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030-230-079
t ._.30.-23-7.9---- 1 KENNET HANCE 3025 Grand venue, ORoville PErmit#370-88P,E,util, ELEC �' • MW GAS it r ` SUPPORT S R EQ COMPACTION TEST REQ �� 02 'FS, Permit 707-8$MHl�" C/30-23-79 4-sned 030-230-079 PERMIT.'#97-2427PE BARNES, Donald '3025 Grand Ave, Oroville' ' Contr:. D&D.MHs' Ut 'ii -E ' ies/MH, `'ELECTRIC C%BD-��' �f� (� , GAS //0%:. 3�y -%6 > -.COMPACTION TEST:+��a 8-Ij i r.. SUPPORT STRUCTURE 030-23-0-079: �97-2493 MHI BARNES; Donald ; 3025 Grand Avenue, Oroville (MHI/97-2427)D & D MH tZ�Z�I R 030-230-079 01-2572 BARNES, LEONA 3025 GRAND AVE, OAO�VILLE CONT: SIERRA WTBILE SERVIC EX MH EX SI#E PERM FNDN 030-230-079 02-0852 TECH, EDGARDO C. ;+^a 3025 GRAND AVE., OROVIL E "i ELEC. SERV. TO STORAGE BLDG. MH CONVERTED TO STORAGE 0 � � � I n y�ii � � t�v t i ��' pr/r7y �' WA RESIDENTIAL + 030-230=079 PERMIT #97-2427PE ��-BARNES, Donald 3025 Grand Ave, Oroville i Contr: D&D MHs Utilities/MH ' PERMIT NO. r,Yj*� �� i/'7 — } PERMIT EXPIRES i OWNER CONTR. r t ASSESSOR PARCEL LOCATION •r. x�. c-� �P OFFICE COPY Address 3V ->J6Oa � GAS Meter BY--/ Date ELECTRIC Meter By Date :Temp. Power Pole Called PG&E_ Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E � JOB FINALED (D 'te) C Signature t . 4 '3 y...'r'r{br j'„Xr'......�+'''"'",'*-"f' y;..t�.:. � , hn-►.r•f"�-x�r".c . �,-����.rr�...,.�-s-�''1�Y7 :. - -.wv�`""y"�!,'-t"�'�",n",�y..'�'h,'•-•.-.-•-�•�-y.--r... � r„�,_.,c. { � � •-�.N MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN630 - : 7 PERMIT NO.: 77 - Owner's: Name:.,/(%C_ Owners: ,, % _ Address: v/ l0 /_ /5 Mobilehome � Two // E �TW Year of Manufacturer h� o O Manufacture: Serial number Insignia or or V.I.N.0 ( HUD number: $Q. Official approving installation: "\ Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor V=OK O = WICK Not •=NotReadypble MOBILE HOMES Date_/MOBILE HOME UTILITIES(Plans) OK except #'s ZoW equirements - Setbacks - Easements 2,Ad ; Special MH Support Sketch /Amp -Concrete 6. G'sr; Location jrest-Wrap; // fLYL Utility Clearance Da Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s VyZoning Requirements- Setbacks Easements 2. Footings; Sme-Spacing-Marriage Line Gas; MH Test-DemerKWAKe-Connector electricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector Water; MH Test -Regulator -Connector 7,ater and Sewer Connected -C/O to Grade -HD Approval as and Electricity Tagged 3,.—Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date — and B-1 Date Card B-1 Date ' Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Pians) OK except #'s 1. Zoning Requirements.Setbacks-Easements 2. Footings; SoilsSize-DepthSpacng-ConnectorsSteel 3. Decks; Girders and/or Joists-Dedking-BracingStairs-Rails 4. Wood Awn.; Posts -Beams• Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing-VeneerStucco-Mesh 10. Root,, Shthg-Roofing 11. Ext; Steps -Doors -Landings 12. Braced Wall Panels r Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s } 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI S. Elec.; Pool Lighting; 15 Volts -GR 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5 Circulating Equip. -Pod LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health DepartmentApproval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 '\. s ✓ = OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date 1. ZoningSetbacks-Easments-FloodSlope Date 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 40. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ C Ftg. Depth 41. 4. Ftg. Porches & Decks; SoilsSteel-/ /" Ftg. Depth 42. 5. Stemwalls; Main; Steel-Blockouts-Wrapped 43. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 44. 6a. Hold Downs and Special Anchors . 45. Headers & Beams -Size & Bearing 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Ring -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #s 23. Fixture & Transformer Clearance -ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Sim / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Sim & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #a 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrn. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration-WallsAMindows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66, Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr: HU:; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meeh. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 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: 101"AVI 14:1 ..-�...«..___._._....'tiF.-wv-c-�S`a'✓�Jfy-i�9'�i:�.;�F..a��•;Z''Y"�'Y.,��..P�w�'1''ti' COUNTY OF BUTTE 2 BUILDING DIVISION DEPARTMENT 017j -DEVELOPMENT SERVICES 411 Main Street, dh'iico, •CA -(916) 891-2751 a 7 County Center Drive, Oroville, CA - (916) 538-7541 a 'A CORRECTION NOTICE _ 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. &"j��' S%'�S OIQ,�q,e G 4- S REV 10192 COUNTY OF BUTTE- DEPARTMENT OF DEVELONENTSERVICES -BUILDING DIVISION V/ 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P RMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-230-079 ZON1 XR 5 BUILDING PERMIT OWNER DONALD BARNES TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3025 W. GRAND AVE CONTRACTOR'S NAME D & D MOBILE HOMES TET12NE3301 CONTRACTOR'S MAILING ADDR2243 FEATHER RIVER BLVD. CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ ,off Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 3025 W. GRAND AVE—Energy Plan CheckingFee $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: neTTTT --r Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile HomeG @20.00 (0.00 PERMIT FEE $ 80.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2..AAOORLI�Ess 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. G �+ License Class 6q72 Lic. No. 3S a 117 7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( ToING 46.00 NEW CONST, DWELLOCC EL OR ADDNS. ( a ACC. BLDS.UP. SO 3.5QFT: NO CONST. ��I.OIRC� 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES 20x'.50 BAL Q .SO Ex. Occup. oUXTLETS RFsIp,LNS °Fsa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE $ 63.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier -Z40% t I +h. Policy Number 113 -) 2.0 40 0 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date �' / D -g� _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FE E. 166.00 HAZ. .FEES IM FLO CDF v P L PD _ HD .. 'ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. /,' 17 By to Q D` PERMIT EXPIRES ON Dafe ReceiptNo. 23 rib WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'i\ COUNTY OF BUTTE -DEPARTMENT OF DE,VELOPMENTSERVICES -BUILDING DIVISION 7 County Center Drive - Orovine, Califdrnia 95965 - Telephone (916) 538-754114 �y P RMT No. (Rev. 12/96) APPLICATION AND PERMIT % /" "?�27-- ASSESSOR PARCEL NUMBER 030-230-079 ZONING AR 5 BUILDING PERMIT 67 OWNER DONALD BARNES TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3025 W. GRAND AVE CONTRACTOR'S NAME D & D MOBILE HOMESN330'1 CONTRACTOR'S MAILING ADDREn43 FEATHM, RIVER BLVD. LL CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS T 3095 W GRAAVE Energy Plan Checking Fee $ LLF $ PERMIT FEE $ .0 LOT NO., SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome I1 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation EK Other ❑ Describe Work: M HI RE: #97-2427 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 000V OR LESS 200, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect. License Class C 14_7 Lic. No. 31 l OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLD.. SO 3.5QFT. NEW CONST. MULTI.OUTLET NON-RESID. ANC CI C 97.50 POWER APPARATUS SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDCTURES 20 @ I.00 BAL. p .so Ex. Occup. OUTLETS (RES Dea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensati°n� insurance carrier and policy number are: Carrier 22h y� \'-rl� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need no be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall with comply with those provisions. X_ Date / Lao 'tel a Signature of A plicant - ❑ 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 $ 100,00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. p. FE IMP I FLOOD I CDF PARCEL pp HD ISSUE This permit is hereby issued under of the utte County Code and/or indi t a ve f which fees have s B /'��� ,J PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Dat Cf Date Receipt No. A, QJ -9- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a.