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030-193-009
J3/ro/9y x'/at #pw 30�0-193-9 W.L. BLANTON Orov"ile 1053 12th. St., Permit #2525-78B(demolition) garac 30-193-09 ELEN MARTINS?.R A Cont: Fahey Electric Permit #594-86E(ele ser ch part rewire ora- 193-~ i a 30-193-09 3328-89B,E �J HUSTON,`Robert & Suzanne 1053 12th St, Oroville i (new garage) 030-193=009 94=1134B WARRICK, SUSAN 1053 12TH ST., OROVILLE CONT:. CJ LAND DEVELOPMENT DEMO -SF ICONT; 3-00994=1133B,P,E K, SUSAN 2TH ST. , 0.1 OVILLE'CJ LAND DEVELOPMENT EHOME ON PERM FND 193-009 PERMTI#94-1513ICK, SUSAN 12TH.ST., OROVILLE COOK & SONS BLDG 2 NEW OPEN DECKS/MH 030-193-009 05-2741 GRIVETTE, JOHNNY 1053 12TH ST, OROVILLE Cont: OWNER ELEC SERV��� 030-193-009 05-3170 GRIVETTE, JOHNNY E & IDA 1053 12TH ST, OROVILLE Cont: OWNER GAS LINE � � � � � � :� A. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP053170•' PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 12/01/2005 APN: 030-193-009-000 'the Business and Professions Code, and my license is in full force and effect. License Class : License Number. Site Address: 1053 12TH ST ORO Date: Contractor: •• - Map Index: Description: GAS LINE 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 Owner: GRIVETTE JOHNNY E &IDA L permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 6475 HOLLYWOOD RD signed statement that he or she is licensed pursuant to the provisions of MAGALIA, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95954 she is exempt therefrom and the basis for the alleged exemption. Any (530) 876-1101 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: GRIVETTE JOHNNY E & IDA L Code: The Contractors' State License Law does not apply to an 6475 HOLLYWOOD RD owner of property who builds or improves thereon, and who.does such work himself or herself or through his or her own employees, MAGALIA, CA provided that such improvements are not intended or offered for 95954 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 876-1101 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 Contractor: not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ lam Exempt under Article 3 of th Business an ofessions Code Date: — —10—) Owner: License #: WORKERS' COMPENS ION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit 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 Census Code: ❑ 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 workers' compensation laws of California, 00 and agree that if I should become subject to the workers' J compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. O7 �� Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit Is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resol It s to do work indi ated bove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: gni By: t`u�f( lJIU1, r AAUlrl� `` Date: PERMIT EXPIRES ON: I2- 1' (� (A Date Address: ❑ 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. O 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 , y authorized agent oft ' ner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any ficial form or docume of tte County. I hereby authorize reprejse� tatives of Butte County to enter upon the above mentioned property for inspection purpose . Print Name.: VC )No Signature: J d Date:5 Q.Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION **PLEASE PRINT CLEARLY** PERMIT NO. 53 BIN # LOCATION CONTRACTOR Name , .! (� Address SRA City Policy Number State Zip Phone Name Fax E-mail Date Approved: Lic. # Class PERMIT NO. 53 BIN # LOCATION ARCHITECT/ENGINEER Name , .! (� Address SRA City Policy Number State Zip Phone Name Fax E-mail Date Approved: State License Number PERMIT NO. 53 BIN # LOCATION APPLICANT NAME Name , .! (� Address SRA City Policy Number State Zip Phone Name Fax E-mail Date Approved: PERMIT NO. 53 BIN # LOCATION API O Property Address 3 i a � � � T- Cid Cross Street GSD�E SRA WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address For offh66use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS Description or Scope of Work: i�r I Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy ..(Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration' of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: G a Amount: 5100 Bldg L� n SRA Receipt #: I !g Sheriff SMIP Date:a© 12- j- d5 other � S� Total SUBMI'T'TAL 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! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 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. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. 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 -sinned 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. o 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! O 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 ed 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 6-16-04 FROM FAX NO. Aug. 18 2003 08:54AM P2 t Dec 01 05 09:06a P.2 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. OI personally plan to provide the Major labor and material for construction. of this proposed herty improvement; YES [X] NO [ ]. 0. prnT HAVE [Q(] HAVE NOT [ ] 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: _ —_ PHONE: _ CONTRACTOR'S LICENSfl NO: 4. T plan to provide portions of the work, but I have hired the following person to coordinate, . supervise, and provide the major work: = Lok ADDRESS: PHONE: CONTRACTOR'S LICENSE NO:, 5. .I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: N. ADDRESS PHONE TYPE OF WORK JA Si.GNL:U> • PROPERTY OWNER: DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rtv'd 11/4/2004 Grivette Construction. 7675 Skyway . Paradise, Ca 95969 Office 530-876-1101 Fax 530-876-1181 Cell 530-518-5257 J To Whom It May Concern: I, Johnny Grivette, give authorization to Wayne Rogers to act as an agent on behalf of myself and Grivette Construction to obtain permits, pay miscellaneous fees and other tasks necessary to obtain permits. If you have any questions please call me. Thanks, Jay Grivette TT Department ®f D eve-lopi.ent. Services Building Division ` ° 0 7 County Center Drive _ Orovffie, CA 95965 (530) 538-7541 (530) 538-2140 FAX FACS11Yd I I E COYER Sff L' l Date: To: From:ntt Subject: ( ►nes- bllill���y2Y't iC 4 M tb� ��rYlfll . this cover sheet 2 rj�tieE:af panes including _ )� 0 If yoga- do not receive all of the pages, please call (530) 538-7521 as soon as possible. Special lnstracttons: Review and respond accordingly. For your infoffiation only. if Sincerely, COl, 7�Fr aT_ r NOTJ= !heinr"ormador, contained in this facsimile is con��dentiel and ray also contain prvileged information. 1 he information is intended only for the use of 'I I- are 'n_eret individv_al whom i, to whozt is addresse& If you a? -.e not the intended recipient, yo Butte County Department of Development Services ADMINISTRATION' BUILDING `GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 5387541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name.. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your cormnunity or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 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. Ol I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [ ] NO [ ]. �2 I HAVE [ ] HAVE NOT [ ] 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: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: t f NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO, BPO52741 LICENSED CONTRACTORS DECLARATION 9 I hereby affirm under penalty of perjury that I am licensed under Issued Date: 10/04/2005 APN: 030-193-009-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and. effect. Site Address: 1053 12TH ST ORO License Class : License Number: Map Index: Date: Contractor: 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 to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): C�( I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his ocher own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build 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, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of usmess and Professions Code Date: to— kf—d� Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Description: new elec service Owner: GRIVETTE, JOHNNY, AND IDA 6475 HOLLYWOOD DR. MAGALIA, CA. 95954 Applicant: GRIVETTE, JOHNNY, AND IDA 6475 HOLLYWOOD DR. MAGALIA, CA. 95954 Contractor: License #: Architect: Engineer: Carrier Total Square Ft: 0 S. F. / Policy #: Valuation: $0.00 Census Code: 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 b � become subject to the workers' compensation laws of California, � and agree that if I should become subject to the workers' " I lel compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 1 V Applicant: WARNING: Failure to secure workers' compensation coverage is I unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3.706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is h y issu�red hea able provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolution do wor .indiove or•w 'ch fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By Date: Address: _ PERMIT EXPI S ON: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, . handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. �• r Print Name: �r7 �Cr• ' Q 7—% -- Signature: Date: ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION **PLEASE PRINT CLEARLY** OWNER Last Name L First Nam'X, JJaa �1 N Address 10 City 0 rov,I (1 t State C,4 Zip 9 5165 Phone S� S'� Fax �6_ f l 8 1 E-mail APPLICANT SIGNATURE X office use only: CONTRACTOR Name c7v,-- Nt N_*r1 Address SRA City I No State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT SIGNATURE X office use only: ARCHITECT/ENGINEER Name cY� Address SRA City I No State Zip Phone Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X office use only: APPLICANT NAME Name cY� Address SRA City I No State Zip Phone Book Fax E-mail Planner APPLICANT SIGNATURE X office use only: Zoning Property Ad27W SrT - J Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # LOCATION AP# d 3,v—/0/3-00 Property Ad27W SrT - City v Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Al(r-- i C'er V, Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has -not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. K:\FORMS�BUILDING FORMSVBIdgApplSubRgmts.doc Page 1 of 2 Received by: Amount: Bldg SRA Receipt #: Sheriff SMTP Date: Other Total REV 6-16-04 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 GRAPH PAPER! ❑ .2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 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. (Note: Not required for additions to mobile or modular homes.) 0 6. 2 Flood Elevation'Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required), ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. 