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HomeMy WebLinkAbout030-101-095.� 3-9 L6a aha -95 .Aw rc -6o-\6\- '4- ��ol 030-101-095 SHORT, KEITH 1743 TEHAMA AVE, OROV] ;Cont: JOEL FORRESTER EX MH PERM FND EX SITE w RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section .18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to '(L its contents to all persons thereafter dealing with the real property. KEITH R. SHORT AND BRITTANY R. SHORT REAL PROPERTY OWNERILESSOR 1743 TEHAMA AVE. MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 1743 TEHAMA AVE. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS BUTTE COUNTY BUILDING DIVISION, LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY CO Y STATE ZIP 04,1690 530 538-7541 JBIL PHONE NUMBER r G ATURE OF LOCAL AGENCY OFFICIAL DATE (/`/ NONE DEALER NAME (if not a dealer sale, write "NONE") NONE - DEALER LICENSE NO SAME CITY COUNTY STATE ZIP. UNIT DESCRIPTION /�/, �' DI �5 7239 COMMODORE 1984 k 2004 —0038329 Recorded Official Records I REC FEE 10.00 I CONFORM 1.00 County Of I BUTTE I CANDACE J. GRUBBS I Recorder ROSEMARY DICKSON I Assistant I Kathy 10:16AM 24 -Jun -2004 I Page 1 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 '(L its contents to all persons thereafter dealing with the real property. KEITH R. SHORT AND BRITTANY R. SHORT REAL PROPERTY OWNERILESSOR 1743 TEHAMA AVE. MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 1743 TEHAMA AVE. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS BUTTE COUNTY BUILDING DIVISION, LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY CO Y STATE ZIP 04,1690 530 538-7541 JBIL PHONE NUMBER r G ATURE OF LOCAL AGENCY OFFICIAL DATE (/`/ NONE DEALER NAME (if not a dealer sale, write "NONE") NONE - DEALER LICENSE NO SAME CITY COUNTY STATE ZIP. UNIT DESCRIPTION /�/, �' DI �5 7239 COMMODORE 1984 B25028A MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMUNUMBER R14432A/B 56'X 24' CAL279443/4 SERIALNUMBER(S) LENGTH XWIDTH INSIGNIA/LABELNUMBER(S)- REAL PROPERTY LEGAL DESCRIPTION. ASSESSOR'S PARCEL NUMBER 030-101-095 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. EHIBIT "A" ORDER NO. BU -184184-3 DESCRIPTION THE LAND REFERRED HIS DESCRIBEDIN IS UASEDIN THE FOLLOWS : COUNTY OF BUTTE, AND 110, AS SHOWN ON THAT CERTAIN MAP BUTTE COUNTY, CALIFORNIA', WHICH MAP THE RECORDER OF THE COUNTY DESOF CRIBED 8, 1887, MORE PARTICULAR LC STATE OF CALIFORNIA, A PORTION� SAP �F THEIRMALITOOK ENTITLED, STATEOFDCADLIFORNIA IN THEO FFIC WAS ON JUNE S WS• AS FOLLO THENCE WEST ALONG COMMENCING AT THE NORTHEAST CORNER OF SAI42 D TO THE TRUE POINT OF THE SOUTH LINE.OF TEHAMA AVENUE HEREIN DESCRIBED; THENCE FRAO SAID BEGINNING FOR THE PARCEL OF LAND OF POINT OF BEGINNING, EAST ALONG SAID SOUTH.- . SOUTH E21 98 F FEET; 171.00 FEET; THENCE LEAVING THENCE WEST 27, 0 9 FEET TO A POINT RIBED THE DEED FROM SOUTHWESTERLYLINE TO OELLI S , CERTAIN PARCEL OF GROUND DE THENCE RECORDED IN BOLY OK 2145, PAGE 675, OFFICIAL LINE OF SAID ARCgLDSNORTH 37 DEG. 16' ALONG THE WESTERLY THENCE NORTH 46 DEG. 19' WEST, 46.00 FEET; WEST, 124.39 FEET; THENCE NORTH 23 DEG. 00' WEST, 90.40 FEET TO THE POINT OF BEGINNIN AND THE END OF THIS DESCRIPTION. E BASIS .OF BEARINGS FOR THIS DESCRIPTION IS THE SOUTH LINE OF TEHAMA AVENUE TAKEN AS DUE EAST. AP#: 030-101-095-000 RECORDINGREQUESTEDBY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 24 -Jun -2004 2004-0038329 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is, in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for, installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. KEITH R. SHORT AND BRITTANY R. SHORT REAL PROPERTY OWNER/LESSOR 1743 TEHAMA AVE. MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 1743 TEHAMA AVE. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95965 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 CITYY STATE ZIP 0 CO 1690 530 538-7541 )-j- 30,�RTURE ME0. PHONE NUMBER 3 OF LOCAL AGENCY OFFICIAL DATE ' NONE . DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO 7239 COMMODORE 1984 B25028A MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER R14432AJB 56'X'24' CAL279443/4 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNIA/1-ABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 030-101-095 HCD FORM 433(A) REV. 8/91 •... .�_.._....•____._ 1-1— vrn on ry , n...•C""". rnT r)PvRr)n _ R,,adina n—t EHIBIT "A" ORDER NO. BU -184184-3 DESCRIPTION LAND REFERRED TO HEREIN IS SITUATED FOLLOWSEDOIIN :STATE OF CALIFORNIA, THEAND IS DESCRIBED A COUNTY OF BUTTE, IN BLOCK 110, AS SHOWN ON THAT CERTAIN MA A PORTION OF LOT 2 TE COUNTY, CALIFORNIA'(, WHICH MAP ITO, BUT ENTITLED, "MAP OF THERMAL RECORDED IN THE OFFICE OF THE RECORDER E PARTICCULARLY DESUNTY OF CRIBED WAS ON �E g, 1887, STATE OF CALIFORNIA, AS FOLLOWS: E NORTHEAST CORNER OF SAID LOT 2; THENCE WEST ALONG COMMENCING AT TH362.42 FEET TO THE TRUE POINT OF THE SOUTH LINE.OF TEHAMA AVENUE HEREIN DESCRIBED; THENCE FROMSAID BEGINNING FOR THE PARCEL OF LAND SOUTH 2AMA' FEET; POINT OF BEGINNING, FAST ALONGSAID SOUTH LINE NE OF TEHAMA NE F THAT 171.00 FEET; THENCE LEAVING THENCE. 2 7 . 0 9 FEET TO A POINT RIBED IN DEED �FROM RBRAYI TO ELLI S , CERTAIN PARCEL OF GROUND DES THENCE NORTH NORTH 37 DEG. 16' OFFICIAL RECORDS; RECORDED IN BOOK 2145, PAGE 675, 46.00 FEET; ALONG THE WESTERLY LINE OF SAID ELLIS PARCEL, WEST, WEST, 124.39 FEET; THENCE NORTH 46 DEG. 19' THENCE NORTH 23 DEG. 00' WEST, 90.40 FEET TO THE POINT OF BEGINNING AND THE END OF THIS DESCRIPTION. CRIPTION IS THE SOUTH LINE OF THE BASIS �E TAKEN AS DUE EAST,GS FOR THIS DES TEHAMA AVE AP#: .030-101-095-000 ' 9 BUILDING PERMIT NUMBER: 04-1690 Address or location of unit: 1743 TEHAMA AVE. OROVILLE, CA. 95965 Legal Description of Real Property: 030=101-095 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: KEITH R. SHORT AND BRITTANY R. SHORT Owner's address: 1743 TEHAMA AVE. OROVILLE, CA. 95965 INSIGNIA OR HUD NUMBER: CAL279443/4 SERIAL, NUMBER OR V.I.N.: R14432A/B MANUFACTURER'S NAME: 7239 COMMOD YEAR: '1984 OFFICIAL APPROVING INSTALLATION: Ci, DATE: PHONE: (530) 538-7541 H.C.D. 513C BUILDING PERMIT NUMBER: 04-1690 Address or location of unit: 1743 TEHAMA AVE. OROVILLE, CA. 95965 Legal Description of Real Property: 030=101-095 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: KEITH R. SHORT AND BRITTANY R. SHORT Owner's address: 1743 TEHAMA AVE. OROVILLE, CA. 95965 INSIGNIA OR HUD NUMBER: CAL279443/4 SERIAL, NUMBER OR V.I.N.: R14432A/B MANUFACTURER'S NAME: 7239 COMMOD YEAR: '1984 OFFICIAL APPROVING INSTALLATION: Ci, DATE: PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: LAE7240 Manufacturer ID/Name I 7239 COMMODORE Trade Name i Model DOM BAYSHORE :B25028A i 02/29/1984I I DFS RY . j Exp. Date 04/04/1984 i i Serial Number Label/Insignia Number j Weight I Length T Width SPC i SCC Exempt Use j Type R14432A 279443 I 16,919 56 12' I 04 SFD I LPT R14432B 279444 I 16,919 i 56' 12' Issued rTotal Fees Paid 1 i i j May 22, 2001 ; $107.00 j i I Addressee�O,)SING qlo KEITH R SHORT o 1743 TEHAMA AVE ��� w OROVILLE, CA 95965 tiwO TY DEv�- Registered Owner(s) KEITH R SHORT BRITTANY R SHORT Joint Tenants with Right of Survivorship 1743 TEHAMA AVE OROVILLE, CA 95965 Situs Address 1741 TAHAMA.AVE OROV.IL•LE,�CA 9596 302.8 Legal Owner (s) (s) SHORT FAMILY TRUST 020294 2658 OAK KNOLL WAY OROVILLE, CA 95966 Lien Perfected On: 05/08/01 14:05:50 IMPORTANT THE OWNER INFORMATION SHQWN 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. DTN: 1818355 05222001- 226 � 's Gei/c-�P- is 70 Er y 74 3 CC)Cf T�, �c 5, ("VE) 7ix,:)u6 !f r/t� �,vr�cJ[��C�c d /- -j y scWcf l/ , i Tif �f/o�T June 22, 2004 6fodane4fa" 0" 2658 Oak Knoll Way Oroville, CA 95966-7105 (530) 532-0287 To Whom It May Concern: Keith and Brittany Short have our permission to put a permanent foundation under the mobile at 1743 Tehama Avenue, Oroville Any questions may be directed to us at the above telephone number. Thank you, Jerry Rod Short Janis M. Short.... %K RECORDING REQUESTED BY, MID VALLEY TITLE & ESCROW CO. a AND WHEN RECORDED MAIL TO: KEITH R.' SHORT BRITTANY R SHORT 1743 TEHAMA AVENUE OROVILLE, CA 95965 IIII III III � Iiil I IIII I IIIII I I'�I I II 200 1 —000 1 767 Recorded Official Records County Of BUTTE CANDACE T. CRUBBS Recorder ROSEMARY DICKSON Assistant 09: OAM 17 -Jan -2,001 Above This Line for Recorder's Use Only REC FEE 13.00 TAX 46.75 Fay Paqe 1 of 3 A.P.N.: 030-101-095-000 Order No.: 184184PE Escrow No.: 184184PE-3/ORO-C GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $46.75 [ X ] computed on full value of property conveyed, or [[ ] computed on full value less value of liens