*of�i�'=+wf�NiY''�.Tx'iCr►�il'►f�Y'r'"�iar•.•�.i:.;^li;i vr� r g« v�yrrr.• c'.:� ,..-3giv,.,c.,...v^'i"l�Y#iF^.r•. . -z.,.. .. ,. �. COUNTYOF BUTTE - DEPARTMENTOF 6EVELOPMENTSERVICES - BUILDING DIVISION 17 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION'DATA SHEET OWNER Proposed Building Use MW,v A. . No. 030-2-36-07i Building Inspector. 0 Date /P - /d -'77 At time of permit application, I was advised the following!data must be submitted prior to permit processing and/or issuance: �r ! DATE RECEIVED BY 1. All items have been submitted . ................ :�" ...... ;f................. . 2. Plot plans; 3/4 sets, signed by pr parer Iof plans. ....................... . 3. Complete plans, 3/4 sets, signed by preparer of pl5ns..... ................ . 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. .... j ................ . 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. ........... ..`.. . 14. Sanitation and plot plan approval O`er""If Health Department. :............ 15. City of Chico plumbing permit . ........................................ 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-�i spection for required. .. o 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 . ......................................... L 28. Mobilehome utility clearance ............................................ 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed i and (B) Parcel meets zoning area and frontage requirements. .'. . . . . .1. . . . . . . . 31. Existing violations/expired permits . ....................................... 32. Plan check list . ..................................................... 33. !+ 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. X Telephone 53E-3-30 I and hold for pickup at 0 R W (< < office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other.. Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). J 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 Counter by _ Date Plans checked by Date Plans approved byt,...,,;�k Date Sets of plans on hold in File cabinet - AP folder Copy - Department of Public Works `` r E.H. USE -ONLY i Plot Plan Attached Floor Plan Attached Sent to B.D. r TO: Building Department FROM: Environmental -Health SUBJECT: Sanitation Clearance r�A�D�Arz.� s 307-S w . G jap 1-2�9 y Owner Location AP# Plan Approved for: Sewage DispoWater Supply: Public Private W� Clearance for dwelling. OthersalAGE- a w' Dorr- . A --- Hold final for. Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date - COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI N 7 COUNTY CENTER DRIVE - ORO .V1LJ IFORNLA 95965 - TELEPHONE (916) 538-7541 V PERMIT APPLICATION DATA SHEET OWNER: � E G r- w�� ASSESSOR PARCEL NUMBER: 0 Q — na Proposed Building Use: 1 Building Inspector: Date: 14— At time of permit application, I was advised the following data moat ire submitted prior to permit processing an or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans. ------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 115. Engineered truss details and layout in duplicate (required priorto plan review) No faxes! --------- 116. Energy Design Compliance and supporting documentation. --- ---------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.------------------------------------------------ 118. ----------------------------------------------- ❑8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .--------- ❑ Fees of $ ------------------------------------------------------------------------------------- pact fees as shown on the attached schedule. --------------------------------------------------- /es 9 7 ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department: ==----------------------------------------- - ❑ 15. City of Chico plumbing permit.-------------------------------------------------------------=------=----------=- ❑ 16. Plot plan and business license approval from the City of Biggs. ----: ------------------------------------------- 0 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------. ❑24. Letter of -signature authorization. ------------------- -----------------------------------------------------=----- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------------------------------------- ❑29. 13433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 1130. -------------- ❑30. Other:------ When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. 2Tetephone 5S2 :33 O 1 and hold for pickup at 5.,-& off M Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire r-;-] , ❑ Copy of plans sent ❑ Health Department, ❑ Fire Departure : _ 1. Index permit application for the above items numbered: with inspector. (Date) Check List 2. Additional items required: - �, hk�o�ntractor. designer, owner, was advised of the above required data b r -p one, ❑ mail, ❑ Building Division counter, by Date: le -t-1 designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisio ounter, by Date: Plans reviewed by: Date: /2- / - - 7 Plans approved by: Date: Z- �(- Sets of plans on hold in ❑ Plan Cabinet,XA.P. folder. Note transfer by: Date: 1 -!q!7 Yellow Copy - Department of Development Services, Building Division. v'P"'' "i'L'agaSlN*,Yi+�•('s��11.I,y^."'`-,I";'�.n.`^'"•'++�'�r�-rvclvw'rr-�T..y..--w.s�...�,r,.`.;.y7�""''{i;%�% A*j+ `.+��a�'7''�'s."�+•S'... � .. .•ri t' 1... _ BUTTE COUNTY SCHOOLS IMPACT FEE (:ERTIFICATION FORM ~� (One form per Building) ]" J School District . �rp �^! I Building Department No. A.P. Number —2,40—,L577 Jurisdiction: City County Property Owner Property LocationlAddress ac> 2s /¢f/ P.e"''""`� e Subdivision Lot No. Residential Development Sq. Footage 6 No of Livi g Mobile Home Addition (Group R) Units Installation Commercial/Industrial py �—� Building Departm nt Representa is ictJId fenntiifi,alio No.' " �-- Sq. Footage New .y,,,, -- Addition ` (Including Exterior �" "� Roofed Areas) (Floor Plans reviewed by School District Personnel) 980064 n certifies that 11-2--A--) Date r4d) (Applicant) (Phone Number) Lr�OQ (City (State) (Zip Code) 5�j has complied ith the requirements of Resolution No. / by payment of $ representing �• ®� square feet. JFBi 2926 n „ t c*, ULL MITIGAT 1� $ School Paid by Check # Remarks: 112m- -4 Ell Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district►;` i ' feeform.xls (2/97)dmm ELECTRIC GAS 'Support Struc. Compactio Test eq. Service Other Pipe YESI NO YES NO Size Load Type Size Len th : �/) OLA ! Mp ✓ , v N w M , 6 DEPARTMENT OF HOUSING AND COMJrA WN DEVELOPMENT DWION OF CODES AND STANDARDS P.O. BOX 1407 SACRAMENTO, CA 85812-1407 (9 f 6) 255-2501 TWIDOWN SYSTEM CERTIFICA-ncN (To be completed by the nx*Wehme installation Permittee or their representative) weby Y urs Nameaw Tltly � L;;- d/ /�' G,s¢ 0U/v PAY of P,0" and in accordance with the provisions of the California Code of R .S, Division 1, Chapter Z Section 1326 that the Uedown system installed at e9V ons, Trite Nam"" uas not modified prior to or during ttre ir>stg�{p , and was ir►siaUed �� or in �ordanee with the tileedowra��urees , 1' accordance w� p� and spec, ,;ons a an engineered fiedmm sysftm bw to kumftm Oft" wsuwx to the CCR, T26, section 1328 o upon WmOadon of the LOGa andaft ham. � matntenwX9 q' a dopy of the pis � for ed wren's the horrmx*a er. m4 ements for the tledown system shall be placed +whirl the home for retention WMA # se strict Representafive �— fiCDltAp,� (PM. s" . t NOTES 1 RESIDENTIAL ( 030-230-079 01-2572 1 PERMIT Nf)BARNES, LEONA—.