00 FIXED APPLNS. OR EX. OCcup.(OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �d Misc. Wiring 7.50 O Permit Fee $ r Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X ��` -� �—� Date _ g L Signature of Applicant - Owner ❑ Contractor ❑ Agent,101, An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ g3 rJ OccuP. GROUP I TYPE OF CONST. [__�PARCE PD N (SSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREPITOR OF PUBLIC By P IT EXPIRES � the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 7/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t -PARCEL A: ].parcel 4, as shown on that certain Parcel !Iap being a portion of the Northeast quarter of Southwest.quarter of Section 2, -Town ' ship 18 North, Range 5 East, M.D.B. & M., filed in the office of the Recrder of the County of Butte, State of California, on November 21, 1980 in Book 79 of Parcel Maps, at page 87. PARCEL B: A 60.00 foot easement for road and public utility pu�rposess located M., Butte in jSection 2, Township 18 North, Range 5 East, ty ;..California, more particularly described as follows: A strip of land 60.00 feet in width lying 30.00, feet on' eac'i side of the following described centerline:. • e centerline of S�iede's Flat I Oad ;County Road) BEGINNING at c. PG+int• i n th that bears South 30 50' 27" East, 688.68 feed from"the center o said South 190 Section 2; thence from said point, the following courses: 53" West, 206.42 feet"; South o 40' 49" East, 172.61 feet; South 32° 23' feet and the end of said line. 5° 41' 50" East, 325.51 PARCEL C: A right of way for road and public utility purposes over the Southerly of the Northeast M 60 feet of Parcels 2 and 3 of Parcel Map being a portion Section 2, Township 18 North, Range quarter of the Southwest quarter of filed in the office of the Recorder of the County 5 East, 14. _-D. B. & Pi.', of Butte, State of California on November 21, 1980 in Book 79 of Parcel Maps, at page 87. . , END OF DOCUMENT. n Return to DPW - ,,,,,817734036 OFFICtAL RECORDS AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT -BUTTE COUNTY- ;AL!F. y l� FOR RESIDENTIAL DEVELOPMENT R>EC � RDS RE ESTED BY � lkt�-Q� G{JtlLci�J Sectton. '56-8.1 of the Butte County Code requires this acknowledgement QCT Z2 9 12 AM 1981 be recorded prior to issuance of a building permit. CLARK A. t4ELSON The property described herein is adjacent to land or included CLERK -RECORDER 19 within an area zoned for agricultural purposes, and residents of FEE this property may -be subject to inconveniences or discomfort arising from the use of,agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: October 19, 1981 f State of California ) On this the 19th day of October19 81 SS, before me, the undersigned Notary Public, personally County of Orange ) appeared Richard Strelsky, . w 0 0 ' 7c -- 0Fnc1AL SEAL CONWAY J. BEAM NOTARY PUBLIC-- CALIFOR141A PRINCIPAL OFFICE IN ORANGE COUNTY My Commission Expires November 12, 1983 known to me to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. / IN.WITNESS WHEREOF, I hereun set y hand�nd offiglial seal. �� Not4/Public Conway J. Beaver Present A.P. N0. ����� �/�D %'W� rn STRELSHY OWNER OF PROPERty. 69, P:7, OR MR9. PEGIGY AUTHORIZE MR.- PAUL - ON SAID PROPERTRANTO -My AGENT CRANE 'To PAY BILLS. TOSpASSON TARE SIGN AL W09]) Of7-SAID PRO L'PEPsKITS ON SAID PROp PPRTV , FRTV rnf% SIGNED. DECEMBER 30 11980 UWAL --DATA. PARCEL 46.5 sOF" T18 141 R,5 jw�, MD BEING THE.S -. 0PING IN THECIDUNTY� FONUNINCOWAT EJ RE A OTFION-JCALIRIA. BUTT. E -0 t