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HomeMy WebLinkAbout028-460-039- ey 28- too- o �4�0 28=1 -=}fig 4�o-o3q 52 - SA:irley Smithey �-f—,� �� �cj.—(p f BUILDING CODE VIOLATION N/S�Obert Dr. , app. mi.E.of Stony Oak, ROSELAND, JAmes RE: CONSTRUCTION OFA Orovi11e 145 Obert Dr, Bangor 3 Permit6-80 E(uti1.,MH) �. Permit �y CABANA WITHOUT PERMITS ELEC . t, ��9 Q}r)(nelGf: 1•/O m�+��$�ec.�-}Cle ,e (barn for cows and farm equipment) GAS a. li./•6: ��WVr �r wilding code violation 30 day SUPPORT STRUCTURE REQ=. At �'�V COMPACTION TEST REQ, l�L rVI—C, oContr: Hut - nson & H rn, '. Permit#$ s 25—BOMHI I s S •gid' ,� � 5-� � 28-17-83 Permit #3107=81B(new awnings & , decks/NH) + 028- O- 0 0 99-2475 ^� - 9� ROSELAND, BETTY ANGOR 145 OBERT DRIVE} CONTR: OWNER X O CABANA BUILT W/O PERMITS BOO 99-2354 028 - BETTY ROSELAND 145 Obert Dr, Bangor (MH/perm fdn)e t ?r Q o 1; •ti O _...� a -amp= � e v 0 o 1; •ti O _...� a -amp= � e v VIOLATION CHECK LIST A. P. $ 0028 ` 7� " l '�O Address Owner's Address Owner's Phone No. Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. tpecific Plot Plan with C/V,Noted yes ono Penae equired -- � ;'!'�.�'� :..� . '. -•-gin _ �.n..�.�- _ � -` e ^aarw.i Y ' al 1st. Notice Sint , - 2nd. Notice• /` Sert'w (Date) 4 for ate Comments and/or D�iermiAtion ;� f Disposition For Citation Citation ate Date Department Recommendation to Court Court Action Notice of Violation Recorded (Date) r Ulrl)s ----------- -- ------------- July 27, 2001 Gary & Jennifer Maken 145 Obert Drive Bangor, CA 95914 RE: Building Code Violation 145 Obert Drive, Bangor CA 95914 " A.P. # 028-170-140 Dear: Mr. and Mrs. Maken: butte C ,LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for the construction of a cabana. Since permits. and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. . You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. erely, Mich 1 Vieira Manager, Building Inspection MCV:tp cc: Assessor COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE RUA�o OROVILLE, CALIFORNIA 95965-3397 RETURN SERVICE REQUESTED 7z Z I RIA 0.3 ZIA 70546801-U-9. POSTAGE Gary & Jennifer Maken : Z 11:: -_-:: --. _- L: - - 145 Or < <: ' Fqz o..j Fi: 0411 - 0 01 2z IE O'ql 0 11.*:_--:.: I]::;;!: ( ) 0 Such Number Bangc ( ) Unclaimed No Mail Receptacle Illegible Insufficient Address Refused Attempted—Unknown No Such St Vacant—Current Resident Only fWqFo* 95914 Not Deliverable as-Addresse ' \ 1 NIMMONS!! f f4 f Asmt # ,� 4 Fee # 028 170 140 000 Name MAKIN JENNIFER �, r— (t_ ^*� Status atus Date 08,+10'!2000' Qddrl 145OBERTIN NO`RMALOWNpi, RSHIP 052 004 +TRL1 Addr2 BANGORCA 95914;`"f�4 5dus 145 OBERT DR ;BAN f Addr3 _ Base Dt 12!03!:1,919 �NRI5 ,Land 0, , dddr4 4 4 f M, �1 E i k'. � "i 4 ri f.h #vda advLw mud�T Ji6u.x wpleu`t'{< ieLw.eu'u.�::t3.Si.w: i _ i 4 `u hj,A Pres x, 1Structure..g DY , 4fse'F.` Yfr, g3"i S`RY 3` �"'a. fr- ' OWN 3' k T�Sdwi�'ji'' jf Y ryq ?%' Lij c.0 Ei3' - YEtal Fixtures mum: ',r"f Comments Remap to 02846003900 tes - —� -No Growm 0 kfE 9 Creating Doc# 198482937440E 5 ` Date Bonds =Y k rTotal°LSI ti f O Current Doc# 1999R0050443a, 4 Date '12103/1999 Mulh Situs'Fix R 0� y'F j 14 ,Killing Doc# ?��` Date OBl10/2000 r Flagl >P4fry `�MFI PP 0UT iii M-TRUR r�Flag2x v u - Asmt Desc =145 OBERT'DR �t SuplCntl ; PP 0FAR F . F i Y�Exem f�NREERA Zornng MR DO Dwell l PP PenNeES ,PAsmt 3-mxLefq i .Gs SI:4e.`w. 3c'.L i- e4v'' q Au4 #i'*" 5 _zINS1 E.Ni. I AppealPendingWo T/R'Dt c , �,Y .. r Spht�Pendmg`f dr R/C Stat f.y ` effE f�hf f. f ji4 fq "44 ' .'q' €"'E�f�4�EEEf4 ..re" yT 4, :FPI it f a^^.^•.�«.• ���- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 RETURN SERVICE REQUESTED Gary & Jennifer Maken 145 Obert Drive Bangor, CA 95914 l July 27, 2001 Gary & Jennifer Maken 145 Obert Drive Bangor, CA 95914 RE: Building Code Violation 145 Obert Drive, Bangor CA 959i4 A.P. # 028-170-140 Dear: Mr. and Mrs. Maken: ik, ......... sa adCot L A N D O F NATURAL WEALTH AND BEAU T-. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: •(530) 538-7541 FAX: (530)538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for the construction of a cabana. Since permits and inspections are required for the above work, please submit three (3). complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. erely, • /,w µ` Mich I Vieira Manager, Building Inspection MCV:tp cc: Assessor April, 30`h 2001 Ms. Betty Roseland 2505 Yard Street Oroville, CA 95966 RE: Building Code Violation 145 Obert Drive, Bangor CA 95914 A.P. # 028-170-140 Dear: Ms. Roseland BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for the construction of a cabana. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (3Q) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. i r ly, 7 Mich el Vieira Manager, Building Inspection MCV:tp cc: Assessor .�� LAND OF NATURAL WEALTH AND BEAUTY April, 30`h 2001 Ms. Betty Roseland 2505 Yard Street Oroville, CA 95966 RE: Building Code Violation 145 Obert Drive, Bangor CA 95914 A.P. # 028-170-140 Dear: Ms. Roseland BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for the construction of a cabana. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (3Q) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. i r ly, 7 Mich el Vieira Manager, Building Inspection MCV:tp cc: Assessor L/I CQUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT 10. (Rev.12/96) APPLICATION AND PERMIT �9�� ASSESSOR PARCEL NUMBER 028_170-140 ZONING` . BUILDING PERMIT OWNER BETTY ROSELAND TELEPHONER -0211 53 E SO. FT. OCC. BUILDING VALUATION 5,904 OWNERS MAILING ADDRESS 2505 YARD STREET. OROVILLE ()5()66 CONTRACTOR'S NAME ON�(f OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 5,904 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS 145 OBERT DRIVE, BANGOR Energy Plan Checking Fee $1 $ PERMIT FEE $ 153.65' LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ufililies ❑ Installation ❑ Other ❑ Describe Work: CABANA BUILT WITHOUT PERMITS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G w 920.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Fling Fee 20.00 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.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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 Main Service TO l 46.00 WEU200A U NEW CONST. DWEl1tNo GCS. OR ADDNS. 3.5Q F0. NEW CONST. MUI OUTLET NON-R61D. 97.50 OWER APPARATUCIR.S a SINGLE OUTLET Ex. Occup.OUTLET DR FDcruREs 20 � ,��, SAL p ,50 Ex. Occup.oun�ois =.oma 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date �� -`- 9g Signatureo pplicant -� Owner Contractor ❑ Agent An OSHA it is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 2 .65 HAZ. D. FEES IM FLOOD CDF P C HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 280719/$231.65 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT yy� :.r it3�1)?,7•[`�- •W ^l f`^` -Y+ 1--,•iW���� tK .nM'4Yi/�yi „CAUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION f rye' /7 Co t Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev`12/96)f \AP.PLICATION AND PERMIT ASSESSOR PARCEL NUMBER 02170-140 20NIN111y BUILDING PERMIT " OWNER BETTY ROSELAND •.��� TELEPHONE - SQ. FT. OCC. BUILDING VALUATION - -0-90-47-. . OWNERS MAILING ADDRESS • ? �-'"` 2505 F CONTRACTOR'S NAME as OWNER TELEPHONEMH - t �. CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER ` Fireplace LENDER'S MAILING ADDRESS '"� t Total Valuation$ •4 ARCHITECTOR'ENGINEER _+�Ir r- ti4. LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAILING ADDRESS '* Plan Checking Fee $ BUILDING ADDRESS 145 OBERT DRIVE, BANGOR Energy Plan Checking Fee r. \ $ PERMIT FEE $ 153.65 LOT NO. E SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT ..,.. Filing Fee 20.00 } USEOFSTRUCTURE23.00 (` tr -+S ❑, Duplex ❑,.,,,Mobilehome ❑ Other SPECIFY Each Trap * : 7.00 Solar or heat um water heater 4. �, Water piping V 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK � Nei ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑� Oesc 1r kie work: CABANA TUILT WITHOUT PERMITS Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home s I G I W @20.00 r PERMIT FEE S 35.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirn under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty. of perjury that I am exempt from the Contractors License Law for the following reason: -N 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. 014111, as owner of the property, am exclusively contracting with licensed contractors ' .y to construct the project. �10 ' I am exempt under Sec. Business and Professions Code for this + reason Main Service 200A TO +oOOA 46.00 NEW CONST. ( DWELLING OCCUP. 3.50so OR ADDNS. : NEW CONST. MU IC-OUTLS. NOµgESID, C @7.50 OWER APPARATUS a SINGLE ourLEr cIR. Ex. OCCu OUTLET OR FIXTURES 4q @''0° BAp .SO Ex. Ocdu oFuTiEDrAP ° 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00, 23.00 PERMIT FEE _ '43.00 f i 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' I 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 �,.w 3700 of the Labor Code, for the performance of work for which this permit is issued. My,`workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling - Hood 6.50 Ventilation PERMIT FEt $ Policy' Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or..less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in anyrmanner so as to become subject to workers' compensation lawss'of California, and agree that 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X /Jn"t®n Q—— Date 99 Signature`oppiicant - Owner�CS. Contractor ❑ Agent An OSHA pe' rfnit is requirefor excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $� 65 HAz. D FEa ,IM FLOOD coF I PARC I V HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated -above for which fees have been paid. By r' f Date PERMIT EXPIRES ON Date Receipt No. f z it7'19/ 131. 5 7 WHITE-D.D.S:-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . -,,v 4 M 1 � N . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 av PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 02 C7"�V17^ "�lf� • L0 V ZONING BUILDING PERMIT ' OWNER BETTY ROSELAND TELEPHONE 53 1 SO. FT. OCC. BUILDING VALUATION , 904 .OWNERS MAILING ADDRESS 2505 YARD STREET, OROVITIE 9�966 CONTRACTOR'S NAME (NNERt TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 5.Q04 ARCHITECT OR ENGINEER +. LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 131.