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HomeMy WebLinkAbout030-101-079^ . '30-101-79Ray Pierson1608 18th St., Thermalitocontr: Foothill Construction, Palermo & utility room) led30-101-79�private garage ^Permit #4977-77P,E(ut MH) �SUPPO STRUCTURE REQ. u �COMPACTION TEST REQ � . �Contr: 30-101-79Gene Schmitt MH Ser, VinaPermit#2788-80MHI (exist- ^ . '30 101-'79 �030-101-079PIERSON TRUST, 05 -2798160118TH STREET, OROVILLF;:�4ont: SIERRA MOBILE SERV � ~^ ' ^^~ fi I.I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PEFMT N ./i ASSESSOR PARCEL NUMBER - .. ZONING BUILDING PE RMI o E TELEPHONE SQ. FT. OCC. BUILDING VAL ION OWNE AI ES 1 CON R CTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace -Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ zlo ARCHITECT OR ENGINEER SS LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ i - BUIL ING oQD ESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New [Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: 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 CONST. / DWELLING OCCUR.& OR ADDNS. , ` ACC. BLDGS. 22 sq it 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 LTI-OUTLET 2.50 ea NON -REBID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR, Ex. Occu 50@230 P�o OR FIXTURES ggL�10Q XED A FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 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. fsrf I shall not employ any person in any manner so as to become subject 'tel to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 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. 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 agains Cou I cor�sequence of the granting of this4�Iml_� X Date d Signature of pplicant — Owner Contractor EJAgent❑ 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 $ "cc U1* GROUP TYPE oP CONST. V PARCEL v PD HD r I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC gy Date P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Zo 4% -�� Receipt No. ��Q�' a WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Com. A setback of 5 ft. `from h® property lines and a set oack of 50ft. from the road centerline shall be clear of structures or equipment excel for a 2 ft. eave overhan . 03 4. 1 This set of plans and specificatioeis. MUST bt kept on .}he job at all tifnes and it is unlawful make any chaneofsame.withDu written permission from the Department of Pub lic Works, County of Butte. % '. Utility con W . ... ;. nectibe ons shall :4 ft. oft withinjdr .. �d e .V• he mobileho directly behind or within either �: .3 • half oft thin the oL he roadside real•.. i Mobilehor (left) of the CCA i >f� Tc IA ! %i�G1IC l{O�he .079 i=------"- A00. = y BUTT COUNTY WdTcr oBUILDINGDEPARTMF=Nl nctar `� PPRO C D.' a ul%�Y . _.. - .✓Q�;..... a?zt x•.i �.zsa tz: �,.W e.:�v.44..� .... _.. .i 1 V?''D<x(c�atC%.')�•_.-:6 Y�+�.r�+.1 S .-_ � ._.. .. s E 1 \1 :1,PERMITNO. 2983-80B \1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&;E JOB FIN/�LED� V(Date) (Signature) :1,PERMITNO. 2983-80B PERMIT EXPIRES • c� OWNER Ray Pjarson '�CONTR. Anderson Awning & MH Serv., Chico 30-1.01-79 F' `LOCATION (A.P. ) 1608 18th St., Thermalito t r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&;E JOB FIN/�LED� V(Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS -BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwal I Siding Topout Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final r Sanitation Patio f -P, n FIREPLACE Final ELECTRICAL Reinf. Steel [ Final I Fixtures FIRE Stucco Final Sub anels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer. Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping in 9 DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vislt the job site.) w COUNTY OF BUTTE - DEPAR MENT OF PUBLIC WORKS 7 CGunty Center Drive - Oroville, C,alifol 95965 - Telephone 916/534-4541 AP`PLICATION PERMIT PERMIT L; NO. o Alli' ASSESSOR PARCEL NUMBER _ 16 10 _ / 0 % ZON 5iG % - - BUILDING PERWI OWNER 55'`4�__- TELEPHONE S0.' FT. OCC-. BUILDING VALUATION t N E � I L IvN GA D.R E CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADD ESS o 130-Y CONSTRUCTION LENDER � O UNKNOWN Fireplace I .Total Valuation � $ ' LENDER'S MAILING ADDRES Permit Fee " $ ,00 ARCHITECT OR ENGINEER!� - ;�- LICENSE NO. Plan Checking Fee $ Penalty $ ` ARCHITECT OR ENGINEE S AIL( GDRESS G1� Permit fee $ ron BUILDING ADDRESS - PLUMBING PERMIT Filing Fee 3.00 O 1 / Each Trap 2.00 Repair drainage or vent piping 2.00 4 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg Other SPECIFY Building sewer Lawn sprinkler system 2.00 r ���,� TYPE OF WORK Newq�+ Addition ❑ RemodelUtiliti s ❑ Installation ❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 10ov OR LESS 100 AMP OR LESS 5•00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.&\ OR ADONS. `ACC. BLDGS. / 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury •(check one): �l am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in ff 11 force and effect. License No. 3991f4? t_6 / 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) F1 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 UT(-OUTLCET ITS 2,50 ea NEW CONSTR. LNC NON.R.SI D, BRAH CR NEw CONSTR. (POWER APPARATUS & NON -RES,C. (SINGLE OUTLET CIR, ) Ex. OCcup(OUTLETS OR FIXTURES BAL011 BAL@10¢ Ex. Occup.�0UT ETS FIXED P(RESID.)LNS REA.) 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 FiIingFee 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 again s said County in conrs,/re�quence of the granting of this per it. r;�f X ���=��-�- D to G X40 so Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3Lsstories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ CC occuP. GaouP Tr PE GF CONST. PARCEL PD HD v ssuE ci This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 6 -I vf���' Receipt No. J / ZZ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT f' PERMIT NO. 3103-80B PERMIT EXPIRES t OWNER Ray Pierson CONTR. Owner 30-101-79 LOCATION (A.P. ) 1608 18th St., Oroville e r. Temp. Power Pole Called PG&E Temp. Elec. Serv/ Called PG/&E Temp. Gas SIrv. Called &E JOB JOB FINALED COUNTY OF BUTTE — DEPARTMENT_OF'PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING . setback Firewall Soil Piping. Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handica edy Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final F Footing ELECTRICAL Masodry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground . Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS r � a (NOTE: An entry must be made on this form each time you visit the job site.) `*PER' NG' 952-76B,P PERMIT EXPIRES �/W-/ / OWNER Ray Pierson I ' CONTR. I Foothill Construction, Palrmo LOCATION (A.P. 30-101-79 ) 1608 18th St., Thermalito u 2 cwt r .t l L� Temp. Power Pole Called PG&E Temp. EI c. Serv. Cl;led PG&E Temp'�Gas Serv. a Called PG&E I JOB FINALED� (Date) E (Signature) i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1 st Floor Main Bldg. Restroom Finis 2nd Floor Footings Windows 4/// 3rd Floor Stemwall Siding / To out ga Y Slab Roof SheathingWater Pinang Piers Roofing a Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab ��, ' o Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex structure If oeTemp. Gas Piping & Te Gas Slab Final Sanitation Patio FIREPLACE Final `j Footings Footing ffLFCTRJJZAI& Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SP LERS Motors Framing Test Water Htr. ° Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot Scratch Heating Service Brown Cooling . Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 9 7 County Center Drive'' — G-iroviIle, California 95965 �} / Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date' Signature of Perrmitee or / AgeQ Receipt No. V �" White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF Al BLIC WORKS BY Date �S, 0 �ingper=tex�piresDate rte' i 7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION cT o Mailing Addre s Telephone No. Fireplace Contractor Total Valuation -3, k 10 Mailing Address 75-934 Permit Fee cp Plan Checking Fee &/or Penalty ' Te.3— 4No. 3_ 3Si7 y Permit Fee $ Building Address -rh PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3,OV Each Trap 1.50 00 Repair drainage or vent piping 1.50 Water piping ✓ 1.50 )15-0 Each gas water heater or vent 1.50 A.`P�No. .30 — O % Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FVs on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im proveme Lawn sprinkler system 2.00 �� 1316 Plans Rec'd Parcel Approval Plans Approval Permit Fee $ /0.6-0$ o NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 5.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCOR ADDNS. UP. & A ) 22sq ft NEW CONSTR. (MULTI -OUTLET NON•RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS& NON •R ESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name le of, style �x [ Ex. Occup(OUTLETS OR FIXTURES)BaPSC L�t FIXED APPLNS, OR EX . Occup.(OUTLETS ( REBID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Q Classification Misc. Wiring 46.25 ❑ I am exempt from the Contractors License Laws of the State of California.. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of y_► Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em P employ y an y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ O .S'f S authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date' Signature of Perrmitee or / AgeQ Receipt No. V �" White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF Al BLIC WORKS BY Date �S, 0 �ingper=tex�piresDate rte' i 7 j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' i 7 County Center DrivIp - yroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,J7Weol -76 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date /1 % 7 —S i Lure of Permitee or Agent Receipt No. <2- __2 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRER F PUBLIC WORKS BY Date �/0-277 - 7� -permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address 3a 319 S'/ . /�/`�^ 6//y1 1✓ !T Z 7J Tel phone No. / -0 2� � Fireplace Contractor Total Valuation Mailing Address Q(/1//IiG',� Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address & O 5 - PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. O �" /� / % Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fekl W $ertite+HN:6 Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 --:Ldg PI pia Parcel Approval Plans Approval Permit Fee $ ZXSO I $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER'Z - ELECTRICAL No. @FEE PERMIT FILING FEE $3.00 .� L nI13. L,FC. 600_ /nT" 7.5--Z ^7 C v Main service 6001 OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ER 600V Main service 10 0 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ������ NEW CONST. DWELLING OCCU OR ADDNS. ACC. BLDGS. � 20syft NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESI D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name $t le of: Y _ Ex. Occup(OUTLETs OR FIXTURES) BAL 21 x. ccu // FIXED APPLNS. OR EOP•( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ C WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of .the work for which this permit is issued_ I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $Z authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date /1 % 7 —S i Lure of Permitee or Agent Receipt No. <2- __2 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRER F PUBLIC WORKS BY Date �/0-277 - 7� -permit expires Date RccorclirfR ,Rcqucstcd by: ANtI-RICAN PROVIDERS and when recorded nlail to: AMERICAN PROVIDERS 5433 El Camino Avenue, Suite 200 Carmichael, California 95608 ll-'�28ub 94-0324081 I Recorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder I 8:02am 3 -Aug -94 I Rec Fee 6.00 Check 6.00 PUBL JR 1 hull Tax Statements To: The Undersigned declares: Transfer Tax: None BESSIE H. PIERSON' No consideration. 1608 18th Street Transfer to Revocable Oroville, California 95965 Living Trust for Benefit of Grantor(s). Exempt: R&T 11911 QUITCLAIM DEE-1) A.P.N.: 030-101-079-000 I, BESSIE H. PIERSON, hereby remise, release, and quitclaim to BESSIE H. PIERSON, TRUSTI:l: of tic BESSIE H. PIERSON LIVING TRUST DATED July 7, 1994, any and all of my right, title and interest in and to that certain real property situated in the Count" of Butte, S! Itc of California, described as follows: COMMENCING at the point of intersection of the centerline of Thernlalito Avenue with the East line of Eighteenth Street, as shown oil that certain Map entitled, "NI -AF OF THERMALITO, BUTTE COUNTY, CALIFORNIA," which Map was recorded in the office of the County Recorder of the County of Butte, State of California, June 8, 1887, as Wail Maps 4 and 6; thence along the East line of said Eighteenth Street, North 72.03 feet to the true point of beginning for the parcel of land described herein; thence from said true pjint of beginning, leaving said l=ast line, North 88° 21' East, 150.6 feet; thence parallel with the Last line ol' said Eighteenth Street, North 92.5 feet to a point; thence South 88° 21' West, 1 0.6 feet to the'. E1st lisle of said Eighteenth Street; thence along said East line, SOUtll 92.5 fcct to the true noint of beolmililn. Datcd: July 7, 19Q -I STATI, OF. CALIFOR\I:\ } l i COUNTY OF BUTTF, } BESSIE H. PIERSON On .lute: 7, 100-1, hel'ore me, C.M.H. II1GM-, Nulary Public, personally appeared [11:SSll II. I'li:l:tic)\, personally known to me (or proved to in on ilie basis of satisfactory evidence) to he Ihr i; rSorl Whotie ilamL' is subsc•rihed to the wilhin instrument incl acknowledged to 1111: thal she exri Turd Ihr same in her nuthol- i.ed c•;Iparity, and That by her si__nalure on the instrument the per'.on, or the entity upon hehail of which tilt: person ;tcled, executed the instrument. \\'I1T'I:SS my hand and ol'licial seal. Si,naturr ��/,�l"'�-__ � • ,�::c,;�: ; ��.,.