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 GRAPHPAPER! ❑ 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 Forma ❑ 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 6-16-04 /i>.Ji iiwt��r /v/ JI7�••�� Ur March 29, 2002 Suzanne Y. Warrick 3063 Oro Dam Blvd. W. Oroville, CA. 95965 +J.Ao • ... .. RE: Forma[ Warning Notice Butte County Code Violation 1053 12"' St., Oroville, CA. AP# 030-193-009 Dear Ms. Warrick: ,gaffe Co L A N D O F N A T U R A L W E A L T H A N D B E A U T Y PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 Through our courtesy notice on February 28, 2002, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the keeping of inoperable vehicles in public view and maintaining an unsafe structure. Your failure to eliminate the stated violations are cause for the issuance of this formal warning notice. As of this date, our records indicate that the following violations to the Butte County Code still exist: Butte County Code, Chapter 24, Section 24-95 - The AR (Agricultural -Residential) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the AR zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. Butte County Code, Chapter 28, Section 2813-1 - State Housing Law adopted by Reference. This section adopts the State Housing Law. You are in violation of maintaining a residential building not meeting the minimum standards. In order to comply with the Butte County Code and State Housing Law, you are hereby requested to immediately contact the Department of Development Services, Building Division at (530) 538-7541 to obtain the necessary permits and inspections to bring your residential building within minimum standards. ,Y Suzanne Y. Warick March 29, 2002 Page 2 The determination that this violation exists on the property is based on the following definition in the Butte County Code: Butte County Code, Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: Remove all inoperable/junk vehicles from the property. Correct or abate the violation by boarding up and securing the mobile home. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Scot Johnson Code Enforcement Officer SJ: kJ cc: Department of Development Services, Code Enforcement 1 2 3 4 5 6 7 8 9 10 u 12 13 14 15 16; 17. 18 19 20 21 22 231 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. 1 am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On March 29 2002, 1 served the foregoing 10 Day Letter on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope X In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. In the United States Postal Service Mail in Oroville, California. Suzanne Y. Warrick 3o63 Oro Dam Blvd. W. Oroville, CA. 95965 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on March 29, 2002, at Oroville, California. Karen E. Jones - , uttecounty L A N D O F N A T U R A L W E A L T H A N D B E A U T Y PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 February 28, 2002 FAX: (530) 538-7785 Suzanne Y. Warrick 3063 Oro Dam Blvd. W. Oroville, CA. 95965 RE: Butte County Code Violation 1053 12`h St., Oroville, CA. AN 030-193-009 Dear Ms. Warrick: The Butte County Department of Development Services, Code Enforcement section has determined by inspection and research that there are currently code violations present on your property at the above - referenced location. Specifically, the violations include: 1. The keeping of inoperable vehicles in public view 2. Maintaining an unsafe structure. This is an advisory notice that these uses are in violation of the Butte County Code, as follows: Butte County Code, Chapter 24, Section 24-95 - The AR (Agricultural -Residential) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the AR zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view Butte County Code, Chapter 28, Section 2813-1 - State Housing Law adopted by Reference J This section adopts the State Housing Law. You are in violation of maintaining a residential building not meeting the minimum standards. In order to comply with the Butte County Code and State Housing Law, you are hereby requested to immediately contact the Department of Development Services, Building Division at (530) 538-7541 to obtain the necessary permits and inspections to bring your residential building within minimum standards. Suzanne Y. Warrick February 28, 2002 Page 2 The determination that these violations exist on the property is based on the following definitions in the Butte County Code: Butte County Code Chapter 24, Section 24-305.240 -Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as ".junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. It is the County s goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement. If voluntary compliance with this notice is not accomplished by correction or abatement of the violation(s), enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. Upon conviction, violators may be fined and allotice of Violation maybe recorded which will include a description of the action necessary to abate the violation. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: Remove all inoperable/junk vehicles from the property. Correct or abate the violation by boarding up and securing the mobile home. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions. Should you have any questions concerning this matter, please contact me at the address or telephone number listed above.. Sincerely, Scot Johnson Code Enforcement Officer . SJ: kj cc: Department of Development Services, Code Enforcement Z Suzanne Y. Warrick April 9, 2001 Page 2 All buildings or structures regulated by this code which are structurally unsafe or not provided with adequate egress, or which constitute a fire hazard, or are otherwise dangerous to human life are, for the purpose of this section, unsafe. Any use of buildings or structures constituting a hazard to safety, health or public welfare by reason of inadequate maintenance, dilapidation, obsolescence, fire hazard, disaster, damage or abandonment is, for the purpose of this section, an unsafe use. Parapet walls, cornices, spires, towers, tanks, statuary and other appendages or structural members which are supported by, attached to, or a part of a building and which are in deteriorated condition or otherwise unable to sustain the design loads which are specified in this code are hereby designated as unsafe building appendages. All such unsafe buildings, structures or appendages are hereby declared to be public nuisances and shall be abated by repair, rehabilitation, demolition or removal in accordance with the procedures set forth in the Dangerous Building Codes or such alternate procedures as may have been or as may be adopted by this jurisdiction. As an alternative, the building official, or other employee or official of this jurisdiction as designated by the governing body, may institute any other appropriate action to prevent, restrain, correct. or abate the violation. The determination that these violations exist on the property is based on the following definition in the Butte County Code: Butte County Code, Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement. If voluntary compliance with this notice is not accomplished by correction or abatement of the violation(s), enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. Upon conviction, violators may be fined and a Notice of Violation may be recorded which will include a description of the action necessary to abate the violation. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: 1. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24-305.240. 2. Remove all inoperable/junk vehicles from the property. Correct or abate the violation by boarding up and securing the mobile home 4. All unsafe buildings or structures must be abated by repair, rehabilitation or demolition as per the Butte County Code, Chapter 26, UBC, Section "Unsafe Building or Structures." Suzanne Y. Warrick April 9, 2001 Page 3 You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions. Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Scot Johnson Code Enforcement Officer Me cc: Occupant, 1053 12`h Street, Oroville Department of Development Services, Code Enforcement N OWNER: & --oZ M74—>V. 00-ir r -r' DATE: LOCATION: ��"/� �V�Ji A.P.#: CONTRACTOR: ZONING: DATE TO INSPECTOR PERMIT HISTORY: [ ]NONE As TYPE OF OCCUPANCY: BUMDING INSPECTOR'S REPORT ig Description: [[ ] mmercial/Usage: Residential/# of Units: [ ] Currently Occupied. [ ] Ab doned/Vacant. c: [ es [ ] No Electric is currently : [ ] On [ ] Off Conditio=Propane[ c'al? Natural Mobile Home: YesV] No[ ] ] None[ ] Currently Ono Off[ ] Obvious problems: tion: Plumbing working Yes[✓ Well: Yes[ ] No[ No[ ] Potable water: YesVf Obvious Sewage Problems: r cription of Damaged Area: C �. r -(A 141 L .., timate valuation of Damaged Area: ector: Date:-�-- DF/BUTTE COUNTY FIRE INCIDENT LO DATE 2/23/99 INCIDENT NUMBER 1707 + LOGGED BY JMH REPORT TIME 11:20 LOCAL FIRE NUMBER 10108 RO PICKARD STATE FIRE NUMBER 0 STATION # 63 CASE NUMBER 0 r MEDICS: LOCATION 1053 12TH ST • OFFICER 2109/2115 - RP ITHOMAS HONE NUMBER 15348741 B COUNTY NOTIFICATIONS ❑ OES ❑ EMD. , ❑ WRA A9 AGENCYID BUT STATE WILDLAND FIRES ❑ STATE ACRES 0 LOCAL WILDLAND FIRES .❑ LOCAL ACRES , 0 STATE STRUCTURE FIRES LOCAL STRUCTURE FIRES RESIDENTIAL r STATE OTHER FIRE LOCAL OTHER FIRES a STATE MEDICAL AIDS LOCAL MEDICAL AIDS STATE PSA/OTHER LOCAL PSA/OTHER: STATE HAZ MAT LOCAL HAZ. MAI d INCIDENT NAME . 12TH START.TIME: 1110 CAUSE 1EQUIPMENT LAND USE IDOMESTIC •ACRES:O TYPE OF ACRES: DOLLAR DAMAGE1 LOCAL TYPE $ DAMAGE: SAVE 20000 DIAMOND #: 15.0 INJURIES/FATALITIES ❑ # CIVILIAN INJURIES: =# CIVILIAN FATALITIES: FF INJURIES:�#0 FF FATALITIES �0 FC-40, ❑ DATE OF FC40 INC SEN. EMAtL STATION 63 AGENCY INC #: INC P# O _ - LOG © INITIALS COMMENTS: ..............................:.. :.......................:::.:..... w' A S�t W -N Ulf Skz�l 1,4z W 50- A -E it n 4 3,3,vj rN I Lwq Y IN - 3 193 '9 �.t 3v i 4 --Ile LANTO N. B' . j a st'•�t 0 r r a lltlo y c n 12th'.'. 1 -105378B(demO `t.P42525-7. perml 30!493-09-z--/-!-,l-yr st n't El�ctric - r . , rewire re Cont. Fahey ser chi.&Psrt ermit 4594-86E(ele #�,43328-89B, E "193-U -.30- 9' Suzanne ori HUSTON, Robert -St- 0 ovijle�,- '41053 12th k�J(new 'garage) 1'�. - 1-4-1,134BIk,� "00 Its 'L- '030 -'19 3 - 9 JX SUSAI -b -12TH "ST ROVILLE 'r- -1053.; e ZI, CJ LAND 'DEVELOPMENT,-, 11, CONT '.DEMO, -SF 4- 1133B;Y; 030-193iw009 ��WAPCY,_ ,�..SUSA N 7 �ci;x; 1053 12THF_ T S' '�j CJ -LAND D ;v 'dONT-- D' s' ERM F MOBILENME" ON., 13*- Ft a ?ERM1#94-:1.51 0 ,03 1§3-009'.�:� ".f# xr . RfCK, SUSAN OROV ILLE y 1053 11,2TH *-&,- SONS BLDG:l., CONT' -'COOY, W OPEN-DEcks/mHv, 2 -ANE April 3, 2002 Suzanne Y. Warrick AKA Thurman 1103 12`h St. Oroville, CA. 95965 RE: Formal Warning Notice Butte County Code Violation 1053 12`h St., Oroville, CA. AP# 030-193-009 Dear Ms. Warrick: suffe count L A N D O F N A T U R A L W E A L T H A N D B E A U T Y PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE. CALIFORNIA 95965.3397 TELEPHONE: (530) 538-7601 FAX: (530) 538.7785 Through our courtesy notice on February 28, 2002, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the keeping of inoperable vehicles in public view and maintaining an unsafe structure. Your failure to eliminate the stated violations are cause for the issuance of this formal warning notice. As of this date, our records indicate that the following violations to the Butte County Code still exist: Butte County Code, Chapter 24, Section 24-95 - The AR (Agricultural -Residential) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the AR zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. Butte County Code, Chapter 28, Section 2813-1 - State Housing Law adopted by Reference. This section adopts the State Housing Law. You are in violation of maintaining a residential building not meeting the minimum standards. In order to comply with the Butte County Code and State Housing Law, you are hereby requested to immediately contact the Department of Development Services, Building Division at (530) 538-7541 to obtain the necessary permits and inspections to bring your residential building within minimum standards. Suzanne Y. Warick March 29, 2002 Page 2 The determination that this violation exists on the property.is based on the following definition in the Butte County Code: Butte County Code, Chapter 24, Section 24-305.240 -Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: Remove all inoperable/junk vehicles from the property. Correct or abate the violation by boarding up and securing the mobile home. This is your final wamin . Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Scot Johnson Code Enforcement Officer SJ: kj cc: Department of Development Services, Code Enforcement KALE ST1 M ADDRESS CITY. STATE, aw a 03� EQUESM a!`_ AND MIEN RECORDED MAIL T0: BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 94-25652 9 4-0256 52 1 Recorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder I 10:40am 16 -Jun -94 I Rec Fee .00 Total .00 COMS XX 1 26 FOR RECORDER USE I NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the locoi 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 per- sons thereafter dealing with the real property. SUZANNE Y. WARRICK. BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 1053 12TH STREET 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE, BUTTE, CA 95965 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP SAME A4 -1h33 I >1 (916) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT Il N PERMI TELEPHONE NUMBER LOL.4AA Ir- 4altx - 1--N, 6/16/94 CITY COUNTY STATE ZIP ATURE OF OCAI GENCY OFFI Al DATE SAME OBILE HOME CENTER, INC. UNIT OWNER (If also property owner, write "SAME") DEALER NAME (If not a dealer sale, w ice "NONE") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION 91235 DEALER LICENSE NO. SKYLINE HOMES 2/4/91 OAK -MANOR 2202 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 06700528 BD/AD 60'X26' ULI 332372/332373 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) A.P. #030-193-009 REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER LOT 1, AS THE SAME IS DESIGNATED AND DELINEATED UPON THAT CERTAIN MAP ENTITLED "MAP OF THE DODGE TRACT NO. 2, A SUBDIVISION OF THE NORTH HALF OF LOT 5, OF BLOCK 101, OF THERMALITO, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 12, 1907, IN BOOK 6 OF MAPS, AT PAGE 102. 40'Al OF HCD FORM 433(A) 4/86 c' coy ,•• EN® OF DOCUMENT *41Tr OE LiRESIDENTIAL t' 030-193-009 PERMTI#94-1513 WARRICK, SUSAN 1053 12TH ST., OROVILLE CONT; COOK & SONS BLDG 2 NEW OPEN DECKS/MH JOB FINALED (Date _ Signature J=OK O = Not OK Not Applicable; Not Ready 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. 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/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECK OVERS, CARPORTS, GARAGES, (Plans)OK except #'s oq g Requirements -Setbacks -Easements � s oot' s; Soils -Size -Depth -Spacing -Connectors -Steel ecks; Grit a and/or Joie ' Br t - 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date e/ 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK r, O = Not OK _ = NotNo Applic Readyable RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except N'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 -Bloc kouts-Wra pped 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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except 4's 16. Water Htr.: Vent -Access -Combustion Air-Batfle ------------- - ------------------------ 17. Water Pipe: Test & Anchor -Nail Protection -------- ------ ---------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ---------------- ----- ------------------- 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access -------------------- -------- -------------- 21. Gas Pipe: Size & Anchors ---------------- -------------- ---------------------------------- Date Card B-1 Date Card B-1 ------------------- ----------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection --- --------------------------------------------------------- E-lec. Receptacles - Spacing -Lights & Switches at Doors - ------- ------------------------------------ ------------ 24. Size Boxes & No. of Conductors -Stapled - ------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------ ----------------------------------------------------------------- 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water --- ------- -------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------------------------------------------------------- ---- 28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al ------------- ----------------------------------------------------------------- 29. ----------------------- 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------------------------------------------------------- ------------------- 30. Service -Riser Conductors & Ground -Main Disconnect -------------------------------------------------------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. ------------------------------------------------ 32. ------------ - - - - --------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------- - - Smoke Detector ---------------------- ------------------------------ ------------------------------------------------- Date Card B-1 Date Card B-1 ------------- ----- --------------------------------------------------------- Date card -B-1 Date Card B-1 Date MECHANICAL (Permit) OK except u's 34. A.C. Ducts Insulation & Support -------------------------------------------------------- ------------------------- 35. Vent Fan: Exhaust above insulation ----------------------- ------------------ - -------------------------- ------------ 36. CondenFate Drain & Overflow: Size & Grade --------- ---- - ----------------------------------------------- ._.--... 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------- ------ ---------------------------------------------------------- 38 Attic Access &Platform if Furnance in Attic ------------------------------------ ----------------------------------------- - Date Card -B-1 Date Card -B-1 --- ---- ------ -- - ---- ---- -------------- -------------------------- --- -------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39 Sils. Proper Material & Anchors ------- ------- ------------------------------------------------------------------ 40. Walls Studs- Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing -- --- -- ------------------------------------------------------------------ 42. Draft Stop in Walls (rat proof) ------------- -------- -------------- --------------------- 43 Fire Stops. Furred Ceilings -Stairs -Chases -Tub ------------------ ------------------------------------ 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ---- _---- _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ------------------------- - 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------- --- ___________ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows --------------------------- - Date _ _ _Card B-1 _ Date Date Card B-1 Date Card B-1 Card B-1 Date FINAL (Plans) OK except k's 61. - Ext. Steps -Door & Sidelight Protection -Landings ----------------------- -- 62. Smoke Detector -------------- --- --------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection -------------- ---- ----------- 64. Bedroom Exiting ---------------------------- ----- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels _ 67. Stairs & Rails------------ _ 68. Fireplace or Stove: Clearances -Hearth -------- -------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit Fixt_& Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ------ ----- 72. Garage Fire Door: Swing -Landing -Closer ------------------------------------- 73. -A.C.-Duct in -Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------- - 78. Guard Rails & Deck -Const ruction- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --- - - ------------------------------------------- 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No 81. Stucco_: Brown -Finish ------------ 82. A.C. Unit: Disconnect. Electrical, Plumbing ------------------------------------------ -- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings _ 84. Water Well: Disconnect, Electrical, Plumbing ------------------------ 85 Exterior Efec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House - -- --- ----. -- ------------------------------- 87. Glass Protection --------------------------- 88' -------------------------88. Corrections from Previous Inspections 89. Gas -Test -Meters -Tagged: Gas -Electric _ 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates --------------------------------------------------- ---- Date Card B-1 Date Card B-1 --------------------------------------------- --- --- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT - �s �T ASSESSOR PARCEL NUMBER 030-19-3-009 ZONING AR BUILDING PERMIT OWNER SUSAN WARRICK TELEPHONE SQ. FT. OCC. BUILDING VALUATI OWNER'S MAILING ADDRESS 1053 12TH STREET OROVIL•LE 95965 CONTRACTOR'S NAME COOK AND SONS BLDG TELEPHONE CONTRACTOR'S MAILING ADDRESS P 0 BOX 213 PALERMO CA 95968 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1053-1�RIf ST OROVILLE PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome MX Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑X Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describework: 6 X 20 DECK IN FRONT 1 4 X 24 DECK IN RACK • PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( SOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) 3.5C SO. FT. CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one) XI am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C de and cense is in full force and effpt�t. %'� License NO. Classification E ❑ I, as the owner, y employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) 7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) @ 1.000 BAL. Ex. Occup.UT ED (RESID OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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, 'udgments, costs, and expenses which may in any way accr against said County i o sMnce of the granting of this permit. X Date Signature of Applicant ;� lqf ❑ Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEES 81.05 HAZ. D. FEES �— IMP F10D0 CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica bove for which fees hayp been paid. +� By PERMIT PIRESON l tel 163183 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'w'�+;`++Ffh.rrn�.i'-11�-rra�`iYF��l��.:.A'+,u:�'f�4'""1�'��i�%1�i5'y y+�+f'��,�'•'iH°4f'�:7�.i°��f�.���„��11wr"�^"i-�r.;F�.;��Ma.'Kr..rt'.•.7••'MnFaf-i.fJ�^��..i"'f.:.:y: COUNTYOF BUTTE - DEPARTMENTOF DEVtELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET A. P o. Building Inspector 6 3U-�3 -ooq At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings : ............................ . 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer ................... r' 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ......................................... j 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ... . 20. Pre -inspection for required. .. o Building g speQor� (Date) 21. Contractor's license information. (No., Name Style, Classification). .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner �. ........... 24 Recorded copy of Agricultural Acknowledgement Statement . ................ . 5. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 500/6 subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When issue the permit process as follows: ail to owner. Mail to contractor. Telephone O nand hold for picku t Z_ office. Deliver with inspector. Other Parcel Creation'll Acreage VA plicanP Date Copy of Haz-Mat form sent r Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). , 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail C t by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder iv-rb Copy 7 Department of Public Works This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public -J Works, County of Butte. NOT=:=All Materials & Workmanship Shall Be In Recognized Good Practices and 40 of quality prescri:bed for dia Specified use in the o U! 0orm Building, iglu: Bing & Mechanical Codes and the Nationa! Electrical Code. k7i" .4 ALL STRUCTURES AND EQUIPMENT INCLUDING OVEMIANGS S.qAJ-L PIE CLEAR OF PALL EASEMENTS. A S-1 E T0 K 0 F- FROAi.l THE SIDE AND �IIV422 2 , b FROM THE REAR PROPERTY LINES AND ,_�2JW FT..FROM THE ROAD CENTERLIN� CLEAR OF 'STRUCTURES AND EQUIPMENT EXCEPT BUTTE COUNTY -WILDING DG.PARTMEN1 DOD cot_- A. I) APPROVED 17 4'- IS73 2 4- flG 1 p — Cr cc <J, k7i" .4 ALL STRUCTURES AND EQUIPMENT INCLUDING OVEMIANGS S.qAJ-L PIE CLEAR OF PALL EASEMENTS. A S-1 E T0 K 0 F- FROAi.l THE SIDE AND �IIV422 2 , b FROM THE REAR PROPERTY LINES AND ,_�2JW FT..FROM THE ROAD CENTERLIN� CLEAR OF 'STRUCTURES AND EQUIPMENT EXCEPT BUTTE COUNTY -WILDING DG.PARTMEN1 DOD cot_- A. I) APPROVED 17 4'- IS73 2 Xv w ^� c, o 0 • j . ? o cc 'Q o cc • • Q w�p `, V� Cc Q ^O Q �0 Q 4t -� rn CO VX : q \ EL c N�� CA ` .,v F— w o W � R O Xd W • ttld l M LU Z ” Q v �JI'dl5 'N1W„°1� '--D o c� m p 7 ' N N # i II i W L� It-- - - :Q J U � fi x J C9 r Q J 6 — ' L ilC U LL- Xv w ^� c, o 0 • j . ? o cc 'Q o cc • • 2 w�p `, V� Cc Q ^O Q �0 Q 4t -� rn CO VX : q \ EL c N�� .9 ` .,v H d w o W � R O Xd W Z ” a LSA 1H913H INJMNH,'/ n .7 Y v LL) 0 NIW ..190 . ? o cc 'Q o • • 2 St ` C . Q o S 0 m ` .,v H d W � .7 Y v LL) 0 NIW ..190 J • • 2 . p o S a LSA c� m p ' N N # o� W L� J U � fi .7 Y v LL) 0 NIW ..190 2 . p o S -RESIDENTIAL - 030 -193-009 94-1133B,P,E WARRICK, SUSAN 1053 12TH ST.., OROVILLE CONT: CJ LAND DEVELOPMENT MOBILEHOMEON PERM FND c ).73. OFFICE COPY Address { GAS Meter By Date ELECT U. Meter By Dat JOB FINALED (Date) Signature �� V= OK O = Not OK Not = Not Reeaadyeble MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. -Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L" ft. / /"Nat. or/ /% "ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance #'s 5/ -If ffgf.ZoolaorRequirements-Setbacks Easements Fogtings; Size -Spacing -Marriage Line 4"as MH Test-Demand-Valve—Connector a . lectrieity; MH Test -Crossovers -Breakers -Clearances 5 reip, MH Test -Fell -Flex Connector Sewer Connected -C/O to Grade -HD 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg: Rfg :Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' 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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Materiel -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nasi Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance In Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ina. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Faits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. I nsu lation-Walls-Cel II ngs 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Mr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Pib., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yea 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following inatld.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg -Appliance-Fireplace -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: CQUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Cpnter Drive - Or3ville, California 95965 - Telephone (916) 538-7541 PERMIT N APPLICATION AND PERMIT �� ASSESSOR PARCEL NUMBER 030-193-009 AR ZONING BUILDING PERMIT OWNER SUSAN WARRICK TELEPHONE SQ. FT. OCC. BUILDING VALUATION -1-446- R � OWNER'S MAILING 1053 12TH ST OROVILLE 95965 L1.7- 40 CONTRACTOR'S NAME CJ LAND DEVELOPMENT I TELEPHONE 534-5678 CONTRACTOR'S MAILING ADDRESS 2280 LOUIS AVE OROVILLE 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee .Z, $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee [Penalty $ 7 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS $ BUILDING ADDRESS 1053 12TH ST PERMIT FEE $ OROVILLE, 95965 PLUMBING PERMIT Filing Fee 26.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 LOT NO. SUBDIVISION'S NAME PARCELMAP 4, q—) Each gas water heater or vent 15.00 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome XX Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15,00 Mobile Home S G W @20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Othelj Describework: PERM FOUNDATION PERMIT FEE $ 65.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV01LESS ) 2OOA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( ACC. BLDS. I 8 S 3.50 FTD.. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and license is in full forcend •eft t. License No. Classification �� ❑ I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS I a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.50 Ex. Occu FIXED APPWS.ORLETS IRESID.1 EA. p' (OUTI 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a /Certificate of Consent to Self -insure. :R� I shall not employ any person in any manner so as to become subject to the Worker's ( Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California 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 County in consequence Wrgranting his permit. / X Date y- /1-/ I ' gn re of Applicant - ❑ Owner ❑ Contractor ❑ Agent OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 ries in height. a j Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ I HA2. D.171 IMP ELOOO X COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date I � 9�$ l�Detel ,g-73. � �- P Receipt No. 162496 16 Z7 S ,26 WHITE-D.D.S.-B.D. CANAR - SSESSOR PINK -INSPECTOR GOLD NROD- F, IC NT �:ar�.-.--i �y�f; � _f^moi iii; � vl��►a o�� = tr' _ .CL. �i.J'�~.t�L� � �:.. �Vi C+C �.�4: RM'' �'S�:� }.L. r�.41� �.,. �. �-i�L..i�..1R-_Hi�1c:a1�1..f'!'f..1�1�/'� COUNTYOF BUTTE - DEPARTMENTORDEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET-----' OWNER ttznQ Yl G ✓ r A. P. No. - / ,� -C-v Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1 • All items ha a been submitted . ..................................... . 2. Plot plansok sets, signed by preparer of plans. . . 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . obilehome da a !r nufacturer's installation instructions, 2 sets. ........... 1 ees of $......................................... Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by Clifornia Engineer . ................. . 14. Sanitation and plot plan approval �1 -T I Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Grld(py. . [3� 17. Planning approval for (A) Use: Qj4, (B) Parking: tZ r1"VbA')L5'� ..... TL) C�i3 1�..� �Contact Land Development about (A) Improvements (B) Drainage. ........... Ai',19 Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Pre -inspection for P11"�e�O" re f required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ................ . . ....................... 29. Documentation of legal access . ..................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... %61 Dr"., ^kti ,L, car n When you issue the permit, process as follows: Mal�1 to owner. Mail to contractor. Telephone - - and hold for pickup at CC) office. Deliver with inspector. her Aar eax� 0 C 0'�O hca p p.t�e i?61 � Date Copy of Haz-Mat form sent Health Dept. Fire Depth Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitl 1. Index permit for above items No 2. Additional items required: ircle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, oA, was advised of above required da by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works E C COUNTY OF BUTTE —'DEPARTMM OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 — TELEPHONE (916) 538-7541 OWNER - PROPOSED BUILDING USE arrI ANI erm V2 1. SCHOOL DISTRICT FEES OPCD !/C h 0 n l (paid at District Office). ........................ . SHERIFF FEES (paid at Building Department) Residential...... x _$ unit amt. Commercial (sgft) ' x =$ -sq—. —ft. amt. URBAN AREA FEES (paid at Building Department) Residential (per unit) x # units amt. Commercial (per.sq.ft) x sq.ft. amt. A. P. # a3o-193-040? DATE 'Y Al / ! 9 REC. # DATE REC � / /�.'/ _$ ern t - Rojo /a c c -'s _$ 4. RECREATION DISTRICT FEES (paid at -District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE Return to: " AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building APR 25* 1994 permit. The property described herein is adjacent to land or included t4aT COMPARED WTH within an area zoned for agricultural purposes, and residents ORIGINAL DOCUME44T of this property may be subject to inconveniences or discomfort arising from. the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and 4 _ p 18150 fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: gne %-�-C=� eA U. -)C'*" n t Cc c CA,�� �c�t;tic�\1 ��1'1c c�„� �c\�� �:� CCt f�c �,i Cl- C'_7 •L= t��-.c�^c�i.�•,��� � ��--�k'� C��.L,�t� Com.\.��::-� <<� ` ` �� Gam; �h `;�1 � V , C.C, 1 Date: State of California County of On b personally appeared PROP TY OWNERS: 2� 2 personally known to me (or "proved to me on the basis of satisfactory evidence) to be the person(p) whose name(* is/ase subscribed to the within instrument and acknowledged to me that lWshe/$Wy executed the same in Us/her/their authorized capacity(#), and that by #kiw/her/lheir signature(s) on the instrument, the person(@), or the entity upon behalf of which the person(s) acted, executed the instrument. PATSY L CARTER WITNESS my hand and official seal. O ro�ro awewm 44*” MAY 17.199e Signature Seal: A.P. // JD "143 -d0? COUNTY OF BUTTE BUILDINGS 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 OWNER 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 6//�/'��Inspector REV 10/9 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 OWN "0 A routine nspection indicates that the following violations of Butte County Ordinances exist at I ab a address and should be corrected. Please notify this office when correction of work is co pleted. If you have any questions pertaining to this matter, or need additional explanation, ple a contact this office immediately. REV 10/92 -------------------- - - Nuiiiiiiiiiiii; MKMM Q. AM WHEN RECORDED UK To - MW BUILDING DIVISION 7 COUNTY CENTER DRIVE STREET OROVILLE CA 95965 ADDRESS WT. STATE ,.a a 94-025652 194-025652 194-025652 94-0256521 Rec Fee .00 I Total .00 Recorded 1 Official Recorde I County of I Butte I Candace J. Grubbs I Recorder I 10:40am 16 -Jun -94 I COMS XX 1� WE THIS LK - FOR R_ECI T.s 1 NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at file 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 per- sons thereafter dealing with the real property. SUZANNE Y. WARRICK,,. BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 1053 12TH STREET 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (If also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 4-1 33 (916) 538-7541 'AU1 N RMI TELEPHONE NUMBER 6/16/94 TURE OF fOCAL AAGENCY OFFS Al DATE OBILE HOME CENTER, INC. DEALER NAME (If not a dealer sale, w#ite "NONE") 91235 DEALER LICENSE NO. SKYLINE HOMES 2/4/91 OAK MANOR 2202 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 06700528 BD/AD 60'X26' ULI 332372/332373 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) A.P. #030-193-009 REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER LOT 1, AS THE SAME IS DESIGNATED AND DELINEATED UPON THAT CERTAIN MAP ENTITLED "MAP OF THE DODGE TRACT NO. 2, A SUBDIVISION OF THE NORTH HALF OF LOT 5, OF BLOCK 101, OF THERMALITO, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 12, 1907, IN BOOK . - 6 OF MAPS, AT (PAGE 102. HCD FORM 433(A) 4/86 Address or Location of Legal Description of Real Property .P. #030-193-009 LOT -1 AT THESAME IS - DESIGNATED AND DELINEATED UPON THAT CERTAYN MAP "MAP OF-.7rME DODGE.. TRACT NO' -'--'2.,. A WbF�'--THE-'NORTH.` ENTITLED;. 0 HALF_OF..LOT-..5.OFBLOCK JQl.,OF THERMALIBUTaE COUNTYCALIFRONIA" WHICH MAP A H-Z%OFFICE OF THE RECORDER OF' THE COUNTY OF BUTTE,'STATE OF CALIFORNIA,"O-N-DECEMBER 12, 1907-'INBOOK 6 OF MAPS, AT PAGE 102. A CI.Mob * ilehome/Manufactured Home ElCommercial Coach has been affixed.-toathe real property described above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's neve: SUZANNE Y. WARRICK Owner's oddness: 1053 12TH..,STREET, ORPVILLE CA 9.5965. INSIGNIA OR HUD NUMBER: .ULI 332372/332373 SERIAL NUMBER OR V.I.N. '067 . 005-28 Bb/AD "CO 513C (7/801 w"e--ownw. calbay F%. 