__.,,_ ____ 3025 GRAND AVE, OROVILLE CONT: SIERRA MOBILE SERVIC EX MH EX SITE PERM FNDN j �! THE HCD FORM 433A FOR THIS MH CANNOT BE 1 RECORDED UNTIL ONE OF THE FOLLOWING DIVISION: AS BEEN TURNED IN TO THE BUILDING (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETRENE). t (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY 10'y q0' 4056,' i,✓ dew,P 3for&j z_ pz-tsr USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature l 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY 10'y q0' 4056,' i,✓ dew,P 3for&j z_ pz-tsr USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature V = OK 0 = Not OK' = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Bea ms- Rhrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG Electric 7. Well Clearance & Disconnect FmI Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10: Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card Date -B-1 MOBILE HO_ME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 onin Requirements -Setbacks -Easements Card B-1 Date Card B-1 ootings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements lectricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability in; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and, Electricity Tagged pe -Installation Cert. ketch 1 1_.rwtT of Occupancy 12. Permanent Foundation Only; License Decal Dafk, C -X.-- Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 011 ................... T"111,4"o MISCELLANEOUS 7 Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rhrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. FmI Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10: Roof; Shthg-Roofing 11. Ext.; Steps -Doors -landings 12. Braced Wall Panels L Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 4 2. Soils; Compaction -Structure Stability f f 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI j 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater i t 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche t Date Card B-1 Date Card B-1 { Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -S IIs -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral O Yes I] No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive ] Yes ] No/Walks ❑ Yes ] No/Planters ] Yes ] No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, =urred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth - Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive ] Yes ] No/Walks ❑ Yes ] No/Planters ] Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) ' APPLICATION AND PERMIT 01-2572 ASSESSOR PARCEL 230-079 =ONIN AR5 - BUILDING PERMIT OWNER LEONA BARNES TELEPHONE 534-6867 SO. FT, OCC. BUILDING VALUATION 06 R 43,524 00 . OWNERS MAILING ADDRESS 3025 GRANVE AVE OROVILLE CONTRACTOR'S NAME SIERRA MOBILE SERVICE TELEPHONE 877-8575 CONTRACTORS MAILING ADDRESS 8965 SKYWAY PARADISE 95969 CONSTRUCTION LENDER + LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee 20.00 Permit Fee $ 187-79 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3025 GRAND AVE OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S?1Q 75 LAT NO. SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15 on Each as water heater or vent 15.00 TYPE OF WORK yy New ❑ Addition ❑ Remodel ❑ Udlides ❑ Installation ❑ Other Q Describe Work: EXIS MH EXIS SITE PERM FNDN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 ' Mobile Home S G W 920.00 ' PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A oR LESS 1 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in ffyll force and effect. �J 7 v 3 �6 License Class �/ Lic. NO. ( OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 13—f have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compAns.a^tion insuran a carrier and policy number are: Carrier �a-� T�^�' Policy Number etc 2? (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. XL -1 -50 -Date L 011c 16 _ Signature of Applicant - ❑ Owner V Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLAS. SO 3.5¢FT: NON-REOSIN-SYMULTI.OUTLET g7.50 POWER APPARATUS 8 SWGLE OtmFr CIR. Ex. Occup. OUTLET OR FIXTURES 20@'•00 SAL O .s0 FIXEI Ex. Occup..OUTLETS RES D,oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PIRE_ INSP PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAz. D FEES IMP FLOOD CDP 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. Date336617187$291'7 b 1 L7 C 2- pate) ReceiptNo. 75 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT FROM.`: LDC DSL LINE FAX NO. : 1 916 446 4818 November 6, 2001 Edgardo C. Tech 3025 Grand Ave., Oroville, CA 95965 Mr. Michael Vera Manager, Building Inspection Department Butte County 7 County Center Drive, Oroville, CA 95965 Nov. 06 2001 12:00PM P1 Re: Older 1987 permitted mobile home on 3025 Grand Ave. herein referred to as Somerset home Dear Sir, This is in sequel to our phone conversation today in order to comply with all the requirements for the issuance of a permanent foundation permit for the newer 1997 permitted mobile home on 3025 Grand Avenue. This letter is also to inform you that the older 1987 Somerset mobile home on the latter address is not being used at all. It is stored on the property only as - DEAD STORAGE, and all utilities such as water, sewer, gas and electric have all been disconnected. It will not be used as Storage of any kind. Further, any future change of use for the Dead Storage Somerset Mobile Home will require me to secure necessary permits from Butte County Building Department to comply with all County and State codes. Please consider this written statements certifying that the older 1987 permitted mobile home is now nothing but a Dead Storage on the property and all utility supplies have been disconnected. Thank, you for your time and consideration for the issuance of the permanent foundation permit for the newer 1997 mobile home on the above address. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT"PLICA TION DATA SHEET OWNER: ke A_J'A._.' ASSESSOR PARCEL NUMBER: 3 Proposed Building Use: ,, o Building Inspector: /2.r4_ Date: f At time of permit applic hon, I was advftboff0g data must be submitted prior to permit p e ung and/or issuance: Date Received By ❑ 1. All items have been submitted ------------------ ----------------- ---------- -------------------------- 7 -------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. -------------------------------------- -------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- El8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .-----------------= ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. -------------------------------------------------- --------------- El 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- 1113. -------------------------------------------------------- ❑13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- 1117. --------------------------------------------- ❑17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19�ncroachmente- Permit r driveway (construe on approval p�,rioo�rcto�ancy). ------ ------ - -------- 0. Prinspection for -P/�N t^ o� req►�r�d {tequest ild��ector on Z- O (Date) ❑21. Contractor's license o ation. (Number, Name Style, Classification). ------------------------------------ 022. Workers' Compensation carver and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 1124. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑ 28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 1143 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 1130. -------------- ❑30. Other:_. ------- 7e1c you issue the permi trocess as follows 11Mail to owner, []Mail to contractor. 0 / 5 and hold for pickup at office. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above itemsn bered. 