�:• ra.,�o�N�� A,. N70 COU;iTY MY COMM. F.XP, SEPT. 1?.199. END Cg: DOCUMENT J Recording Requested by: AN'iERICAN PROVIDERS and when recorded mail to: AMERICAN PROVIDERS 5433 El Camino Avenuc, Suitc 200 Carmichael, California 95608 Mail Tax Statements To: BESSIE H. PIERSON 1608 18th Street . Oroville, California 95965 QUITCI,AIN-1 DEED 1 ill jZ8U8 94-032130,9I t Recorded I Official Records .I County of I Butte I Candace J. Grubbs I Recorder I 8:02am 3 -Aug -94 I Rec Fee 6.00 Check 6.00 PUBL JR 1 The Undersigned declares: Transfer Tax: None No consideration. Transfer to Revocable Living Trust for Bencfit of Grantor(s). Exempt: R&T.11911 A.P.N.: 030-101-079-000 I, BESSIE H. PIERSON; hereby. remise, release, and quitclaim to BESSIE H. PIERSON, TRUS"I FF of the BESSIE H. PIERSON LIVING TRUST DATED July 7, 1994, any. and all of my 1-1211t, title and interest in and to that certain real property situated in the Count- of Butte; State of California, described as follows: COMMENCING at the point' of intersection of the centerline of Thermalito Avenue with the East line of Eighteenth Street, as shown on that certain Map entitled, "NIAI' OF THERNIALITO, BUTTE COUNTY, CALIFORNIA," which Map was recorded in the office of the County Recorder of the County of Butte, State of California, June 8,'1887, as Wall Maps 4 and 6; thence along the East line of said Eighteenth Street, North 72.03 feet to,the true point of beginning. for the parcel of land described herein; thence from said trite point of beginning, leaving said l=ast line, North 88° 21' East, 150.6 feet;. thence parallel with the East lint of said Eighteenth Street, North 92.5 feet to a point; thence South 99' 21' West. i�0.6 feet to the lest line of said Eighteenth Street; thence along said East line, Smith 92.5 feet to the true point of beginnin;. Dated: July 7, 1904 STATI; O'F CAI IFOR\i:k COUNTY OI' IiU'1'TE } BESSIE 11. PH RSON On July: 7, 1904, before. me, C'.1\1.11. 111G)BEI, Notary Public, personally appeared BESSIE If. P11'R`HN, personally knoxii to nu (or proved to me on the hasis of satisfactory evidence) to he Ihr l rscui \vhosc name is suhscrihed to the within instrument and acknowledged to me thal She Cxrrut d the s:urn in hc!- ',ru(horii.ed i-,ipacily. and (lint by her signature on the instrument lhc.prr.��n., or the cn►ity upon helmll til which the person acted, executed the Instrument. WITNESS my hand and oflicial seal. V. "07 Signature �� - _ /" -t-'/ ,�/ :hRt'-MF illi C�UiITY MY COMM. FX'P.'SEPT. 11.1994 END Qr: DOCUMENT STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPORTMENT OF HOUSING AND COMMUNITY DEVELOPMENT o�s1Nc qti Division of Codes and Standards Oa ru �u Z Title Search �.°¢ 1, DEv Decal #: ABC7533 Manufacturer: Tradename: DUALWIDE Model: Manufactured Date: 00/00/1980 Registration Exp: 06/30/2006 First Sold On: 00/00/1980 Serial Number A7172 B7172 Record Conditions Registered Owner: Date Printed; 09/13/2005 HUD Label / Insignia Unknown Unknown PPF Exempt BESSIE H PIERSON Trustee 1608 18TH ST OROVILLE, CA 95965 Last Title Date: 12/02/1994 Last Reg Card: 06/07/2005 Sale/Transfer Info: Unknown Situs Address: Use Code: Original Price Code Rating Year: Tax Type: Last ILT Amount: Date ILT Fee Paid: ILT Exemption: SFD ANP 1980 ILT $49.00 06/03/2005 NONE Length Width 64' 12' 64' 12' 1608 18TH ST OROVILLE, CA 95965 Situs County: BUTTE Inactive DecaUDMV: DMV ST6369 * * * END OF TITLE SEARCH FO iNc, T�I'®N SYSTEM CERTIFyI'CATEOF OCCUPANCY nr 7T BUILDING PERMITS NUMBER: 05-2798 Address or location of unit: 160818th STREET, OROVILLE, CA 95965 Legal Description of Real Property: 030-101-079 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: BESSIE H PIERSON LIVING TRUST Owner's address: 1608 18th STREET, OROVILLE, CA 95965 INSIGNIA OR HUD NUMBER: UNKNOWN SERIAL NUMBER OR V.I.N.: A/B7172 MANUFACTURER'S NAME: UNKNOWN YEAR: 1980 OFFICIAL APPROVING INSTALLATION: DATE: 10-21- � / PHONE: (530) 538-7541 H.C.D. 513C RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 ro � 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. BESSIE H. PIERSON LIVING TRUST REAL PROPERTY OWNER/LESSOR 1608 18TH STREET MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE DUALWIDE MAILING ADDRESS DATE OF MANUFACTURE 24X64 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-2798 (530) 538-7541 B DING PERM T NO. TELEPHONE NUMBER � an�u SIG ATURE OF LOCAL A49NCk OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO UNKNOWN 1980 DUALWIDE MANUFACTURER'S NAME A/B7172 DATE OF MANUFACTURE 24X64 MODEL NAME/NUMBER UNKNOWN SERIAL NUMBER(S) LENGTH X WIDTH INSIGNLVLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 030-101-079 HCD FORM 433(A) REV. 8/91 orurrn . r.,.,...,. o..,..,t.. rAMA RV. Ilrn PINK - Annlicant GOLDENROD - BuildinR Deot. eft--' 12bub � a I 94-032 1 Rec Fee 6.00 Recording Requested by: I Check 6.00 AME -RICAN PROVIDERS Recorded I Official Records I and when recorded mall to: County of I Butte I AMERICAN PROVIDERS Candace J. Grubbs 1 5433 El Camino Avenue, SIIItC 200 Recorder I Carmichael, California 95608 8:02am 3 -Aug -94 I PUBL ?R 1 Mail "Tax Statements .To: The Undersigned declares: Transfer Tax: None BESSIE H. PIERSON No consideration. 1608 18th Street Transfer to Revocable Oroville, California 95965 Living Trust for Benefit of Grantor(s). Exempt: R&T 11911 QUITCLAIM DEED A.P.N.: 030-101-079-000 I, BESSIE II. PIERSON, hereby remise, release, and gUitClallll to BESSIE H. PIi;RSON, TRUSfI I: of the BESSIE H. PIERSON LIVING TRUST DATED July 7, 1994, any and all of my right, title and interest in and to that certain real property situated in the Count,, of Butte, State of California, described as follows: COMMENCING at the, point of intersection of the centerline of Thernlalito Avenue with the East line of Eighteenth Street, as shown on that certain Map entitled, OF THERMALITO, BUTTE COUNTY, CALIFORNIA," which Map was recorded in the office of the County Recorder of the County of Butte, State of California, June 8, 1887, as Wall \\-laps 4 and 6; thence along the East line of said Eighteenth Street, North 72.03 feet to the true point of beginning for the parcel of land described herein; thence from said true pint of beginning, leaving said Fast line. North 88° 21' East, 150.6 feet; thence parallel with the East line of' said I:mOhteenth Street, North 92.5 feet to a point; thence South 88° 1' Nest. 1X0.6 Deet, to the East line of said Eighteenth Street; thence along said East line, Solith 92.5 I'm to the true taunt of beginning Dated: July 7, 1991 BESSIE FI: 1'ILRSON STATE OF CALIFORNL,1 } COUNTY OI' BU'T'TE On .lily 7, 100-1, I)cl•orc. me. C'. 