0 (916) 538-7541 STATEMENT THIS STATEMENT IS TO CERTIFY THAT DECAL #LAR4504 FOR THE BELOW REFERENCED MOBILEHOME HAS BEEN LOST AND IS NOT AVAILABLE. MANUFACTURER'S NAME: SKYLINE HOMES DATE OF MANUFACTURE: 1991 MODEL NAME: OAK MANOR 2202 SERIAL NUMBERS: 06700528.BD/AD HUD LABEL NUMBERS: ULI 332372/332373 SUZANN . WARRICKr 6/16/94 DONALD K. BALDWIN PRESIDENT B. L. McADAMS WCE PRESIDENT 8 SECRETARY VAL QUINTANA VICE PRESIDENT BUT T E ; C �03MNMTY �,Tl TILE PARADISE OFFICE (:ONWANY 6402 SKYWAY, 95969 91 1909 BIRD ST • POST OFFICE BOY 851 OROVILLE, CALIFORNIA 95965 (916) 533-5511 • FAX (916) 533-1526 June 16, 1994 County of Butte Building Department #7 County Center Drive - Oroville, California 95965 RE: Suzanne Y. Warrick 1053 12th Street Oroville, California Attention: Ann ( 6)877-6268 CHICO OFFICE 194 E. SIXTH STREET, 95926 (9 16) 343.3716' PLEASE REFER TO OUR ORDER NO. 48724 pc Per your request enclosed you will,find the following documents: Orginial Certificate of Title Orginial Last Registration Card Statement of Foreclosure Statement of Facts volutary Surrenders or abandonments need Should you /further, please contact the undersigned. pnc/pc Sin ely Yours /1 P. Castle, Escrow Officer TITLE IN'SUIMNCE ESCROWS COb11'LI TE 'TITLE PLANT ESTABLISHED 1877 STATE -Of CALIFORNIA -DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ` CERTIFICATE OF TITLE moRTI Fi4nmi: IDECA° NO 1 A0Acn/ _MANWACTURER NAME/ID TRADE NAME SKYLINE HM IHC/90002 OAK MANOR MODEL OKM2202 DOM 02/04/91 DOT 02/04/91 DFSSPC 02/26/91 4.A) EXPIRATION U. 067005288�ERIAL NUMBER y 06700528AD ULI'3�ELLIN$IGNIA NUMBER ULII3333Z2333777ZZ3 yV�IGHzO 000111'4848[Z20 L��G�yo 000720 O�f,Qj6 000156 0318/91EM� s.') 0 & SFDE LPT TOTAL FEES PAID: $60.00 8 3 a s e CNTY ST ZIP E A GREENTREE ACPT INC o .350 UNIVERSITY. AVE 4.A) 5825RD SACRAMENTO CA 95925- R 8 s.') 0 & 8 URRENT MAILING ADDRESS 8) 8 CNTY ST ZIP E R VANKIRK MARY LOU E GM I A 2512 3RD AVE 8 i T L E CAPAY 95607 R E 1., D RELEAk REGISTERED OWNER 0 8 25123RD AVE W I N T E u CAPAY . CA 95607,,--- --.. . 4` R8 ........... ' ` """"'? a' L GREENTREE ACPT INC "' A .350. UNIVERSVE ( 0 SACRAH614TO CA 952 N ,DAT c R ° REvLEASE OF LEGAL OWNER . 8) J U. F N I I R O S R T L I E N 8 H E O C L O D N E D R 3. RELEASE OF DEALER NEW REGISTERED OWNERP FILL IN ITEMS 4 - 9 R . 4.A) AND OR 8) NAME - PLEASE PRINT " s.') 0 & URRENT MAILING ADDRESS 8) CNTY ST ZIP 6. FUTURE i IL9NG ADDRESS F CITY CNTy,. ST ZIP i a r PUFF RASE PRICE DATE FILL IN ITEMS,10 - 12 S*M NAME - 1. RETENTION,OF'LEGAL OWNER 12._ CITV CNTY ST ZIP C ). ? NEW IST JR.LI HHLlDE . FILL IN ITEMS 13 - 13 ASSIGNMENT OF L`EG'AL ER 13. iTYNAME-'PLEASE PRINT 4. 3vo ADDRESS 13. CITY CNTY ST ZIP Rte* NEW 2ND JR. LIENHOLDER, FILL IN ITEMS 16 - 18 att . 16. NAME - PLEASE PRINT 17. ADDRESS • 18. CITY CNTY ST ZIP IMPORTANT 02-072-0000: THIS CERTIFICATE OF TITLE 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. 0200004 STATE OF CALIFORNIA. -DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT -- REGISTRATION CARD MOBILEHOME amALNo. LAR4504 OK1rL���IT�RU EY90002 OAK TAARECV"' OKM2211" 02/0/91 02%9/91 O9-16/91 .SVC EXVIRATION UERIAL NUMBER ' 067005288th IGNIA NUMBER ULffibn HMO 66VIO 0106 DMIS �f EXEMPT S E c Lw 2 06700528AD ULI332373 014820 000720 000156 TOTAL 3 4 FEES s PAID: B $60.00 A GREENTREE ACPT INC 0 350 UNIVERSITY AVE o SACRAMENTO CA 95825 R H 8 8 B ' R VANKIRK MARY LOU E oa I A 2512 3RD AVE Ss T L E CAPAY95607 R E O 8 2512 3RD AVE a: N T E u CAPAY R a GREENTREE ACPT INC L E G A L O w N E R J u 'F N I I R O 8 R T L I E N 8 H E O C L O D N E D R 350 UNIVER�AVE SACRAMENTO V ZO DATE: 02/28/9"1 1 Of- A' EGAL OWNER COPY IHF ION ONLY AMITY IMPORTANT 02-072-0000•: THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT •s TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0200004 STATC'OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS ' 4'= REGISTRATION AND TITLING PROGRAM - 3 STATEMENT OF FORECLOSURE MANUFACTURED HOME/MOBILEHOME LAR4504 I 06700528A/BD MANUFACTURER NAME SKYLINE NAMr- Ut- rvxh(;LUSING CREDITOR GREEN TREE FINANCIAL fwlixhsS UI- FORECLOSING CREDITOR TRADENAME OAK MANOR FORECLOSING CREDITOR STATUS (Check One): X Legal Owner Junior Lienholder Other Street: P.O. BOX 276708 Citv: State2i SACRAMENTO CAS 95827 NAME OF DEFAULTING PARTY MARY LOU VANKIRK MAILING ADDRESS OF DEFAULTING PARTY Street: RR 1 BOX 334 A TERREBUNNE OR, 97760 LOCATION OF MANUFACTURED HOME/MOBILEHOME 2512 3RD AVE CAPAY DISCT ,CA DATE OF PUBLIC OR PRIVATE SALE (AS CONMN p IN$htE..\�OZ7CE OF SALE) AS A RESULT OF THE PUBLIC OR PRIVATE SALE THE UNIT HAS BEEN (Check applicable box(es) below): 1. ® Retained -By Foreciosing Creditor (If subsequently sold, complete applicable section below) 2 ❑ Placed On Consignment With A Dealer And Sold To A Private Party Dealer Name and Number Name of Buyer(s) 3. ❑ Sold To : - (Name of Buyer) (a) ❑ as a result of the public/private sale or (b) ❑ at subsequent sale on DATE I certify that the fair market value of the manufactured home/mobilehome was one thousand dollars or more at the time the security interest was created. I certify under penalty of perjury that the foregoing is true and coirect and that the Notice(s) of Default or Belief of Abandonment, Notice(s) of Sale and Distribution of Proceeds from the sale of the described unit has been executed in the manner prescribed by Health and Safety Code Section 18037.5. EXECUTED ON 3/18/93 AT SACRAMENTO �tc ) i, (City) SIGNATURE �' , �/ ( 1 /G TITLE HCD 476.1 - S1DE 1 (REV 3/90) CA (Sta STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION AND TITLING SECTION STATEMENT OF FACTS Ica r VOLUNTARY SURRENDERS OR ABANDONMENTS This unit is a: ❑ Mobilehome ❑ Commercial Coach ❑ Floating Home ❑Slide -in Camper Decal (License) No.(s) LAR4504 Trade Name SKYLINE' Serial No.(s) 06700528A/BD We, the undersigned, hereby state that the unit described above (check applicable box below): XD This unit was voluntarily surrendered by the Registered Owner of record to the Iienholder shown below. ❑ Releasing signature of Registered Owner(s) is provided on the Certificate of Title or Ownership Certificate(s). 0 Releasing signature of Registered Owner(s) could not be obtained. ❑ This unit was abandoned as defined in Section 180375(a)(6) of the Health and Safety Code. NOTE: This Statement of Facts and -a completed Statement of Foreclosure (HCD 476.1 revised ii90) must accompany the transfer application for this unit. Affiant further agrees to indemnify and save harmless the Dir:,ctor of Housing and Ccmmunity i evel�pment, State of California, and subsequent purchasers of said unit, for any loss they. may suffer resulting from registration of the above-described- unit. in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on 3/18/93 at SACRAMENTO CA (Date) (City) (State) Signature of each affiant WENDY ADKINS Printed name of each affiant ADKINS FOR GREEN TREE FINANCIAL Address P.O.! BOX 276708 City SACRAMENTO State CA HCD 485.9 (NEW) INTERSPOUSAL TRANSFER GRANT DEED (Excluded from reappraisal under California Constitution Article 13A § 1 et seq.) This is an Interspousal Transfer and not a change in ownership under § 63 of the Revenue and Taxation Code and Grantor(s) has(have) checked the applicable exclusion from reappraisal: ❑ A transfer to a trustee for -the beneficial use of a spouse, or the surviving spouse of a deceased transferor, or by a trustee of such a trust to the spouse`of the trustor; ' ' ® A transfer to a spouse or former spouse in connection with a property settlement agreement or decree of dissolution of a marriage or legal separation; ❑ A creation, transfer, or termination, solely between spouses, of any co -owner's interest; or ' ❑ The distribution of a legal entity's property to a spouse or former spouse in exchange for the interest of such spouse in the legal entity in connection with a'property settlement agreement or a decree of dissolution of a marriage or legal separation. ❑ Other: ❑ Check when creating separate.property interest in grantee spouse: It is the express intent of the grantor, being the spouse of the grantee, to convey all right, title and interest of the grantor, community or otherwise, in and to the herein described property to the grantee as his/her sole and separate property. FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ROBERT T. HUSTON and SUZANNE Y. HUSTON hereby GRANT(S) to SUZANNE Y. WARRICK, a divorce woman the real property in the City of Unincorporated area of , County of Butte • State of California, described as Lot 1, as the same is designated and delineated upon that certain Map entitled, "Map of the Dodge Tract No. 2, a Subdivision of the North Half of lot 5, of Block 101, of Thermalito, Butte County, California", "which Map -was recorded in the office of the Recorder of the County of Butte` Dated State of California, on December 12 in Book 6 of Maps, at Pa e' 102. STATE OF PRMUA November 9 , 993 COUNTY of ROBERT T . HUST N On Novpmblr 9, 1 9 9 3 before me, PatR31 T. - Cart- ar, a Nnf-,qry Publ i n personally appeared Robert T. Huston and C Suzanne Y. Huston personally known to me (or proved tome on the basis of satisfactory evidence) to be the persons) whose name(s) X/are subscribed to thePATS'r L CARTER within instrument and acknowledged to me that t l /they executed the — NoitCON" 0966M ary�Pr.Capff ft same in #i r/their authorized capacity(ies), and that by*iiwk fvtheir �pnwmcouw »� signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) ed, executed the instrument. WITNESS my ha d a d o cial seal. (This area for official notarial seal) SignatureA MAIL TAX STATEMENTS AS DIRECTED ABOVE ' EM��tooa (t/st) 93-50235 I Order, No. Esdrow No. ' " 4 10 9 3 • 02351 Rec Fee 5.00 1 Cash 5.00 Recorded I WHEN RECORDED MAIL TO: Official Records I County of I Suzanne Y. Warrick Butte I 1053 12th Street Candace J. Grubbs I Oroville, CA 95965 Recorder .1 9:05am 10 -Nov -93 I PUBL XX 1 MAIL _TAX.STATEMENTS TO:_.. DOCUMENTAR TRANSFER TAX$............................................ r Computed on the consideration or value of property conveyed; ::Computed on the consideration_ or value less liens or encumbrances -'a• remaining at time of sale; OR same 'as above ... Exempt from imposition of the Documentary Transfer Tax pursuant to Revenue and Taxation Code § 11927(a), on transferring community, quasi -community, or quasi -marital property assets between spouses, pursuant to a judgment, an order, or a written agreement between spouses in contemplation of any such judgment or order. AP# 030-19-3-009-0 ' Signature of declaring grantor or grantee INTERSPOUSAL TRANSFER GRANT DEED (Excluded from reappraisal under California Constitution Article 13A § 1 et seq.) This is an Interspousal Transfer and not a change in ownership under § 63 of the Revenue and Taxation Code and Grantor(s) has(have) checked the applicable exclusion from reappraisal: ❑ A transfer to a trustee for -the beneficial use of a spouse, or the surviving spouse of a deceased transferor, or by a trustee of such a trust to the spouse`of the trustor; ' ' ® A transfer to a spouse or former spouse in connection with a property settlement agreement or decree of dissolution of a marriage or legal separation; ❑ A creation, transfer, or termination, solely between spouses, of any co -owner's interest; or ' ❑ The distribution of a legal entity's property to a spouse or former spouse in exchange for the interest of such spouse in the legal entity in connection with a'property settlement agreement or a decree of dissolution of a marriage or legal separation. ❑ Other: ❑ Check when creating separate.property interest in grantee spouse: It is the express intent of the grantor, being the spouse of the grantee, to convey all right, title and interest of the grantor, community or otherwise, in and to the herein described property to the grantee as his/her sole and separate property. FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ROBERT T. HUSTON and SUZANNE Y. HUSTON hereby GRANT(S) to SUZANNE Y. WARRICK, a divorce woman the real property in the City of Unincorporated area of , County of Butte • State of California, described as Lot 1, as the same is designated and delineated upon that certain Map entitled, "Map of the Dodge Tract No. 2, a Subdivision of the North Half of lot 5, of Block 101, of Thermalito, Butte County, California", "which Map -was recorded in the office of the Recorder of the County of Butte` Dated State of California, on December 12 in Book 6 of Maps, at Pa e' 102. STATE OF PRMUA November 9 , 993 COUNTY of ROBERT T . HUST N On Novpmblr 9, 1 9 9 3 before me, PatR31 T. - Cart- ar, a Nnf-,qry Publ i n personally appeared Robert T. Huston and C Suzanne Y. Huston personally known to me (or proved tome on the basis of satisfactory evidence) to be the persons) whose name(s) X/are subscribed to thePATS'r L CARTER within instrument and acknowledged to me that t l /they executed the — NoitCON" 0966M ary�Pr.Capff ft same in #i r/their authorized capacity(ies), and that by*iiwk fvtheir �pnwmcouw »� signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) ed, executed the instrument. WITNESS my ha d a d o cial seal. (This area for official notarial seal) SignatureA MAIL TAX STATEMENTS AS DIRECTED ABOVE ' EM��tooa (t/st) OWNER'S NAME: Wu f f i C k RECEIVED PERMIT NUMBER: "1 "c_ -11 A . P . # : �— 9 d O� DATE (p 7 L' RESIDENTIAL F� NON RESIDENTIAL RECEIVED BY Tin S^ ---------------------------- REQUIRED PRIOR TO PERMIT ISSUANCE ----------- FROM DATA SHEET M REQUESTED.BY PLAN CHECKER OTHER --------------------------------------- REQUESTED BY CORRECTION NOTICE M YES NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: (4 -pre v 4-�-( Uy --------------- WHEN APPROVED, PROCESS AS FOLLOWS: — y It l Mail to owner (Address) Mail to contractor aO�ame and Address) Call and hold for pickup at V1i .office. Deliver with next inspection. REVISED PLAN CHECK FEES PAID: Additional Fees Not Required +SK+'Y+'3';'rpp'T�`*�� k�S+7.3Y'�iiN.:::9':��+,�;;4ay ;i�•.+? .l' • *.,awa.�. „r� t.t+_rte"Far=ry �..r+.. ry so �:::> Uv�b �M,f i, ; iw�+'7At c''.`h� �'ti<.a.i'�j�+'r:4r.+i��t1�%i ti! '�?�trn_'c�v :^oe'ay%al�d-"r�,d,�'�r�'�`t�"i�'�sArrsYi�''+s%r � 0:30-193-009 p x 94-1134B WARRICK• S w r r - , '1053 ,12TH ST. , OROVILLE - ~ CONT:,.CJ LAND DEVELOPMENT ' i DEMO SF f � } i ,r e. I f � h ` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 'y ASSESSOR PARCELNUMRER ' 030-19 ZONING ar .BtflfbING PERMIT OWNER Susan warrick TELEPHONE SQ. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1053 12TH ST OROVILLE CA 95965 EST 3000 CONTRACTOR'S NAME CJ LAND DEVELOPIon TELEPHONE 534-5678 CONTRACTOR'S MAILING ADDRESS 2280 LOUIS AVE. OROVILLE CA 95966 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 54.W ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy ecg Ener PlanChecking Fee $ Penalty $ BUILDING ADDRESS 0 2TH �' VI PERMIT FEE $ 74.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE .. SF0 Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other) Describe Work: DIM PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( OOOV OR LESS ) 2OOA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLDS. ) 3.50 FTS0.. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code a my ,license is in full force and/2!,p- effect. License No. ���/ yS / Classification C—/ ❑ I,as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) SAL. @ 1.000 Ex. Occup. FIXED APPS. OR (OWUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's YHd //// """" Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 Inc nsequence of the l nting of is permit. (/ X �!»! /l (�� Date Ii 'Z T Signat 're of Applicant O Owner ❑Contractor O Agent An SHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 74.00 HAZ. 1 D. FEES I IMP I FLOOD I COF PARCEL I PD I HD Issu This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for w is Mees have b en By _0414s.1. ,r, r 1/ PERMIT EXPIRES ON `?/,4 (Date! provisions to do work paid. Date � y1'�l1 �q / /�( J(� / % �~ 162496 :Re.eipt No. T E-D.D.S.-13.13. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT 044'DEVEtOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916)8-75413 ER IT N0. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-193-009 ZONING ar AMODING PERMIT OWNER susan warrick TELEPHONE SQ. FT. OCC. BUILDING VALUATION EST 3000 OWNER'S MAILING ADDRESS 1053 12TH ST OROVILLE CA 95965 CONTRACTOR'S NAME Q LAND DEVELOPMENT TELEPHONE 534-5678 CONTRACTOR'S MAILINGADDRESS 2280 LOUIS AVE. OROVILLE CA 95966 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation S Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 54.00 ARCHITECT OR ENGINEER r, LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 74 • Q0 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFS] Duplex ElMobilehome O Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20'00 TYPE OF WORK New ❑ Addition ClRemodel ❑ Utilities ❑ Installation ElOtherj Describe Work: DEMO PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 'Ov OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8, ACC. BLDS. ) SD. 3.5, FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C de a my license is in full force �n �eff License No. Classification C� ❑ I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RES1D. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS 1 & SINGLE OUTLET CIR. I Ex. Occup. ( OUTLET OR FIXTURES ) BAD L. @ 1:5050 Ex. Occu UT ED (RESID OR p' (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's XHd L � Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 County in c nsequence of the anting of is permit. X Date X-1 Si hat re of Applicant - CO) Owner Contractor ❑ Agent n SHA permit is required for excavations over 5"0" deep and demolition or C struction of structures over 3 stories in height. Mobile Home Installation Fee I $ Energy Inspection Fee I $ occ CONST. TYPE TOTAL FEES 74.00 HA2. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Res utions to do work indicate ova for w is ees hav b n paid. By Date % 4 PERMIT EXPIRES ON /Date/ Receipt No. 162496 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESIDENTIAL DEVELOPMENT 5 n 4 18 1 5 0 Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building - — - - -- permit. 194-0181501 Rec Fee 6.00 The property described herein is adjacent to land or included i I Cash 6.00 within an area zoned for agricultural purposes, and residents Recorded I of this property may be subject to inconveniences or Official Records I discomfort arising from the use of agricultural chemicals, County of I including, but not limited to herbicides, pesticides, and I Butte I fertilizers; and from the pursuit of agricultural operations ICandace J. Grubbs I including, but not limited to cultivation, plowing, spraying, Recorder I pruning, and harvesting which occasionally generate 11 : 15 a m 25 -Apr -94 I P U B L XX 1 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 discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: t i ©`� 1�c�S \,e 5Arne S c�e5�9c�o. a� c�e��nea-E'o-�ec� Lxpon es*,- \Ae-k (vl0-� o-k� -�Ve oc�- T�o-c� K%o .a� o. Sv�c�u���o� fiche- IvO�1 �10•�� o� o� s C5�' li iC-S Co -E-Y Date: PROP TY OWNERS: State of California County of Onb personally appeared personally known to me (or" proved to me on the basis of satisfactory evidence) to be the person(s) whose name(* is/ase subscribed to the within instrument and acknowledged to me that IMre/she/�executed the same in Us/her/their authorized capacity(ft), and that by NS/herhbeir signature(e) on the instrument, the person(@), or the entity upon behalf of which the person(@) acted, executed the instrument. d'( PATSY L CARTER WITNESS my hand and official seal. Coh" 0%5m 1 MYeenrn.l�tMMAY 17.1096 Signature Seal: AX END OF DOCUMENT :' aaY�'tri�ssdN �otoUi ��1'a`i�•l J Co d 4 Qe G Fah :If�x.A,•'. t (-. � ,. ^� a .'�• . .,, %�!?�" '�''y"''-'--'tF��"^"i�W� �i�.'llsir�i'•.'"�iS;�.�'lr��`'•"f�6;,Rld'; '�"`Y: �+:cfi.:�.�%.4", `,mac:",.:. e B�U,TTtz C-OUNTY�SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District ( /C C-) /ZM , (5 r ffs Building Department No. a A.P. Number 030 /?3 -00 7 Jurisdiction 0 City E)11 County Property Owner _�) 1 A 15 0 n (A-10 r( 1C Property Location/Address fo 5 , 3 / C� 4-A Subdivison Residential Development Commercial/Industrial V - (0U Lot No. [] 0 Sq. Footage 100 No. of Living N1HIAddition (Group R) rr Units t' /�C_P lG (7 S ��', .S I n S 0 New 0 Sq. Footage Addition (Floor Plans reviewed by School District Personnel) (Including Exterior Roofed Areas) LJ / / Date District Identification No. 940146 + I School District certifies that (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No.®� - Rte by payment of $ a representin School square feet. Paid by Check Number Remarks: Bank Number Paid by Cash NA - Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fullv mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS'ITEMS TO LOOK OUT FOR 1. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). 2. Guardrail details (Sec. 1711 & 3306(j). 3. Brick or stone veneer. (Chapter 30). 4. Exterior plaster - weep screeds (Sec. 4706). 5. Proper roof pitch for roof convering (Chapter 32). 6. Roof covering type - (fire hazard). 7. Foam insulation - protection. 8. 36" halls and stairways. 9. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 10. Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 11. Attic access and ventilation (Sec. 3205). 12. Underfloor access and ventilation (Sec. 2516). 13. Combustion air for fuel burning appliances - L.P.G. requirements. 14. Noise requirements'on duplexes. 15. Energy design. 16. Flashing at all exterior openings. 17. CDF responsible area requirements. C6.6 G15P S� ���Sr� �7-Titch��� S= 4f 11?q )124 R, 9. [s 2& � CC2 D RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) G Bldg. Permit # OWNER A.P. # e - Plan Checker GENERAL ing requirements: (sideyards and number of permitted living units). Valuation. 3. Plans signed by designer. groper description of work on application. 5. Existing violations on property. 6. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). 7. Recorded notice of violation. PLOT PLAN -+---'Complete parcel size and dimensions. .2---SZe-tbacks, sideyards, easements, etc. o.ther buildings or structures. ra ing, lls, drainage. 5. Flood hazard. 6. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). 7. FAU & FAS road setback. 8. Building or utilities across lot lines (Record form). FLOOR PLAN 1. _-Complete to 'scale plan.with dimensions. ? •' :, 2. Required windows for light and ventilation (Sec. 1205). 3. Required windows for second exit -(Sec. 1204). 4. Skylights (Chapter 34 & Sec. 5207). 5. Human impact glass (Sec. 5406). 6. Required room sizes, ceiling heights (Sec'.'1207.).• i 7. GFCIs in baths,garage,�kitchen,•and exterior outlets (Article 210-8). 8. Light fixtures;' •siwitches, receptacles, • and exterior receptacles for main- tenaflce'of mechanical equipment. 9. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. _ 10. Garage firewall, door_size,°and. closer, (Sec. 503(d)(.3)). y 11. 1 - 3'0" exterior exit door (sec. 3304 (f). 12. Fireplace and wood stove location, alcoves, and clearance. 13. Smoke detectors (Sec. 1210). 14. Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 1. Standard bracing or engineered design (Table 25V)' 2. Unusual shape, size., or split level house requiring lateral design. 3. Clerestory requiring balloon framing and/or engineering. 