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Pian Checking Fee $ 52 65 BUILDINGADDRESS 145 OBERT DRIVE, BANGOR Energy Plan Checking Fee $ $ PERMIT FEE $ 153.65 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 pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CABANA BUILT WITHOUT PERMITS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Filing Fee 20.00 800VOR LE Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWELER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, 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. :❑ I am exempt under Sec. Business and Professions Code for this reason 1 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: w. ❑ 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 of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall ` not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' X 1 Date 99 Signature %,Applicant -Q- Owner 0 Contractor ❑ Agent An OSHA permit is required for excavations over. 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADD S. ( a ACC. BLOS. s0 3.5QFT. NNJ0µga1D. MULTI -OUTLET CIRCUITS @7,50 APPARATUS d SINGOUTLET CIR. EX. OCCU OUTLET OR FIXTURES BAL ®1.50 Ex. Occup. DFIxuEDTSA as DRQ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23 AO PERMIT FEE = 43.0t) MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 234,65 HAZ. D. FEES IM FLAOD CDF PARC L No SSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Da te Receipt No. 'G� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V -_4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 0 ` 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.'12/96)1 APPLICATIONANDPERMIT -' ASSESSOR PARCEL NUMBER 028-170-140 2817014^ ZONI14GMR BUILDING PERMIT ' OWNER BEM ROSRIA" TELEPHONE SO. FT. OCC. BUILDING VALUATION 144 @ 41 5#904 . OWNERS MAKING ADDRESS 2505 YARD STREW, 0 , .l? 95466 CONTRACTOR'S NAME MW OWNER I TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER,. .. LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 4 BUILDINGADDRESS 143 OBERT DRIVEy BANGOR Energy Plan Checking Fee $ $ PERMIT FEE $ 153.65 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 1 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 1. 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CABANA SUILT WITHOUT PERMITS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ , 35,00 ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR UE Main Service 2D.A OR LESS 23.00 y i LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and -:my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, 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 Main Service 200A TO 1000A 46,00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a Acc. Bins. SO 3.5QFT; NEW Rale T. MULTI -OUTLET @7,50 POWER APPARATUS a swGLE ovnt7 aR. Ex. Occup. OUTLET OR FDCTURES 20 @ 1.00 BAL @ .50 FIXED Ex. Occup. GuT rs AEsID°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 23.00 PERMIT FEE $ 43,00reason 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 of one hundred dollars ($100) or less.) ©' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of ,the Labor Code, I shall forthwith comply with those provisions. f. X ' ,. , J"" 1 a�.,� ,. ,� > ',... E Date / 0 - 'w 19 Signature of,,,Appl'icant - q0' Owner "'l7 Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 23�965 FEES IMP FLOOD CDF PARCW IL �' t Pb 'HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date war • Iy I yw..r �'w.✓ Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-7541 PERS N (Rev.IM16) APPLICATION AND PERMIT '01"1m 0,-�9~-17D -- BUILDING PERMIT OWN" Afm/C D��L/ i/�I t' Tar�aNQ SO. FT OCC. BUILDING VALUATION MIMI 0"" AOOft p � O CONnPCTORI RAIE TWPHONE I - CONTMCTOR7 PALM ADORltie 4 - COASTRUC M LgMgtLEN06M EF, �pADORMace Total Valuation S ARCNRECT OR 6MWJ iI uceme NO. Filing Fee S 20.0 Permit Fee S �_ ARe►ff= OR EMMU I WAJN0 AOORM Plan CheckingFee i a"1D~OADORE°' Energy Plan Checking Fee _ PERMIT FEE : 3 1DTN0• tUeON°°"smom PAMEL YN PLUMBING iPERMIT Filing Fee 20.0( USE�OFSTRUCTURE SF O Duplex O Mobilehome 6- Other Each Tr 7.00 Solar or heat um water heater 23.00 Water piping 15.00 / = Each as water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O Utilities O Installation O Other 0 Describe Work: ���� //l'/�[/J�/ _i!1G�f�%/ Gas piping system 1 - 5 outlet 15.00 13ildin sewer 15.00 bile Home S G W @20.00 13;E? PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.0t Main Services 23.00 Main Service aooA To i000A 46.00 NEW CONST. OWBLl10tipg, OCCUP. 3.5010. OR ADDNS.. NEW CONS NOWRESID. 1=0=@7,50 ' POWER APPARATUS i'Se101t OURtT & _aALEX. OCCU OnFT OR Fwrum8m p r.00 w OMOA"U,6 sEx. Occup.. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.0075 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.0- Heating Cooling Hood 6.50 Ventilation PERMIT FEt S '^Llobile Home Installation Fee $ Energy Inspection Fee S- Occ CONST. TYPE TOTAL FEE $ Z. 0. FEES IMP e1A00 Coe PMCEL "C I s, This permit is hereby Issued under the applicable provision of the Butte County Code end/or Resolutions to do w.or indicated above for which fees have been paid. By PERMIT EXPIRES ON Date �— `�� - l /�/ / ����. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: gey zend, D ASSESSOR PARCEL NUMBER: Dff--"17Q --140 Proposed Tuilding se: 6WHig Building Inspector: 1-'7- Date: f0 -7- 7 -Q 9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 94.Engluneered ems have been submitted .------------------------------------------------------------------------------------- plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ plete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ( -� plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------- 11 T' Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $--------------------------------------------------------------------- ❑ 1,1. Impact fee§ as shown on the attached schedule. ------------------------------------=------=---' 2. California Department of Forestry plan approval/fees. ---------------------------------------- ❑ 13. Flood elevation certificate. -----------------------------------------------------------------=------ (P�4. Sanitation and plot plan approval Health Department. -------------------------- ❑ 15. City of Chico plumbing permit. ------------------------------------------------------------------ ❑ 16. Plot plan and business license approval from the City of Biggs. ------------------------------ ❑ 17. Planning approval for (A) Use: (B) Parking:--------- 1118. -------- ❑18. Contact Land Development about ❑ Improvements, O Drainage, ❑ Legal Parcel. ------- '` ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ----------- ❑20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner O, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------- i----------------------------------------------------------------------- ❑25. Recorded copy of Agricultural. Acknowledgment Statement. ------------------------ q Letter of intent on building use. ---------------------------------------------------------- Manufactured Home utility clearance. ---------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits ------------------------------------------------------------------------ 029. 0433 A, OGrant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 1130. -------------- ❑30. Other: ------ �you issue the permit, process as follows 11 Mail to owner, ❑Mail to contractor. ephoneSJ"CAI I and hold for pickup at 0 4J office. O Deliver with inspector. (Date) Applicant: 0,e Date: �O - a % - ' / Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollutior6.' I Date: By: Copy ofplans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date:, By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: .. ".. Contractor, designer, owner, was advised of the above required data by ephone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. :,t g COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. h 8=170-140 99-2475 ROSE_LAND, BETTY 1 145 OBERT DRIVE,—BANGOR 0' CONTR:- OWNER pLCABANA BUILT W/O PERMIT S�,� � PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Piers Conduit Pre-Gunite Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Rough Electrical Rough Mechanical Framing Shower Pan ................................. G.`. Insulation >Di Fireplace Footings Fireplace Throat ................................. >DoNot'C Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY ........................................................<............................s.........n.......2..4......H...r......l. IMP, .Ars .o .............. .. Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7/94 NOTES r - 99-2415 02g-170-140BF BANGOR RO'SELAN 145 OBEROD OWNER ONNTARNA BU'- W /O PERMITS CAB RESIDENTIAL 028-170-140 99-2475 PERMIT NO.._ ROSELAND,..BETTY _ - 145 OBERT DRIVE, BANGOR CONTR: OWNER CABANA BUILT W/O PERMITS II SPECIAL CONDITIONS II SRA. FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY ,/ = OK 0 = Not OK - = NotApplicable, = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 8. 1. Zoning Requirements -Setbacks -Easements 10. 2. Soils; Special MH Support Sketch 11. 3. Sewer; Location -Test -Fall -C/O -Concrete 12. 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete MOBILE HOME INSTALLATION (Plans) OK except #'s 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"tt./ PLPG MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 7. Well Clearance 8 Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line FINAL (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Can. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit 11. Cert. of Occupancy Health Department Approval 12. Permanent Foundation Only; License Decal Plumb.; Cir. Test -Water Supply Test 11. 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- Rftrs.-Con nectors 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- Enclosure s-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 J = OK 0 = Not OK - = Not Applicable =Not Ready RESIDENTIAL (%c Date 46. Underfloor (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth 5. Stemwalts, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Date 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date 46. Card B-1 Date Card B-1 Date 47. 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 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Date 55. Card B-1 Date Card B-1 Date 56. Card B-1 Date Card B-1 Date 57. 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 Date 29. Subfeed Wire Size / / ga. Cu or M-A.C. Wire Size / / ga Cu or Al Date 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral Q Yes Q No Date 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 66. Bedroom Exiting Date 67. Card B-1 Date Card B-1 Date 68. Card B-1 Date Card B-1 Date 69. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach. Protection Date 77. Card B-1 Date Card B-1 Date 78. Card B-1 Date Card B-1 Date 79. 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.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection-Draff 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 -Mach. 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 Q Yes Q NoMalks Q Yes Q No/Planters Q Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Dear Property Owner: Butte Count LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965.3397 TELEPHONE: (916) 535.7541 FAX: (916) 538-2140 We have issued a permit to construct a new building, an addition, or to do remodeling on your property. This letter is to inform you we have approved the building plans submitted for conformance with code requirements. We will only inspect the construction for conformance with code requirements. It is your responsibility to see that the building conforms to your plans and expectations. Should you have any questions concerning this letter or any other matter pertaining to the construction, please do not hesitate to contact this office. MCV:ahb Yours very truly, Michael C.1 Vieira, C.B.O. Manager, Building Inspection RE: Attached Building Permit Dear Permittee: 'eutte Fount LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965.3397 TELEPHONE: 19161 538-7541 FAX: 19161 538-2140 Attached is your building permit along with the approved set of plans and a job card. Please post the job card on the job site in a conspicuous location for the inspector to sign during the various phases of construction, and also have the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of inspection. Please review the approved set of plans before construction and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office - do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should he not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy this building or portion of building for which this permit is issued without approval from this office. On certain occasions a temporary occupancy will be permitted. Please do not confuse gas or electrical service to the building as an occupar:;cy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector or special permission given. Your permit expires one year from date of issuance. If the work has started, but is not completed and finaled by the expiration date, a renewal permit is required. If the renewal application has not been made within 30 days of the original permit expiration date, or if the work has not commenced, a new permit application and fees will be required. Should you have any questions concerning this letter or any other matter pertaining to building construction, please do not hesitate to contact this office. Micliael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments T -i 0 h 0 S _qq 0 -h .. ..... If I - µ ( , , 4 Dar -V1 N C.,y , i _APpiroJEo `Fo0ndA.4l ori. r • I t i � I t. .I. I I ( ' I : n.l +n _i...._. , -.ALU 4.ALL:9.._ A.�i.�i►-.�o.ILoA�� .1.�A l� S.i..__._�_- I - -I - . I O _ , • � I � i I 1 • . , Plate. D�c.�c1�VG I ( ;�•� ' , I--- i- Q Its ....- - -- --- --' -- - -- --• -- -- ....—i--- ° .. _ _ _ _ . `.,-� --�\-- II�-o- , _ . I l Li5111E 140 I HAWS WOOU038 v3v1/DNlNlo. F iowu D"iAn TT I ,+ HAWS WOOU038 v3v1/DNlNlo. F TT I ,+ .` va HAWS WOOU038 v3v1/DNlNlo. F rc i _Ul .1 i - I .. . . ... . .... C� LJL ...... - ----- - .... ...... .. vr ........ ...... . IIS _14�1 041-1 LL k n, .i I_. _ i a.X $.� .. 10 rtj > kost I I LLS I b . lo n i,.�, E KiVel APtAl oi%,. I.. August 16, 2001 Gary & Jennifer Maken P.O.. Box 821 Berry Creek CA 95916 RE: Building Code Violation i45 Obert Drive, Bangor CA 95914 A.P. # 028470440 L A N D O F NAT U RA L W EA LTH A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Dear"Mr. and Mrs.. Maken: this is E�"& (esy notice to notify you that you are in violation of the Butte County Code, as follows, at the aBove-eferedLd location. Failure to obtain the required permits, inspections and approvals from this office for the construction of a cabana. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, Michael Vieira Manager, Building Inspection MCV:tp cc: Assessor PERM17 NO. 5296-80P E PERMIT EXPIRES 717 1' 1OWNER SHirley Smithey owner CONTR. 28-17-83 LOCATION (A.P. ffl NIS Obert Dr., app.k mi.E.of Stony Oaks, Oroville J. qf R Temp./Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. ,mp. Gas Serv.'- Called PG&E JO B FINALED (Date) (Signature)o' MOBILEHOME INSTALLATION `INSPECTION CHECK LIST r 1.- Is the mobilehome located withh, equired separatioA from lot lines and buildings.and generally conform to plot plan? Yes 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes rho 3. Are footings and supports properly sized, spaced, and braced as per pproved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes— No 4. Is the mobilehome level? (Sec. 5088) Yes No— 5. If mor than a single unit, are crossover connections properly installed? (Sec. 5088) . Yes No 6. Water A. Ise connector of adequate size and properly installed (1/2" ID min.)?*(Sec. 5566)' Yes No_ B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No ' C Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes— No_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes ---No B. Does it have minimum 4" per foot slope and is it properly supported? Yes C. Are any leaks detected in drainage system after running 3- allons of water through each fixture including washing machine standpipe? -Yes— No_1c", If coach is not State of California approved, does station have required trap and vent? / Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as - large -as the mobilphome gas line inlet without reductions other than the mobilehome connector, Yes No B.''Test OK as per following procedure? Yes—// No - 1, Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop, 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water, ' C. Are all appliance vents properly installed? Yes n 9. Electrical A. Is service large enough to provide adequate amperage -to m9bile1iomd'(must equal rating of mobilehome with a minimum of �100 amp) and other facilities on lot, i.e., water UMJA garage, cabana, etc.? Yes!/ No B. Is there proper clearances around panels? Yes ,-"No C. Is power supply cord or feeder assembly properly fused? Yes- 0 D. Is continuity test satisfactory as per the following procedure? Yes_✓No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the.grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA yG.e� �! Manufacturer and/or Namest le Length �40 Width 2- ��)���ZP1 Z2�fr Vehicle Serial N041-2 0 State Identification No. Additional Information or Comments: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE" OROVILLE, CAU, F. ' 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 �` Z �- - � `- for the following location: / , �%`��� Owner Owner's Address G�'� )Zez -5 ��9 Mobilehome Mfg. �L�'p Model Year Insignia No. �lo ���'� Serial No�•�Id"�di �� �� It is hereby certified for occupancy at the above described location and' may be occupied. ^/. / Director PP9'ubli f Works Date '�/ —) 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 Oleander Avenue, Chico — Phone 343-4211, Ext..70 7 County Center Drive, Oroville — Phone4534-4541 Skyway and Elliott Road, i%dradise — Phone 877-3435 C®RRE TION 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. Inspector Date 7 /z-/ i' - r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPEC"TION RECORD ^ 4f BUILDING BUILDING (Cont'd) A PLUMBING bikiDaCK Fire all So I Piping Fo s Parap is 1,k Floor ; Mlin Bldg. ! Restroo Finish 2n loor otin s Windows 3rd or Ste wall Siding To out Slab Roof Sheath a Water PI in / Piers Roofing Sewer , Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal l Insulation Heaters Slab Carport Footings Prov. for ph handicap e sically Conformance of ex. structure Appliances ; Gas Piping&Test Jemp. Gas Slab Final Sanitation Patio RIR EPINA CE I Final i Footings / \ I Footinq f I ELECTRICAL\ Fixtures Motors btucco Final X Sub anel Mesh MECHANICAL Grd. F "It Prot. Scraich Heativa Servi B wn Coo ng T mp. Pole nish Du s nder round erior Lath V ntilation IPennanent i.Oor Close # anal inal MOBILEHOME UTILIT1 .............. Elec. Service �- Elec. Pedestal Water Piping Sewer Gas Piping -If BI E OME I STALL TIO - - - - - - - - - - - - - - Support Elec: Continuity Water Piping F(J Drainage Gas Piping DATE - /REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) s A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N / 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 " APPLICATION ANBD PERMIT ASSESS2R PAREL NUM R d .. ZO ING BUILDING OW R S 1 TELEPH6NE SO. FT. OCC -1 BUILDING VALUATION OWN R'S MAILI ADDRES C N RACTOR 'S NAME TELEPHONE NTRAC R'S MA L,I G A S DR 11 CONSTRUCTION LENDER UNKNOWN _ Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING A DRESS Permit fee $ BUI IG A njSS r`r t /) PLUMBING PERMIT Filing Fee 3.00 aks Each Trap 2.00 Repair drainage or vent piping 2.00 Yn Vt Ie Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomegK"Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑tllities.❑ stallatiq C�er Describe work: 11, �Laf ba t A1.i �y— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW OR CONS.ADONST ( ACC. BLDGS.CCUP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div.3 of the Business and Professions Code and my license is in full force Sind effect. License No. fib` S6 95' Classification C- H ❑ 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 ULTI.OUT LET —NON.RESID. BRANCH CIRC ITS 2.50 ea NEW CONSTR. POWER APPARATUS Il NON.RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@25C BAL@10¢ FIXED PLNS K Ex. OccU p (OUT ETS (RESID IEA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIIng Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agar s said County in copse uence of the granting of this permit. �,/� � / s '! �7 �.�> 4(/ Date f7 _ G� �` �6 Signature of Applicant — Owner Contractor _K Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ , Land Development Fee $ TOTAL PERMIT FEE $ O, OCCUP. GROUP I TYPE OF CONST: PARCEL PD NO 1550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC By P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7 ,ice ^ Receipt No. 1( e_]I?(s7 WHITED. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENRO D -APPLICANT r BUTTE COUNTY DEPARTMENT -OF PUBLIC WORKS 7 County Center. Drive, Oroville, CA.. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET ` 1. Owner's name: ja 1741,e p S �� 4 00 i � 2. Installer's name: C ( Q SSS �/ v t 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 h< No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- / y o Amps 6. What is the mobilehome site service rating? -----=------------=-- b a Amps 7. What is the mobilehome site circuit breaker rating? ------------- a Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 3��t (in.) 10.' What is the type of gas service? ----------------------------- Natural / / LPG /A-/ 11. What is the gas pipe length from meter or tank to the mobilehome? .2 T- (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.) BUTTEacQouN�� BUILDING DEPARTMENT, OED A:PPRO �- MOBILEiJME SUPPORT DATA �/ If;other than single wide, - Mobilehome Mfr. �pQ/��a� S�ntit� furnish Setup Model No. 3 y0 -A i( Year. Width (ft.) Box Length I D (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. Single (ft.)(in.) (in.) (in.) Center support Center support locations* footing sizes (in.) '?qx-j6 (ft.)(in.) (in.) (in.) 4 (ft.)(in.) (in:) (in.) (ft.)(in.) (in.) (in.) (ft.)l (in.) (in.) (in.) *If,center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check one) ® 1. Wood either pressure treated of foundation grade. 2. Other (specify) Supports (check one) �.1. Concrete block. 2. Other (specify) Tagalong or Expando, show support details. 2 x30 -- Typical Support n.) (in.) Footing Size J-- Max. Pier Spacing (ft.)(in.) --Max. Overhang (ft.)(in.) 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PEWIT NO. - _ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 , , APPLICATION`i1ND PERMIT ASSESSOR P%7EI BER (i - < ZO N2$ BUILDING PER OWNER3,411ZLey SA417`f��'/ OU T�E.LlyrE"P SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILINGAREP7Q7O` 0POV//Vy/SZ6 � CONTRACTOR'SNAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LEND/.�, UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGI ER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD NG ADDRESS ` /V/!5 oB6�T D,eiVE AFF. �/� �cr1. E. v� PLUMBING PERMIT Filing Fee 3.00 Each Trap 1 2.00 Repair drainage or vent piping 2.00 ' ©te�iV l�t� Water piping .00 LOT NO. SUBDIVISION NAME PARCEL MAP Each pas water heater Or vent 2.00 Gas piping system 1 - 5 outlets -00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome � Other SPECIFY Building sewer 6.00 Lawn sprinkler system 2.00 TYPE OF WORK, New❑ Addition [_1 Remodel❑ Utilitiesgy Installation❑ Other Describe work: Permit Fee $ , DO Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR LESS5.00 ,00 Main service EA. ADD -L too AMP 2.50 �,5p NEW CONST. DWELLING OCCUP.&` OR ADDNS. ACC. BLDGS. / 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the,owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON.RESID. BRANCH CIRC ITS NEW CONSTRfk POWER APPARATUS NON•RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@� BAL@tos FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S,Dd Misc. Wiring 6.25 UP %U 100 Permit Fee $ 26 ASO Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. FV I shall not employ any person in any manner so as to become subject L'" to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 'Heating Cooling Hood 2.00 Ventilation _+ Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also 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 Co my in co equence the granting of this permit. X Date�Q'a��o' '�t�. Signature of Applica t — OwnerX Contactor ElAgent F-1work 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 $ Land Development Fee $ 25, 00 TOTAL PERMIT FEE $ g470 OCCUP. GROUP I TYPE OF CONST. PARCEL t// PD MD Is` s� This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECT OF PUBLIC By PIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7�%— Fc), �� 7� Pr Receipt No. S 4, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION .7 County Center Drive — 0roville,'gak4iih�rn,ia,'95965 — Telephone: 534.4541 PERMIT APPLICATIO IIATA SHEET _ Permit No. OWNER S S"/TX/C-}- A.P. No. 3 Proposed Building Use UrrL Permit fee ' basednV,.pt Complete Contract Price �''� DPW Valuation 'r (explain)Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/W issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... >: 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans,with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $ 9. Letter of signature authorization...`..../................................................ 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Cer ,i .i` er�of./Workmeri's Compensation Insurance ��- 13. Contranor,s Ificens�rmation (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow) ................................................................................................. 15. Pre -inspection for required. Pre-inspec.request to 16. Other bldg.•inspector (date) When you issue the per it, process, as follows: Mail to owner Mail to contractor. �TelephoneanCCofor pickup at office.. Deliver w/inspection. Other , ` �_ , Q , ` PP`I"`�-� ' Date 6 • a 6 Applicant a ���� Co py of plans sent Health Dept., Fire Dept, Other ring the plan checking process, the following data must be submitted prior to p (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised df above required data by Telephone Mail Other Date Plans checked by Date Plans approved by Date i - OTHER: ssuance: Date- Copy/DPW Ella— jo Uallpoe joj L Toiap wo 7,4 ITTOPH "UIJO z -112 RECO,ING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1 999—GD050 1 In Recorded I REC FEE .00 Official Records I CONFORM .00 CoBnty Of CANDACE J. GRUIBBS I Recorder I ROSEMARY DID(SON I Assistant I Myles 09:17AM 02 -Dec -1999 I Page 1 of 3 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 3 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. BETTY J. ROSELAND REAL PROPERTY OWNER/LESSOR 2505 YARD STREET MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP 145 OBERT DRIVE INSTALLATION MAILING ADDRESS, IF DIFFERENT BANGOR, BUTTE, CA 95914 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS cnY eouN nA76 IID 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 99-2354 (530)538-7541 z ING PE O. TELEPHONE NUMBER 12/1/99 SIGNATURE OF LOCAL AGENCY.qFICIAL DATE NONE DEALER NAME (rf not a dealer sale, write "NONE") DEALER LICENSE NO. UNIT DESCRIPTION FLEETWOOD 1979 STONERIDGE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUM13ER CAFL2ABA10172228 40'X 24' CAL168940/1 SERIAL NUMBERS) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED A.P. #028-170-140 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept LEGAL DESCRIPTION A.P. #028-170-140 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED, "S.E. 1/4 OF THE S.E. 1/4 OF SECTION 2, T. 18N., R.5E., M.D.B. & M., LYING IN THE UNINCORPORATED AREA OF BUTTE COUNTY, CALIFORNIA', SAID PARCEL MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1984 IN BOOK 94 OF PARCEL MAPS, AT PAGE 61. RESERVING THEREFROM THE 60 FOOT RIGHT OF WAY AND PUBLIC UTILITY EASEMENT SHOWN ON SAID MAP. EXCEPTING ANY PORTION OF THE ABOVE DESCRIBED PROPERTY LYING WITHIN THE BED OF THE LOWER ROCKY HONCUT CREEK BELOW THE LINE OF NATURAL ORDINARY HIGH WATER AND ALSO EXCEPTING ANY ARTIFICIAL ACCRETIONS TO SAID LAND WATERWARD OF SAID LINE OF NATURAL HIGH WATER. PARCEL II: A 60 FOOT RIGHT OF WAY AND PUBLIC UTILITY EASEMENT AS SHOWN ON THE PARCEL MAP ENTITLED, "S.E. 1/4 OF THE S.E. 1/4 OF SECTION 2, T. 18N., R. 5E., M.D.B. & M., LYING IN THE UNINCORPORATED AREA OF BUTTE COUNTY, CALIFORNIA", SAID PARCEL MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 29, 1984 IN BOOK 94 OF PARCEL MAPS, AT PAGE 61. EXCEPTING THEREFROM ANY PORTION LYING WITHIN THE BOUNDS OF PARCEL I, ABOVE. N. PARCEL III: AN EASEMENT 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT THE NORTHWEST CORNER OF THE NORTHEAST QUARTER OF SAID SECTION 11, THENCE EASTERLY ALONG THE NORTHERLY BOUNDARY LINE OF SAID SECTION 11, 2430.02 FEET; THENCE NORTH 43 DEG. 45'03" EAST 62.10 FEET TO A POINT ON THE EASTERLY BOUNDARY LINE OF SECTION 2, TOWNSHIP 10 NORTH, RANGE 5 EAST, M.D.B. & M. AND THE END OF SAID LINE. -PAGE 2 LEGAL DESCRIPTION AP #028-170-140 PARCEL IV: A 60 FOOT EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES LOCATED IN SECTION 2, TOWNSHIP 10 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 3 DEG. 50'27" EAST, 600.60 FEET FROM THE CENTER OF SAID SECTION 2; THENCE FROM SAID POINT THE FOLLOWING COURSES; SOUTH 19 DEG. 40'49" EAST, 172.61 FEET; SOUTH 1 DEG. 05'22" WEST, 1340.46 FEET AND THE END OF SAID LINE. PERMIT NO. 3107-81B PERMIT EXPIRES OWNER Shirley.Smithey CONTR. Owner ASSESSOR PARCEL 28-17-83 LOCATION N/S Obert Dr.,app.k mi.E.of 1 Stony Oaks, Oroville Temp. Power Pole Called Temp. Elec. Called I Temp. Gas Cal led F JOB FINALED (Dater / L r Signatur J =OK 0 •= Not OK – = Not -Applicable MOBILEHOMES = Not Ready •yam a �...-,:L MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except a's 1. Zoning Requirements–Setbacks–Easements Date DECKS, COVERS, CARPORTS, ETC.'(P s) OK except N's oning Requirements–Setbacks–Easements 2. Soils; Special MH Support–Sketch li-�O-t'ngs; Size–Depth–Spacing–Connectors 3. Sewer; Location–Test–Fall-C/0–Concrete 3 e�Girders and/or Joists–Decking–Bracing–Stairs–Rails 4. Water; Location–Test–Easement Needed (Sketch) –Beams–Rftrs.–Connec.–Shing.–Rfg.–Bracing 5. Electricity; Location–Clearances–Grnd.–/ / Amp–Concrete ns–Connections–Splice–Decal–Enclosures 6. Gas; Location–Test–Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG ws–Doors 7. Utility Clearance Card -BI Date Card -BI Date C d -BI Date.,�-P— '–< Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements–Setbacks–Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except H's 1. Setbacks–Easements 2. Footings; Size–Spacing–Marriage Line 2. Soils; Compaction–Structure Stability 3. Gas; MH Test–Demand–Valve–Connector 3. Pool Structure; Steel–Connections–Thickness–Dead Men–Lining 4. Electricity; MH Test–Crossovers–Breakers–Clearances 4• Elec.; Receptacles and Lighting; Distances–GFI 5. Drain; MH Test–Fall–Flex Connector 5. Elec.; Pool Lighting; 15 volts–GFI • 6. Water; MH Test–Regulator–Connector 6, Elec.; Enclosures; Conduit Entries–Terminals–Listed 7. Water and Sewer Connected–C/O to Grade–HD Approval 7, Elec.; Bonding; Metal w/5'–Circulating Equipment–Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'–Circulating Equip.