111.11. 1116131:, Nouiry Puhlic, personally appeared i31:SS1f: II. PII:I\'tiON, pci-sonally known to me (or proved to me on the hasis of satisfactory cv1dence) to he the lvi-son whosc mule Is subscribed to the \\•1111111 instrument and acknowledged to nle that she exrrulCtl the in her authorized cillmCily, anti that by Illi SI,_nattrre on the Instrt1111C111 the her`iin, or the cntity Motu hchall, til, which the person acted, executed the instrumenk WITNI:SS my hand and ol'licial seal. /��i Sienature.;:,f>:o,,.; ��;•�.:: o�N�n MY COMM. FXP. SEPT. 1:1.1994 - : END ar: DOCUMENT Vector Dynamics Foundation System r INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 INDEX SPA FOOTER SIZES WIND ZONE I - SINGLE PAGE RELEASE SECTION NUMBER DATE INTRODUCTION 2 9/2/03 GENERAL INSTALLATION 3 9/2/03 PARTS LIST 4 & 5 9/2/03 LONGITUDINAL DEVICES 6 9/2/03 PIER HEIGHTS 7 9/2/03 SET-UP INSTRUCTIONS 8 9/2/03 SPA FOOTER SIZES WIND ZONE I - SINGLE 9 9/2/03 - DOUBLE 10 9/2/03 - TRIPLE 11 9/2/03 . - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 - DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS 16 9/2/03 SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST Approval MANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED PROVAL DOES NOT AUTHORIZE OR APPROVE ANY IISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATJONS � �State of California t PHousin 'and Community Doopnwd N ODES AND STANDARDS / DATE� //X (sipature) Approval Expires EUTTE COUNTY BUILDING DIVISION APPROVED W 00 iLQ co O (V O O O `'x09/16/2005 08:35 916-374-0150 WESTLAND PAGE 01 G . � - �RaN.SPQRY`ATI�N ANB HOLI_cfA1p A . N .Y A7rtele sclwiemane�na_ r�.++� DMPARTM ENT CSI' HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES SND STANDARDS ��}SING • NORTHERN AREA OFFICE , 8911 Folsom Blvd. ��, a m 0 n W SACRAMENTO, CA 95M 255-2501 z ® ' 3� C� FAX (918) 255.2535 FAX G O From T00 Phones: 1.800.735-2929 DEV�'V From Voice Phones: 1.800-735.2922 September 16, 2005 Tiedwon Engineering 5901 Wheaton Drive Atlanta, GA 30336 RE: Foundation Standard Plan Approval (SPA) SPA 99-1.F Dear Sir's: The purpose of this notification is to issue you an expiration extension for the above noted foundation SPA. Effective immediately for SPA 99-1F the expiration date has been extended: Applicant: Design Engineer: SPA Number - New Expiration lute: Tiedown Engineering 5901 Wheaton Drive Atlanta, GA 30336 Ray Tucker 3220 E. 59" Street Yong Beach, CA 90805 SPA 99-1F November 1, 2005 If you have any questions regarding this notification you may contact me at (916) 255-2501. Sin , Dan Fit-Verald Northern Califomia fleId Operations Administrator 11 CC: File SPA 99-1F ` BUTTE COUNTY BUILDING DIVISION APPROVED '?b Y 4-13 e ! lci-�;n 4einijh�`a [7�.si`rie7- sr' Oco/( 0-20 j6-4. p'/ . Garde X' v I r 'r I J FE r' . ........ lW ik 6On) e 1 pig 0- c h I- /? I )1� wArer lYcter �'S �;'?�a :x�^ra!-.:.iicPtSl•1�Cs-:f.'r�r. _ �+x;5�.. �:Nl.�1Y�T�taYSin:aan�vie��cv.eu:mti�4��.1n1ianuli�fi��SAw.�+�i..-.,..__ - -- .t-.4 mow.. A.. .• i r r Butte County Department of Development Services • �r NOTES T County Center Drive, Oroville, CA 95965 (530) 538-7601 www.buttecopnty neUdds earn°"t+• RESIDENTIAL APN: Permit No. Owner. 030-101-079 I�PIERSON TRUST, -05=2798 Site Address: I,^1608.18TH STREET; OROVILLE Contractor. Cont: SIERRA MOBILE SERV _ --M/H-PERM FND (EX) - - T Type of Permit:L ooo (y a Ool SPECIAL CONDITIONS CHECKED BY ❑ SRA ❑ FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS Q VERIFY Q USE PERMIT CONDITIONS Q SUB -STANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT ❑ REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE El T DATE JOB FINALE SIGNATURE: +=OK 0 = Not 0;A- MANUFACTURED HOMES MISCELLANEOUS DATE I Li PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LPO Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S'C O V E R S'C A R P O R T S'G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils Sz-DpthSpacing-CnnctrsStee1 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-Cnnctns-Splice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide Oa 0� Oa 0� v' 0� Pool Drawing - =OK 0 = Not '6UK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth ' 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.1 Wtr Pipe; Test-Anchrs-RgltrService Test DATE M E C H A N I C A L 12 Elec Undrgrnd 61 AC Ducts Insultn & Support 13 Plenums & Ducts; Cirnc-MaterialSupport-insultn _ 14 Girders-Sills-Anchr BoltsJoists-Vets-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pitfrm if Furnace in attic O0 0�S Oq A�`c O°•P 0,S` DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Cirnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cirnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchri Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing=Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Cirnc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtri Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace InUExt Wall pnis 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cirnc Drnge Planters ❑Yes [_]No 87 Stucco Brown -Finish �c 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑CU or ❑AL 98 Address Posted AC Wire Sz ga ❑ CU or DAL 99 Fire Sprinkler 48 Range Circ ga 0 c or ❑AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑Yes ❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cirncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector o'er a o'er BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 POUR INSPECTION#: OROVILLE: (530) 535-7636 • CHICO: (530) 591-2534 OFFICE #: (530) 535-7541 A FEE WILL BE REQUIRED .AT TIME OF,dPPLTCATION **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE I For office usa nnly Zoning OWNER Last Name F _ . ;t����� First Namesotii Address t6os W4 s r tz : .T City Slate Stale Phone Phone Fax Fax E-mail Lic. # , -• �.; APPLICANT SIGNATURE I For office usa nnly Zoning CONTRACTOR Name L. Address Address City �2, �. Slate Zi p Phone 5-7 -1 Fax E-mail S 3 q uS•-G�l� Lic. # , -• �.; Class APPLICANT SIGNATURE I For office usa nnly Zoning ARCHITECTIENGINEER Name L. Address Address City Occ. Slate Zip Phone State �� Fax E-mail S 3 q uS•-G�l� State License Number APPLICANT SIGNATURE I For office usa nnly Zoning APPLICANT NAME Name L. SRA Address Ido Occ. City C J Book State �� Zip PhoneFax S 3 q uS•-G�l� E-mail APPLICANT SIGNATURE I For office usa nnly Zoning AP# 0.30 Flood Zone_ L. SRA Yes Ido Occ. Type Const. Subdivision Name Idap Book Page Lot # Planner Date Approved: vvI--r[ r U M JUtSIVII I I AL KtUUIKEMENTS PERMIT NO. BPD S2 lq BIN # _ LOCATION AP# 0.30 Property Address 1609 t� S: V_ F_ T Cily C Cross Street WORKER'S COMPENSATION Policy Number u? -7 Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY I4ame Address Description or Scope of Work: Ho-�-<- Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): E)FlRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the dale of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:K.6. Amount Z Bldg I Receipt #: `i i M k_ %& Ig3CD Date: (0-11-05 SRA Sheriff SMIP _ Other Total y: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION; cf 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: P, �� 30n ASSESSOR PARCEL NUMBER 030` j()1 -n79 Proposed Building Use: G X M R, LY SITE PERM 5 LPermit Technician: Date: Its s required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. :V 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans: ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. 