4. Three story building requiring engineered calcu�latioh's.and plans: , 5. Foundation plan complete enough to construct buil-ding.- 6. Floor construction details complete enough to construct building. 7. Elevations and wall construction details complete enough to construct building 8. Roof construction details complete enough to construct building. 9. Fireplace construction details and calcs if necessary. 10. Rafter ties or bearing ridge beam. 11. Garage door or porch header sizes. 12. Stud heights. 13. Adobe soils - special foundation design. 14. Retaining walls requiring design. 15. Special Inspection required. /� 30-193-09 3328-89B,E HUSTON, Robert & Suzanne 1053 12th St, Oroville (new garage) -� PERMIT EXPIRES OWNER CONTR. % ASSESSOR PARCEL LOCATION Temp. Power Pole Called PG&E Temp. Elec. Service i Called PG&E t - Temp. Gas Service Called PG&E JOB FINALED (Date) Signature =OK 0 = Not OK = Not Readyiable 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. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -131 Date Card -B1 Date Card -B1 Date Card -61 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/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -B1 Date Card -B1 Date Card -131 Date Card -61 Date MISCELLANEOUS Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -131 Date Card -B1 Date Card -131 Date Card -61 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B1 Date Card -131 Date Card -131 Date 0 = UK ° = Not ° plicable . RESIDENTIAL ('Singib and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Fig., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Fig., Garage; Soils -Steel-/ P' Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Fig., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51, Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59, Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas PiDe: Size & Anchors Card -81 Date Card -131 Date 9ard-131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. r Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -81 Date Card -81 Date Card -B1 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75, Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 96. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT g 1.77 ASS ESSO PARC^ l f�R o ER ZO ING BUILDING PERMIT TELEPHONE � SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDR E55 / 5-3 f ' 95- CONTRACTOR'S NAME � TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation$ • LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 1000 Permit Fee Plan Checking Fee $ S / ✓1 $ 1 ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS In Energy Plan Checking Fee $'��-- Penalty Permit fee $ $ S' ����� PLUMBING PERMIT F' ingFee 10.00 Each Trap 200 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 500 Each qas water heater or v t 5,00 USE OF STRUCTURE SF [IDuplex❑ MobilehomeR Other dotaaaej SPECIE Gas piping system 1 - 5 9dilets 5.00 Building sewer 5.00 Mobile Home G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other m Describe work: CJ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, Or my employees with wages as their sole compen-FIXED sation, will do the work,and the structure is not intended or offered Vfo sale. (Sec. 7044) as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L too AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. , /20sgit NEWCONSTR. MULTI -OUT LET NON -RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS 9� SINGLE OUTLET CUR. Ex. OCCup(OUTLETS OR FIXTURES 20050Q eALO 30 APPLNS. OR Ex, QCCUp. OUTLETS (RESID,) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ a� X10,1 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 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 subjection to the W. C. provisions of the Labor Code, you must forthwith comply with such or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT Fili Fee 10.00 tPermit 3.00 Fee $provisions tor 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 H bil' ies, judgments, costs, and expenses which may in any way accrue against id County in cons u nce of the ranting of this permit. X Date����� 7 Signature of Ap, icant — ner EVContractor ❑ 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 $ occ CONST TYPE _ TOTAL FEE $ �5�• 75 HAZ CUA PARK SCHL FLD P 1-1 HD UE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for w ich fees CT R ! UBLIC By PERM FYPIRF¢ n.t. the applicable provi- resolutions to do have been paid. WORKS ,Q Date 1 l 412 25 �� Receipt No. J / .60 $ v —� - S' WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INS CTO.. GOLDENROD-.PPL.CA.1 J ...COUNTY OF BUTTE - DEPARTAIIENTT-TF PUBLIC -WORKS - BUILDING DIVISION -AX 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA'95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER /oJ LA&:ham A. P. No — Proposed Building Use � Building Inspector Date OTS At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... r Statement of Intent for Non -Heated and AC Buildings .. 8. Engineered truss details and layout in duplicate (required prior to plan check) Mobiaehome installation data including manufacturer's installation i tructions Fees of $ �.h' 4 1. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. Schoo .District es paid .............. 14. Sanitation approval from A Health Department 15. City of Chico plumbing permit ..................................... ` 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) �;►,. 20. Pre -Inspection for required.. Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. + j 23. Owner -Builder Verification (Given twowner "ail to owner ❑) ..... r�24. Recorded copy of Agricultural Acknowledgment Statement ......... + 25. Letter of signature authorization ................................... , 26.` 27. 4; When you issue the permit, process as follows: Mail to owner. Mail to contractor. '{+ _ Telephone C -f and hold for pickup at office. Deliver w/inspector. Other Applicant Date — 1. Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item no checked above). 1. Index permit for above items No. 2. Additional items required: t Contractor, designer, owner, was advised of above required data by_phone--jnail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy—DPW ^� • COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not)..�� S J 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 VJ Contractors License No. 4. I plan to provide portions of this work, butI have hired the following.person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner 121/n AA A Social Security Number IJ557—( Date i n — `2, ,=� 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. 0 Helen Martinez Permit #594-86 1053 12th St,Oroville f f;,4r. • 9e J , �� y• 4J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS + PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ` APPLICATION AND PERMIT ASSESSOR PARCEL NSUMBER ZONING BUILDING PERMIT OWNER ( I TELEPHONE SO. FT. OCC. •BUILDING VALUATION OWN/R' MAILING IN\ ADDRESS y ") CONTRACTOR'S(i AME �j (� r, J , TELEPHONE s� 7 1- 1,1194 CONTRACTOR'S MAILING ADDRESS /� 1 Fireplace CONSTRUCTION LENDER - VNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / ^ y / Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r ✓� r� r %�� 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 r SF ❑lt Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00P; TYPE OF WORK I New ❑ Addition ❑ Remodel ❑ utilities,[:] Installation❑ Other © Describe work:Ir" n y- r lP v +i+ p !� �, _ v -i + �, ` /Y,a ri) r�P V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 i/„C7ir� Main service EA. ADD -L. too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ` fl I am licensed under provisions of Chapt. 9, Div. 3 of the BusineS$ and Professions /Code and `my license is in full) force/ and effect. License No. ^"'� �_� T Classification r ""/ I ❑ I, as the owner, or my employees with wages as their sole•compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) - ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e: j ` OR ADDNS. � ACC. BLDGS. ,/20sft Q NEW CONSTR. MULTI -OUTLET CC ITS 2,50 ea NON-RESID BRANCPOWER /APHPARIRATUS e) \SINGLE OUTLET cIR. EX. OCcup(OUTLETS OR FIXTURES eA 030 Ex. Occup. our ETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 1�e J h el fl Permit Fee $ / 1-7. !; Contractor WORKMEN'S COMPENSATION INSURANCE .I I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I ❑ 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. } XI 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. I also agree to save, indemnify and keep harmless the County of Butte -against all liabilities, judgments, costs, and expen-ses�which may in any way accrue against said Couftty-in•consequenr of.the granting of this permit.. X If Al .-r,/7 i - Date `1+h Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 7 OCCUP. CONST.TYP! I I FLOOD PARCEL I PD I ND I ISSUE This permit is hereby issued under the applicable p rovi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been aid. p DIRECTOR OF PUBLIC WORKS (� By. `L � D�:___��_.. Dater � J - ' / PERMIT EXPIRES Date- , Y- .7 -7 _ ' rwork Agent ❑ Signature of Applicant ;� Owner ❑' ContE.,to"10S�deep An OSHA permit is required for excavations oand demolition or construct- ion of structures over 3 stories inheight. �7! Receipt No. ,-) WHITE-D.r.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DliPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller-Califb;�ia 959E5 - Telephone 916/534-4541 APPLICATION AD PERMIT ERMIT NO. -5-4 - �n AS�Jr PAR F,� y,41MBE -r (/(-f[ L NING BUILDING PERMIT OWN F h P TELEPHONE q` SQ. FT. OCC. BUILDING VALUA ION OW E 'S MAILING AD RV Vi CONT CT R'S N TEL E%710/NEt4i i CORA TOR' AILING DRESS C Fireplace CONSTRUCTION L NDER UNKNOWN LENDER'S MAILING ADDRESS Total Valuation is Filing Fee Permit Fee $ 10.00 $ ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty E$ $ $ BUILDING ADDRESS D Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �19 Ll I 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 SFrvrDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 PP TYPE OF WORK New ❑ Addition ❑ Re ode ❑ Uti Iitie ❑ Installation Other IX Describe work: 6 ✓ P ,V1 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov 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 (check one): `�/r' `/}y,(�)- I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Co a and m license is in full) force /and effect. License No. �^ Classification _Sv �w l! I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLINGoCCUP.11J/1 i OR ADDNS. ( ACC. BLDGS. /20sgft NEW CONSTRMULTI-OUTLET NO N•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR, 2A Ex. Occup(OUTLETS OR FIXTURES 0 0 .t FIXED APPLNS❑ EX. Occup. OUTLETS (RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 c. Mi 4Yirin 15.00 e- t1/s ,on Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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 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, cost and exp a which may in any way accrue against said CounSar-irr•Cbnsequ ce gr ing of this permit X �� Date —t Signature of pplicant wner Cont actor Agent ❑ An OSHA permit is required for excavations ov " deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ I JFLOOOJPARCELJ P6-1_1,10 I ITS - This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC BY IPER T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date3—�S_� Receipt No. WHIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEP MENOF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CTAU. TFsORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use flF0 A'r Permit No. " f 1 /J1 FZ- A„P. No. ��-Z9_3-01� Permit Fee Based Upon: Complete Contract Price DPW Valuation Other 7(ExI in) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid” Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 1 Mobilehome Installation Data% . . . . Pre -Ins re -Inspection for (�' C ✓ I C-. Required. Buildingec. request to 3�� �i (Date) p q Building Inspector 18. Other fQE1§ ANR' u(Vonstructionm approvalerequired prior to occupancy 19. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office De iver w/inspector. Other Applicant 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 by Other Copy—DPW Date Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION' AND PERMIT PERMIT NO. ASS�.:fS PJ �} MBE 9 - 7r — ZONIN BUILDING PERMIT owN R _ 53,/ ONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING AD RJSA CONT CT R'S N ME }1 r TELEPHONE -L CO RA TOR' 1 AILING DA ESS L�/ QN��L� CONSTRUCTION L NDER /� UNKNOWN Fireplace Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS j� � / Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Ll ! 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 I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Re odel ❑ Utilitie ❑ Installationp Other (�) Describe work: Y P oI.(i _ ` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 F CONTRACTORS LICENSE LA I declare under penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the BuSlnesS and Professions Co a and m license is in full force and effect. License No. ^ Classification � `l� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 100 VAMP OR OR LESS 10.00 , 0eg Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.y /n OR ADD NS. ( Acc. BLocs. /z¢seaqft /d NEW Co NST R UL ET '2,50 ea NON•R ESID BRANCH i CC.IRRC ITS POWER APPARATUS S SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES S20 A 050t 30 FIXED Ex. Occup. OUTLETS P(RESID ILNS KEA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi Wiring c, g 15.00 A /S , Q Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Not ce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such . provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Coolin g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of I 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, cost , and exp a which may in any way accrueJJJJ against said Cot onsequ ce gr ing of this permit - ` %� ��% Date 't! Signoture of pplicant caner Cont—actor' Agent ❑ An OSHA permit is required for excavations Ov deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. coN eT.TrPc PL000 PARCEL PD Ho 90.E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -.INSPECTOR, GOLOENROO-APPLI CANT PERMIT NO. 2525-78B a PERMIT EXPIRES 5/11/79 t; !OWNER W.L. BLANTON .. CONTR. owner ,LOCATION (A.P. 1053 12th. St., Oroville Temp. Power Pole_ Called PG&E Temp. Elec. Serv.— Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) . 11 1 - Temp. Power Pole_ Called PG&E Temp. Elec. Serv.— Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatina 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 MOBILEHOME 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.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel el?none: 534-4541 APPLICATION AND PERMIT asap �� v au L"or Ice representatives UI Hie County o1 Butte to enter upon the above-mentioned property for inspection purposes. XP__S�b Date f— 7 '09Ygn ure o Permiteeo`r�Agent Receipt No. 1-7 7 D 6 Li 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. D T,4,R FPUBLIC WORKS (11 z M/ -m/72, By ' Date Build-inT permit expires Date BUILDING Owner t SQ. FT. OCC. BUILDING VALUATION Mailing Address I `� i Contractor Mailing Address Fireplace Tlephone No. e Total Valuation Permit Fee Building Address Plan Checking Fee &/or Penalty t Permit Fee , PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 rov 1 Each Trap 1.50 Repair drainage or vent piping 1.50 O _ Q A. P. No. l Zoning &Planning Water piping 1.50 Each water heater F UA4ettiea Fire Dept. Fire Zone Use Permit gas or vent 1.50 Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel I Declaration I Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 -f+0ff-sIrecd Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ C-1 IN ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service 600V OR LESS 100 AMP OR Less 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER e00v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWEL INIS OR ADDNST ( ACCLBLDGS.CCUP. 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 BRANCH CIRCUITS) NON.CRESID.ONST � BRANCH CIRCUITS 2.50ea NEW CONSTR POWER APPARATUS & NON.RESI D. SINGLE OUTLET CIR. 250 Ex. Occup{OUTLETS OR FIXTIIRES 9 L @ 1 Ex. OCCU FIXED APPLNS. OR P•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of 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. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. fU I certify that in the performance of the work for which this 4PLpermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ TOTAL PERMIT FEE $ au L"or Ice representatives UI Hie County o1 Butte to enter upon the above-mentioned property for inspection purposes. XP__S�b Date f— 7 '09Ygn ure o Permiteeo`r�Agent Receipt No. 1-7 7 D 6 Li 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. D T,4,R FPUBLIC WORKS (11 z M/ -m/72, By ' Date Build-inT permit expires Date `i41 � � r ,, s ARS Butte County Department of Development Services. e�Tre, NOTES 7 County Center Drive, Oroville, CA 95965 ecOUNty. I (530) 538-7601 vA".buttecatnty neVdds I f RESIDENTIAL v Permit No. l APN: ' • Owner: o vm Site Address:nwi Contractor► lL/I(l/ \ Type of Permit: � k � t � f OFFICE 2COPY AddressLO_53 GAS - { Meter By— ate ELECTRIC Meter By Datel a GJ r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED - FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER — ENCROACHMENT PERMIT ` REINSPECTION FEE PAID ENV HLTH CLEARANCE' DATE JOB FINA 2- t. + SIGNATURE s e� OFFICE 2COPY AddressLO_53 GAS - { Meter By— ate ELECTRIC Meter By Datel a GJ r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED - FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER — ENCROACHMENT PERMIT ` REINSPECTION FEE PAID ENV HLTH CLEARANCE' DATE JOB FINA 2- t. + SIGNATURE += OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat O or LPO Inch Sz• Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-DemandNalve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs O Foundation O 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S`C O V E R S`C A R P O R T S GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-Cnnctns-Splice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE 1POOLt 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing -Alarms 13 Bonding, Diving board or Slide 41 101 1410 ° Pool Drawing = OK 0 = Nol RESIDENTIAL (Single. & Duplex) R.+Z DATE JUNDERFLOOR UAit IPLUMBING 1 Zoning Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils -Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel -Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall-Fifting-Test-2-way C/O -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test v' m� 11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE [ME C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn __ 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 0`4 DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clrnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer t 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑ Yes 0 No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Eiec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Trnsfrmr Clrnc-Ins Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or 0 AL 98 Address Posted AC Wire Sz 9. DCU or DAL 99 Fire Sprinkler 48 Range Circ ga D CU or DAL Oven Circ ga 0 CU or D AL Insulated Neutral DYes 0 N 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector m Butte County Department of Development Services. eurre- naex N O T E S 7 County Center Drive, Oroville, CA 95965 (530)538-7601 vnvw.buttecounty neUdds RESIDENTIAL I J APN.- ` Permit No. Owner. �v 71Y Site Address - Contractor Type of Permit: CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE '72'`CU .0 DATE JOB FINALED: �I OK NM nK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/CIO-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat O or LPO Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr i 11 Wtr 1£ Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs O Foundation O 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S`C O V E R S`C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg . Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs -Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness - Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Encisrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/S'-Crcitng Eqp-Htr 8 Elec Gmdng; Eqp w/S' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pnlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr, Fencing Alarms 13 Bonding, Diving board or Slide C 0�4 1 °�� ° Pool Drawing = OK Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub-Acc 6 Stemwalls Garage; Steel-Blockotits-Wrapped• 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test i.t Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IM E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic s` o` DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE FINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & flr Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Meth Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rffr Ties-Purlin-Roof Brac TrussShthg 71 GFII Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Cimc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Lane Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cimc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv flr 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc ' Mech Prtctn- LPG Appince Undr House 3" drain 35 Glazing Area -Glass P rtctn-S kyLts-Plas tic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnis 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters [::]Yes ❑ No g 87 Stucco Brown -Finish 88 AC Unit Dscnnc% Elec-Plmb 89 Vnts abv Roof, Plmb Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-llndrgrnd DATE ELECTRICAL 40 Fxtr & Trnsfrmr CImcans Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndrig Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz gn ❑ CU or ❑ AL 98 Address Posted AC Wire Sz sra ❑CU or ❑AL 99 Fire Sprinkler 48 Range Circ 930 cuor❑AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No o+`' 0��c o• o` 49 Service -Riser Cndctrs &Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector t r I I • I BONNIE LANE " N 89' 91' OS' E (R) r SC.OJ (R) SS.00T(R) f 55.00(8)— — — 110.00,(R� a - _j I I I 0 22 CI 18 I 19 I 20 I pl I _I ' I I 211 3 r 1 I I N 89. 50' 41' E (M) O N N 89" 50'20" E (R, M) 310.11'(R, M ---"' -- DODGE -AVE_ -- -- N SCALE I"• 40' N DODGE AVE. 50.01'(R. M) 55.01 (R,M) I 55.01 (R,M 110.02 (R, M) CY 3 ;0 2 0 o _ n . . nr- 5 0 0 4 N 3 0� N 89°50.30" E .tt AC. o o .13 AC. o O_ AC.o_o 110.03'(M) 0 0 .t3 j Z = 0 0 1 n ,13 AC. o 50.02(M) 55.02'(M) 55.02'(M) It0.05'(M) O N N 89" 50'20" E (R, M) 310.11'(R, M ---"' -- DODGE -AVE_ -- -- N SCALE I"• 40' N DODGE AVE. �0 171- l� — A J NO SCALE 0 t a I0 oe. air ran - � SITE - � -4- LOCATION MAP LEGEND O FD. MON. AS NOTED • SET I/2" REBAR L.S. 4085 1r FO. I/2" REBAR L.S. 4085 O POINT DETERMINED ONLY - - N M- ' MEASURED DATA R RECORD DATA AS PER 56 M 68 BASIS OF BEARINGS THE BASES OF BEARINGS FOR THIS MAP IS THE CENTERLIlEE OF 12TH ST, BETWEEN FD. MONUMENTS TAKEN AS N 00' 12' 09" W AS PER 56 M 88. 40'---1 RECORD O FD. 41 i 2" REEAR lS. 3625 SURVEY I BEING. LOTS- 1• THRU 5 DODGE TRACT ow NO. 2, BK. 6 OF MAPS PG. 102 IN y SECTION .13,, T, 19,N,,,R 3..E, M.D. M. WITHIN THE UNINCORPORATED AREA OF v • I FD 47'- NAL CALIFORNIA` COUNTY; 's• t` FORT. WADE,. 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