11 Plan Check List 2. Additional items required: �%%a�� / p 12 `, ,� ,�, �. �c r i ova / Contractor, designer, owner, was advised of the Ayove requireddata by ❑ phone, ❑ mail, ❑ Building Division tinter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Datq: Plans reviewed by: Date: Plans approved by: /? �� Date: -7 zo" Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Vellrrnv f nnv - Tlanart-f of Tln..ol......, t C-;. U..:1A:: . I.: PRE -:fCTION REPORT OWNER: L -,re c� ,tipG ti 5 DATE: l 1� l� 4� 7-7 LOCATION: �d r�S ��� �t �1-yV(V(-,0 A.P. # ©-- '3— CS`'7 9 CONTRACTOR: 52. -c r (lI/l Ao cf 5� V (C � ZONING: — S PRE-INSPETION FOR:_ /�� 5' `,,, f �ll �%'e��1y! 4," 7,- e- 40, DATE TO INSPECTORl0L` O U PERMIT HLSTORY:; )NONE FOLLOWS: BUILDING INSrECTOR'S REPORT Building Description: . Mr 7 C:alf'L sage: Residential/# of Units: Currently Occupied Abandoned/Va t Electric: Yes No Electric currently On Off Condition of Electric Gas: i Natural Propane None ! Currently On�f, Obvious Problems: st Sanitation: Plumbing Working Well Working_ o Potable Water—b %__ �1 Obvious SewageProblems (� % s ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector: Date / 2 Sketch buildings on reverse and indicate location on propertv. +C, '15 S U -C—,. e�-�,�►•� j u s� y c 6 -; I-,- 4 V to � I 14 � ev, wnz, Mn !> r5A J E 57 30 L_5 L. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 14 -Nov -2001 2001-0052814 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE TIIIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real prope;-ty and shall be deemed to give constructive notice as to its contents to all person§ thereafter dealing with the real property. DONALD G. BARNES & LEONA J. BARNES REAL PROPERTY OWNER/LESSOR 3025 GRAND AVENUE BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE, BUTTE, CA 95965 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 1�0�1-2572 TY COUNTY STATE ZIP SAME (530)538-7541 INSTALLATION MAILING ADDRESS. IF DIFFERENT M \II ( TELEPHONE NUMBER 11/10/01 CITY COUNTY STATE ZIP IGNATURE OF LOCAL AGENCY OFFI U L DATE SAME NONE UNIT OWNER (if also Property owner, write "SAME") DEALER NAME (if not a dealer sale. write "NONE") NONE MAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION 09534 FLEETWOOD HM INC 1997 WESTFIELD 6522L MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLV17A19655WF12 15'6" X 52' t) RAD968316 SERIAL NUMBER(S) LENGTH X WIDTH U INSIGNIA/LABEL NU\IBER(S) RI?AI. PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #030-230-079 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - IICD PINK -Applicant GOLDENROD- Building Dept. BUILDING PERMIT NUMBER: 01-2572 Address or location of unit: 3025 GRAND AVENUE, OROVILLE, CA 95965 Legal •Description of Real Property: A.P.030-230-079 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health. and Safety Code Section 18551. Owner's name: DONALD G. BARNES & LEONA J. BARNES Owner's address: 30.25 GRAND AVENUE, OROVILLE CA 95965 INSIGNIA OR HUD NUMBER: RAD968316 SERIAL NUMBER OR V.I.N.: CAFLV 17A 19655 WF 12 MANUFACTURER'S NAME: 09534 ETWOO H kN C YEAR: 1997 LOFFICIAL APPROVING INSTALLATIO .DATE: 11/10/01 PHONE: (530) 538-754.1 H.C.D. 513C PAM*)C M N" Fw+wwffia 4 MI►a Vda.y rM1s b Ora" No. EpmvW NO. 12/84?AII4 - Lown No, WHEN RECORDED MAIL M. DONALD O. SAME9 LEONA J. BAANES 1168 STONEVW(E COUFW SUNNYVALE, CA 94089 PI.7u�taxRpMly 9? -3155G --�- 92-031556 Rec F.. 8.00 ) CAoCk 8.00 Recorded 1 Dtttclal Records I County Oft 1 8%itt• 1 C• kdsc• J. Orubb• I Recorder 1 6l00a■ 15 -Jul -92 1 NVTC r" Z MAJL TAX STAID.1QiT9 TO: DUCUMENTARY TR"FEA TAX RlM Q, Q � a• M oowrO.Aw � w1.. d I'ro.A' OR'R+t 011 - OWN aw M oartl�.sls� O ww�. mM hfw 1 flnO s� 3M W. GRANO AVV" 'r'w►tr M N.• k+A UIM')Yt<1,E, G� il6tallA 3� x3. T? GRANT DEED AP 1A.: ocJa �alt`o7E•don FOR A VALWaLE C0M$ JMTtOF>, mmipt of w1iPN Y Mrmby a drooU ftgd KENNETH L HANCE ALSO KNOWN AS KENNETH LEON HANCE AND HELEN It HANCE ALSO KNMN AS HELEN MARIE HANCE, HUSBAND AND WWt DONALD G. BARNES AND LEONA J. BARNES. HUSBAND AND WIFF, AS JOINT TENANTS ~rw nd t>pb in On UNINCORPORATED A14EA CQA* of BUTTE Sw. Of COVOnU ft$01 e a . 000•90il•"•'•••`SEE ATTACHED LEGAL DESCRIPTI0N0***•...9...... THIS DEED 19 BEING REREOORDED TO CORRECT THAT CERTAIN GRAM' DEED RECORDED JUNE- 30. 1902 UNDFA SERIAL NO.: 92-02877170 ADD THE CORRECT LEGAL DESCRIPTIOII Dated _.MTtItJ( 1 _ 97 ATE CFC.1LOKXV" } CA>Jhn CF BUTTE !� on __. JULT IAl� 1992 boa. Al (:. LA_ P. l+AS'rKLQTIO _-- powr-oN smwed KENNE 111 L, ITA?(rL * *. • _. 08FOM& / ►row+ b no (m I to .R. gm M bum N ufr!•dm wkmnoO b be •w pwbWo) %ftmw rAmWsl Wwo a6mafiod to we volm km -lm "wd .Rd psARprswdp.0 w we ow ws►rl►vr ss.aAsd to •r.. M A6tw1N*k ..m► *d op• ftq..n7 pw by w4vivow wyrtw of eR IN. h*4"U.p pw mrs"sl or tti MUM open bwwf of uhah do pmea s) wad, exeWed 1RG bvU%nw1t "TNES3 Rry twna V4 atkid Mu - .1wr R HANCE h . ._. i ... . IJ;.iCW ss"k • ?,.,.� IWJfVO.!'WT40T10 ���,. � RXp 111►� R w11! Gr. -r Q �l PAP.CF.L I• 9 2 3 (S 5 6 A PGRTION OF SECTION 16, TOWNSHIP 19 NORTH, RANGE 3 EAST, M.D.B. & M., AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF SAID SECTION 16; THENCE SOUTH 0 DEG. 35' WEST ALONG THE EASTERLY LINE OF SAID SECTION 16, A DISTANCE OF 4,121.90 FEET TO A POINT ON THE NORTH LINE OF STATE HIGHWAY ROUTE 21A; THENCE ALONG SAID HIGHWAY NORTH 89 DEG. 54' WEST, 352.0 FEET TO A POINT; THENCE NORTH 0 DEG. 35' EAST, 1856.25 FEET TO THE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE NORTH 89 DEC. 54' WEST AND PARALLEL TO SAID HIGHWAY, 352.0 FEET; THENCE NORTH 0 DEG. 35' EAST, A DISTANCE OF 618.75 FEET; THENCE SOUTH 89 DEG. 54' EAST, 352,0 FEET TO A POINT THAT BEARS NORTH 0 DEG. 35' -EAST FROM THE POINT OF BEGINNING: THENCE SOUTH 0 DEG. 35' WEST, 610.75 FEET TO THE POINT OF BEGINNING. PARCEL I1: AN EASEMENT FOR ROAD AND UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF THE ABOVE DESCRIBED PARCEL I, THENCE SOUTH 0 DEC. 35' WEST, 2475 FEET TO A POINT ON THE NORTH LINE OF STATE HIGHWAY ROUTE 21A AND THE END OF SAID CENTERLINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET TN WIDTH THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHWEST CORNER OF THE PROPERTY DESCRIBED IN THAT CERTAIN DEED FROM MARION G. TIBBITTS TO ROSE C. DRYDEN, DATED JUNE 4, 1964 AND RECORDED JUNE 26, 1964, IN BOOK 1321, PAGE 400, OFFICIAL RECORDS; .HENCE EAST ALONG THE SOUTH LINE OF SAID DRYDEN PROPERTY, A DISTANCE OF 352 FEET TO THE POINT OF BEGINNING FOR SAID LINE; THENCE'NORTH AND PARALLEL WITH THE EAST LINE OF SECTION 16, TOWNSHIP 19 NORTH, RANGE 3 EAST, M.D.B. & M., A DISTANCE OF 1090 FEET, MORE OR LESS, TO A POINT ON THE NORTH LINE OF SAID DRYDEN PROPERTY AND THE END OF SAID CENTERLINE. PARCEL -1-R.- , A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH' IN SECTION 16, TOWNSHIP 19 NORTH, RANGE 3 EAST, M.I`_B. & M., LYING SOUTHERLY AND EASTERLY OF THE FOI .OWI. : DESCRIBED LINE: COMMENCING AT THE SOUTHWEST CORNER OF THE PROPERTY DESCRIBED IN THAT CERTAIN DEED FROM MARION G. TIBBITTS TO ROSE C. DRYDEN, DATED JUNE 4, 1964 AND RECORDED JUNE 26, 1964, IN BOOK 1321, PAGE 400, OFFICIAL RECORDS; THENCE EAST ALONG THE SOUTH LINE OF SAID DRYDEN PROPERTY, A DISTANCE OF 352 FEET; THENCE NORTH AND PARALLEL WITH THE EAST LINE OF SAID SECTION 16, A DISTANCE OF 1090 FEET, MORE OR LESS, TO A POINT ON THE NORTH LINE OF SAID DRYDEN PROPERTY AND THE POINT OF BEGINNING FOR SAID LINE; THENCE NORTHEASTERLY ALONG THE NORTHWESTERLY LINE OF SAID DRYDEN PROPERTY, A DISTANCE OF 600 FEET, MORE OR LESS, TO A POINT ON THE NORTH LINE OF SAID SECTION 16, AND THE END OF SAID LINE. i STAT L' OF CALIFORNIA )ss. COUNTY OF BUTTE ) On JULY 13, 1992 _. before me. ANGELA D . 