2 ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or d Dela all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential` tiuildirigs( ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................. ❑ 17. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required ............................................ .,.......................... 20. Fees as shown on the attached Schedule of Fees Due Sheet.....2;q, ❑ .. 21. City of Chico Plumbing permit........................................................................ . ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ............ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 26. NPDES Form.....................................................................:....................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ..............:.., ❑ 29. Worker's Compensation Carrier and Policy Number ...............................:.......... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization..................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................. ❑ 33. Existing violations and/or expired permits....................:.................................... r 0V 34. Deed Restriction......................................................::.......................:...... , �.( 35. SZ gel description, Ef .1��1`itle, tia slseearc registration or MCO ......................... ❑ 36. Other: i ❑ 37. Other: / When issued Telephone C_� -0590% and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: % Date: /GA /( 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: tans approved by: Date: - . Structural reviewed b . Date Structural approved b . � Date Note transfer by: Date: --' Yellow: Building Division BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530)891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO52798 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/17/2005 APN: 030-101-079-000 the Business and Professions Code, and my license is in full force and effect. License Class :-6—License Number:/y o3b E� Site Address: 1608 18TH ST ORO Date: 44 )' Contractor:C( �err(r� t//I�%�r �e, �P / �� Map Index: OWNER -BUILDER DECLARATION Description: MH ON PERM FND RETRO FIT I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a PIERSON BESSIE H LIVING TRUST permit to construct, alter, improve, demolish, or repair any structure, prior Owner: to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of PIERSON BESSIE H TRUSTEE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 1608 18TH STREET she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 95965 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: SIERRA MOBILE SERVICE such work himself or herself or through his or her own employees, BILL REID provided that such improvements are not intended or offered for 466 CIRCLE DRIVE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA 95966 proving that he or she did not build or improve for the purpose of sale.). 530-534-0599 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: SIERRA MOBILE SERVICE pursuant to the Contractors' State License Law.). BILL REID ❑ I am Exempt under Article 3 of the Business and Professions Code 466 CIRCLE DRIVE OROVILLE, CA 95966 Date: owner: 530-534-0599 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 470386 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: �/ A /e_ - Policy M e_-PolicyM % Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, V O and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wi those provisions. Date: Applicant: ��� lel D WARNING: Failure to secure workers' compensation coverage is 1 unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is ereby issued er t app cable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolution do work indi led ab ve r which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) ll Name: BY Date: Address: PERMIT EXPIR SON: ��' lJ Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection 'purposes / Print Name: 7-0&l, Signature: l� I Date: Q ❑ Owner 13 Contractor 0 Agent for Owner Agent for Contractor RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2005-0064756 Recorded I Official Records I County of I Butte I CANDACE 16RIMBS I County Clerk—Recorder[ I 09:04AN 25—Oct-2005 I REC FEE . 10.00 COPIES 2.50 CONFORMED COPY 1.00 LV Page I of 2 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. BESSIE H. PIERSON LIVING TRUST REAL PROPERTY OWNERILESSOR 1608 18TH STREET MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME') SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-2798 (530) 538-7541 BUII,D��ERMI NO.� A TELEPHONE 05 SIG ATURE OF LOCAL NCY OFFICIAL DATE NONEA4 CY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNKNOWN 1980 DUALWIDE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER AIB7172 24X64 UNKNOWN SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) - REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 030-101-079 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. F -2798 BUILDING PERMITS NUMBER: 05 Addressor location of unit: 160818`h STREET, OROVILLE, CA 95965 Legal Description of Real Property: 030-101-079 t. SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: BESSIE. H PIERSON LIVING TRUST: Owner's address: 160818`h STREET, OROVILLE, CA 95965 INSIGNIA OR HUD NUMBER: UNKNOWN SERIAL NUMBER OR V.I.N.: A/B7172 MANUFACTURER'S NAME: UNKNOWN YEAR: 1980 OFFICIAL APPROVING INSTALLATION: DATE:. 05' PHONE: (530) 53877541 " H.C.D. 513C r Itisis set of plans and specifications MUST 6% 9'Z • S k ake any changes or alterations on same withou'; Witten itrten permission from the Department of Pub. lid Works, County of Butte, NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and th National Electrical Code. The . Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. ' � c 4 x A permit will be required for the installation of the mobilehome. j erso a 9S''a-7� ar' - 717-77 All utility connections shall be located wi hin 4 ft. outside the r4ar third sect n of the mobile h e on the left(road) side of the mo Dile home. J Y BUTTE C OUNTY BUILDING PARTMEN' APPR VED PERMIT NO. 2788-80MHI (existing site) t PERMIT EXPIRES 6/41/81 OWNER RAY TIERSON CONTR. Gene Schmitt MH Ser, Vina OCATION (A.P. '30-101-79 ) �.6 08 18th S Oroville t ' k F r . Temp. Power Pole Called PG&E Temp. Elec. S Called PZ E��� Temp. G Serv. Cal d PG&E F F ALED � (Date) en (Signature Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwal I Slab Carport Footings Slab Patio Footings Masonry. Wal Is Relnf. Steel . Bond Beam COUNTY OF BUTTE — DEPARTMENT OF, PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING; BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Sidina To out RootSheathin Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically handicapped Conformance of ex. . structure Appliances Gas Piping &Test Temp. Gas Final Sanitation FIREPLACE Final Footing ELECTRICAL Throat Rou h Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. bcratcn Heating Service ` Brown Cooling Temp. Pole''. Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final " MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping ,WQ1 E ME INSTALLATION - - - - - - - - - - - - - - Sewer Support;7.1 el—Elec. Gas Piping Continuity Water Pipingr I, DATE Drainage REMARKS ,OR CORRECTIONS Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1.- Is the mobilehome located with required separation from -lot lines and buildings and generally conform to plot plan? Yes_ No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes _i/ No 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 more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes o 6. Water A. Is flex' e connector of adequate size and properly 'installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand wor ing pressure or 50 lbs. air test? Yes�� C. Backflow - If coach is not State f C rnia approved, does station have backflow device and pressure -relief valve? Yes yc 7. Wastes and Drains / A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes v No B. Does it have minimum " per foot slope and is it properly supported? Yes v No C. Are any leaks detected in drainage system after.running�ns of water through each fixture including washing machine standpipe? Yes_ No— D. If coach is n State of California approved, does station have required trap and vent? Yes 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4", minimum mobilehome connector no more than 6 ft. long? Note: All piping is to be least as large as the mobile etgas line inlet without reductions other than the mobilehome connector. Yes No . r B. Test OK as per following procedure? Yes o_ 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 No .9. ElectricalY• A. Is service large enough to provide adequate ampe.rage-to mobile�iome`(must equal .rating of mobilehome with a minimum of"1Po mp)-and other facilities oii`lot, i.e., water pumps,. - garage, cabana, etc.? ;Yes. _ Y I � • B. Is there proper clearances around panels? Yes Z140 C. Is power supply cord or feeder assembly properly fused? 'Yes_Pd_ ity test-` atis D. Is continufactory as per the following procedure? Yes1Vo 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 �eut"ral,,._�^ I\ All non: -current,, carrying metal parts.of the mobilehome (aluminum siding, gas line, water line), including`fixtu`res and appliances,-shall be tested for continuity from such equipment and the :grounding conductor. F\ 6. Upon completion oftheabove 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 Ifieelectrical tests, the lot ori 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. j MOBILEHOME DATA Manufacturer and/or Namestyle° • 'Length Width .,��• �� Vehicle Serial No. State Identification No. Additional Information or Comments: , • i a _ J r COUNTY OF BUTTE _ ARTMENT OF PUBLIC WORKS P . IT 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONIN .BUILDING PERMI ow 74,4 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD SS e CONTRACTOR'S NAM / C✓ TELEPHONE �e C( S V 3�3�Z 7S , CONTRACTOR'S MAILING ADDRESS /y t' 0. 4br ZS1 I/L L(Q //yam L CONSTRUCTION LENDER - UNKNOWN Cl CL, ck -0v Fireplace Total Valuation is LENDER'S MAILING ADDRESS , Permit Fee $ ARCHITECT OR ENGINEER 9fJv `i LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS • 4" Permit fee $ BUILDING ADDRESS IC `Cj PLUMBING PERMIT Filing Fee 3.00 go Each Trap 2.00 Repair drainage or vent piping 2.00 4 %` Qvlewf p O'brr/1 (p Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehomea Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ /I Remodel ❑ Utilities ❑ lirtallationg Other ❑ Describe work: _li+/0o�" �xrc`'"[`.��, �'c%p Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW OR ADDNSCONST ACCDWELBLDGS.LING CCUP.&) 20sgft CONTRACTORS LICENSE LAW - I declare rider 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. _.� %� 3 a 3 Classification C-�o !❑ 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 Iicensed.contract- ors. (Sec. 7044) 2 ❑ 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 CONSTR. POWER APPARATUS 8 NON-RESID. (SINGLE OUTLET CIR. 50@25C Ex. Occup(o rs OR FIXTURESBAL@1 FIXED PR Ex. Occup.(OUTLETS (RESID )EA.)\\ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Lf4 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 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, i demnify and keep harmless the County of Butte against all liabilities, judgm s, cos s, and xpenses which may in any way accrue agains : id County in onse ence the granting of this permit. %� Date 4C— 07' �� Signature of Applicant — Owner F1 Contractor Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct-CT=;kORKS ion of structures over 3 stories in height. Mobile Home Installation Fee $ m Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sionso the Butte County Code and/or work n icated above for which PER IT XPI S Date the applicable provi- resolutions to do fees have been paid. �% to j v Receipt No. c�a�� / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oliander Avenue, Chico — Phone 343-4211, Ext. 70 7'County'Center Drive; Oroville = Phone'534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office':immediatel�r. inspector_ _. _ ii.ate AM inspector_ _. _ ii.ate �7o COUNTY OF,BUTTE `- PFP/3RTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovil'e California 95965 - Telephone 916/534-4541 APPLICATION AICD PERMIT ASSESSOR PARCE.I. NUMBER E ZONIN d�tr_2 BUILDING PERMIT DW�0-� y� 24,4 TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD 55 32 " v k, 67voi/ AU-7 CONTRACTOR'S NAM ,✓/ `` cc w SCa 4 t /- G'�t vy TELEPHONE V 3✓f�_Z37S CONTRACTOR'S MAILING ADDRESS Fireplace . CONSTRUCTION LENDER --EL VNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ocx, �� !f LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Permit fee $ BUILDING ADDRESS D& /� L/ PL.UMBI" PERMIT Filing Fee 3,00 -4 eoc Each Trap 2.00 Repair drainage or vent piping 2.00 ?