–Pool Lghtg. Boxes–Enclosures–Panel boards–Ins. to Main in Conduit, 9. Exits; Insp.–Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test–Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date tt A_ = OK = Not OK = Not Applicable RESIDENTIAL = Not Ready ,)tangle and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings • 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 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 Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. 17. D.W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 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 #'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. 22. 23. Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic F] Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails & Deck Construction -Post Caps _ 25. 26. 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 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 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77. Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Perrr,it) OK except #'s 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32, 33. 34. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 86. Energy Compliance Certificate -Other Certificates 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI Card -BI - _Date _ Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) 36. OK except #'s Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Walls over Girders & Floor Nailing 39. _Bearing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ 42. 43. 44. 45. _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles - 46. Bdrrr Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) - �k County of Butte DEPARTMENT OF PUBLIC WORKS , Chico — 848 41144, Emil 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise --8i4;-2496• CORRECTION NOTICE ....................................................................................�........................... C&ilding or PropertypAddress 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. /........ IF .................. ...........v ............. ............ ....................................... ...... ....................................... /.i1 ........... ..................................... .....: .......................................... ...... !r.................................................... ........................................................................................................................ ,--� .............//....��.jj................................................. ................................................... Date /:�l�.'. Ins ectorA'lA"...y':" u�" s L. Do Not Remove This Tag (400-4) COUNTY OF BUTTE = ,EPAFtTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541IJ2 -:":x / APPLICATIN A 'PERMIT ASSE560R PARCEL NUMBER :2 – 17 —T3 ZONING_ B I ING PERMIT A •� OWNER ,/ / 7-M 7 -P�N SO. FT. OCC BUILDING VALUATION ^f c� OW�S M ILING–A©DRESS 702- `'� ,(NAME `/` 5 O 0vlu� 64 CONTRACTOR'S TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace Total Valuation $ CONSTRUCTION LENDER _ UNKNOWN Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ _ 0 J ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 0-0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 59. 0a BUI ING ADD S� 1E PLUMBING PERMIT Filing Fee 10.00 -5 w N I�Y Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome©�Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition En em/odel ❑ Utilities Installation ❑ Other ❑ Describe work: ,4G VIA)I, g D �S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.51) OR ADDNS. \ ACC. BLDGS. / 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, 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 I.OUTL T 2,50 ea NON-RESID BRANCH CIRC ITS NEW NON CONSTR. ( POWER APPARATUS 51D. ANGLE OUTLET CIFi. -RESI REST OUTLETS OR FIXTURES Ex0 25 . FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID,) EA.1 2.00 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. ❑ 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. to the W. C. laws of California. NffI shall not employ any person in any manner so as to become subject c� o Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. alals liabilities, es, j dgree to men se costs,and andeexpen eharmless s which mayin any way of Butte acc accrue ainst again t aid C unty in c sequenc of the granting of this permit. X Date e_' -) — g 1 Signature of Applia t — OwnerX C tractor ❑ Agent ❑ An OSHA permit is equired 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 $ °ceuP GROUP TYPE of CONS . IPARCEL ✓ N Is9�,� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PE T XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date/yam �2'}(��P r+'ZV Ir/ Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 0 Rul�.��'� COUN r j WING DEp,,�Fja MOBILEOME SUPPORT DATA If other than single wide, Mobilehome Mfr.80AVvI U9 -P furnish Setup Model No. DYear Width r (ft.) Box Length T L9 (ft.) Tagalong or Expando Size ft.x ft (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of.Butte). All center supports measured from front of mobilehome unless otherwise specified. �. Footings (check on Single ® 1. Wood either AA pressure treated �-� foundation grade (ft.)(in.) (in.) (in.) 2. Other (specify) Center support Center support (in.) (in.) Footing Size locations* footing sizes Supports (check on (in.) (ft.)(in.) (in.) (in.) 1. Concrete block. 2. Other (specify) - v Max. Overhang (ft.) (in.) (in.) (in.) 1 (ft.)(in.) Q PA/1 *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 4 --Tagalong or Expando �. show support detail (in.) (in.) A Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) _ -- Max. Pier Spacing - v Max. Overhang (ft.) (in.) (in.) (in.) 1 (ft.)(in.) Q PA/1 *If center piers are other than drawn above, draw in locations, spacing, and dimensions. .4i - i 0 O O p l --0 O O O M.OF2 TOP VIEW - MGP - PAD I ♦® k RATE 6• 21M �i MErfP r�yp1�PPER BASE W Y Arcwcmw I I KMTE a. i 2 j y. EKxf m. GINPPER'P(ATE 1?oa.- V'101" /lnnm.0. I y/ area ats 0R3 RATE yi DESIGN LISTED AND TESTED BY: WAYNE T. POLVADO, PE - LISTING NO. F94249 i♦ TUF-' Ick W.rIG pa I R+s. Ae0 COVlfRYlAi I E�� SO..O RR 1 ®-am-we Co..= ♦ • ♦ AOAOIRmou- _ �. t • M/2 A0a619cAfim 11g2„ SIDE VIEW - MGP - PAD 'I 2n.•wrrlAnD I�� I 1 r 07�2'X 2'X 3/16' A0ro1N %!ra2r!Ac >•. ANGLE IRO eA2eRAs2 wv►i%W D f ► 28' LONG TMALOrA 1 1C i T CIO. MTE0 Q� /a K+Ui1�tA: W16. B 21' MOIa nl END VIEW - MGP - PAD MGPk--UNDERLAYMENT GRADE PLYWD. P & S CCA PRESSURE TREATED 4 MCCa foie ,LAID. AMO LHR' COOL 32Civx. •Wl Av► R O V E 0 SUNK? to COAHc7.0.4 ..0120 KENNETH D. REED, P.E. REGISTERED CML ENGINEER 8976 SMAONS ROAD REDDING, CA 96001 VOICE/FAX 916-241-7296 1N'RATE wv.d.,. A,. .+.. « » ar �.� . e.dr:. TUF-1 PERMANENT FOUNDATION SYSTEM S.o.o d CaOw,:o of 11.,,sa a,d cow..:l 0-9 aIOM ORIS AWSTAHOAADS GUS GUARD COMPANY owe'a4 ° P.O.Rox 128 a— 6F CATHEYS VALLEY, CA. 95306 SPA NO. _ 209-966-5540, FAX 209-966-5549 11.i2 Plan A• aroval P.xplm 1 2 3 4 3. 6. 7 8. 9. !0. l 1. 12. 13. 14. GENERAL NOTES GUS GUARD TUF-I DESIGN LOADS: LIVE LOAD - 30LB. FLOOR LIVE LOAD - 40 PSQ WIND LOAD - 80 MPH EXPOSURE -C- SEISMIC ZONE "4" 'SNOW LOAD 100 PSF THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. CHASSIS BEAM SUPPORT SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE MOBILE HOME INSTALLATION INSTRUCTION. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR MANUFACTURED HOME SHALL BE READJUSTED WHEN D.S. EXCEEDS 1/4" OR WHEN IT WILL BE ADVERSELY AFFECT MANUFACTURED HOME UNIT. CARRYALL FOOTINGS DOWN TO FIRM. UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1000 PSF TOTAL LOAD SOIL PRESSURE AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. STRUCTURAL STEEL FABRICATE ACCORDING TO ASIC SPECIFICATIONS, WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES - 370 PLATES -ASTM A36 BOLTS - SAE GR S -ASTM A449 - ASTM A3725. THE GUS GUARD ASSEMBLIES SHOWN BELOW SHALL BE LISTED AND LABEIFD BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS HORIZONTAL VERTICAL GUS GUARD TUF-I 22000 6000# GUS GUARD MGP PAD 2200# 60000 GUS GUARD E -Z TIE PAD 2200# 60000 DURING PRELIMINARY INSPECTION. THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-I UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. THE GUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED TTSNUMBER OF TUF-i UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SHEET #3) ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. FOR MGP PADS USE 1 IB EXTERIOR PLYWOOD WITH WOLMANIZED TREATMENT TO0 40 / MAX PCF RETENTION WITH DRYING AFTER TREATMENT. 15. LIGHT HEAVY -WEIGHT PLASTIC AND STEEL PADS MAY BE USED IN PLACE OF WOLMANIZED PADS. 16. E -Z TIE DOWN USED ON SINGLE -WIDE, ROUND STAKES (3/4X 14) MAYBE USED IN PLACE OF THE l"X 1/8" FLAT BAR WHEN SOIL IS EXTREMELY HARD OR IN ROCK. HOLES MAY BE PRE -DRILLED WHEN NECESSARY. 17. GUS GUARD TUFA FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED WITH EXISTING STANDARDS REQUIRED BY COACH MANUFACTURER OR REPLACE THEM ON A ONE TO ONE BASIS. l8. FOUNDATION BLOCKS 12 X 12 X 16 POURED IN PLACE AT GROUND LEVEL MAYBE USED. AT INSTALLERS DISCRETION. AS ALTERNATIVE TO PADS. V.iRGt ia• - 7m cc.- -_m - ... •dzr-I STANDARD MH F:UNCATI_N PIMS —DADS IN ANY PAIR MAY AS R_'_pYy=NDED BY THE MANU- BE ROTA -_D 90- C7FACTUrtE4 0;ZTME ENGIP:EERI.'.L OFrS:T Tt OTHER Si:c TYPICAL TnR7l1GHCUT. R :_CLT= TO AVOI9=!EARVACE AS NECESSARY - TY?. PROS''=.MS SIPOGLE WIDE UNITS DOUBLE WIDE UNITS E- Y MIN / E' MAX E= 7 / 11' S= B' MIN/ 18 MAX S= B' / 2Y SH[TE 2 OF 3 QROfESS/pN T. Ppl`glc^ ilay.. l No. C05 110 Eup q 30 6 / L MGP OR PVC SIFRIPS SUPPORT PAD TYP. TUF-1 PERMANENT FOUNDATION SYSTEM GUS GUARD COMPANY P -0 -BOX 128 CATHEYS VALLEY, CA. 9 -SM 209-966-SS40, FAX 209-9665549 'a S S - j ❑ ❑ B_AM S.1PPOIR-T AS RECD BY MANUFACTURER - TYP. ❑ VRIDGE ❑ ❑❑ as n ao ❑❑ O Z ,►� n ❑ ❑ fI STANDARD MH F:UNCATI_N PIMS —DADS IN ANY PAIR MAY AS R_'_pYy=NDED BY THE MANU- BE ROTA -_D 90- C7FACTUrtE4 0;ZTME ENGIP:EERI.'