14ASTEL0110 Personally appeared HELEN M. HANCE******8 personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose names) islare subscribed to the within Instrument and acknowledged to me that fie/she/they executed the sarro in his/herAheir authorized capacity(ies), and that by nisrherrtheir signa:ure(s) on tho instrument the per i s dr the onlity upon behalf of which lho personls; acted, executed the instrument. OFF1101AL wAL • ANGEIJI D:.IMAeTF1D.TT0 - wrrNFS my hand and uffic seal. NOTARY PURUFCALJF pg1A • in mme • Sig`n'aW s ` \� ` \\��a`aa�ali�LL� • IM END OF-.DOC,UJ4ENT DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT s, NC olvisl4n yr code •nd 8iandard• §tvo,*e zGTitle SearchDutc Aint. 69/06/3(101 al Decal #: LAl'721 s Use Code: SFD Manufacturer: 09534 FLEETWOOD H I INC Original Price Code: AHW Tradename: NVESTFIELD Rating Year: Model: 65221 Tax Type: LPT Manufactured Date.: 03/03/1997 Last UT A.tllount: Registration Exp: Date DLT Fee Paid: First Sold On: 01/06/1998 DLT Exemption: NONE Scrial Number HUD Label / Insignia Length Width CAFLV I7A 19655WF12 RAD968 316 52' 15' 6" Registered Owner: DONALDG BARNES LEONA J BARNES (Joint Tenants with [tight of Survivorship) 3025 W GRAND AVE OROVIL,LE, CA 95965 Last Title Date: 11/10/1998 Last Reg Card: 1 1/10 1998 Sale/Transrer Info: Pr'ce x,29,950.00 Transferred on 01106/1998 Situs Address: 3025 W GRAND A% -`1r OROVILLE. CA 95965 Situs County: BU,-rE Ugal Owner: GREEN TREF, FINANC;,ki. SERVICING CORP 2931 SUNRISE BLVD STH. 175 RANCHO CORDOVA. %A 95742 Lien Perfected On: 01115/1998 17:2? -;7 ()pen Escrow: Mill VALLEY TTI'LE PO BX ]068 2295 FEATHER R11v L;R BL ORO%gLLE, CA 95965 Escrow File No: 190684PF Pending Buyer: EDGARDO C TECH %L RLA T. G. TECH Dealer Name: None Reported Escrow Opened On: 09/06/2001 Expires on: 01/04/2002 *** END OF TITLE SEARCH *** Decal #LAY7214 has been lost. Date: Owner Signa OFFICE COPY Address GAS Meter By Date ELECTRIC ` Meter By �DSr=� t. COUNTY OF BUTTE'- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-0852 `:e 030-230-079 ZONING AGIAW BUILDING PERMIT oW E+ &W C I= ..j T "-8.582 SO. FT. OCC. BUILDING VALUATION W Ju AD SS AVE./'�/� jet T � /+♦ t� t i VMIWREtEV:�Vr1aLrL�+ CA 95%5 'CO RAT R'S NAME TELEPHONE 1 CONTRACTORS MAILING ADDRESS y CONSTRUCTION LENDER Fireplace P LENDERMAILING ADDRESS `,; Total Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. 1 Fi . ling Fee $ 20.00 Permit Fee $ ARC�HLTECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 5AD=ft AVE. 00MUO CA 95%5 � Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE 1 SF ❑ Duplex ❑ Mobilehome ❑ Other STORAGE SPECIFY - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities EIZ Installation ❑ Other ❑ Describe Work: 'ELEC SERVICE M MRAGE BOIIDni m amER�IED TO SZnum Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 200A OR LESS 23.00 it LICENSED CONTRACTOR'S DECLARATION k, I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 WEL200A NEW CONST. ( DWELLING OCCUP. CCU OR ADDNS. a ACC. BLDS. SO 3.5¢FT: =ICONS RANCHMULTI-OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CR. Ex. OCCU OUTLET OR FIXTURES 20 p 1.00 BAL ,.� • FIXED APPLNS. . OR Ex. Occup. ount�s RESIDEA S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 .OQ PERMIT FEE $43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:' ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation ,. PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) `j I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith cor6ply with those provisions. X` '•`-` _ Date <zvl 2 '7_ Signature• of. Applicant - 0 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 FEE $ 43.01110 HAZ. D. FEES IMP FLOOD I COF PARCEL PO HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for wilich fees have been paid. / By d Date/ PERMIT EXPIRES ON Date Receipt No.%Tzo WHITE-D.D.S.-B.D. CAN Y ES OF PINK -INSPECTOR GOLDENROD -APPLICANT ' OWNER COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVIC 411 Main Street • Chico, CA • (530) 891-274 . 7 County Center Drive • Oroville, CA • (530)'538-7541 CORRECTION NOTICE a -9J0 -a 7 S PERMITT-NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. d I'=- STS t i't-S ✓�f�/C7 '--/n-7W%t- cX C jq-x-- 17E �^� S� rJc✓ 44 14 .c/0' y I Date 12 /l Inspector �+ REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES -`� 411 Main Street • Chico, CA • (530).$91-2751 7 County Center Drive • Oroville, CA • (530)'538-7541 CORRECTION NOTICE. TnG�-RFs" 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 notice this office: -when correction of work is s" ' completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. G IrC rim(C ' Date C. specto REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-0852 ASSESSOR PARCEL NUMBER 030-230-079 ZONING AG/RES BUILDING PERMIT MARDO C. TECH TELEPHONE 538-8582 SO, FT, OCC. BUILDING VALUATION GE6BRANDAVE. OROVILLE CA 95965 CONTRACTOR'S NAME OW TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ �6016MD AVE. OROVILLE, CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other STORAGE SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities f Installation ❑ Other ❑ Describe Work: ELEC SERVICE TO STORAGE BUILDING ISI CONVERTED TO STORAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800VOR LE Main Service 200A OR LESS 23.00 - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: JK I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. sO 3.5¢FT. NoµHEOSID.T MULTI-OUTLE. CIRCUT @7.50 8 OUTLET OWER APPARATUS CIR. ourLEr OR FaTUREs Ex. Occup.BAL 20 @ 1•00 O .50 Ex. Occup. Des as .0E, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23, 00 PERMIT FEE S 43.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not e o any person in any manner so as to become subject to workers' C pensa laws of California, and agree that if I should become subject to the ork rs' cc ation provisions of section 3700 of the Labor Code, I shall forth ith cc p th those provisions. _ Date 'Signal (cant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction over 3.stories in h fight. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under Of the Butte County Code and/or indicntebov'el,r chfees have <d_ ByDate PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. //_of.structures / Y (/ v Z_ Date ReceiptNo.." i WHITE-D.D.S.- .D. CANA - ES OR PINK -INSPECTOR GOLDENROD -APPLICANT 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 )f NO ❑ 2. I HAVE i( 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: /A v ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: 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 + l ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: t �� NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORitiIATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner-buildee, you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an emplover, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 1 ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and inaterial personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. IIMF rely, /CU�1 el C. Vi ira, C.B.O. ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the Californla Health and Safety Co d& OVER Owner at counter: Discussed options for existing mobile — told he had 2 1. Could disconnect all utilities, unblock, remove stairs and deck and put in dead storage or, 2. Permanently cap off all utilities, remove entire kitchen including cooking facilities, sink, and cabinets. Use as storage only, not ag. items. (� Q-0'r-fiL- v 2 Sy A� 4�c_ � -)-t- 6 �� �' ��• 6a +11 +6 �'6� . I 1 , R/OA - o �� Ly �6� ju f u � .4. 0'� s for existing mobile — told he had 2 block, remove stairs and deck and put in dead storage or, remove entire kitchen including cooking facilities, sink, and cabinets. Is. j t C4 L"�-C P rh(d� (J�VY'C+& C4 0'�5 -n P )L4- 6c3 -JO -T�C� CI-4 C�OrV +U �Z;� �, R/OA - C) VO 4n� 6-4 `z 9-11—� U LOCATI( -PRE.