or encumbrances remaining at time of sale, X ] unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, DONNA DELL WALFORD, a Married Woman as her Sole and Separate Property and ROBERT GORDON ELLIS, JR., a Married Man as his Sole and Separate Property hereby GRANT(S) to KEITH R. SHORT and BRITTANY R SHORT, Husband and Wife as Joint Tenants the following described property in the UNINCORPORATED AREA, County of Butte State of California; See Exhibit "A" attached hereto and made a part hereof. DONNA DELL WALFORD Document Date: January 5, 2001 STATE OF CALIFORNIA )SS COUNTY O ,.Q-- ) On ll-., .G2, acyl7 9. -7- O O i before me, k 9/-4 Amdtv-417 �. ROBER GORDON ELLIS, JR. personally known to me (or proved to me on the basis of satKfactory evidence) to be the person(s) whose name(s) 0/are subscribed the within instrument and acknowledged to me that hr/sVthey executed the same in hWhor/their authorized capacity(ies) and that by hK/h�f/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature &1,6-;;-7 This area for official notarial seal. • SAN Kffi ��lon N ne�s� nftvhowc - co0tonil ollmlp. courtly► Mroeiw++,epe.lwra�►�ot Mail Tax Statements to: SAME AS ABOVE or Address Noted Below ILLEGIBLE NOTARY SEAL DECLARATION GOVERNNMNT CODE 27361.7 I certify under penalty of perjury that the notary seal on the document to which this statement is attached rc3ds as'fokws: Name of Notary 7`'),n ExpirationDatc- a.31.2GQa Commission l.D.9_���..Manufktu.rer'sI.D.# CountyP State h Place of execution of this declaration: ANS' Date:'- � -, I ("Z) Signature (Firm name if any) ORDER NO. BU -184184-3 DESCRIPTION REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, THE LAND COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: 10, AS ON THAT CERTAIN MAP A PORTION OF LOT 2 IN BLOCK BUTSHOWN TE COUNTY,CALIFORNIAlf, WHICH MAP ENTITLED, "MAP OF THERMALITO, WAS RECORDED IN THE OFFICE OF 8H 18870 MORE PARTICULARLY DESRDER OF THE COUNTY OF CRIBED . STATE OF CALIFORNIA, ON JUNE , AS FOLLOWS: LOT 2; THENCE NG COMMENCING AT THE NORTHEAST CORNER F SAI42 D TO THE TRUE EPOINT ST OOF THE SOUTH LINE. OF TEHAMA AVENUE, E E'HEREIN DESCRIBED; THENCE FROM SAID BEGINNING FOR THE PARCEL OF LAND OF POINT OF BEGINNING, FAVINGO SAID NG ISOUTH LINE,D SOUTH SOUTH E2113A.98F THAs 171.00 FEET; THENCE L THENCE WEST 27.09 FEET TO ADE CRIBED IN D ED FROM RBRAYIOINT ON THE TO EHERLY CERTAIN PARCEL OF GROUND RECORDED IN BOOK 2145, PAG F 6 SAID ELLI S PARCE75, OFFICIAL L, RECORDS; 37 NORTHERLY . 1 T ALONG THE WESTERLY LINE O 46.00 FEET; WEST, 124.39 FEET; THENCE NORTH 46 DEG. 19' WEST, THENCE NORTH 23 DEG. 00' WEST, 90.40 FEET TO THE POINT OF BEGINNING AND THE END OF THIS DESCRIPTION. THE BASIS OF BEARINGS FOR THIS DESCRIPTION IS THE SOUTH .LINE OF TEHAMA AVENUE TAKEN AS DUE EAST. AP#: 030-101-095-000 NOTES RESIDENTIAL PERMIT NO' 030-101-095 x/04-11690 SHORT, KEITH 1743 TEHAMA AVE, OROVILLE Cont: JOEL FORRESTER EX MH PERM FND EX SITE j THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). 4 (2) STATEMENT OF FACTS (ONLY ON NEW ' MH' S). i INSPECTOR TO VERIFY SERIAL & LABEL #'S. SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER cA" a/_7 q qY -3 44"L �-- 7 1 Yy . c( JOB FINALED Signatur ` 4a RESIDENTIAL PERMIT NO' 030-101-095 x/04-11690 SHORT, KEITH 1743 TEHAMA AVE, OROVILLE Cont: JOEL FORRESTER EX MH PERM FND EX SITE j THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). 4 (2) STATEMENT OF FACTS (ONLY ON NEW ' MH' S). i INSPECTOR TO VERIFY SERIAL & LABEL #'S. SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER cA" a/_7 q qY -3 44"L �-- 7 1 Yy . c( JOB FINALED Signatur J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Date Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 Date Footings; Soils -Size -Depth -Spacing -Connectors -Steel Card B-1 Date Card B-1 Date MO I HOME INSTALLATION (Plans) OK except #'s Requ irements-Setbacks-Easements tings; Size -Spacing -Marriage Line Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B Date Card B-1 Date PER~T END SYSTEM (ONLY) ing Requirements -Setbacks -Easements 1. Fongs; 'ze-Spacing- Marriage Line 2. loc g 3. as; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s withpffiej Date 11. Card B-1 Date Card B-1 Date 12. 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-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card 6-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 57. Card B-1 Date Card B-1 Date 58. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Glazing Area -Glass Protection -Skylights -Plastic 24. Fixture & Transformer Clearance -Ins. Protection Shear Walls; Nailing -Bolts 25. Elec. Receptacles Spacing -Lights & Switches at Doors Brace Interior/Exterior Wall Panels 26. Size Boxes & No. of Conductors Stapled Insulation -Walls -Ceilings 27. Romex Installed Close to Edge of Studs & C.J. Infiltration -Walls -Windows 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Elec. Outlets at Wood Panel, Int. & Ext. 36. A.C. Ducts Insulation & Support Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 37. Vent Fan, Exhaust above insulation Elec. Outlets & Receptacles at Kit. Counter 38. Condensate Drain & Overflow, Size & Grade Garage Fire Door; Swing -Landing -Closure 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet A.C. Duct in Garage -Damper 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 80. 41. Sills Proper Materials & Anchors 81. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 82. 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 83. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 84. 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041690 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: 06/22/2004 APN: 0.30-101-095-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1743 TEHAMA AVE ORO Date: Contractor. Map Index: Description: EX MH EX SITE PERM FND(1344) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SHORT KEITH R & BRITTANY R to its issuance, also requires the applicant for such permit to file a 1743 TEHAMA AVE signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: LIFETIME EXTERIORS Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 6230 JACK WILL DRIVE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one OROVILLE, CA 95966 year of completion, the owner -builder will have the burden of 530-228-3421 proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. LIFETIME EXTERIORS and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 6230 JACK HILL DRIVE ❑ I am Exempt under Articlethe Business and rofessions Code OROVILLE, CA 95966 -2Z-o14 c 530-228-3421 Date: Owner. License #: 746808 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ • I 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 Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 i I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: �-t Applicant - WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one �ZL� hundred thousand dollars ($100,000), in addition to the cost of l compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. ) epee `rmY CON TRUCTION LENDING AGENCY Th(s ' her issued under the applicable provisions of the Butte County Cody. ?nrUor ` I hereby affirm that there is a construction lending agency for the is issued 3097 Civ.) ..e�'o Mi o work �indicatabove f which fees have been paid. performance of the work for which this permit (Sec BY Name: /Date: Address: PERMIT EXP ES N: ❑ 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 an form or document of Butte County. I hereby authorize representatives of Butte toenter upon the above mentioned property for inspection purp uCounty Print Name: Signature: Date: % Z --C)`" \ AOwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP041690 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: 06/22/2004 APN: 030-101-095-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1743 TEHAMA AVE ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: EX MH EX SITE PERM FND(1344) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner•• SHORT KEITH R & BRITTANY R to its issuance, also requires the applicant for such permit to file a 1743 TEHAMA AVE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, 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 Applicant: LIFETIME EXTERIORS Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 6230 JACK WILL DRIVE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one OROVILLE, CA 95966 year of completion, the owner -builder will have the burden of 530-228-3421 proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. LIFETIME EXTERIORS and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 