.L OFrS:T Tt OTHER Si:c TYPICAL TnR7l1GHCUT. R :_CLT= TO AVOI9=!EARVACE AS NECESSARY - TY?. PROS''=.MS SIPOGLE WIDE UNITS DOUBLE WIDE UNITS E- Y MIN / E' MAX E= 7 / 11' S= B' MIN/ 18 MAX S= B' / 2Y SH[TE 2 OF 3 QROfESS/pN T. Ppl`glc^ ilay.. l No. C05 110 Eup q 30 6 / L MGP OR PVC SIFRIPS SUPPORT PAD TYP. TUF-1 PERMANENT FOUNDATION SYSTEM GUS GUARD COMPANY P -0 -BOX 128 CATHEYS VALLEY, CA. 9 -SM 209-966-SS40, FAX 209-9665549 brae dap lAasfl�'.T �� nkt= Atd6 Ylkd iLciw f;zd rrr= mclaxa� r�tc r�9m DOUBLE WIDE UNIT r5'. TH IDTH 24 28 26 30-32 44' 8 8 8 8 6' 12 12 68' 18 - 161 161 18 V GLE WIDE UNITS IDTH 10 12 14 188 8 8 68 8 8 810 10 10 10 SINGLE WIDE UNITS REQUIRE GUS GUARD E-2 TIE PADS Abte bus &-rd 71F- I Phn we to he placed at Morawnately e4td klemis atony ead home rad JF -2 S INSTAL'J E - Z TIE DOWN SYSTEM PE3 35K i arNG and OES;GN TUF-1 PERMANENT FOUNDATION SYSTEM GUS GUARD COMPANY P.O.BOX 123`x: t. CZ1.1ms VALLEY, CA. 95306 209-966-&'A% FAX 209-%6-5549 SHEET 3 OF 3 iF1 brae dap lAasfl�'.T �� nkt= Atd6 Ylkd iLciw f;zd rrr= mclaxa� r�tc r�9m DOUBLE WIDE UNIT r5'. TH IDTH 24 28 26 30-32 44' 8 8 8 8 6' 12 12 68' 18 - 161 161 18 V GLE WIDE UNITS IDTH 10 12 14 188 8 8 68 8 8 810 10 10 10 SINGLE WIDE UNITS REQUIRE GUS GUARD E-2 TIE PADS Abte bus &-rd 71F- I Phn we to he placed at Morawnately e4td klemis atony ead home rad JF -2 S INSTAL'J E - Z TIE DOWN SYSTEM PE3 35K i arNG and OES;GN TUF-1 PERMANENT FOUNDATION SYSTEM GUS GUARD COMPANY P.O.BOX 123`x: t. CZ1.1ms VALLEY, CA. 95306 209-966-&'A% FAX 209-%6-5549 SHEET 3 OF 3 NOTES RESIDENTIAL 028-170-140 99 2354 PERMIT NO.: ROSELAND, BETTY J. 145 OBERT DRIVE, BANGOR CONTR: UNKNOWN E/ 1 p—ZZ-o() MH ON PERM FND, EX SITE THE HCD FORM 433A FOR THIS MH CANNOT ' BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE) (2) STATEMENT OF FACTS(ONLY ON NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL #'S 11 SPECIAL CONDITIONS O SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ: SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED .(Date) 6A_ Signature CHECKED BY 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 ER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining°to this matter, or need additional explanation, please contact this office immediately. a nG a a -P L 74 �� : COUNTY OF BUTTE `s 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 ER PERMIT 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 _ complete If you have any questions pertaining to this matter, or need additional explanation, .41 please ntact this office immediately. r* f ..` J4 s 'V Ir J Date — Inspector REV 10/92 r i 4 /'.z 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 u 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"N./ /'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 ✓oning Requirements -Setbacks -Easements ootings; Size -Spacing -Marriage Line s; MH Test -Demand -Valve -Connector 4. Electri 'ty; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7: Water and Sewer Connected -C/O to Grade -HD Approval %, Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. c 1 P anent Foundatio cense Decal Date Card 1 Date Card B-1 Date �. Card B -r te Card B-1 fl�2-2�$ ij MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s n. 1. Zoning Requirements -Setbacks -Easements fl�2-2�$ ij MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing l 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors I 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing t 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- Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test f 11. Light Niche E Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t• ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date FRAMING (Continued) Underfloor (Plans) OK except #'s 46. 1. Zoning -Setbacks -Easements -Flood -Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 49. 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htc; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 23. Fixture & Transformer Clearance -Ins. Protection Elec. Outlets & Receptacles at Kit. Counter 24. Elec. Receptacles Spacing -Lights & Switches at Doors Garage Fire Door; Swing -Landing -Closure 25. Size Boxes & No. of Conductors Stapled A.C. Duct in Garage -Damper 26. Romex Installed Close to Edge of Studs & C.J. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Plb., Elec. & Mech. Equip. Listed for Location 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Elec. Receptacles in Garage (F.F.I.)-Romex Protection 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Insulation -Foam -Looked in Attic 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes C) No Guard Rails & Deck Construction -Post Caps 31. Service -Riser Conductors & Ground Main Disconnect Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 32. Equip. Clearances Panels-Motors-Mech. Equip. Clearance Looked under Floor Q Yes 33. Clothes Closet Light -Shower Light -Spa Light Following Instld./Drive D Yes :) No/Walks ] Yes :1 No/Planters 0 Yes No 34. Smoke Detector Stucco Brown -Finish 84. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 86. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date 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 s jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. 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 Q Yes 82. Following Instld./Drive D Yes :) No/Walks ] Yes :1 No/Planters 0 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: RECORDING, REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 02 -Dec -1999 1999-0050115 Has not been compared vith 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. BETTY J. ROSELAND REAL PROPERTY OWNERILESSOR 2505 YARD STREET MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP 145 OBERT DRIVE INSTALLATION MAILING ADDRESS, IF DIFFERENT BANGOR, BUTTE, CA 95914 CITY COUNTY STATE ZIP SAME UNIT OWNER (ifalso Property owner, write 'SAME*) MAILING ADDRESS crrT MUM STAR Zm 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 99-2354 (530)538-7541 BUILDING PE O. TELEPHONE NUMBER 12/1/99 SIGNATURE OF LOCAL AGENCY rCIAL DATE NONE DEALER NAME (tfnot a deals sale, write 'NONE ) DEALER LICENSE NO. UNIT DESCRIPTION FLEETWOOD 1979 STONERIDGE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEMUMBER CAFL2A/BA10172228 40'X 24' CAL168940/1 SERIAL. NUMBER(S) LENGTH X WIDTH REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED A.P. #028-170-140 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD • Bald g DepL WSIGNIA/LABEL NUMBER(S) BUILDING PERMIT NUMBER: 99-2354 Address or location of unit: 145 OBERT DRIVE, BANGOR, CA 95914 Legal Description of Real Property: A.P. #028-170-140 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: BETTY J. ROSELIND Owner's address: 2505 YARD STREET, OROVILLE, CA 95966 INSIGNIA OR HUD NUMBER: CAL168940/1 SERIAL NUMBER OR V.I.N.: CAFL2ABA10172228 MANUFACTURER'S NAME: FLEETWOOD YEAR: 1979 OFFICIAL APPROVING INSTALLATION: DATE: 12/1/99 PHONE: (530) 538-7541 ' • H.C.D.513C LEGAL DESCRIPTION A.P. #028-170-140 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED, "S.E. 1/4 OF THE S.E. 1/4 OF SECTION 2, T. 18N., R. 5E., M.D.B. & M., LYING IN THE UNINCORPORATED AREA OF BUTTE COUNTY, CALIFORNIA", SAID PARCEL MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1984 IN BOOK 94 OF PARCEL MAPS, AT PAGE 61. RESERVING THEREFROM THE 60 FOOT RIGHT OF WAY AND PUBLIC UTILITY EASEMENT SHOWN ON SAID MAP. EXCEPTING ANY PORTION OF THE ABOVE DESCRIBED PROPERTY LYING WITHIN THE BED OF THE LOWER ROCKY HONCUT CREEK BELOW THE LINE OF NATURAL ORDINARY HIGH WATER AND ALSO EXCEPTING ANY ARTIFICIAL ACCRETIONS TO SAID LAND WATERWARD OF SAID LINE OF NATURAL HIGH WATER. PARCEL II: A 60 FOOT RIGHT OF WAY AND PUBLIC UTILITY EASEMENT AS SHOWN ON THE PARCEL MAP ENTITLED, "S.E. 1/4 OF THE S.E. 1/4 OF SECTION 2, T. 18N., R. 5E., M.D.B. & M., LYING IN THE UNINCORPORATED AREA OF BUTTE COUNTY, CALIFORNIA", SAID PARCEL MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 29, 1984 IN BOOK 94 OF PARCEL MAPS, AT PAGE 61. EXCEPTING THEREFROM ANY PORTION LYING WITHIN THE BOUNDS OF PARCEL I, ABOVE. PARCEL III: AN EASEMENT 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT THE NORTHWEST CORNER OF THE NORTHEAST QUARTER OF SAID SECTION 11, THENCE EASTERLY ALONG THE NORTHERLY BOUNDARY LINE OF SAID SECTION 11, 2430.02 FEET; THENCE NORTH 43 DEG. 45'03" EAST 62.10 FEET TO A POINT ON THE EASTERLY BOUNDARY LINE OF SECTION 2, TOWNSHIP 10 NORTH, RANGE 5 EAST, M.D.B. & M. AND THE END OF SAID LINE. PAGE 2 LEGAL DESCRIPTION AP #028-170-140 PARCEL IV: A 60 FOOT EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES LOCATED IN SECTION 2, TOWNSHIP 10 NORTH, RANGE 5 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA, MORE PARTICULARLY DESCRIBED AS FOLLOWS: A STRIP OF LAND 60.00 FEET INWIDTH 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 3 DEG. 50'27" EAST, 600.60 FEET FROM THE CENTER OF SAID SECTION 2; THENCE FROM SAID POINT THE FOLLOWING COURSES; SOUTH 19 DEG. 40'49" EAST, 172.61 FEET; SOUTH 1 DEG. 05'22" WEST, 1340.46 FEET AND THE END OF SAID LINE. a 10/11/1999 15:38 BIDWELL TITLE OROVILLE -� 5339588 NO.063 D03 Recording requested by; RODNEY MIMS Atlarncy it Low 1440 Lincoln Strom Oravllle, CRIT M14 95965 And wht;lt recordt:d mall t0- RODNEY MIMS Attorney 411.4w 1440 Lincoln Slrcel Oroville, Calirornia 95965 7 7-03532a l IHS Fvo 472,00 Recorded .00 Ottlalel Reaorgsr i Check 159, UO County at putt* I Candace J, arubho I Reaoroer I 22159pm 22-Qop-97 1 PU9i.. XX SPACE ABOVE THIS LINE FOR RFCOROPA'S 1 ISti -- AFFIDAVIT- DEATH OF JOINT nNAN1' 5TA'll; 01" CALIFORNIA j ' Ng, COUNTY OF RUTTl1 ) 111i�"1'Y J. ROSELAND, of legal Ago, Whig I1r61 duly sworn, deposes nod aoyv: Thal JAMES JENNINGS ROSELAND, iho decadunl menllonod In the nllnclied ccrlilleil copy a1'Cenifcalc of Death, Is ilia samo person as JAMf1S 1. ROSPI.,AND, named 115 ono 01' 1110 paf-1103 In Ilan colonlo OUITCLAIM 1)fiFl) dated April Ili, 1911.1, axacutad uy SI-II1U..CY ANN SMITHEY. nn unnlnrriv4I woman, lu 1ANICS J. ItOSI�LAND nail 013TTY 1, ROSELAND, hu4nnd noel %vil's, pK joint lcngnlx, rccurilud inti Book 2937 a1* Pa6e 440 nr Inatrumclu No. 94.151 10 mi April 27, 1934. In Ilia 011100 RccOrila w Ilene Cuumy, Coli1'arnln, covering 111V 1,01104118 (lcacribe(I proporly 011►ullcd Io the Cnonly orl3utte, Slow ol'C'aliliirniu �.s u -u, a w4 0J0jV4- -fy\gw ono d T.n S~i�vrrw r1'� ►� 8 c1 - t r 1 c� 5175 ATTACIIF1) I)t'sSCRIPTION AP /1028.170.),10.000 MORE COMMONLY KNOWN AS; H-5 Obcrt Drive, l3nn6or, CAI it6 itis 10/11/1999 15:38 BIDWELL TITLE OROVILLE 4 5339588 4ilhEM NO.063 IP06 wccomvs""- POOR RECORD is PM TO QVAM OF ORIOW44 D00W 641 Wat corlal I 1191tvitstmito lit of IMst 11toto at a, -11"i'3444moo '10 evil Force, 31 on shot 'o the 8.401/41490 1*4 P6rg#1 PAp 4milwed, 08.1, Jj4 of UA I FitR�II1 0. 