-INSPECTION.A.UP CONTRACTOR: r PRE-INSPETION DATE TO INSPECTOR: Building Description: Commercial/Usage:_ Residential/# of Uru*ts:44' DATE: /Ol -/w " 0 / A.P. # i0�/�(:�l� %q ZONING: PERMIT HISTORY:( ) NONE ( ) AS FOLLOWS: BUILDING INSPECTOR'S REPORT Currently Occupied Abandoned/Vacant Electric: Yes No ZElectric currently On Off Condition of Electric Gas: Natural , Propane None_ Currently On Off Obvious Problems: Sanitation: Plumbing Working A I, -d Well Working Potable Water Obvious SewageProblems t ACTION RECOMMENDED: ISSUE: 1 Inspector: H: sLD FOR Sketch buildings on reverse and indicate location on property. i v -------------------- ---`� FRdM LDC DSL LINE November 6, 2001 Edgardo C. Tech 3025 Grand Ave., Oroville, CA 95965 FAX N0. : 1 916 446 4818 Nov. 06 2001 01:24PM P1 Mr. Michael Vierra Manager, Building Inspection Department Butte County 7 County Center Drive, Oroville, CA 95965 Re: Older 1987 permitted mobile home on 3025 Grand Ave. herein referred to as Somerset home Dear Sir, This is in sequel to our phone conversation today in order to comply with all the requirements for the issuance of a permanent foundation permit for the newer 1997 permitted mobile home on 3025 Grand Avenue. This letter is also to inform you that the F older 1987,Somerset mobile home on the latter address is not being used at all. It is stored on the property only as - DEAD STORAGE, and all utilities such as water, sewer, fgas and electric have aU been disconnected. It will not be used as Storage of any kind. Further, any future change of use for the Dead Storage Somerset Mobile Home wiU require me to secure necessary permits from Butte County Building Department to comply with all County and State codes. Please consider this written statements certifying that the older 1987 permitted mobile home is now nothing but a Dead Storage on the property and all utility supplies have been disconnected. Thank you for your time and considcration for the issuance of the permanent foundation permit for the newer 1997 mobile home on the above address_ I _ lZl /a/o i 4 T o� lopt, Ael 00 OARAIEVC 0 Pfto WFAI 0 114 L, . 'N -A/0 — tefeAt)Wa S)-rF MPT This set of plans and spednommm MOM kept. on thejob at all times and it is unlatdW .na. any changes or alterations on same wit written permission from the Department of I Works, County of Butte: Risk MAD 'Bf 01F _ /P S�Apgl- from VV t4es AN, V IV 0 0%j 'i"'Pfk0'FrE-IR S"g-1, b cf- Of STVVE OVER VU APPROVED Butte County Environmental Health ... \Dat Signature re /,V,, 4e I A t 70 / --�� PERMIT NO. PERMIT EXPIRES OWNER KENNETH L.•HANCE CONTR. owner y ASSESSOR PARCEL 30-23-79 I LOCATION 3025 Grand Avenue, Oroville " I 1° �y Temp. Power Pole Called PG&E.:— G&E—Temp. Temp.Elec. SeMce Called PG&E _ Temp. Gas Service M f Called PG&E _ JOB FINALED (Dat Signature — I , M2 r.,,t - -MOBILEHOME INSTALLATION ACCEPTANCE- - c' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome _20_1)/�(T h i�� ,) Adv- Owner's tl,POwner's name J N �. Owner's address Insignia or hud number — l Manufacturer's name p 52 Serial number o V.I.N. J97 S� r �• � Year of manufacture — — f f IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION f ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. -IMOBILEHOME INSTALLATION ACCEPTANCE,. a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 • to PERMIT NO. Address or location of mobfilehome r1.J 1," 1% 14'::; --, Owner's name K . 11 ;—,A (' P Owner's address_ �'l� L�� Insignia or hud number 17 Fr 4J ! T Manufacturer's name_ C_n!o, • Serial number of V.I.N. Year of manufacture 197 V (Official Approving�nstallotion) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. � r , r . r r.,,t - -MOBILEHOME INSTALLATION ACCEPTANCE- - c' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome _20_1)/�(T h i�� ,) Adv- Owner's tl,POwner's name J N �. Owner's address Insignia or hud number — l Manufacturer's name p 52 Serial number o V.I.N. J97 S� r �• � Year of manufacture — — f f IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION f ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. -IMOBILEHOME INSTALLATION ACCEPTANCE,. a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 • to PERMIT NO. Address or location of mobfilehome r1.J 1," 1% 14'::; --, Owner's name K . 11 ;—,A (' P Owner's address_ �'l� L�� Insignia or hud number 17 Fr 4J ! T Manufacturer's name_ C_n!o, • Serial number of V.I.N. Year of manufacture 197 V (Official Approving�nstallotion) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. � r , i = OK 0 = Not,015 Not Applicable yMOBILE HOMES Not MISCELLANEOUS Date M0,9fVE HOME UTILITIES Plans OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s prgp,rf1'ng Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements . S Ns; Special MH Support-Sketc 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel ewer; Location -Te - II--C_,ncrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails _rZ_ ter; Locatio -T -E sement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing )1-, lectricity; Location-Clearances-Grnd.- Amp -Concrete 6. Gas; Location -Test -Wrap: / ,y 'L"ft. /"Nat. oto /"L"ft./ N�LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 DatW_;?. Card -B1 Date 10. Roof; Shthg-Roofing Card -B Dat 6,n, and -B1 Date 11. Ext.; Steps -Doors -Landings Date 01001 CEHOME INSTALLATION Plans OK except #'s ing,Requirements-Setbacks-Easements Card -B1 Date Card -B1 Date F Ings; Size -Spacing -Marriage Line Card -B1 Date Card -131 Date Gas; MH Test -Demand -Valve -Connector I ncity; MH Test -Crossovers -Breakers -Clearances r ' H Test -Fall -Flex Connector I Date POOLS (Plans) OK except #'s 1. Setbacks -Easements gjW, MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability ater and Sewer Connected -C/0 to Grade -HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining y;as and Electricity Tagged xits; Insp.-Sketch 1 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy 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.;Groundin Equip. w/5' -circulating Equip. -Pool L ht g' q p' gg g' Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date � Card -B1 Date Card -131 Date Card -B1 Date { I 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -81 Date Card -B1 Date �047 I = OK o = NotOK RESIDENTIAL (Single and Duplex) - = Mot Appilcable � = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe;"Size-Anchors $3. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -131 Date Card -81 Date Card -81 Date Card -131 Date Card -81 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -81 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. &Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or At 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -131 Date Card -81 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -131 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -131 Date Card -131 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) .1 `V - -, :ti.-..w•1-.--,.-5-"�it�`.�- - '� ..:. �. ,sem ..:-,:-'•=a+.i COUNTY OF BUTTE dr DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orov.ille — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE `awce Mel A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional, explanation, please contact this office immediately. Q Inspector Date ' N 1` ;' . .,COUNTY OF BUTTE ' 6044iMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: n8-7541 �� 7 'JV 747 Elliott"Road, Paradise — Phone: 872.-6307 -- �- CORRECTION NOTICE OWN A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE - DEF'ARTM�NT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND -PERMIT PERMIT NO. 7t1J 7— ASSESSOR P RCEL NUR 7 ZONING BUILDING PERMI Jr OWNER TELEPHONE SQ.FT. OCC. BUILDING VA109ATION OWNERS ILI NG A D ESS a? 5 Oro CONT CTOR'S NAME S TELEPHONE CONTRACTO MAILING ADDRESS Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 16 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2.00 10 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.010 Each qas water heater or vent 5.010 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome0 O her SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: h �Gn Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service jp0 AMP LOR ESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Elas 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 OCCUPAW ,/2¢SQft OR ADDNS. ACC. BLDGS. NEW CONSTR. TI.OUTLET 2,50 ea NON.RESID .BRA CH CIRCUITS) POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES ew 090 09 Ex. Occup. ou LETS P(RESI0.)R E A.