6230 JACK HILL DRIVE ❑ 1 am Exempt under Article of the Business and Wrofessions Code OROVILLE, CA 95966 (;I —22-C4 530-228-3421 Date: Owner:/7m\ License #: 746808 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2' d Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one 05 43 hundred thousand dollars ($100,000), in addition to the cost of l compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. / r CONSTRUCTION LENDING AGENCY homer issued under the applicable provisions of the Butte County Coda ?nrVor � Th's perm ' I hereby affirm that there is a construction lending agency for the Reso t 0 work indicet above f which fees have been paid. ,V performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: /D)ate: C Address: PERMIT EXP ES N: P �./ Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of an form or document of Butte County. I hereby authorize representatives of Butte to enter upon the above mentioned property for inspection purp aCounty Print Name: tV� Signature: Date: 2Z—C)L \—C� Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVELLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name ► k0 YA- Address --7 3 fi 0_ (L, q C, City 0 r O -i` C- State Ca I Zip q SQ (95 Phone 53 _ 4q ,+ Fax E-mail CONTRACTOR Name 0 01 (�OY r 2$ V - Address P-0- (- >ox 4P4 City ?GO -2 V vv -\-0 State/_ Zip q cog Phone 5 —7 gq Fax E-mail Lic.,� Phone APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City I No State Zip Phone —7 :tFax Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name Flood Zone Address O SRA Cityo a-� CY I No at Zip< Phone I . —7 :tFax Page E-mail Planner APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP,n+i t,,qn BIN # LOCATION AP# �3U -Iv I -095 -000 Property Address � `-�' 3 � 21n.C�. ►rvLa.. fa J Z Cross Street WORKER'S COMPENSATION Policy Number Carrier �v1C� If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: EX tom( t+ E.z- 5 /TE P e— 1=-14 p Sq. Footage 1344, ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: 4cf� Amount: �� `�� Bldg SRA Receipt #: A4.0& 3/,, �, Sheriff Date: 4, I o • ,4 SMIP Other -91) Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ . 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. 1:110. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2.. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 i . - .-.._._.o...----..yam-."�w•,"T„R �»y].�.W,..: ,,.,._�,_ .�.,,�::.....- ;ar r-"7-:z*c: -•"• • If COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: !Z�H ®RT ASSESSOR PARCEL NUMBER �3n ' t • ar15 Proposed Building Use: E x M N E:X .'g I T E PE Q M F r l D Counter Technician: Ae L- Date: I o/ e.4 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t apply. /' 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. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan,Tie down or fnd plans, 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. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: " ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. O „ 1 27. Encroachment Permit for driveway from the Public Works Dept ........................... -� 28. Pre -Inspection for Ex "w Ex I7F PEerj r-,jr,�, ' required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits........../4ter .................................. ❑ 36. Deed Restriction �...................................................9........... ❑ 3Dee , � \.H. Title/Statement of Facts,rom Le al OwnCheck to H.0.D. $ ❑ 3.gGrant er: -� ❑ 39. Other: When issued Telephone S 6q -70q 7 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: mon A t L -L. ��1� Date: � - 10, L41. 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 Pphone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: 1)8Z� Date:Lp Plans approved by: V1,A C Date: Ch Oq Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division PRE -INSPECTION REPORT OWNER: Sf+00z_r DATE: 6, - i a c>4- LOCATION: 4 LOCATION: 174-5 _T�&-r+s,&Y A AvE A.P. # d30 •lot • Dg s CONTRACTOR: ZONING: REASON FOR PRE -INSPECTION Sc "H 1-T� DATE TO INSPECTOR: 411±064- PERMIT HISTORY ( ) NONE ( 'SEE ATTACHED BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: Currently Occupied (j Yes AbandonedNacant: ( ) No Electric: Electric Currently OdOn ( ) Off Condition of Electric Gas: Currently ( On ( ) Off Condition Mobile home # of Units: Sanitation: Plumbing Working N Yes ( ) No Obvious Sewage Problems ( ) Yes ( ) No ACTION RECOMMENDED: ISSUE Yes ( ) No Hold for permits or verify: Inspector: Date: SKETCH BUILDINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY: 03 �a Building Permit Number: 04-100 Owner Name: 6ho r -6 - Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required: Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. t2 Page 2of 2 Building Permit Number: 0 0 Owner Name: ak&z.-@' Eu Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 09 Fire' sprinklers are required in this structure. The following parcel map requirements shall be met: All structures an e uipment including overhan s shall be clear of all easements. s A setback an from the side andV3mIrY'eeI from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. C� 0 U Ln W 0o Q r m N ul m m M �D m m N V r, tn m CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4- GRIPPER BASE 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES MIO 3/8" THICK TOP PLATE 02- SCH 40 PIPE STAND . N•ITH . TWO 01/2- ADJUSTER HOLES Q ABESCO ABS PAD #503 —� E - Z TIE PAD I LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION MULTI-WWR QNT" MNCIa TABDH UNrrS LENMN OF HOME 21 Y � P TO 44 B s 12 V-11- to W 12 12 12 is b 20 20 0 24 10 1 12 11 16 UP TO 44' 3/4- 0IA. x 18" LG. 6 6 1/2"x 3 1/2" 1/2"x 8" LONG (4) REQUIRED e 9 EXPANSION ANCHOR ANCHOR BOLT 61;-1- to 80 3/8- CAO PLATED BOLT, NUT & WASHER 10 1 111 1 (4) REWIRED ',4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM w ED AT 3" O.C. (e) REQJIREO. EL CONCRETE PAD INSTALLATION t POURED IN PLACE 16x16x12 CONCRETE I c FOUNDATION INSTALLATION 0 U Ln W 0o Q r m N ul m m M �D m m N V r, tn m CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4- GRIPPER BASE 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES MIO 3/8" THICK TOP PLATE 02- SCH 40 PIPE STAND . N•ITH . TWO 01/2- ADJUSTER HOLES Q ABESCO ABS PAD #503 —� E - Z TIE PAD I LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION MULTI-WWR QNT" MNCIa TABDH UNrrS LENMN OF HOME 21 DTH OF H WE 1 2r 44 P TO 44 B s 12 V-11- to W 12 12 12 is b 20 20 0 24 NUMBER OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED NDIE: SINGLE WADE UNRS REMNE (4) E -Z TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXMATELY EQUAL DITERYALS AWNG EACH FRAME RAIL f M& 17918 Exp. Cf` 't OF C AVA A TUF—t PERMANENT FOUNDATION SYSTEM ABESCO-GUS GL•ARD COMPANY Sts 1 mom -PERKINS ROAD SACRAMENP0, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 SATE APPROVAL FOUNDATION SYSTEM �TH AND SAFETY C10DB, sacnoN nut APP&OVSD 6UBIEC1 TO ODRRWnONB LidM APPROVAL DOES NOT AUMORIZE OR APPROVE ANY !` OMISSTOVS OR DEVIATIOi+ FROM MUJRCsMMM 07 APPLICABLE STATS LAWS AND RROULATLOM Stas of California Moos anf Omoman W DVF4b9Na Is AND ST i.Y o • / TJY TB 7 EPA N0. F t� TTria Plan Appronl Lv*im / Or C. rA.i WAYNE T. POL 249 SHEET 3 of 3 lUILDING DEPARTMF � P P R 0.V IN OF WIDTH OF H Y HOME 10 1 12 11 16 UP TO 44' 6 6 6 6 a 1 e a e 61;-1- to 80 10 1 10 1 111 1 10 NUMBER OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED NDIE: SINGLE WADE UNRS REMNE (4) E -Z TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXMATELY EQUAL DITERYALS AWNG EACH FRAME RAIL f M& 17918 Exp. Cf` 't OF C AVA A TUF—t PERMANENT FOUNDATION SYSTEM ABESCO-GUS GL•ARD COMPANY Sts 1 mom -PERKINS ROAD SACRAMENP0, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 SATE APPROVAL FOUNDATION SYSTEM �TH AND SAFETY C10DB, sacnoN nut APP&OVSD 6UBIEC1 TO ODRRWnONB LidM APPROVAL DOES NOT AUMORIZE OR APPROVE ANY !` OMISSTOVS OR DEVIATIOi+ FROM MUJRCsMMM 07 APPLICABLE STATS LAWS AND RROULATLOM Stas of California Moos anf Omoman W DVF4b9Na Is AND ST i.Y o • / TJY TB 7 EPA N0. F t� TTria Plan Appronl Lv*im / Or C. rA.i WAYNE T. POL 249 SHEET 3 of 3 lUILDING DEPARTMF � P P R 0.V E n 0 I n ti 9 GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF MIND LOAD - BO MPH EXPOSURE "C' SEISMIC ZONE '4" *SNOW LOAD 100 PSF (SEE NOTE r1S) THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAN' SUPPORTS SHALL BE LO:ATEO AND SIZED FOR TME LOADS AS SHOWN IN THE 'MOBILE HOME INSTALLATION INSTRUCTIONS'. 4, IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN D5 EXCEEDS 1/4', OX WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. S. CARRY ALL FDOTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS ARE DESIGNED FOR 1,000 PSF TOT4L LOAD SOIL PRESSUP.E, AND SHALL BE COMPATIBLE WITH LOCAL SOI_ CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS U4DER PADS. 6. STRUCTURAL STEEL FABRICATED ACCORDING TO A(SC SPECIFiCATION. WELD ACCORDING TO AWS SPECi1CATIONS. ELECTRODES -370 PLATES -ASTM ASS EOLTS-SAE OR S=ASTM A449=ASTY A3725. i. THE 'GUS CUAP,O ASSENDUES SHOWN ON THIS PACE SHAIL BE LISTED AND LABFLEO BY BEK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORIZONTAL VERTICAL GUS GUARD TUF-1' 2200f 60001 GUS GUARD MGP PAD 2ZOOg 6000E .GUS GUARD E -Z TIE PAD 2200] 6000# f. DURING PREUNINARY NSPECTION, THE ESTIMATOR SHALL ENSURE THAI MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTE) TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-I UNITS AS SHOWN' ON THIS PACE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-I SYSTEKS ARE SAFL FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT . OF THREE FEET. I1. MULTIPLE UNIT INSTALLATION S ACCEPTABLE PROVIDED THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REOUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REQUIRE AD)ITIONAL RESTRAINT. • (SEE SHEET f3) 13. ALL MITAL COMPONENTS LINO ATTACHMENTS QEHS SHUT BE PIOTECIIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD 15 NOT 15. FOUA"DATION FLOCKS 16% 16'x12' POUP.ED IN PLACE AT GROUND LEVEL MAY BE USED AT II[STALLERS DISCRETION ALTEFNATNE .10 PADS. SINGLE WIDE COACHES DOUBLE/IMULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MN. / 11' MAX. S= 6' MIN_ /16' MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70' (SEE TA9LE ON SHEET X13) —--'i S II u u u ❑ ❑ u RIDGE BEAM SUPPORT AS' REQUIRED BY MANUFACTURER ❑ ❑ (TYPICAL) ❑ ❑ El E] � E-1❑ ❑ a B' NOM. ❑ 2' tiOM. PADS IN ANY PAIR MAY BE I STANDARD M.H. FOUNDATION ROTATED 90 DECREES OR PIERS AS RECOWMENOED BY PVC SERIES OFFSET TO OTHER SIOE TO THE MANUFACTURER OP. THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAO (TYP) 1741! 41:Jtq CIY1� ��►��' OF CAL1ti� REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF-1 PERMANENT FOUR (4) 1/Z"x 3 1/2" EXPANSION ANCHORS. FOUNDATION SYSTEM 15. GUS GUARD 1OF-1 FJUNDATIJN SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED A1B3SC0-MS GUARD CCb4PANY WITH- EXISTING STANDARDS REQUIRED BY COACH 5851 FLORN - PEIUUNS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAAIIfNTO, CA 95623 ONE BASIS. �. --% ..... .,. STATE APPROVAL MANUFACTIVRIO ROMWM0Ron FOUNDATION SYSTM IRHALTR AND aum coo nlunoN ims APPROVW RMrWr TO OORRSCTIOM NUM APPP.0VAt DOT3e NO'CAVMOXn 01LA"RM3 ATR OMISSIONS OR DEVIATION MGM 1LBQTP.RE1[> Male APPLICAME BTA?E TAVS AND AMPILA►f101Ti = � emu et'G1 aft Dws _i/,! `/1f� o� and Oosm�Qw�IWO1� ' .. '•�•: =0 A1i91R BY SPA NO., This Plan WAYNE T. POLVADO, PE .� , 2 o` 3 3"\1 P P R . v f. t � i 2"x 2"x 3/16' STEEL ANGLE I P DETAIL "A" CHASSIS FRAME 1/4- GRIPPER PLATE -Ak.00lel . (2) REQUIP.EO 1/4" GRIPPER BASE 1/2-131iNC-A307 x d" BOLT WITH NUTS (4) REQUIRED 01 1/2' SCH 40 -PIPE RISER WITH 01/2" ADJUSTER TOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO Pt/2- ADJUSTER HOLES ABESCO ABS PAD #503 � STEEL FRAME SEE DETAIL "A" 3/8- CAD PLATED BOLT. NUT ✓!t WASHER COAC-1 'C' FRAME - COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 2" CHRNNEI- 1/4'x1-1/d"— 1/4- STAND BASE TEK STS � A8ESC0 ABS PAG X503 (2) REQUIRED 36" MAX TO BOTTOM OF PAD 01/2"x 3- C.R. Cox LOCK PIN WITH 01/8" BRIDGE PIN T 1/4' GRIPPER J BASE 1/2' A307 BOLT---' (2) REQUIRED 3/6'x 6'x 6' J STEEL PLATE 1/2- A307 BOLT (2) REQUIRED 10.00 --moi 0 0 10.00 o 09/16 HOLE (TYP) STAND BASE TOP VIEW -.910011mmaw, /0 .. QRp6f ioI74114 17918 . 37' TUE-1 PERMANENT FOUNDATION SYSTEM 18 1/2"I A15ESCOL*US GUARD COWAN'r 5851 FLARIN - PERKINS ROAD SACRANffMO, CA 95823 COACH "J" FRAME 1/4' GRIPPER 1/4-x1-1/4" PLATE TEK STS (d) REQUIRED 1/4" GRIPPER BASE 1/2- A307 BOLT (4) REQUIRED C—BEAM J—BEAN ATTACHMENT ATiACHM_NT { + g" 1/2' DIA. HOLE (8) PLACES 30" _I STEEL FRAME TOF VIEW '-A ST for MI&MOM IIIANIM COM MMM Y'RO�YiO to - � f�*70001LCTs10�11011• ��' � p/Rp�r1L1�81Rdf�1110R��QDR��r<7R .t�f..,• al>)ses101NCi>D6YlAflOII1r�E1lDp14 (ol WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 1 of 3 U 1 _ lip ,10ILDING ®EI AR 1 F A P P R 0. V r `ty'�S • . ��• � �r_" fes.. • 4PERMIT'NO. Ill p E M MH UTIL. PERMIT NO. PERMIT EXPIRES t ' '.OWNER CONTR. OWNER .'LOCATION (A.P. 0-101-10/ ) 043 11+x1' A TEHAM AVE. OROV I LLE 4qK Y A Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) X , 7� - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - BUILDING INSPECTION RECORD Stucco BUILDING BUILDING (Cont'd) PLUMBING Setback ICYFirewall Grd. Fault Prot. Scratch Soil Piping Forms Brown Parapets 1st Floor Main Bldg. Ducts Restroom Finish 2nd Floor Footings Permanent Windows 3rd Floor Stemwall Siding To out Slab l Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final- inalFootin Footings s Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel f Final Fixtures Bond Beam 3 FIRE SPRINKLERS 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 DA TE REMARKS OR CORRECTIONS 0100", �V* �! 44 s� q 1 61 ��� P r . .. i 1° 'I C) For each industrial waste pre-treatment interceptor, incl. -A ing its•trap and vent, excepting kitchen type grease interceptors fAcfib ing as. fixture traps------------';--;----------='------------------------------------$ 1.00 For installation, alteration or repair of water piping and/or -water treating-equipment----------------------------------------------------------$ 1.50 For repair or alteration of drainage or vent piping -------------------------$ 1.50 For each lawn sprinkler system on any one meter including backflow protection devices therefor -------------------------------------------------$ 2.00 For vacuum breakers or backflow protective devices on tanks, vats, etc. or for installation on unprotected plumbing fixtures including necessary water piping -- one (1) to five (5) -------------------------------$ 2.00 Over five (5) each-----------------------------------'------------------------$ .30 r t L .g P COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive' —' .Orrvville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT t L BUILDING Owner - _ SQ. FT. OCC. BUILDING VALUATION Mailing Address /7 Avyd Riva 1e e Te on o. J Contractor/0 60AA,525— Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Az Building Address J / �� TE �� PFee&/or Penalty ee Peermitrmit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 (� Repair drainage or vent piping 1.50 A. P. No. j 0— /Dal —' 3 O oning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 ireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet 30 Building sewer 5.00 Porcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OT q4 R Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 m _ Single Family ❑ Duplex ❑ Mobil Home ❑ Others i'T Main service EA. ADD'L 100 AMP 2.50 I Main service OVE100 AMR eP OoovR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. 51 2�Sgft OR ADDNS. ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business 81 Professions Code under the name style of: NEW CONSTR. -OUTLET NON.RESID (MULTI CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS fl NON-RESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES g @LFIXED ALNS 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 $ $ MECHANICAL No. @ 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 employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X /A O -P J Date &Y6 / Signature of Permiteeeoor Agent 7 Receipt No. 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. DI OF PUBLIC WORKS B 411 A r Date 3"'~ ` Building permit expires Date FU ` CO`UNTY OF BUTTE — DERRRTy.F!` ,- OOF-- !?UBLIC WORKS T 7 County Center Drive, - Orovi Ile, California 95965 Telephone: 534-4541. APPLICATION AND PERMIT / Receipt No. _� �° _y uate_ v White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ding permit expires Date BUILDING Owner G% SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No C� 513 o� Fireplace Contractor Total Valuation Mailing Address Permit Fee �,', 00 Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Y, 00 Z pG Building Address �'`A- PLUMBING No. @ FEE PERMIT FILING FEE J$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.3D — I O / — C� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s WAG. San' on' Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans arcel Declaration Parcel Ma. 60' R/W improvements P Lawn sprinkler system 2.00 Bldg./plans Rec'd Parcel pprovol Plans pprovol Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3, da a-c Main service 100 AMP ORSL ESS 5•00 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 OR ADONST ( DWEACCLBLDNG GOC F1. &) 2dsq ft �a NEW CONSTR. MULTI.OUTLET NON.RESID. 