11114 10 th area at 0 11# C04 in "I oilicii 08 m 6"1 1&$ P41col Kip ret the Alto 9 tat:101 41 r a, 9, wor vo romkongyral out 9 at on rabTary I A "WWI f I I go) NAPI: :0 ta 0 4 61, MG 1'05"Pba" the 10 (got right at wly w4 p%b$jap Atltjty ,1404ot Mao" 94 8640 PAR, P9,11:10" or the Gbov: doocclowd properij lying 04thics sive w Ila If 14 MOY waslewl or, U49 rotor 4 LODIA , I bqlgv Im live to 1. SM 00 OMS49161 U rd t of n4t,"61 hi9b Voter. Nt a I 60 1091 1`11ht of way and rublia utility 9404"Pit $I thoblk on the I'mael up 4464tiod, -lot, /I of kho 8.9, 4 oil lying Sh the MIAS 1/4 at Stetich It V.11c. c4liftmol# "to Firool its to Ille'd toted if$& of lu9te, caw at thm C01F rnthe otfive a( 00 wase. awk 14 01 F IVN-Igloo Its 41 few Peiii. an Joibr4ary I$# loll 4 ) , to. It f::e Il. SIC&P11#3 "IWAN &AV rlil+lnthe havdo Above to 64#116$nk jq g• II I A lying 10 feet on sa0h *too of the 19119wifto LL01frMI110 11 Me Nlirmvois Dorm *I the weltillool, qobcksr of 46W fly 119119 of memorly bawAdofy line 91 told Reg: 440 31J0.03 too Lhohoo &A&%, 11.10 (tot .0 point an the lin0 of '00YAd6ry I �4 A so bho theand of Poo .00 lost fill U (is Food and polio VIIIIJ11 Pkirp000l 1A &;"q%,rwnfolp I$ "Orlho ling n gasil K-0 1414 County$ OF I acts Oftlowlarly A a1 1.110 fO,OA tool al Irlho )0.90 left on Nigh Aldo 00 the A9 19 10w4 PlhtII too! ht0iffhtw0 t1 0 =$At 1A &hq coatoritme of its Igood Ic'QA%y Road) that b4ofi-South v 10. all gait) 611011 grog th, cle"ttir us sold $gotten 11 thing# give 1040 point the gel ovifto vouum South It, so, 40, ;dos 173.61 Noil 1041h to 01, �3 I in$ IA4 of #lid call, 134 .46 C441 told M AMM".I ' 'l I iI�I ", , I ------------------------------------------------------------------------------------------------------ 10i11i1999 15:38 BIDWELL TITLE OROVILLE 4 5339588 NO.063 007 .i �, reoloing tberela, 41111Y 00018610444opal awnrn, pereonnll$ oppoered Lt1V$AHY'IouWjFONDv Yeo to me to to the eerMp wh.irr'nntor to rrh;:-1':GJ ::_: �r.�o:a;iz.�t:anoa a,�l :4' eogoa .. :.i• .c..+^ i•ui ..� -='xr' :�,:iL'"o.iiao,' ' '. ,4444-. 4444..... .. 4444._ IN 7-17TESS I'JiiMY' Z-44va hfirevato set my 4444 old b mY 4H1:101 4W In Cha C:L_t? :! litsiz, U.4 44 day yur; ik ♦i,lo oortil,rin1t4 tA*048 rrtttgrt. f:+4.ii.1 AAC AZTEA POA M, so" Publlo It cad the Coaaly of Iletin, Stott of Callro:nie. try uopaaloaloa eaplroa July 19, 1949. jtbanrm 6% the r$440 r 811104D S. RISKS. Juts. 28, 1966, an 21, sic. pont 9 o'elooh A.td,:^tn Volume lab 0�flalal_Isegorda,_pase 12, Hutto Cou4%Y Aeo4r4t. A 8„ Ht1A9psTll. ,.......ItioCGdOSH Na. Ot4w BYy��l�r" ). j�. j�,(�DgPvfY AgCOADBA 940 0,0 i,..iwp4n•t 1 t4ue j k .......................................................................... ............... 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Tho roues of aald peloo aball ba ua ralla•xe, via.: 8e.inning Rt a paint In the e14tor4y ocundcq ling Imar66d oy a funuol at Bala prm- toes F which Oho nortbaos-t oornor or aa44 prpotiaao baurs 1lorto 0e 0' )0" Weat 1101-P ft.a �S at.., t •::�: ,'a4wiud tilQnuu 7uota 'io wv W weal Aso feet, more or leea to this north- u'4::Larl7 btsttp4nry lino nr the cwnty roan t,',+rorsioZ Bald prerlpac. U41a ri gat lnalg306 tL4mga4d by aaQaa4 party or tr000 %lune putd polob aa4 N$roe .I,.aavor u..uolderoa aea4aonryalr tbo oomploto e4J(3yraaaL thoroot, IN wI"IIAH M1i11>fOd tiro; party 1444 erooutoa tboea proponto thip 22114 aur of April, 14th. Cau4lJe,rol.lnn ne; Rei• that► �1tJU.UQ ul"5 road Craaute4 !l LAe prodwe of 1 OLAAYS 996WO 9.A, t1Al(Dti$RO.,Nltae4a I AIUI.Y COYLS lin4turf of S0640 Combo 444 1 40S.d. 00"a u11100 C0105. 1 QWM - 29-66 GTirZ oY CAiItDnliJ+1, 1 COU{rl'Y OY KbAII, I �� Ou thio 6 day of May, i6v, 1406, Deroro Ate, lfbi.wA v. 1t'frlts, o Rotary futlio to 10/11/1999 15:38 BIDWELL TITLE�OROVILLE 5339588 NO.063 904 DATED: i , 1997. Ubicrllnd end i"m lu haNm mo on WITNE98myhon andafficlalicnl. 1 OETTY ELAND Vslarlo 0. Fahey U Comm 11473906 Ka►�gaun6 cou n�Foe„ ► Comm era Om Ivuv (1'hG orca for oQlclul nmm ial Kill) 10/11/1999 15:38 WOO Iia. £wtew No. 304413 Lplr. ilA. BIDWELL TITLE WHEN RECORDED MAIL TO: Mr. & Kra.. 80541 SCh® ShirleyAm Y Rt. 5 Sax 5702 Oroville, CA 95965 FRAIL TAX STATCMEtITS TO: R000la d OROVILLE 4 5339588 p/i1LHb Ret4ROr %q7U COYM'Y•„s',oj�, CGEAtndIIfC6NGGA �,f�l pmummy nwam Tox . vL..r .aAparq arrr.�i Q/ ��1�GI S�r1 7� G.',..5.t.�'a:•: s�c.. •,s M mKur","@'!!. i(W4 ratst HaacCA : root "�p0tr al Own.n ���� wool,Al harabra 'CA 91801 cIP 3,olamonl N 44V A er 1 t �1 Nturrt n MI u. =i ►M tu.a• I�aa, ereaf�a a ithe co+ia sail �e MUM r a �t�1iC1.0►14d DIED Nkscn UX PAID OR A VALUABLE CONSIDERATION, rocolyt of wN0 to hrroby aaro"t"d*' SHIRZEy WH SM.tTHey# eA wumrriad WOMM to j,pragv REMISE, IIELEASE AND FQAEVgR QUITCLAIM to JAMES J. ROSILM d41d 8ETV J. ROARIAnl husband UA witar as Joint Tenants tho rr#I property In Oil chy of Of Celltoroia, dmer(OW a1 coun+y of B%Itt9 SEE ATTACM-D LEGAL WCIUPTZOH I101mt Apr11 1t;� 1'igtl . •.,, . a t � t a ti. tw tr�]n►+u . 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Irtr r rw• u.m ,q1 4r""1'r91tty Jo eouland His .; +l: 149 tlbare ArPOo t• Igor. C4. 95914 1 'Ir•w• 1I N ll1w gw4N+.•11 • , .0011/ 1 _ 14 �••i:a 1....11 '• htt Jo ettnl IIt«11, Ir 16/1 W 061041-410T,r • ril I' Paul . :';*) :4:fI^,:" oN h eo��lo�A ., 1.•w 1••11 to yn ar rliAlii'a") 111«M�11 / 1 AMY . ' IT, L1a,�71"I � . , . 4 •,r�';11+tt•thtei 1 •. . i•it • well/. tµ,� 1 .4.1600{,/ 111 •b 0111 11116 rH •IIIg16, .' uluuf,10.11 0510.1199. Stec 'Jo'eolilind'IRttll`t/S Obert 1 -rive I B tv-.1. C. 1`414 rofV 1.111 . 1001..1.1 .r 1rW111/ r AT', icio: Cl19ue i Hac' ► 11,' EwM ` 100«4 A101n//A moorlif lll►RM ell rl . . NMN r'• • L •.'•' e•� �' ' 04hut: Il 10 1,)5 ►' % � �'' , r1 « ' / HA)r Al 1 e 1100 M Iwllfr awl �.�•I, LrRp 0441"« PINI ,oar-Ilnlr .n• r«.u/..140/. wr M Im r 3075 moles ,►varus eacslwl�rrr0 ' 1f•-�•�1n1r•�1�. 1r UfA 00.{ 111,11\ tt, 111' • 111• vol 1.11 n. who 1.1 ,. n 4. 1.011 Ilnrlrl w11 116161 AIIII•�••f y• 11411114 +t`o,2111 aticl cg l�rA,j ou111;b1 Pn4lroonie 44o:" AI I. 0111 io�ili Orohnll 0111a11 10 ears >�r,-,} 4. Yi\111 h 44 r I 9u1 1.,li.+--.M.4a+•-- , I , rl• 1. 1111••n••r 1,M�II 1 1.11 .0000•,1 1•.i 11«wl •0.1111«.I�ij �I, w «1,I Nr IIM IC 1. 1u1a 1n1•'+ 1«1 r ria l t�nu�•d�lei�al;y Slvrdlr ^_r,,,._ . •N m•• �, Ner••wrr ..• 1.r •/•a/N11 �/ a{• LT•• .1. N Illi •• in•T •«.« .•ten. l�]1t1�1]•1t1.�i I .1116/ 41 • •11111 • «11.1.4 1qr W{ « I 1 •,.1111.111111 too at 1N,i r1611h el.ro 11. 411 111 1. rn111Y1/1111 A. oa ob 9 r Ip 111116.1 V11111. 1V•1 �l.L.-.��1� '1•I�In1rw er•Il/g1 ••IIU l r•r/\ull I Il l.ol 11 qn .Dorn lrl c.. 25M 07/9.11940 05104/1441 J1 0h K.O. 1025_ 11 11 Arinu. SLe!ms•nmLU- �« rl • 1«. 11•/w~~ 8,«111 Nn rel• iw1w1 i «.•1,• li .1,001 l�{. /1•{/ /r urii 1 11 1 .11)•1 / 1 /I M1Y/1 ,1 1 1 01{1 11 111111 `II� lMI /1101, ,I, III. •U. w.N1 r rn« • 1 /1 1 +/« «lar w•'' 4404 -oil Im1 + uwlm 14 ,.rv• 0911900111'• •1/4116 1"16,11 ./.00,14 qr , YII 1111/ -11011 yA� y�M( --�r . �.,;., II •1+1 ,N.«w/l/ 1• IN1 11,.'he U,1, Ill. '� 11f, 100.•11.1 4..op-77-4.W. f••••1• 1 1.11 ••••1111• /•• I„1►••.1 „14 •, ur•w.l~•i JiN•� i•i�l� r •1.11 11/,„11.1 Y N • « Cf] Its--�� .. 1 �� V ^,r . �. 11A'II 1111' 1-111taS14 ` OWN I P ill. Anl'NAJII.� I l l I 10/11/1999 15:38 l BIDWELL TITLE OROVILLE 4 5339588 09SCRIPTIAN I NO.063 D02 All that certain real property actuate in the County of Putts, state of California, tlascribid at followes BARCEL T.t A '• Parcel 3, as xhowll on that certain ?areal Map ontitled, "3.E. 1/4 of the S.E. 1/4 of Section 2, T.13N., R.59., K.0,0- i X., lyinq in thio unincorporated area of .butte County, California", said Parcel slap was filed in the office of the Recorder of the County of Butte, Stara of California, on February 29, 1904 in book 94 of Parcel Kays, at Pall " t'mQYt��p EXC8PTINQ any portion of the above dlleoribed property lying within the bed of the Lower Rocky Hanaut Crook below the li.na of natmral ordinary high water and also excepting any artificial accratione to said land watarward of said line of natural high water. PARCEL M Q', A ba toot right of way and public utility easamant an shown on Cho Parcel map entitled, "P.n. 1/4 of the 0.0, 1/4 of Ogqat.on 2, T.188 -o R.5H,, 14,p.9. i M., lying in the UAiticorporat.ed Arab Of iluCta Count„ California", .said Paroal Map wan filed in the office of kiln Racordor of the Counts' of 4utta, 01:41:e of California, on rabruary :9, 1964 in /Wok 94 of Parcel Haps, at P+.Ho 61. RXCEPTING THEREPAAM any portion lying within the boundu of Parcal 1, abova, PARCRI, N;P1 C An eanamunt 60 (eat 1n width lying 30 fowl 00 PAuh 0Adu Of tIlQ troiluwing Qnror.lbud oentarlinei 11140INNINQ At the Northwmot nornor of the Hortheant (vhrvor of "*14 660t1011 111 09nao Gaatarly Along the Hortherly bau11.111ry Tins of raid Aaa.tion 11, 2430.112 fast.l thannn North 43' 0' 01" RAat, 67.10 loot to a point on ohs saotarly boundary lana of P Potion 2, Township 10 Hortl), I1a11ya S 6.40t, H.D.U. i N. and the 91141 of said ileo. !.A Q A 60.00 fnol'. 0400m9nt for road and puhlio utility puI,'jW) s' , lisutian J, Tnwlllllllp 10 Nurtll, RAnga 0 Boat, M-0,0. b M,, Coil Ifnrnla, lewo pa►llclulal'ly 4060rlusd at 101101+11 A wtrLof 14n4 6O,OU root In width hying 30.00 root un oAnh "lea of tlla ft&uwNq 1lanurllJr.l uunl.prilna1 11110INNINp At a Ntalnt. In Ll►o 0011tOrllnn 4f IlWQt1a'i >rtal. nulid aCount.y 11044) 1.114t, 6nill'• 806101 '1" !SO' 27" llast, EQII,All foot from tho uwnter ur pald 11potiun 11 4111411un (I'um 04111 11(.11111 the 141110winy Uy41:4091 40kith to, 4n' 49" KAa1. 119,111 (nut► hu►tt:h 1" O1` JAI" uaat, 13411.1(1 toot alai ilia Pilo ur aA.ld 1.1110. STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: AAJ2979 Manufacturer ID/Name Trade Name STONERIDGE Serial Number Label/Insignia Number CAFL2AA10172228 j CAL168940 CAFL2BA40172228 CAL168941 Addressee JAMES J ROSELIND 2505 YARD ST OROVILLE, CA 95966 Registered Owner(s) JAMES J ROSELIND BETTY JO ROSELIND JTRS 2505 YARD ST OROVILLE, CA 95966 Situs Address 145 OBERT DR BANGOR, CA 95914 ATTENTION OWNER: THIS IS THE REGISTRATION CARD FOR THE UNIT DESCRIBED ABOVE. PLEASE KEEP THIS CARD IN A SAFE PLACE WITHIN THE UNIT. INSTRUCTIONS FOR RENEWAL: t� ® REGISTRATION FOR THIS UNIT EXPIRES ON THE DATE INDICATED ABOVE IN THE BOX LABELED "Exp. Date". ® THERE ARE SUBSTANTIAL PENALTIES FOR DELINQUENCY. IF YOU DO NOT RECEIVE A RENEWAL NOTICE WITHIN 10 DAYS PRIOR TO THE EXPIRATION ® DATE, CONTACT H.C.D. FOR RENEWAL INSTRUCTIONS. EM 1� Model DOM DFS RY 00100!79 00/00/80 1980 t Length Odlh SPC SCC Exempt 40' U, JACN I 04 40' i Issued I May 17, 1999 Exp. Date Jun 30, 2000 Use Type SFD � ILT Total Fees Paid $46.00 IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 969 -STATE.OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT CERTIFICATE OF TITLE Manufactured Home Decal No: AAJ2979 Manufacturer ID/Name Trade Name STONERIDGE Model DOM 00100f19 DFS 00/00/80 RY 1980 Exp. Date Jun 30, 2000 Serial Number Labellinsignia Number Weight Length Width SPC SCC Exempt Use Type CAFL2AA10172228 CAL168940 40' 10' ACN 04 SFD ILT CAFL2BA40172228 CAL168941 40' 10' Issued Total Fees Paid Jun 22, 1999 $35.00 Addressee BETTY JO ROSELAND 2505 YARD ST .4s1 : -•1*" < d�� ,,� - OROVILLE, CA 95966 a!