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin g 15.00 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. fZA I shall not employ any person in any manner so as to become subject ^ to the W. C. laws of California. Notice to Applicant: If after making this statement;. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X _ Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Q Energy Inspection Fee $ TOTAL PERMIT FEE $ 170 occu P, CONST.TYPIEJ �SCHOOLJ FLOOD PARCEL PD I ND 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI ECT R OF PUBLIC By By- PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / 00- Date Receipt No.TY WNITE-D.P.W., YELLOW-ASe[SSOR, PINK -INSPECTOR, GOL ENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P NO RMIT . 7 County Center Drive - Oroville, California 95 65 - Telephone: 916/538-7541 IT NO APPLICATION AND .PERMIT j A53E5$gR PARCEL NUMBER— 22 ZON "!,r s... BUILDING PERMVf oW E C fi v1 ' TEL�� NE S0. FT. OCC. BUILDING VALUATION OW ER'S DDRESS a MAI LIN r e CON ACTOR'S NAME n TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER / i0 C ki UNKNOWN Total Valuation $ Filing Fee ,$ 10 LENDER'S MAILING ADDRESS Permit Fee $ ARCHI ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS/1 �) Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 V' _ 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[] Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home G ywy 0.00 ea 10 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee S Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMPOR ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑NON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. No. Classification ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y ) NRA DCONS. (TR. ACC.TBI , h2sgft OUTLET BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Occup Ex. Occu OUTLETS OR FIXTURES (OUTLETS eL � 990 Ex. OCCUp. 0UTLETSFIXED APP(RESID )RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permlt Fee $ C99. WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I, have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation pertnit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X- `�„� �(,��_ �r.� Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE Occup. CONST.TYP! 71;7ipoifl,PARC PD ND Is3 This permit is hereby issued under sions o e Butte County Code and/or WOrk ndl ab veCfor which fees f TOR OF PUBLIC BY PERMIT EXPIRES Date— the applicable provi- resolutions to do have been paid. WORKS Date }y_ Receipt NO. �/' WNIT!-O.P.W.. YELLOW-A3el330R. PINK-111ePECTOR. GOLDENROD -APPLICANT ryr ,� Y�r c �" y ., r ! .y �•t �..:r 4'x. .. ` � ��r � r ♦- ii COUNTY OF BUTTE - DEPARTMENT `OF PUBLIC WORKS - BUILDING DIVISION g` 7 COUNTY CENTER DRIVE - OROVILLE, GAOFORtflA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION' DATA SHEET Permit No. OWNER A. P. No. Proposed Building. Use 7/-� ` +. Building Inspector 6 % Date 3 �� 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District "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. _6. Mobi lehome Installation Data. . • . • . • . • . . , g� J Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. Whe you iss a er it, ocess s fol ows: Mail to owner, Mail to contractor. �Telep one3 a ho d for pickup at ffic Deler w/inspector. Other Applicant L°' �3-6'l Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to p rmrl� Issuance: (Circle new item not checked above). 1. Index permit for above items No. U Cif 2, Additional items required: Contractor, designer, owner, was advised of above required data by_phone--jnall—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter date Plans checked by Date Plans approved by Dates' Sets of plans on hold in File cabinet AP folder Copy—DPW TO: Building DepaitmAt a FROM: Encroachment Permit Section i1 RE: Driveway Clearance 7X �� �e a Zf ��u � �_ �_ - z 7- 7 owner location AP # Driveway permit 12&e ezI s i.gna re has been issued for the above property. ' , r TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance 30 Owner Location AP# Plan Approved for:, Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K..for: Water Supply Clearance for bedrooM��ilDe home. Other NOTE Sanitarian -Z /( - Date .•�v k r i`t t 'c J �+ °��i 'C3F� � `�4"7ry' � c 'r' * 1't* %'"t►tri'g; s�Ir "'W'1* �x' •COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION • 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: 916/538-7541 { PERMIT APPLICATION -DATA SHEET l J Aa Permit No. OWNER &n me 7 �` . m C C A. P. No. 00-C-) Proposed Building Use s�(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 Y 1. �2. All items have been submitted Plot plans in duplicate! rf iplica, signed by preparer of plans. . — OL15 _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. �0. Letter of signature authorize n. . X0 . . . . , . Sanitation r8 U i C approval from Health- Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) _14:• Owner -Builder Verification (Given to owner❑, Mail to owner ❑) _..._15. Improvements may be required. . . . . . . . . ... . 16. Mobilehome Installation Data. . . . . . . . . 7. Pre•Inspec. Pre -Inspection for _ _. _ Required- Building Inspector request to -(Date.) 8. fil Recorded copy of Agricultural Acknowledgment Statement. ° 9. Driveway Permit.=o`{J'�a°� ? _20. PlotIan approval from city of Engineered trusses in duplicate 21 required prior to plan check) 22. When, you issue the permit, process as follows: Mail to owner; Mail to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector. Other — --- _ /a � i/" _` A l i �,. '�� �•�-•-•-�--D p p c a n t a t e Copy of plans sent Health Dept.; Fire Dept„ Other Date The following data must be submitted prior t rmit i sue ce: (Circl new iteri) c d above). 1. Index for items No. I permit above 2. Additional items required: -____ Contractor, designer, wn was advised of above required data by—phone– mail counter by - date Contractor, designer, owner; was advised c? above required data by—phone—mail—co u r 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 - Departmgnr of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone : 916(: 538-7541 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) SLS 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 City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate,.supervise, and provide the major work: Name Address 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 ✓/ L-�✓ Social Security Number Date 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. 1 I t 0 MAR 09 '88 13:02 MID VALLEY CHICO t j,... -• 1 a �, C t ��•� L f. 1. 1 •? Recorded at the request of Return to...�une• E._ Rogers,,,,,,,,,,,,,,,,,,,, 2163 Sonora, Pomona, California .Man Tax Statements.ta;..."`Same. as return .......................... address above." Rev. 16,50 ePiRtlt nttb (individual) 1Ir For value received FRANK E. COSTNER AND FAYE COSTNER, his wife: AND RICIURD G. FORT AND iWZEL H. FORT, his wife €:RANT.: ... to JUNE E. ROERS, a married woman 8072 BOOK. RECORDED AT THE REQUEST Of AME COUNTY TITLE CO sii' 2b a .t min, pants —i-- o' Iot1+ hl Vol.- �.3k,;an —1Z OFFICIAL RECORDS OF BUTTE COUNTY, CALIFORNIA g E Nt;J, M. ESTGySontr Racorda OroUTr 11C01101* P.1 all that real prolxrty situate in the County of $ME StatcoiCalifornia, d.-xrilxd.isfolb A portion of Section 16, Township 19 North, Range 3 East. X.O.E. 6 .