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�1 Ex. Occu FIXED APP LNS. OR P• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.2 5 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ J G 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. ❑ 1 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 J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Z^2r�'-7G Signoture of Permitee or Agent TOTAL PERMIT FEE ii Sd 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 havebeen paid. DIRECTOR OF BLIC WORKS � �� Receipt No. _� �° _y uate_ v White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ding permit expires Date THERMALITO IRRIGATION DISTRICT r.. 410 GRAND AVENUE a OROVILLE, CALIFORNIA 95965 • TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: t_ Owner's Name: A Date: Address: r Acct. No. ' 7 A. P. No.: Phone: No. Units: Applicant/Agent: /'• Agents Proof: 4 Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: CSA 26 Remarks: SC -OR s 1st mo. S.C. Other Total Fees Collected By: ' Date: Field Review By:��� �. i�7�r%// Date: -7,9 _ Remarks: / 7t �. t=- Aj„�� 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 Ijuilding sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). Q 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). kDISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID i��� �� /�P1fp30-/0/-G95 • - � AE•�:OA;7�NC? PEC7,JESTEU 4Y i rjonna i):'11 Y:dLi":;i C1 A' ..0 Af..;r FiCIEC- ra..f: 1(• 90-Z91°� Recorded Official Records County of Butte l.andsce J. Grubbs Recorder 1:OOpm 11 -Jul -90 deed of Gift PuGE 01 i Rec fee 9.00 Check 8.00 CR 3 This Deed, made the "• ' r t i.:,.t !, . . .. . ... day of 4� one thousand nitre hundred and N i net f $etween ftarel'_ Gc.rc,on..F,.1?-:,. nn.d Del I R. .Ell.is, h-,isNq.rld. .. and as. .;r,'3 �r, t.•;n rnt.s ..... .. ........ , Grantor and. :?Q11nja. Del 1 Wa.lfox'Cl, Yc-%!i,n and Robex.0 Go•rOon 93.ldr'., . . j..nter.'�sr:.. .. . ............. G ra n to e Witnesseth: That the Grantr.r. Cnr snd in con--lderation of the love and affection which . . ,.he .f ... have.. for the Grantee, do by theme presents gift, give, and grant unto the Grantee, and to heirs and assigns forever. all . . th .;.- certain &A -i ...... PPO #)$parcel of land situate in the .ur. j..n.ror•Po•rar.•EKd- CountyofStateof Catiforni-s , and bounded and described as lu'lu�• i See Exhibit. "I" ?n;-1 ne.de a -_art.. hereof; I '(PAI tUp� S` No rA o• a Together with the tenements, hereditaments, and appurtenances thereunto belonging or appertaining, and the reversion and reversions, remainder and remainders, rents, issues and profit,; thereof. 17 a � TWiarla Oro—i11.? CA r?. n. a3n_ t0 ?-;30 (Pt:I's 90-Z91°� Recorded Official Records County of Butte l.andsce J. Grubbs Recorder 1:OOpm 11 -Jul -90 deed of Gift PuGE 01 i Rec fee 9.00 Check 8.00 CR 3 This Deed, made the "• ' r t i.:,.t !, . . .. . ... day of 4� one thousand nitre hundred and N i net f $etween ftarel'_ Gc.rc,on..F,.1?-:,. nn.d Del I R. .Ell.is, h-,isNq.rld. .. and as. .;r,'3 �r, t.•;n rnt.s ..... .. ........ , Grantor and. :?Q11nja. Del 1 Wa.lfox'Cl, Yc-%!i,n and Robex.0 Go•rOon 93.ldr'., . . j..nter.'�sr:.. .. . ............. G ra n to e Witnesseth: That the Grantr.r. Cnr snd in con--lderation of the love and affection which . . ,.he .f ... have.. for the Grantee, do by theme presents gift, give, and grant unto the Grantee, and to heirs and assigns forever. all . . th .;.- certain &A -i ...... PPO #)$parcel of land situate in the .ur. j..n.ror•Po•rar.•EKd- CountyofStateof Catiforni-s , and bounded and described as lu'lu�• i See Exhibit. "I" ?n;-1 ne.de a -_art.. hereof; I '(PAI tUp� S` No rA o• a Together with the tenements, hereditaments, and appurtenances thereunto belonging or appertaining, and the reversion and reversions, remainder and remainders, rents, issues and profit,; thereof. I I I I To have and to hold the said premiye9. together With the appurtenances. unto the Grantee, and to .. the i. r heirs and assig s forever. 1 '+es auaunen: •r rrrr. a oerrrm ron+ � —.. ee sees, n• aw •. a.0 •'.real •..� �-• .. --.e• rm •: •r r.e.aM'o+a 10 r rn..r, rN on•te• ease _ 4u ro.e wv .Y.V6 utM' erore.r v nb e0. r. d ♦•• ry• bVf•1. S' r^r Drn,gy+ ,• �N L.,ep.q n' ^...� ..._. .n .,. TOerf< eMea+ar' c��dt '8 Frgm Nu. i9U - DEED �f' .) - 4hurl Firm — Re 1 Q3i i — - —� .:... ..._.. ..-.._ _... ......_mac. ..w ,l: n5 11 o: 1 :IAF, 7.la-;'n riniij,:A w' i.Fnpir PAGE 0'7, 90-29 19 0 EXHIBIT "A" Ellis to walford et. al' A portion of Lot 2 in Block 110, according to that certain map entitled "Map of Thermallto, Butte County, California" which trap was filed in the office of the Recorder of the -County of Butte, State of California, June 8. 1887- more particularly described a8 follows; Commencing at the Northeast -cerner of s$id Lot 2; thence West &tong the South line of Tehama Avenue, 362.42 feet to the True Point of Beginning for the parcel of land 116rein de8crlbsi; thence from said point of beginning East along said South line of Tehama Avenue 171.o0 feet; thence leaving said South llne, South, 213.98 feet; thence :test 47.09 feet to a l+oiot on the Southwesterly li„e of that certain parcel of ground described in dead from Bray to Ellis recorded in Rook 2145 Official Records at Page 675, Butte County Recorders office: thence Northerly along tha Westerly line of said Vllis Parcel North 370 161 West, 124.39 feet, thence North 460 19' went 46.00 feet; thence North 23° 00' West 90.40 feet to the point of beolmning and the end of, this descx•lpticn. Containing 0.53 acres ,note or less. The Basis of Aearings for this descriptio,, is the South line of Tehama hvenue taken as due East. k4 4 Ar O?P a tit No A1:<i �• _ OF C 1, END OF DOCUMENT 0 1 ." n` 2 1.1 la -,",,'22720 t.)AI Fnpr' C. In Witness Whereof the Graritur, ha .. Yr hereunto set hand .s. the day and Year first. above written. Sinned and Delivered in the Presence of ifo r3c, A :3 A Ge11 5. Ell.j� STATE OF CAIIFO-3A M or, 7 this dayof. COUM-Y or. N� to "'inPLC.eO. �iUnd­ ......... . ...... KO and.Ninety ....... before me, Lillis. L Hardin , a t40IAxY Public, State of California. duly 6"14 sworn. PcrwnLI)Y appeared XIU 8 Ellis and L4Y,4" bL ' w PERMIT NO. 590-84MHI"ex Sit, PERMIT EXPIRES OWNER ROBERT ELLIS CONTR. Lincoln Village MH ASSESSOR PARCEL 30-10130 LOCATION 1.7JT A Tehama, Oroville i 74?i GAS Meter By ELECTRI Meter Temp. Power Pole Called PG&E Temp. Elec. Service Called PC" r Temp. Gas Sei Called PC JOB FINALEI Signature ---I OFFICE COPY ,V =. &K" 0 K"O = Not OK - Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / .Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wra /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearan 7, Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Date Card -BI Date IMOBILFHOME INSTALLATION (Plans) OK except k's Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s v oning Requirements—Setbacks—Easements 1. Setbacks—Easements o.4ings; Si acarriage L' 2. Soils; Compaction—Structure Stability as' MH Test—'Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI• 5 ain; MH Test—Fall—Flex C ector 5. Elec.; Pool Lighting; 15 volts—GFI Water; MH Test—$`agul=r—Conn r 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed %,Vlater and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. G ndle tric"t a ����" 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit /'Exits; Insp.—Sketch 1q,,<ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I D Card -BI Date Card _131 Date Card -BI Date Card B -I Dat Card -BI Date Card -BI Date Card -BI Date FA n = OK = Not 0,V, = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) ' 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. 11. Water Pipe; Test -Anchors -Regulator -Service Test Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access --.17. 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth - 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except k's 67. 68. 69. Garage Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture &Transformer Clearance -Ins. Protection -- 21. Slee. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. Attic - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in ❑Yes 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 [3 No 75. 76. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish _ 28. Service -Riser Conductors & Ground -Main Disconnect - _ 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet --- 30. Clothes Closet Light -Shower Light _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing Card B -I Date -_ Card -BI __ Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrrit) OK except p'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, Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain _& Overilow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date - Date - - Card -BI Date Date Card -BI Date FRAMING(Plans) OK except N's 36. Sills; Proper Material & Anchors Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing__ _ Draft Stop in Walls (rat proof) . 40. Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. _Fire Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat 45 46. 47. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors -Sill H_gt. & Dimensions___ _ Garage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS -r ° 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or needadditional explanation, please contact this office immediately. � 5y l u Inspector Date G " � i � ✓ ate?,. - � 5y l u Inspector Date e COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY t This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number �- 4 ) for the following location: Owner Owner's Address C— Mobilehome Mfg. v a. Model Year r 1/ 11 Insignia No. { ' � - �� -�- -7 _ Serial No. ' - -2 � - It is hereby certified for occupancy at the above described location and may be occupied. Director of Public+Works r Date r 2' By 1 THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow- Installer, Pink - D.P.W. ^:f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. w' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ` APPLICATION AND PERMIT SSESSOR. PARCE.+� NUMBER i a?Q_ j G_ ►_ 39 ZONING BUILDING PERMIT OWNER TELEPHONE ,SQ, FT. OCC, BUILDING VALUATION OWNER' AILING ADDRESS . - 7-114)9-m V i Lc,:�- 1 /r CO TRA C,TO 'S NAM ` L Sa 41? -)1`CONTRALTO oILLKO 'S MAILING AD R SS U — Lr� 71 a CCNU Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Q Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 2A2d BUILDING ADDRESS , 7 PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ineoV/L_ Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or _vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome o Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ %nstallationjk Other ❑ Describe work: /% 'EX r S/T-E._ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OccuP.& OR ADDNS. ( ACC. BLDGS. 2/20Sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): E4111 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi s Cod n my license is in full for nd effect. License No. Classification C ❑ 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 CONSTR. (POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. 200500 Ex. Occup(o TS OR FIXTURES DAL®30 FIXED Ex. OCCUp. OUTLETS P(RESID,)RE A./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against I ties, judgments, costs, and expenses which may in any way a crue said County in c se ence of the granting of this permit. ��e"^ Date OZ_ ��i'n gnoture of A plicant - Owner ❑ Contractor 2' Agent ❑ f 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 $ 41 S , /, 1 TOTAL PERMIT FEE $ U a oc Cu P. GROUP I TYPE OF CONST. PARCEL Po I HD I IS E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By - P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date_(3-/6 — �r�� t,� t��r Receipt No.- d f0 ) WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return.to DPW` AGRICt1LTb' AI S1VEIM-N`t bF�RCK10WLE1)GFMENT ar._ ^O' �Ml PnAnRr-0� �-\AR4E-FOt=RESI.M.INT.IAL. DEVIPENTtTs� .6134pT G Section 26-p8.1 of the Bi)tte Lounty Code requires this acknowledgement r be recorded prior to issuance of a building permit. `` The property described herein is adjacent to land or included MAR? 35 3 Igo,! within an area zoned for agricultural purposes, and residents of this rLEANOj;jp property may be subject to inconveniences or discomfort arising from -C 100 K PE�,� the use of agricultural chemicals, including, but not limited to herbicides, pesticide and fertilizers; and from the pursuit of agricultural operations including, but not llmi�d to cultivation, plowing, spraying, pruning, and harvesting which occasionally, generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: A portion of Lots 2 and 4 in Block 110, according to that certain map entitled, "MAP OF THF.MALITO, Butte County, Cala.", which map was filed in the office of the Recorder of the County of Butte, State of California, June 8, 1887, more particularly described as follows: Beginning at the Northeast corner of said Lot 2; thence West along the South line of Tehama Avenue, a distance of 60.0 feet to the true point of beginning for the parcel of land herein described; thence from said true point of beginning, continuing West along the South line of said Teha.na Avenue, 302.42 feet to a point; thence South 23° 00' East, 90.40 feet; thence South 46 19' East, 46.0 feet to an iron stake; thence South 370 16' East, 124.39 feet; thence South 12 40' 18" West, x47.14 feet; thence South 17° 17' 46" East, 78647 feet to an iron stake; thence South 12 45' 51" West, 100.92 feet; thence South 34 00' East, 120.0 feet; thence South 300 03' East, 129.40 feet to the South boundary line of said Lot 4; thence East and parallel with the South line of said Tehama Avenue, 118.0 feet to the Southeast corner of Salid Lot 4; thence North along the East Line of said Lot 4, a distance of 500.0 feet to a point which lies 250.0 feet South along the East line of said Lot 2 from the Northeast corner of said Lot 2; thence West and parallel with the Soath line of said Tehama Avenue, 60.0 feet; thence North and parallel with the East line of said Lot 2, a distance of 250.0 feet to the true point of beginning. Date: �Z PROPERTY OWNERS: ROBERT GORFXA1 KL,LIS DELL B. ELLIS State of California ) On this the ist day of Murch , 19 84 , before County of Butte SS. me, the undersigned Notary Public, personally appeared .) ROBERT GORDON ELLIS AND DELL B. ELLIS Personally known to me. /X/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose hame(s) are subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. :ss M8C)r E)A N. DILAA LEMBECK •rw'- NO?P.RY PUBU ou.nty FOKNIA Butte ices 1986 •�1 I, ER MIT N0. � PERMIT EXPIRES Robert Ellis 'OWNER owner y: CONTR. ,ii 30-101-30 :LOCATION (A.P. ) i 1,741 Tehama Ave. IPA, Oroville z I Temp. Power Pole Called PG&E y Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signat Motors Stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION -RECORD Subpanels BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for phsically handica ed Conformance of ex. -structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Motors 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 MOBILEHOMEUTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping BILEHOME INSTALLA,TIQN - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS V (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilie, California 95965 - Telephone 916/534-4541 ` APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING ,-110 1 Ar'Z BUILDING PERMIT OW TELEPHONE LS Z SQ. FT. OCC -1 BUILDING VALUATION OW EMAILING AD ESS C-41Ave CONTRACT R'S NAMETELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 3•aD ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AD RESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 a—� Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE QF STRUCTURE SF E:1Duplex ❑ Mobilehome f`,, Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition odel ❑ Utilities Installation❑ Other ❑ Describe work: = � r 860''7 2h 4L o [ J 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.6) OR ADDNS. \ ACC. BLDGS. _ 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): El 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 I-Ou LET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS p NON.RESID. SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES BAL@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID,) EAJ 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. ❑ 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. Heating Cooling Hood 3.00 Ventilation penult Fee S Contractor I certify that I have read this application and state that the above information is correct. i agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseq ce of the granting of this permit. X �� � �, C � 1 -2_ P 2 p� Date Signature of Applicant — Owner RJ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE ' OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD I99UE This permit is hereby issued under siois of the Butte County Code and/or work indicated above for which JR OF PUBLIC By _ PERMIT EXPIRES D to the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 7/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKST NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 1 APPLICATION AND PERMIT ASSESSOR PARCE UMBER ZONING O '-1 fit`N?jo 14- Z 117-17 BUILDING PERMIT OWNER TELEPHONE ill s 33-3932 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD ESS l CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER V, 7 UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 5.c7c, ARCHITECT OR ENGINEER (,/ `� u � LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ . 00 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[q, Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑� - Remodel ❑ U ' ities ElIn7Ilat'El Other ❑ Describe work: 2 = a /J�uv�r ✓ '(7,05—fl /f� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.DI) OR ADDNS. \ ACC. BLDGS. 22 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. -OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS dj NON-RESID. (SINGLE OUTLET CIR; / 50 ® 25¢ Ex. OCCUp OUTLETS OR FIXTURES BAL@1 Ex. Occup.(OUT LETS P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 'Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequenDce o�the granting of this permit. X 1/ ? t �X� Date �� �J� o 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 height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ /+'3, occuP. CROUP I TYPE OF CONST. PARCEL PO I ND ISSUE This permit is hereby issued under sion f the Butte County Code and/or wo dicated bove for which CTOR OF PUBLIC PERMIT EXPFRES Date the applicable provi- resolutions to do fees have been paid. WORKS I O G/ R 8- Date I3-87— Receipt No. S S�� �S WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 -' • :.�' _ ZZZ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZO ING _ BUILDING PERMIT _ OW R TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CO T ACTOR'S NAM T �`l\ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER IP UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fe $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDR SS Permit fee $ BUILDING ADDRESS PLUMBING PERMITFilin 9 Fee 10.00 Each Trap 1 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❑ Mobilehomeg4l"'Other SPECIFY Building sewer Lawn sprinkler system 5.00 / TYPE OF WORK New ❑ Addition Er�eel [IUtilities ElInstallation❑ Other Describe work: .seg �R60 7 9 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.DI\ OR ADDNS. ACC. BLOGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID. 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 I-Ou LET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR. I POWER APPARATUS S SINGLE OUTLET CIR. 50 @ 250 Ex. Occup OUTLETS OR FIXTURES ggL�e1 Ex. QCCUp.� OUTLETS P(RESID )LINIS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coun/ty conse nce�of the `granting of this permit. X / j� i" �i Date _ Signature of Applicant — Owner E:1 Contractor ElAgent❑ ` An OSHA permit is required for excavations over 5'0" deep and demolition or construct -D ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, I PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which TO F PUBLIC BY PERMIT EXPIRES Dat — the applicable provi- resolutions to do fees have been paid. WORKS Date / 3— A. D�to Receipt No. / Q 7' `'i WHITE-D.P.W., YELLOW-ASs ESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 ��60 '�� I , Telpphone:.534-4541 APPLICATION AND PERMIT AA Vii autnorize representatives of the county of butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated eu& above for which fees have been paid. xDate DIRE OR BLIC WORKS Signature of Permitee or Agent B at 2:LY JAS Receipt Na ao`2 —� White-D.P.W. -Yellow-Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date BUILDING Owner � �r aws SQ. FT. OCC. BUILDING VALUATION Pe N Mailing Address � �� T- ^/c-(� O & v fc.�L 33ha3 No. L Contractor / vC Mailing Address Fireplace Total Valuation Telephone No. Permit Fee g l4(l TG�� Ma AV d Building Address K rn�vT rT' Plan Checking Fee&/or Penalty Permit Fee ,QQ C PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 6 �QV1 Repair drainage or vent piping 1.50 A. P. No. 30 ^101 r- 190Zoning Z & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s C. SOXion I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach Declaration Parcel Map F6W R/W Improvements additional outlet .30 Building sewer i� 5.00 Bld Plans Recd � Parcef-A rovaI Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 6001 OR LESS 100 AMP OR LESS 5•�� Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L too AMP 2.50 ©I�Cr /�� FL�Af Main service OVER 6001 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSOR ADDNST ( ACCLBLDGDWELINGS.OCCUP. S� 20sgft 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: NEW CONSTR. MULTI-OUTL T NON-RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 6 NON-RESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTI RES a L01 FIXED ALNS 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 $41 $ MECHANICAL No. @ FEEWORKMEN'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. 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 the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation L2.00 Hood 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 Land Development Fee $ TOTAL PERMIT FEE $ autnorize representatives of the county of butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated eu& above for which fees have been paid. xDate DIRE OR BLIC WORKS Signature of Permitee or Agent B at 2:LY JAS Receipt Na ao`2 —� White-D.P.W. -Yellow-Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date PERMIT NO. 2643-85B E f PERMIT EXPIRES OWNER DELL ELLIS ,� •,;; CONTR.. owner ASSESSOR PARCEL 30-101-30 LOCATION L?< Tehama Avenue, Oroville i#743 4 Y 1 R ' Temp. Power Pole Called PG&E _ Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E _ JOB FINALEI Signature i J =OK 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 1 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector' 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of OccuDancv Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men-Lini 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J=0Ki �, 1' 0 r Not OK i Not Applicable Not Ready RESIDENTIAL (Single and Duplex) � = Date UNDERFLOOR Plans OK exce t#'s Date FRAMING Continued 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. O.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E3 Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26. 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. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No Service -Riser Conductors & Ground -Main Disconnect 75. 76. Following instld.: Drive E] Yes E] No; Walks ❑ Yes E] No: Planters ❑Yes El No Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 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 (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties -Purl in - Roof Brac.-Truss-Shth_nq_.-Rfn_g_.__ Fireplace Ties or Type A Flue -Fireplace Throat i 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be madeeach time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle. California 95965 - Telephone 916/534-4541 5� APPLICATION AND PERMIT ASSEWO PARC L N MBER ZONIN BUILDING PER IT OWNERTELEPHON SO. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDBX.SS ID CONTRACT R'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONDUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAI -LING ADDRESS Permit Fee $ 1591 S-0 ARCHI ECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee E$. $ AR CT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FIIingFee 10.00 Each Trap 1 2.00 ' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome% Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New Ki Addition❑ RemodelUtilities Inst llation❑ Other ❑ Describe work: bAam Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 10,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p f y (check One): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BusinesS and Professions Code and my license is in full force and effect. License No. Classification cm 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 CONST. DWELLING OCCUP.61 , OR ADONS. ( ACC. BLDGS. ) /20sgft NEW CONSTR M U TI.OUTLET NON.RES10 BRANCH CIRC ITS 2.50 ea, (POWER APPARATUS el SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 200500 eALO 30 FIXED Ex. Occup. OUTLETS PR RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ i have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. aials abilities o agree to udgmen se save, indmnifc sts,nandeexpen els which mayess the nin of anyy way Butte acc ue ainst OCCUP, against aid County in consequen of the granting of this permit. %� �-2�`�' ���� Date �-// —�� Signature of Applicant — Owner a Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ CONST.TYPC J I Lo PARCEL PD Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which PUBLIC DMy By 4v1 PERMIT EXPIRES Date. the applicable provi- resolutions to do fees have been paid. WORKS ate '' '�� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ;:-COUNTY OF BUTTE - DEPARTMENT'OF4'PUBLIC WORKS - BUILDINGDIVISIONi 7 COUNTY CENTER DRIVE - OROVILLE;'CALIFORNIA 95965 - TELEPHONE: 916%534=4541 PERMIT APPLICATION DATA SHEET / Permit No. OWNER P ! S m A. P. No. (3() - lD Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation MA41,1��Ily in) .4 _ Building Inspector Date At time �f✓permit application, I was advised the following data must be}submitted prior to permit processing andJor issuance: ► DATE RECEIVED. APPROVED \xJ//1' f All items have been submitted. . . . . . . . . . . . Plot plans in duplicate. triplicate. 3. Complete plans In dup cate./triplicate.p . . . . . . . . 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 and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval .for (A) Use: (B) Parking: ,. 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑-) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •Pre-Inspec. request to (Date) 17. Pre -Inspection for Required- Building Inspector ) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other When you issue the permit, process as follows: X Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector.. Other 4 �r'/' i Appl icant� A �.� � Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (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 of above required data by Telephone Mail Other By Date Plans checked by Plans approved bi Other: Copy—DPW JO Date Date r COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovill:e, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building -permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the ma' r labor and materials for construction of the proposed property improvement MJ or no) 2. I av /have not) S signed an application for a building permit for the proposed work. . 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City. Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address ,)/V City Phone Contractors License No. 5. I will. provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social•Security N m er Date 2— //— 'Rel- NOTE: Rs NOTE: This Owner -Builder Verification is sent to.you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. �+ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE C;l_61 s /W 70 -/o/ -3o C260 5/3-S`s- .. OWNER /7z// �r N,'y�� 1-41L PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date J // Inspector REV 10/92 I 11 .,FI Am.. A 111 i _,. 4 i� 4} �.-. �-..:�!.: �? n �.' i:. !. � �, �„ ... •!�// ,lir,. G- / i� \i This set of_ 6.. plans anc specifications MUST be kept on the job at e!I t mes and if is unlawful tc. make an , I changFs or a! erations on same with;,ui wrii,tQn permission from the Department of Pub. lic Works► County of 6 tt®_ NOTE:—AN Materials & Wog4od nsl�ip Shall be iat Accordance with Recognized Practices an& .of a gMality prescribed for theec►fied use in *0 Uniform Building. Plumbing & M ' al Codes 0"d the National Electrical Code. The $et6ock shall 6e 5 ft. from the slide property line and 50 ft. from the Enterline of the road, permilrting a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. z�y3 as BUTT COUNTY BUILDING EPARTMENT APPROVED s..a a..�.:.r..�.m...wr...ss«...�..�...•r.•.x,+•��w��a.-r•!:..:r.••.;..r�:vr:.:�.......m•c.w^.::.u�.e.r.n�.::.....re.:.wen..ro;cvw.�ai�c..ht:raw�••. u..nurvna»naaw.r,+•.+.,.. .._.�-_� r ��__._.........._.._.�.-.<._.. / ' •� •r ��.�+, 1, �•'�� /���' �r. �.-. �-..:�!.: �? n �.' i:. !. � �, �„ ... •!�// ,lir,. G- / i� \i This set of_ 6.. plans anc specifications MUST be kept on the job at e!I t mes and if is unlawful tc. make an , I changFs or a! erations on same with;,ui wrii,tQn permission from the Department of Pub. lic Works► County of 6 tt®_ NOTE:—AN Materials & Wog4od nsl�ip Shall be iat Accordance with Recognized Practices an& .of a gMality prescribed for theec►fied use in *0 Uniform Building. Plumbing & M ' al Codes 0"d the National Electrical Code. The $et6ock shall 6e 5 ft. from the slide property line and 50 ft. from the Enterline of the road, permilrting a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. z�y3 as BUTT COUNTY BUILDING EPARTMENT APPROVED C ,, 1. 4-:34TOV, a; tali At m L 4;! 0 lit Y-Tiviklio--s) 9T!-Ijli DO J"Ill/Ki-liti8i ;"2lA TAINAT" q7v -- f i V u ---,o ql, (I f t_ .lam �"A'iN :.if:ad �.:...i_..K�t"'.nYwM^:Ti3.�yie.'."_:;RNCge.Q;,:�»Z^Tu91f'..eS.:iRN :'XTVi91G.CYC:>G4m%:ti.`„RIaY��"�,�9.'—v�C'r.`e/1.'�..t`ew�•u4 u�'3'sfetiJ:'U?4>FC?�:XI�:!6 9Si.P.IE:I^�iMM24..'LFC.'i_v1!h'�?+,�, f>!t�`27{3G - 4�..Y r This set of .3� plans an spec;ficaf, ns MUST be kept on the job at a!I t "nes and ;,t is unlawful tc mase any chango5 or a! erations on same without writton permission ; rom the Department of pub. ac Works, County .of B tte- f) wlv�'W 7v r The Setback shall be 5 ft. from the side property line' and 50 ft. from the centerline of the road, permiffing a maxi- mum of a 2 ft, eave overhang but entirely out of all easements. BUTTE COUNTY BUILDING DEPARTMENT APPROVED r. 17 �f 1 tea, r HERMIT NO.. 973-78B PERMIT EXPIRES OWNER Robert Ellis CONTR. Northstate Aluminum, Chico 1 LOCATION (A.P. 30-101-30' ) 1741 XKM Tehama Ave., OroviEe •�-tea-�� Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALEO n - � (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF- PUBLIC WORKS BUILDING-INSPECT1019 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 I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handicaped Conformance of ex. structureTem Appliances Gas Piping &Test . Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Stucco I Final ISuboanels 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 OS16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) I COUNiY OF $UTTE — DEPARTMENTlOF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 97-1 7Tel�phone•,534-4541 fAPPLICATION AND PERMIT Ad fY ,�N,��c rl.�.0 vca v, uic %, WILY UI outtc w CIIte1 uNUII the above-mentioned property for inspection purposes. Xz � ate 3/2/78 Si gnat &&ofd P ee'rmite`e or Agent te Receipt No. / ! 7 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/%BLIC WORKS By to J-7-7,11' B ilding permit expires Date 3 — 7 7 P, BUILDING OwnerSO. El ' FT. OCC. BUILDING VALUATION Mailing Address 1741 Tehama Oroville, Ca. 95965 Telephone No. Fireplace Contractor Northstate Aluminum Total Valuation Mailing Address — Permit Fee CJ P I an Checking Fee &/or Penalty Chico Ca. 26 Telephone No. 10 Permit Fee $ O $ Building Address 1741 Teham PLUMBING No. @ FEEa PERMIT FILING FEE $3.00 Orovill�, Ca. 95965 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 07— 70 A. P. o. an in Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fk/es Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provem nts Lawn sprinkler system 2.00 Idg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Attach 1 ►aming, Main service 6000V OR 0 AMP LOR ESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home" [1 Others ❑ OVER 60 Main service 1100 AMP OR LESS 25.00 Main service EA. ADD•L 100 -AMP 1.00 Attach 81 x 61 awningNEW NEW CONST. DWELLING OCCUP.OR ADDNS. & 2¢syft C.BTI CONSTR.A MULCOGUTLET NON-RESID. ( 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: Northstate Aluminum Ex. Occup(OUTLETS OR FIXTURES) BALL; FIXED FIXED A Ex. Occu PP LNS. OR (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 274 — 008Misc. Classification B-1 Wiring 6.25 ❑ 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 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 $ $ 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 Is /a ,�N,��c rl.�.0 vca v, uic %, WILY UI outtc w CIIte1 uNUII the above-mentioned property for inspection purposes. Xz � ate 3/2/78 Si gnat &&ofd P ee'rmite`e or Agent te Receipt No. / ! 7 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/%BLIC WORKS By to J-7-7,11' B ilding permit expires Date 3 — 7 7 P, n, COUNTY OF BUTTE DEPT. OF PUBLIC WORKS r i; �l h� R 3 1978 AM Piro ige11213141516 COUNTY OF BUTTE DEPT. 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