~;;1; 1_. r i•.° � b Tl y �� y ' � l� 1 ��•"3 ,n� i +Y `�'/ a'"4i i�g•a ,•.;.Cl { ,.,> `� ; � � ` f . 5 %1 t 4 ,,o y T�.. Registered Qwner(6)<fr BETTY JO ROSELAND 2505 YARD ST OROVILLE CA 95966 I C��� -" • i t ;� ;' Situs Ad {\ dress pAT 145 OBERT DR BANGOR, CA 95914 _ �_ �' ' t ,` t: •=-- 3. r :, e , x . 4 �i .. z ` 1 � %• �.r �f, ,.•i�"'-L- l . t'' Vit' , , r r; • i } y � , , ^`i33 1. g 'v t` v wr F'. a t '. . � � ..'� g4w...Y•. .. , t r.v 'L.� � 6 t> � .� U! ^'•�}� r"'" � _J ��. �E...Y 1 tri '0: ( C. • I V a �'v IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. `= COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No. (Rev.12/96) APPLIC016N-AND PERMIT ASSESSOR PARCEL NUMBER 028-170-140 ZONING MR- BUILDING PERMIT OWNER BETTY J. ROSELAND TELEPHONE _-5 6 2 7 SO. FT. OCC. BUILDING VALUATION NMXNX . OWNER'S MAILING ADDRESS 145 OBERT DR B 960 R 51,840. CONTRACTOR'S NAME_ UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS `CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 432.5/2 $ 211.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS 145 OBERT DR., BANGOR Energy Plan Checking Fee $ $ PERMIT FEE $ 254.75 LAT NO. SUBDN510N'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome MX Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent .15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX MH ON PERM FND Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 19.00 Mobile Home I S I G I W @20.00 PERMIT FEE S90.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service ".oA 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, 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 of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwith comply with Be provisions. a X Date �� Signature App cat - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over SO" deep and demolition or construction of structures over 3 stories in height. Main Service zoOA TO tOooA 46.00 NEw CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLOB. SO 3.50FT. NEW CONST. MULTI.OUTLET NON-RESID. Cu @7.50 APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES BAL @ 1.5500 FIXED APPINS. OR Ex. Occup. O.FIXED A. 5.00 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 FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FE $ 304.15 j D� I PLoo COP PARD HD r SS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date (Da te Receipt No. - 280404 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT co, UNTYOF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI42 A �7 COUNTY CENTER DRIVE - OROVILLI�,Q� ORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATIONDATA SHEET OWNER: ASSESSOR PARCEL , ER: Proposed Building Use: �/ udding Inspector: Date: At time of permit application, I as advised the following data must be submitted prior to periW processin an or issuance: Date Received By ❑ 1. 1 items have been submitted.------------------------------------------------------------------------------------- f*lot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ------- 7 --------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $ -------------------------------------------------------------------------=---------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- Ell 5. ------------------------------------------ ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from} the City of Biggs. ---------------------------------------------- El 17. Planning approval for (A) Use: Q� I., (B) Parking: -------------------------- 1 D' I 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on (Date) 112 1. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑2 .Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- tter of signature authorization:----=---------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- C1 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- g vi000ns and/or expFied perms ------------------------- -------------------------------- V-2 9. A t Deed, .H. TitleXc to H.C.D $ o' .--------------- _ I r 1130.( ------- Whenyou issue e p t, pr cess Yand lows ❑ Mail to owner, []Mail to ntractor. elephpne hold for pickup at ffice. 03 Deliver th inspector. y( 11r n7 Applicant: Date: I Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air PollwiQ Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: S' Date: 4--2-0 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. eNote transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Califgrnia 95965 • Telephone (530) 538-7541 // MIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0 94q D ..-. O ZONING X BUILDING PERMIT TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAI NG ADDRESS /� . fir] ` � (/ L ,2 �/� J /� ��n CONTRACTOR'S NAME TELEPHONE CONTRACTORS "UNG ADDRESS O W CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation S ARCHITECT ORE NEER ARCHRECT OR &GINEERS MAUNG ADDRESS LICENSE NO. ` Filing Fee S 20.00 z Permit Fee Plan Checking Fee $ " SUILDING ADORESS � Energy Plan Checking Fee $ S PERMIT FEE IDT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome JI!L Other SPEC" Each Trap 7.00 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 ❑ Describe Work: (�j� Other'R jOe�'t Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (x]20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2. oa LES 23.00 _ l ( %� c4 V D I - I I ..Main Service 200A TO 1000A 46.00 NEW•CONST, DWELLING OCCUP. SO OR ADDNS. ( & ACC. BIDS. 3•54FT. NEW CONS . MULTI.OUTI.ET NON•RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FDCTURES 20 O 1.00 SAL p .w LNS• Ex. Occup. GLm �s(RR.,6 °E. 5.00 Temporary Service 23.00 'Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee L OQ0 CONST. TYPE TOTAL FEE $ HAZ. 0. FEES IMP I FLOOD1 COF PARCEL fib HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON re r ,, aru-.o Ae,�� R,-�w &ty� AND WHEN RECORDED MALL TO: SPACE ABOVE THIS UNE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR. COMMERCIAL COACH, ' • INSTALLATION ON A FOUNDATION SYSTEM ' Recoding of this docunlenit at the request 'of the local 'agency indicated is hn accordance .with Ccrifornia Health End Safety Code Section -183,31. 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 conal* below, as of the date -of recording. When recorded, this document -shall be indexed by the count' recorder to the named owner of the real property and shall be deemed to give constructive notice to its contents to an persons thereafter dealing with the real property. .REAL PROBER" OWNER/UMSOR LOCAL AGENCY ISSUING PERMIT and CERIRFICATE OF OCCUPANCY MAIUNG ADDRESS MAKING ADDRESS -��r�l �i �� •�l :fig C��+1; � CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 'INSTALLATION MAKING ADORESS. IF DIFFERENT CITY COUNTY STATE ZIP Q4J—N--L-Li.. UNIT OWNER (N also po" V paw. wit* "SAME') MAKING ADDRESS CITY COUNTY STATE Zip UNIT DESCRIPTION MANUFACTURER'S NAME SERIAL REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARI -er " DR SURDKNG MMIT NO. TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE DEALER NAME (M not o dealer sob. wile "NONE'] DEALER LICENSE NO. 0?? —5 Aow e— A -clo, MANUFACTURE MODEL NAME/ AWAW!R — x e -l' o CA/' /68,YYO - X WIDTH INSIGNIA/LABEL NUMRER(S) SER o 29 — /70 - /Yo MCD FORM 433(A) Rev. 8/91 WHITE—County Aocordor CANARY—NCD PINK—Applicant GOLOENA00-806rq Dap. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS --�" 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT N0. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place, used by the public. ASSESSOR PARCEL NO.- m % -7 O ^ / IA i, `r ZONING K OWNER PHONE NO. OWN ER'S ADDRESS PO, 3c> .2 ack6rb CA LOCATION OF BUILDING rAl Por CaW s alval )arm E USE OF BUILDING SIZE OF STRUCTURE /�, /, y X 30 = o v SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME ✓ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ujo0� ROOF COVERIN l._O FLOOR TYPE Vim/ ESTIMATED COST OF CONSTRUCTION _f7/yr f r�L' `�,� r -► AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follo�qls: r FRONT 36 ` C �..�i .4--- SIDES / j 0 REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. 2 Date ! Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. 696L� Director of Public Works By, � Date � -ul-2 White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant i FLOOD PARCEL P.D. ROOFING ISSUE 3 / I / r Director of Public Works By, � Date � -ul-2 White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant i _COUNTY OF BUTT - DEPARTMENT,OF-PUBLIC WORKS - BUILDING DIVISION - 7 COUNTY CENTER DRIVE - OROVILL;E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 :5 PERM IT`APPUATION DATA SHEET j .1n Permit -OWNER. G MS OS e 1 A Nc�tl A. P. Noo.. >° Proposed Building Use ACr�T CF�X Building Inspector LO Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: i DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... ,10. Fees of 11. Chico Urban Area fees paid ....................I .................. 12. Park fees paid .................................................... 13, School District fees paid .............. 14.k Sanitation approval from 10 Health Department 15. City of Chico plumbing permit............ ...................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Imdrovements may be required. Contact Land Development Section DPW ` 19. Driveway permit (construction approval required prior to occupancy) - 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractors license information (No., Name Style, Classifications .. . 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other jAppl ica ltt AL-� .Date Copy of Haz-Mat form sent. Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1.' Index permit for above items No.`. 2. Additional items required: ti Contractor, designer, owner, was advised of above required dath,by—phone �naiI—counter by .date Contractor, designer, owner, was advised of above required data ib�_phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in—File cabinet AP folder � Copy—DPW