+1. and being more particularly described as follows:. Cont^.enefng at the Northeast corner of said Section 16, thence South Oe 35'•r:est ,Llong the Easterly line of sold Section 16, a distance of 4,121.90 feet to a .olnt on the Borth line of State Highway Route 214; thence -along said highway North 690 54' West, 352.0 feet to a point; thence North 00 35' East 1056.25 feet to t:;e point of beginning for the parcel of land herein described; thence Nor:h 691 54' Wesc and parallel to said Hig:iway, 352.0 feet; thence North 00 35' "cast z. A stance or 616.75 feet; thence South 090 541 East 352.0 feet to a point that ...ars Norah 00 351 East from the point of beginnieg; theate Soutb•00 3S' West 6:3.7.5 feet to the point of begfaning. TOGET1IZR with an easement for road anti utility purposes over a strip of 1.:«d 60 feet in width the centerline of which is described as follows: Q g:n.:ng at t;te Northwest. corner of the above described property; thence South 0' 351 West 2475 feet to a point on the North lice of State highway Ro [e%. p s.:,; the end of said centerline. �.--....3c) —.237x4 lCZ-1r!XG %1E.4„r3014 that parties lying within the boundaries of the above A It described property.® .a5 r(3."3L 3P I- 9.11 /fo TOGETHER WITH a right of way for road purposes as described In Deed frt." Elbert Costner, et al to Frank E, Cnstner, et al. dated 9/25/61 and record 10/13/64 in Book 1340 of Official Records, at page 5_"10. records of Butte County, California, ilaad.. .. September 20, ......... . r w irrArE or cAsmItNu Tag edea 0...:eotcabes unders rned aXoe.rgPW.,. taamufc .IHpcere.'ren ;.R` stn^rr Faye costrera Flohard G. .Or and '.a eY"t.civ _. ".aft s+ .m to b. tn. se»ua'. sea. .�w9 A .,fb.,Oad w —t" the ..am. VIRCsIN1A H. FNA�tV � ,- I,� tYjy•dtprd 21, I48a � •+.. �,�1. r, L ?rotsnr JasN, .. . 4 �f P129 Tom 0 ppovrrctu. tlIL "", - ALtRA ti P%4% -C . W e..t vwvcoat c"%t w --_ -- tm MOrtta rOU.11 Rcuurn Lo Ul'W AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT RECORDED BUTTE COUNTY 17OR RESIDE'NTTAL DLVELOPMF..NT OFFICIAL RECORDS BY Sccti.on 26-8.1 of: the Butte County Code NOT-CoMPAREDWITH reclu i res Lh Ls :lcknowl.edgemenL be recorded ORIGINAL DOCUMENT prior to issuance of a hui:Ld:Lng permit. 1988 IIAR -8 AN 11' 28 The properLy descr-i.bed here:Lii is ad face"L CANDACE J. GRUBBS Lo I and or i nc.Luded wi.Lh i.n an area zoned for agr:i.cu I Lural. purposes, and resi.dent.s CLM-RECORDER RE - 0l LII i s properly may be subject to incon- veniences neon-veniences or discomfort ar.is:i.ng from Lhe 88- 7614 use of.- agri.cu.LLural. chemicals, includ:i.ng, b,II. riot.. .l.i.rni Led to herbic.i.des, pesti-cides, and ferL.i.l.izcr.s; and from the pursuit of agr:icu'Itura1. operations including, 'bIII_ noL IJIII iLed Lo culI-ivaL:i.on, plowing � 51)r<Iy-i rig, prun:i.ng, and Liar. vesting which occas.ional.ly gener.aLe dusL, smoke, noise, and odor. Butte County has esLab.l:i.shcd ;'9I_iCI1l-- Lural zones wh:i.ch have as,a priority use for product:i.ve agr:LculLural purposes, and resid nI w I I.I'I.Ln sa i.d zones and •on'' adjacent property should Abe prepared to accepL such i:nconvcn i rnc'c or d.Lsconform from normal, necessary farm operations. AI.1 Lhat real. properly s:i.tuate in the County of Butte, StaLe of Cal.iforni.a, described :'S f o 1.1 c ws : /� pc(�' G � o{ .Sc'c o�> l6 i T r, �'(' I� Na��h> +Pwn �e 3 Easf� iV(. �$ iH u be��j +�o�Q �afcuiarly d�Scri'� aS 0LJS1 Co ►I, m ►,c I M) o, � the iv0 f kaco W rhe r o{ J� Sa; F-9 AP # 36- a L r7?. OWNER 0—ITS C P— PERMIT '7*0 MH UT IL. CLEARANCE DATE --e INSPECTOR ELECTRIC GAS .Support St c. Compaction Test. eq. .vice ,e140 Other Load Type Pipe Size Leiijzth YES I NO YES -3/y �' orkmanship Shall Be it, NOSE: -=All Materials & �N rynized Good Practices and Accordance with Rr-- `' Specified use in the of a quality prescribed for the Uniform Building, Plumbing &Mechanical Codes and the National Electrical Code. 200' I x� 140' 120' 100' 4 av p O 20' a • roRTy . stback of ft. from the perty lines and a setback Utility connections shal be within i0ft. from the road .' 4 ft. of the mobilehom ,either terline shall be clear of n directly behind or wit in the rear ictures or equipment e2-�,,,XceR. ,V half of the roadside (le t) of the 6r—? -ft. eav o+ha': 6,obilehor4e. L IN rr! `� 3�� � MOBILE HOME_MUST- LABEL` ��`� ��, �r BEAR H.U.D. _ S6�T"r St/fr-O S"C r RALDIWG DEPARTMENT A P R R p v E .00 ` , f,l••i bp1 1 r alio 1 land `spe��f Tihis all• times ahWl..�a P with e t'on the llo Iterations -on r { k +changes or a t artmet.Q make anY....... from th�Dep . oufi Written.peYrr;issionOf Butte Public , o'k.;:CbuntY - �.._ 35 _. �► 20' 40!, 60' 80' 100 120' 6; a i 200' I x� 140' 120' 100' 4 av p O 20' a • roRTy . stback of ft. from the perty lines and a setback Utility connections shal be within i0ft. from the road .' 4 ft. of the mobilehom ,either terline shall be clear of n directly behind or wit in the rear ictures or equipment e2-�,,,XceR. ,V half of the roadside (le t) of the 6r—? -ft. eav o+ha': 6,obilehor4e. L IN rr! `� 3�� � MOBILE HOME_MUST- LABEL` ��`� ��, �r BEAR H.U.D. _ S6�T"r St/fr-O S"C r RALDIWG DEPARTMENT A P R R p v E .00 ` , f,l••i bp1 1 r alio 1 land `spe��f Tihis all• times ahWl..�a P with e t'on the llo Iterations -on r { k +changes or a t artmet.Q make anY....... from th�Dep . oufi Written.peYrr;issionOf Butte Public , o'k.;:CbuntY - �.._ 35 _. �► 20' 40!, 60' 80' 100 120' 6; a MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr.4j)11 4k&fg4 _15q7y11Ae,6? furnish Setup Model No Year Width i� (ft.) Box Length ;70 (ft.) • Tagalong or Expanan• -O» f-t—x— f -t-,, On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)®1. SUPPORTS (check one) al. 51NCLE-WIDE Wood -pressure treated or foundation grade. 1-1 2. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations Main Beams nL2 ----- — — — —'— -- — — — — � Main Beams — — — — — — — LIU — — — — — — — — — — — . Line Tag or Triple — — — — .- Line 4 r Line 1 Line 1 Piers: Size -Min. ------------ Spacing -Max. --- — ---- Frau Inds -Max. ------- I_iac '1 Piers: SI%e-Mln_------------ ux n Spacing -Max.--------- From Ends -Max .------- 1.1ne 3 Po!of loads: Size -Min. ------------ MULTI -WIDE e Line 1 d Line 2 Line 1 Openings: Other (specify) Size -Min. ------------------ nx a Each Side of Openings With Width Over--------- E=J Line 3 Piers: (Under Bearing Wall Only) Size -Min .__________________ "x 'Spacing -Max._______________ From End's -Max,------ - ------ "x "x "x "x "x "x "x 11 11x Location From FronL) Linc 4 Piers: Line 5 Piers: y (Under Bearing Wails Only) Siza-Min.------------ „ Size - ^^ x McEbING DEPAR Spacing -Max. --------- From Enda-Max-------- From Ends -Max .------------- " Line_ 5 ltquf Loads: /A ®® ® k / r /a Size-Mia.--•---------- [AicaLion (From Front) -#X"` -_, , BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: �Ceh he N 3 Installer's Name: i�<6m;lel / /`""`- C Is the site currently under permit? Yes � No (If yes, furnish permit number Is the site an existing site? 310 -O 9 OR Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- �� Amps 6. What is the mobilehome site service rating? ------------- ��� Amps 7. What is the mobilehome site circuit breaker rating? ----- `' Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes ® No (If yes, identify the load and size: (Load) d (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural LPG VNI 11. What is the gas pipe length from meter or tank to the mobilehome? --------------------------------------------- V< (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or .less than 50 ft. on LPG.) M > M COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT. SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 RETURN SERVICE REQUESTED 0 Q� Vt 1 1 a Duv i BQar-" . v 703460 U.S. POSTAGE ` LEONA BARNES 3025 GRAND AVE. OROVILLE, CA 95965 BARN025 959652260 1501 C3 12/20/01 RETURN TO SENDER BARNE5' LE:ONA J 2.12 MIMOSA ST BRANSON MO 65616-9752 RETURN TO SENDER Ii�i�,.la�i�l►��Ii���;:1�1,„'II,��i1�i�L�Lt.�ili��,1�„il,�� Y ! �. i ,` I !, .0 �. . � � � . 1 ,� ,. i� i '� ,` �, 1; 1. �e 't � 1 � '� ��. ., � i„ I � �� �..,_ .�.� .� .� �{:' � ... �� �- i� -- ,' ^� �= j � � _ -_ r `� �"_ � :i :-- f ��� :.� .�_ . . ll '� ...