` vo&O /t ye, pwtle A0 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each pas water heater or vent 2,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE /�� SF ❑ Duplex[] Mobilehome� Other 0 PECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WO ; New [� Addition L] emodel i tiffs ❑ `In tallationR. Other ❑ Describ ork: ��' S� +� 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 CONST. DWELINGM OR ADDNS. ( ACCL BLDGS.CCUP.&\ / 20 sq ft ,CONTRACTORS LICENSE LAW I decl er 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. � 3 Classification C�CQ I, 'as the owner, or my employees with wages as their sola 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 NON-CONSTR RESID. BRANCH CIRCUITS) ULT' -OUTLET 2,50 ea NEW CONSTR. POWER APPARATUS & N O N.R ESI D. (SINGLE OUTLET CIR. Ex. Occu / 50 @ 2.51CC P\OUTLETS OR FIXTURES 9AL�1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. (� I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating e 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, iPdernnify and keep harmless the County of Butte against all liabilities, Ju ts, cos s, and xpenses which may in any Ivey accrue agalns id County in onse ence the granting of this permit. ��- Date �" 07'D Signature of Applicant — Owner❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in heights Mobile Home Installation Fee S �/ r0, Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees. have been paid. WORKS Date Receipt No. g 5�� / WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROO-APPLI CANT �� � ... F ^ • .� . - t �. • a .. . .. .. } +. • '•n . V 1` � .. h ^�, y�a;� _ . . > r, • • � � f•� i iMy'1� � • ' Y • ��. � , � � 4 ,�. -i +., • - r �' may: r" J: ' _ .. � �!. ++r :t .k f �. t - - .. � .•'r 1� a �� -a e .��. f.. ;�, + ` � ... gas ;, '� •W / c.v .. • i s:r �,�` � ��Jr' } • c .�` . ��' T.. • �,� *MVS ? ' � .1 i i � �} �'Tl �'• aS '• y�`' . �:� ••. : ` � � }' ._ � s Pr� ,; �'�� ... ''K� �t• .mr �. �'8�9�`i ..'� �.1 t �"'4�Mr......� J • t`:L Yh-.P'f'" . 'L^+454 -Yid Lt�wI�.E:`�� ...}. Y'_±i:'�a:-�.( _ ..:L:'F,� .. �e � � .. f.. �..... � _ _ �.. - � ., ... - .^�a. MOBILEHOI&*§UPPORT DATA Mobilehome Mfr. Fl [1A 1, V I dA Setup Model No. Year 7000 Width I q, -(ft.) Length 6 (.ft.) �Ekpandb`.Size ft.x ft. (Draw support details below.). On all mobilehomes manufactured after October 7, 1973, furnish mahufa*cturer's installation manual and structural setup sheets. .(if.not on file with .the. County of Butte). A' Sinkle Footings- (check, one) Center Support Locations i Center Support Footing Sizes (in.) =t. ki r in �tyyL _f -ETT—in G. A X3 el, ft .(in.)(in.) �4 IT (in.) (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 7771 1. Wood. either pressure treated or. fdn-. grade. 2..Concrete pad. 3. Other,: specify Supports (check one) Le -1. Concrete block 2 Concrete piers 3. Steel piers 4. Other, specify P Typical Support Footing Size 3'0 ) in.) �!a_x .y p3nv. MaxSpa. cing Pier in.) �O�' —Max. Overhang bUTTF-i-COUN" --.BUILDING DEPARTKN' 'AP'PROVPD a/� �tyyL _f -ETT—in *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 7771 1. Wood. either pressure treated or. fdn-. grade. 2..Concrete pad. 3. Other,: specify Supports (check one) Le -1. Concrete block 2 Concrete piers 3. Steel piers 4. Other, specify P Typical Support Footing Size 3'0 ) in.) �!a_x .y p3nv. MaxSpa. cing Pier in.) �O�' —Max. Overhang bUTTF-i-COUN" --.BUILDING DEPARTKN' 'AP'PROVPD a/� BUTTE :COUNTY . DEPARTMENT OF PUBLIC WORKS ; t 7,County Center Drive,,Oroville, CA. PHONE: 534-4541' ; MOBILEHOME :INSTALLATION SHEET 1. Owner' s - name : P if 1 6.0 Ay 2. Installer's name': �j,V¢ SCN�►/ 3, Is the site currently under permit? Yes 7 No (If yes, furnish permit number ') OR „ Is the site an existing site? Yes 7 L71 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 177 No (If no, clarify ) ` 5. What is the mobilehome electrical rating? ----------------------- ,/'Qa Amps 6. What is the mobilehome site service rating? --------------------- 12 O 0 Amps 7. What is the mobilehome site cir'cu�.it breaker rating? ------------- 16.0 Amps 8.. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No /y/ . (If yes, identify the load..and size: (Load) (Amps) 9. What is the mobilehome site pipe size? ----------------------in. -_ j (' ) 10. What is the type of gas service? ----------------------------- Natural, -LPG'/ / 11. What is the gas pipe.length.'from.meter or tank to the mobilehome? (ft.) 12,. .What is the mobilehome gas demand? ---=-------------------------- (BTU) (This information not required if'pipe length'.less than 6 ft. on natural gas or less than 50'lft. i;on_LPG-:). s o AO' .3 •9 87 P" L A s r— J4P1 o ,v CITY -170-IF COUNTY OF BUTTE - DEPARTMENT OF PUBLIC{WORKS a� 7 County -Center Drive, Oroville, California 95965 PHONE: 916-534-4541 DATE 9' 3 �• (7 r • 9 N SS's RE: '(j u , t d , e iOe r " ' -r- With reference to the above subject: y �� - 7 i Attached is: Application for permit Typical Plan Sheet Building Plans Mobile Home Sheet Engr. Calcs. List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. t Fees of $ Certificate of Workmen's Compensation Insurance, or check exemption statement. Contractors License Law information, or check exemption statement. Letter authorizing signature of Complete plans, in duplicate, including plot & floor plans and complete structural details. Plot plans in duplicate. Structural details in duplicate. Complete plans, in duplicate, prepared by registered civil engineer or architect. Engr. calcs. Y Two, -(2) -sets of.plans in accordance with changes marked in red. Sanitation approval from Butte County Health Dept. 695 Oleander Ave., Chico - 7 County Center Dr., Oroville. Skyway & Elliott Rd.,Paradise Planning approval, i.e., use permit, variance, rezoning, etc., from Butte County Planning Dept., 7 County Center Dr., Oroville. Improvement Plans. Parcel declaration recording data. Verification of access or right of way by deed. (Recorded copy) Verification of legally created parcel by deed. (Recorded copy) + Deed for right of way. Parcel map recorded. OTHER &L/ meed �ei-upLia ZNr� ata. (�i<7,-re7- As soon as we receive the above data, we will process your application, or, should you have any questions concerning the above, please contact this office. Yours very truly, - Clay Castleberry i Director of Public Works J.F. Glander Assistant Director E+' •' +i'y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORDS 4. �k 7 County Center Drive, Oroville, California 95965 PHONE: 916-534-4541 Ray 'Pie: son DATE October 3. 1977 32987 -Pulaski, Dr. Union City•Ca, 94587 RE: Building permit application #k4977-77. (AP 30-101-79) With reference to the above subject: Attached is: Application for permit Typical Plan Sheet Building Plans Mobile Home Sheet Engr. Calcs. List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ Certificate of Workmen's Compensation Insurance, or check exemption statement. Contractors License Law information. or check exemption statement. Letter authorizing signature of Complete plans, in duplicate, including plot &-floor plans and complete structural details. Plot plans in duplicate. Structural details in duplicate. Complete plans, in duplicate, prepared by registered civil engineer or architect. Engr. calcs. Two (2) sets of.plans in accordance with changes marked in red. Sanitation approval from Butte County Health Dept. 695 Oleander Ave., Chico - 7 County Center Dr., Oroville. Skyway & Elliott Rd.,Paradise Planning approval, i.e., use permit, variance, rezoning, etc., from Butte County Planning Dept., 7 County Center Dr., Oroville. Improvement Plans. Parcel declaration recording data. Verification of access or right of way by deed. (Recorded copy) Verification of legally created parcel by deed. (Recorded copy) Deed for right of way. Parcel map recorded. kX)L QUER We need Th rmalito Irri ation'District approval for sewer hook up. - •--�'- -i Al As soon as we receive the above data, we will process your application, or, should you have any questions concerning the above, please contact this office. Yours very truly, Clay Castleberry Director of Public Works J.F. Glande JFG:dd o�& s Assistant Director c r i 1'r4-,QI 0 IRRIGATION DISI6ICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533.0740 N12 1208 CSA 26 SEWER SERVICE,APPLICATION AND CONNECTION PERMIT Service Address: e57 Owner's Name: Date: Address: '� _ i c� Acct. No: 776 A. P. N o.: Phone: - �` - No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By:.,J�,Date: CSA 26 Remarks: -/� �ic�ii ���-'� SC-OR L 1 st mo. S.C. Other Total Fees O Collected By: Date: Z L — a 7- 76 Field Review BDate: Remarks: ' o MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W: approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). r'srp'eur/om w"/Ts r/o. ,sumw Arpuc^`., '.=^ ----------------' ' ' COUNTY OF BU TT�- -,4 DEPARTMENT OF PUBLIC WORKS County Center Drive — Oroville, California 95965 rr Telephone: 534-4541 APPLICATION AND PERMIT . 77, 7 77 �z auuwrice rep eserfLaL VCS of the Bounty of Butte to enter upon the above-mentioned property for inspection purposes. Date 9 17 ign e. f Permi/tee or Agent Receipt No. L6�b 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Building permit expires Date BUILDING Owner S oh SQ. FT. OCC. BUILDING VALUATION Mailing Address .3 V 7 P u auki r T le one fS Fireplace Contractor 1JL JI A IR Total Valuation Mailing Address - Permit Fee Plan Checking Fee &/or Penalty e Tlephone No. Permit Fee Building Address 6 --� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1:50 AD "Do Zoning Verification Only Each gas water heater or vent 1.50 A. P. No. — /4Zon Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F W n Fire Dept. FireZone Use Permit Building sewer 5.00 ID, EQA I ParkinDePa PlansBldg. a ion Parcel Map 60' R/W Improvemen s Lawn sprinkler system 2.00 Is s Recd Parc v Plan-A.proval Permit Fee $ $ Q NEW ❑ ADDITION UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 i Main service 111V OR L 00 AMP ORSLESS 5.00 5 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &� 2¢sgft NEW CONSTMULTI-OUTLET NON-RESID R. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL� Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee ' $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em P to an employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood J 2.00 Permit Fee $ $ 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 e TOTAL PERM0 FEE sys auuwrice rep eserfLaL VCS of the Bounty of Butte to enter upon the above-mentioned property for inspection purposes. Date 9 17 ign e. f Permi/tee or Agent Receipt No. L6�b 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING tback FI wall S I Piping FdNms Par ets t Floor M in Bldg. Restrapm Finish 2n Floor otin s Windowk 3rd kloor Slab),Roof Sheathing Water Pipkg Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsicall handica edy Conformance of ex. structure Appliances Gas Piping &Test Temp. as Slab Final Sanitation Patio REP ACE Final Footings Footina E LA CTRI hA L teel Motors Stucco Final Subpanels/ Mesh I MECHANICAL Grd. Fa t Prot. Scralth Heati Servic Brg&n Coo ng T p. Pole F nish D uits der round rior Lath Yfitilation ermanent oor Closer Inal final MOBILEHOMEUTI ITIES -------------- Elec- Service Q Elec. Pedestal 49 Water Piping Sewer ,/ Gas Piping / /Q 97 �Uail k Me INSTALLATION ........... .. . Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS de z 33 — ,i'7- 7 (NOTE: An entry must be made on this form each time you visit the job site.) 's • 'fit .y e •h 'w. • •..., .(ii i+'.-115 � s,.. _.. � .. ...• R. .. ' .. �. = l tc ... a. � tai ♦ L�' - r ti • , r t;'�j .�, $t ,i r� ,r o-^ . F PERMIT NO. 4977-77P,E 1 ' PERMIT EXPIRES OWNER Ray Pierson CONTR. owner 3 , LOCATION (A.P. 30-101-79 ) ' 1608 18th St., Thermalito i I, w Y 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB +, FINALED (Date) (Signature) l 4 � ni AX . ._. .' . •! moi: � _. �. s.3 .. cr . c.^' pal , S ` r r r, 1 ! Cl F t~ t yt COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY. This mobilehome has been installed in accordance with the requirements of the Pal' qr is ¢Administrative Code, Title 25, Chapter 5, under permit number, K fo t e fol o ''ng location: Owner T Owner's Address 1� Mobilehome Mfg. 6o )/ W /,)(9- Model r1P,*T1 .I r Yeary Insignia No. %4.20ai) 19-9044 Serial No. 7 % 7 :L A-tf-'B It is hereby certified for occupancy at the above described location and may be occupied. /1 Director of Pfib"lic 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 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orowille — PJione: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTIQN, 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. 0 t y 1 1, (tel t Aj h t r 1 i IL r, Inspector—Date V—'— �� �T— I �T K W ! J t � � W D 4 L f 2 t7 a !n A I �T K T �Q DD 00 W ! J a � � W D 4 1 2 t7 a A V h- 1 C�C d cjr- T �Q DD 00 r c -C vt J � � W D 4 1 2 t7 W 1 C�C d cjr- Z d f W S O ! " 60 W r4 1 v i r c -C d BUTTE COUNTY BUILDING DIVISION APPROVED ._... vt 2 U) 1 lq d cjr- Z d f W S O ! 60 W 1 =� of � v\ to o d BUTTE COUNTY BUILDING DIVISION APPROVED ._...